h and myocardial infarction after an acute coronary syndrome (ACS), bleeding of any type or severity was reported with an event rate of 22 per 100 patient years. Anaemia was reported with an event rate of 1.4 per 100 patient years.
Tabulated list of adverse reactions
The frequencies of adverse reactions reported with Xarelto are summarised in table 2 below by system organ class (in MedDRA) and by frequency.
Frequencies are defined as:
very common (≥ 1/10)
common (≥ 1/100 to < 1/10)
uncommon (≥ 1/1,000 to < 1/100)
rare (≥ 1/10,000 to < 1/1,000)
very rare (< 1/10,000)
not known (cannot be estimated from the available data)
Table 2: All treatment-emergent adverse reactions reported in patients in phase III studies
Common
Uncommon
Rare
Not known
Blood and lymphatic system disorders
Anaemia (incl. respective laboratory parameters)
Thrombocythemia (incl. platelet count increased)A
Immune system disorders
Allergic reaction, dermatitis allergic
Nervous system disorders
Dizziness, headache
Cerebral and intracranial haemorrhage, syncope
Eye disorders
Eye haemorrhage (incl. conjunctival haemorrhage)
Cardiac disorders
Tachycardia
Vascular disorders
Hypotension, haematoma
Respiratory, thoracic and mediastinal disorders
Epistaxis, haemoptysis
Gastrointestinal disorders
Gingival bleeding, gastrointestinal tract haemorrhage (incl. rectal haemorrhage), gastrointestinal and abdominal pains, dyspepsia, nausea, constipationA, diarrhoea, vomitingA
Dry mouth
Hepatobiliary disorders
Hepatic function abnormal
Jaundice
Skin and subcutaneous tissue disorders
Pruritus (incl. uncommon cases of generalised pruritus), rash, ecchymosis, cutaneous and subcutaneous haemorrhage
Urticaria
Musculoskeletal and connective tissue disorders
Pain in extremityA
Haemarthrosis
Muscle haemorrhage
Compartment syndrome secondary to a bleeding
Renal and urinary disorders
Urogenital tract haemorrhage (incl. haematuria and menorrhagiaB), renal impairment (incl. blood creatinine increased, blood urea increased)A
Renal failure/acute renal failure secondary to a bleeding sufficient to cause hypoperfusion
General disorders and administration site conditions
FeverA, peripheral oedema, decreased general strength and energy (incl. fatigue and asthenia)
Feeling unwell (incl. malaise)
Localised oedemaA
Investigations
Increase in transaminases
Increased bilirubin, increased blood alkaline phosphataseA, increased LDHA, increased lipaseA, increased amylaseA, increased GGTA
Bilirubin conjugated incr