Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Plavix (clopidogrel) and Xarelto (rivaroxaban) are both blood thinners used to prevent clots, but they differ in how they’re used and how they work. Plavix, an antiplatelet medication, reduces the risk of heart attack and stroke in people with certain conditions by preventing platelets from clumping. It’s taken once daily. Xarelto, an anticoagulant, blocks a protein in the blood involved in the clotting process. It treats a broader range of conditions than Plavix, such as deep vein thrombosis and pulmonary embolism. It’s also often taken once daily. Plavix is available as a lower-cost generic, but Xarelto is a brand-only medication. Both medications can cause bleeding and bruising as common side effects. Serious bleeding may also occur, although it’s rare.
Clopidogrel (Plavix)
Xarelto (rivaroxaban)
Clopidogrel (Plavix)
Xarelto (rivaroxaban)
Summary of Plavix vs. Xarelto
Summary for P2Y12 inhibitor
Prescription only
Clopidogrel (Plavix) is a prescription antiplatelet medication that helps lower your risk of heart attack or stroke. It works by stopping platelets in your blood from sticking together and forming clots. You take it as a tablet by mouth once a day, and it might be used alone or with aspirin in some situations. Since it's a blood thinner, the most common side effect is bleeding.
Summary for Direct-acting oral anticoagulant (DOAC)
Prescription only
Xarelto (rivaroxaban) is a prescription blood thinner used to prevent and treat blood clots. It can lower the risk of serious problems like stroke, deep vein thrombosis (DVT), or pulmonary embolism (PE). It's comes as a tablet or liquid and is taken by mouth. Your dose depends on why you're taking it, so it could be once or twice a day. The most common side effect is bleeding, which can sometimes be serious or life-threatening. Xarelto (rivaroxaban) is available as both a brand-name and a generic medication.