Ketorolac and Rivaroxaban (Xarelto 20 mg): interaction and safety
This source-based reference is not a personal treatment recommendation. The relevance and management of an interaction depend on the exact products, route, dose and clinical situation.
Interaction mechanism
Anticoagulation and systemic NSAID effects can combine to increase bleeding.
Clinical significance and safety
Ketorolac and Rivaroxaban (Xarelto 20 mg): Serious bleeding may become more likely. The clinician supervising treatment should assess the combination. Black stools, vomiting blood, persistent bleeding or unusual bruising need medical review, urgently if severe. The source does not quantify an identical risk for every anticoagulant. Do not discontinue regular anticoagulation yourself.
Using this information
This is a source-based reference record, not a recommendation to combine, stop or change medicines. A missing interaction record does not establish safe use. A qualified healthcare professional should consider the exact products, doses, other medicines and individual health circumstances.