Medication

Rivaroxaban

Direct oral anticoagulant (factor Xa inhibitor)

Brand names: Xarelto

Oral health effects

Prolonged / increased bleeding
Increased bleeding tendency during and after invasive dental procedures (extractions, scaling and root planing, surgery). Once-daily dosing; for higher-risk procedures consider timing treatment per physician guidance.
Clinical management: Use local hemostatic measures (pressure, sutures, oxidized cellulose, tranexamic acid mouthwash). For most procedures, do not interrupt therapy without physician consultation; plan early-day, atraumatic treatment.