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Plavix vs. Xarelto

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)

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Xarelto

(rivaroxaban)

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Summary for Plavix

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.

Indications for Plavix

Pros and Cons for Plavix

Pros

  • Good choice for lowering the risk of heart attack or stroke
  • Tablet that's taken once a day by mouth
  • Can be taken with or without food

Cons

  • Can cause major bleeding or bruising
  • Has many interactions with other medications
  • Might not work as well for people with East Asian descent

Common Side Effects for Plavix

  • Minor bleeding (5%)
  • Major bleeding (4%)

Warnings for Plavix

  • Clopidogrel (Plavix) not working as well
  • Bleeding
  • Risk of heart attack or stroke if stopped suddenly
  • Blood clotting condition
  • Allergic reaction

Summary for Xarelto

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.

Indications for Xarelto

Adults:

Children:

Pros and Cons for Xarelto

Pros

  • No regular blood monitoring required
  • Available as a tablet or liquid that's taken by mouth
  • Approved for both children and adults

Cons

  • Most common side effect is bleeding
  • Not easily reversible in life-threatening bleeds
  • Can interact with many medications

Common Side Effects for Xarelto

Adults

  • Any bleeding (Up to 28%)

Children

  • Any bleeding (36%)
  • Cough (16%)
  • Vomiting (14%)
  • Stomach virus (13%)
  • Rash (9%)

Warnings for Xarelto

  • Higher risk of blood clots if stopped too early
  • Paralysis in the spine
  • Bleeding
  • Interactions with other medications
  • Risk of pregnancy-related bleeding
  • Not recommended in people with prosthetic heart valves
  • Not recommended in people with antiphospholipid syndrome

Prices with our coupons for Plavix vs. Xarelto

Price Card Drug Icon
Clopidogrel30 tablets / 75mg
$10.79$16.92
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Rivaroxaban60 tablets / 2.5mg
$52.41$616.14
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