Is it ok to take echinacea if i am taking 20mg of xarelto every day?

No: Not only will echinacea not do you any good, it may interfere with xareltao. Do not take any medications, herbals, over the counter drugs, nutritional supplements or street drug without discussing with the doctor who prescribed xarelto. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex.