Xarelto vs Leqvio

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 Leqvio
Generic namerivaroxabaninclisiran
Drug classFactor Xa InhibitorsiRNA PCSK9-Lowering Therapy
TreatsBlood clots, atrial fibrillationHigh cholesterol, cardiovascular disease
CategoryCardiovascularCardiovascular
ManufacturerJanssen/BayerNovartis
Year approved20112021
FDA warningBlack box warningNo boxed warning
Est. TV ad spend$210M$90M
Common side effectsSerious bleeding risk, Bruising, Prolonged bleeding, Spinal/epidural blood clotsInjection site reactions, Joint pain, Urinary tract infection, Shortness of breath

Frequently asked questions

Is Xarelto or Leqvio better?

Neither is universally "better." Xarelto (rivaroxaban) and Leqvio (inclisiran) 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 Leqvio?

Xarelto is a Factor Xa Inhibitor made by Janssen/Bayer, while Leqvio is a siRNA PCSK9-Lowering Therapy made by Novartis. 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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