Rivaroxaban Atrial Fibrillation Consultations A Visual Support Tool ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

Your new tablet is Rivaroxaban It is also called Xarelto ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

Rivaroxaban stops strokes http://www.wales.nhs.uk/healthtopics/conditions/stroke?sa=X&ved=0CBYQ9QEwAGoVChMIlZrvzuHzxgIVRWkUCh2XOAEH ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

Rivaroxaban stops strokes Labeled for reuse: https://es.wikipedia.org/wiki/Accidente_cerebrovascular ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

©Bucks Healthcare & NHS Specialist Pharmacy Service 2015 Most people take Rivaroxaban for life New picture to replace being drawn by Janice’s sister, Olivia. ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

©Bucks Healthcare & NHS Specialist Pharmacy Service 2015 Your GP will do a blood test a few times a year This is less often than with warfarin Most people do not need dose changes Labeled for reuse: https://www.flickr.com/photos/aldenchadwick/16009841577 ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

When will you remember to take it? Take Rivaroxaban once a day When will you remember to take it? New picture to replace being drawn by Janice’s sister, Olivia. ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

Take Rivaroxaban with food

Taking Rivaroxaban means it takes longer to stop bleeding Labeled for reuse: https://www.flickr.com/photos/aldenchadwick/16009841577 ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

©Bucks Healthcare & NHS Specialist Pharmacy Service 2015 If you hit your head badly Get help now! Labeled for reuse: http://www.wikihow.com/Identify-Symptoms-of-a-Head-Injury ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

If you hit any part of your body badly Get help now! New picture to replace being drawn by Janice’s sister, Olivia.

If you are bleeding a lot Get help now! Labeled for reuse: https://commons.wikimedia.org/wiki/File:Blood.jpg Labeled for reuse: https://pixabay.com/en/ambulance-medic-first-aid-emergency-155854/ ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

Always keep your card with you Labeled for reuse: http://www.torange.us/Objects/money/Wallet-with-banknotes-1372.html ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

©Bucks Healthcare & NHS Specialist Pharmacy Service 2015 Foods All foods are okay Labeled for reuse: https://commons.wikimedia.org/wiki/File:Good_Food_Display_-_NCI_Visuals_Online.jpg ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

©Bucks Healthcare & NHS Specialist Pharmacy Service 2015 Do not drink lots of alcohol or Some is okay. Not lots. Labeled for reuse: https://commons.wikimedia.org/wiki/File:Rum,_Manhattan,_Tequila_Old_Fashioned.jpg Labeled for reuse: https://pixabay.com/en/wine-glasses-red-wine-wine-red-308871/ ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

Ask your doctor about new medicines Labeled for reuse: https://www.flickr.com/photos/emagineart/4742089272 ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

Tell people you are on Rivaroxaban New picture to replace being drawn by Janice’s sister, Olivia. ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

Summary for healthcare professionals INR testing not necessary and does not reflect efficacy Important patient takes Rivaroxaban everyday preferably with food No significant food or alcohol interactions If very ill check U&Es to ensure there is no decline in renal function requiring a review of Rivaroxaban ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

©Bucks Healthcare & NHS Specialist Pharmacy Service 2015 ? Any questions ©Bucks Healthcare & NHS Specialist Pharmacy Service 2015

Author information Satinder Bhandal , Consultant pharmacist Anticoagulation, Buckinghamshire Healthcare NHS Trust Katrina Clarkson, Principal Speech and Language Therapist, Regional Hyperacute Rehabilitation Unit, Northwick Park Hospital Nina Barnett Consultant Pharmacist, Older People, Medicines Use and Safety Division, NHS Specialist Pharmacy Service and London North West Healthcare NHS Trust With thanks to Frances Akor, Consultant Pharmacist Anticoagulation at Imperial College Healthcare NHS Trust, Estelle Bloom at Making It Clear and the patients of Buckinghamshire Healthcare NHS Trust. ©Bucks Healthcare and Medicines Use and Safety Division, NHS Specialist Pharmacy Service 2015