that can cause heart attack, stroke, or cardiovascular death in people with chronic cad. that's because while aspirin can help, it may not be enough to manage your risk of blood clots. in a clinical trial, almost 96% of people taking xarelto® did not have a cardiovascular event. don't stop taking xarelto® without talking to your doctor, as this may increase your risk of heart attack, stroke, or cardiovascular death. while taking, a spinal injection increases the risk of blood clots which may cause paralysis- the inability to move. you may bruise more easily, or take longer for bleeding to stop. xarelto® can cause serious, and in rare cases, fatal bleeding. it may increase your risk of bleeding if you take certain medicines. get help right away for unexpected bleeding or unusual bruising. do not take xarelto® if you have an artificial heart valve or abnormal bleeding. before starting, tell your doctor about all planned medical or dental procedures and any kidney or liver problems. enjoy every moment-and help protect yourself from an unexpected one, like a cardiovascular event. are you doing enough? ask your doctor if it's time for xarelto®.