It does not matter whether it is good or not for the elderly to take rivaroxaban for a long time, and the medication should be used according to the doctor’s prescription. Rivaroxaban belongs to the anticoagulant drugs, which can be clinically used for the prevention and treatment of various thrombotic diseases, such as lower limb arterial thrombosis, pulmonary embolism, non-valvular disease atrial fibrillation and so on. Use may be accompanied by the risk of bleeding and adverse reactions such as epidural edema. This drug is contraindicated in patients with markedly active bleeding, hypersensitivity to the product. Elderly patients should be evaluated for the risk of arterial embolism, and in patients at risk of embolism, anticoagulation should be given promptly to reduce the risk of arterial embolism. Anticoagulants may cause an increased risk of bleeding, and elderly patients should be evaluated for bleeding at the same time. The risk of bleeding increases when anticoagulants are taken in the elderly, so oral anticoagulants should be indicated in elderly patients and applied under the supervision of a physician.