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Xarelto 20 mg Tablet is an oral anti-coagulant which helps prevent the formation of harmful blood clots. It prevents the formation of blood clots in the legs, lungs, brain, and heart. For best results, take it at the same time every day. It can increase the risk of bleeding, so be careful while shaving, cutting nails, using sharp objects, or engaging in contact sports (e.g. football, wrestling). Let your doctor know if you see blood in your vomits, urine, or stool (black or tarry). Unlike other anti-coagulants, regular blood test (PT-INR) is not required while taking this medicine.