s Xarelto thins the blood, which prevents you from getting dangerous blood clots. Xarelto must be taken exactly as prescribed by your doctor. To ensure optimal protection from blood clots, never skip a dose. You must not stop taking Xarelto without first talking to your doctor as your risk of blood clots may increase. Tell your health care provider about any other medicines you are currently taking, took recently or intend to start taking, before you start Xarelto. Tell your health care provider that you are taking Xarelto before any surgery or invasive procedure. What should I know about Xarelto? When taking a blood thinner such as Xarelto it is important to be aware of its possible side effects. Bleeding is the most common side effect. Do not start taking Xarelto if you know you are at high risk of bleeding, without first discussing this with your doctor. Tell your health care provider straight away if you have any signs or symptoms of bleeding such as the following: pain swelling or discomfort headache, dizziness or weakness unusual bruising, nosebleeds, bleeding of gums, cuts that take a long time to stop bleeding menstrual flow or vaginal bleeding that is heavier than normal When should I seek advice from my health care provider? s blood in your urine which may be pink or brown, red or black stools s coughing up blood, or vomiting blood or material that looks like coffee grounds To ensure optimal protection, Xarelto - 2.5 mg can be taken with or without food - 15 mg must be taken with food - 20 mg must be taken with food June 2016 UKXAR06160159a How do I take Xarelto? Patient Alert Card Xarelto® 2.5 mg Xarelto® 15 mg Xarelto® 20 mg This medicine is subject to additional monitoring. This will allow quick identification of new safety information. You can help by reporting any side effects you may get. See the patient information leaflet for how to report side effects. Keep this card with you at all times Present this card to every physician or dentist prior to treatment I am under anticoagulation treatment with Xarelto (rivaroxaban) Other medications / conditions:Name: Address: Birth date: Weight: Blood type: Doctor’s name: Name: Doctor’s phone: Phone: Doctor’s stamp: Relationship: In case of emergency, please notify: Please also notify: Information for health care providers: INR values should not be used as they are not a dependable measure of the anticoagulant activity of Xarelto.