Xarelto and Joint Replacement Surgery

Xarelto (rivaroxaban) is an anticoagulant distributed by Janssen Pharmaceuticals, a division of Johnson & Johnson and manufactured by Bayer AG. It is indicated with the approval of the Food and Drug Administration (FDA) for patients following joint replacement surgery such as a hip or knee replacement. This is a prophylactic move, a precaution against the development of blood clots that can potentially lead to stroke or an embolism (blockage in the blood stream) because this type of surgery increases the probability of dangerous blood clots.

Not all patients who undergo joint replacement surgery will develop these blood clots, but distinguishing between those that will and will not is difficult because those that already have are sometimes asymptomatic or demonstrate general symptoms that may or may not be due to blood clots. Just to be sure, standard medical protocol following joint replacement surgery currently require being put on a course of prophylactic anticoagulant after surgery and once hemostasis (bleeding has stopped) has been established. In the US, the course requires anticoagulant administration either by injection or orally for at least 10 days and up to 14 days following surgery. In Europe, the standard course for hip replacement surgery thromboprophylaxis is 28 to 35 days post-surgery. Patients who are more likely to benefit from thromboprophylaxis are those you are over 60 years old, have a history of heart and vein disease, receiving medication containing estrogen, obese, smoke, and are genetically prone to developing blood clots.

Given the wide range of the course length, there is a risk that the course can go on too long that it can lead to complications because the blood becomes too thin. Attending physicians have to determine how long the treatment should be administered based on individual case requirements, but Xarelto lawyers believe that the drug companies recommend longer than needed courses of treatment to physicians unfamiliar with the long-term effects of these anticoagulants.

If you have suffered from the side effects of taking Xarelto following joint replacement surgery, you may have a case against the drug’s manufacturers and distributors. Consult with a Xarelto lawyer to find out for sure.

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