Xarelto vs Brilinta

A side-by-side look at two cardiovascular medications advertised on TV. Informational only — not medical advice.

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Information reviewed July 24, 2026

US XareltoUS Brilinta
Generic namerivaroxabanticagrelor
Drug classFactor Xa InhibitorP2Y12 Platelet Inhibitor (Antiplatelet)
TreatsBlood clots, atrial fibrillationAcute coronary syndrome, heart attack prevention
CategoryCardiovascularCardiovascular
ManufacturerJanssen/BayerAstraZeneca
Year approved20112011
FDA warningBlack box warningBlack box warning
Est. TV ad spend$210M$120M
Common side effectsSerious bleeding risk, Bruising, Prolonged bleeding, Spinal/epidural blood clotsBleeding, Shortness of breath, Bruising, Headache

Frequently asked questions

Is Xarelto or Brilinta better?

Neither is universally "better." Xarelto (rivaroxaban) and Brilinta (ticagrelor) are both used for cardiovascular, but the right choice depends on your medical history, insurance and your doctor's guidance. This comparison is informational only.

What's the difference between Xarelto and Brilinta?

Xarelto is a Factor Xa Inhibitor made by Janssen/Bayer, while Brilinta is a P2Y12 Platelet Inhibitor (Antiplatelet) made by AstraZeneca. See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Xarelto has the larger estimated TV advertising budget of the two.

TVPills

A reference tool to help identify prescription medications and supplements seen in television advertising. This is not medical advice. Always consult a healthcare professional.

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