It is a type of medication known as an anticoagulant or blood thinner It is commonly used for the prevention and treatment of blood clots which helps to reduce the risk of stroke and heart attack It is also often prescribed for patients with an irregular heart rhythm called atrial fibrillation as well as for those who have undergone knee or hip replacement surgeries The medication works by blocking a clotting factor called factor Xa which ultimately prevents the formation of blood clots in the body It is typically taken orally and can be taken with or without food It is important to follow the prescribed dose and schedule and not make any adjustments to the dosage without consulting a doctor In some cases lifelong usage of the medication may be necessary so it is important not to stop taking it without guidance from a healthcare professional In addition to taking the medication making certain lifestyle changes can also help reduce the risk of clotting These changes include not smoking maintaining a healthy diet engaging in regular exercise and managing weight If any signs of bleeding are observed while taking the medication it is important to seek immediate medical attention However there are certain conditions or situations in which the use of this medication may not be recommended These include severe kidney or liver problems active bleeding or concurrent use with other bloodthinning drugs It is important to discuss any existing medical conditions or medications with a doctor before starting this medication