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Doctor insights on: Rivaroxaban

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Can I take Rivaroxaban with a 150 mg tablet of Kelp twice a day Thanks?

Can I take Rivaroxaban with a 150 mg tablet of Kelp twice a day Thanks?

Yes: How much kelp do you take? There have been cases of iodine toxicity associated with too much seaweed. There is no known contraindication to taking kelp with your anticoagulant. ...Read more

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Please help? Is the drug rivaroxaban still under phase III clinical trials?

Please help? Is the drug rivaroxaban still under phase III clinical trials?

Available: As far as I know it is now available for treatment of nonvalvular afib, treatment and post-event prophylaxis for dvt/pe. ...Read more

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I'm on rivaroxaban my veins are getting very prominant on my body should I be worried?

I'm on rivaroxaban my veins are getting very prominant on my body should I be worried?

Strange: I do not think there is any relationship but that is so unusual that it should be evaluated by a doctor. Prominent veins all all over your body could be nothing or may be a sign of trouble such as pulmonary artery hypertension or other things such as liver disease.

This must be seen by your doc. ...Read more

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If I take Rivaroxaban with alcohol will the anticoagulant effect of both of them be dangerous? Thanks

If I take Rivaroxaban with alcohol will the anticoagulant effect of both of them be dangerous? Thanks

Probably not: Alcohol does not have any significant effect ob blood coagulation. But at your age it is best to avoid/minimize use of alcohol as it has so many other bad effects like Falls, and poor quality of sleep ...Read more

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Are pradaxa and rivaroxaban satisfactory replacements for warfarin if it's not readily available?

Are pradaxa and rivaroxaban satisfactory replacements for warfarin if it's not readily available?

Dabigatran&rivaroxab: These two agents have been shown to be as effective as warfarin in non valvar atrial fibrillation. Other cardiac indications remain to be approved. These agents are expensive and are not presently able to be reversed. ...Read more

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Can I use voltaren (diclofenac) gel whilst taking rivaroxaban?

Can I use voltaren (diclofenac) gel whilst taking rivaroxaban?

Theoretically risky: For increased bleeding since voltaren (diclofenac) is an nsaid. Please discuss with your doctor safer alternatives for the gel. Here is the drug information : http://www. Xarelto-us. Com/. ...Read more

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Do you know are pradaxa and rivaroxaban satisfactory replacements for warfarin?

Do you know are pradaxa and rivaroxaban satisfactory replacements for warfarin?

Yes: Both are well-studies and are even better replacements for atrial fibrillation without valve defects. Rivaroxaban in addition has been proven to be a good treatment for pe and dvt. ...Read more

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Can I take Allopurinol with rivaroxaban. I have read where Allopurinol increases bleeding. Thanks?

Can I take Allopurinol with rivaroxaban. I have read where Allopurinol increases bleeding. Thanks?

Yes but: I checked for a drug interaction and did not find one but you eed to discuss with your physician sonce other issues with your medical problems and diagnoses that you only your physician will know ...Read more

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I'm on rivaroxaban if I have a vomiting bug a how long does the drug need to be in my system to be effective?

I'm on rivaroxaban if I have a vomiting bug a how long does the drug need to be in my system to be effective?

Question unclear: Rivaroxaban is an oral anticoagulant and the first orally active direct factor xa inhibitor. It is well absorbed from the gut and maximum inhibition of factor xa occurs four hours after a dose. The effects lasts 8–12 hours but factor xa activity does not return to normal within 24 hours so once-daily dosing is possible, the maximum effect in the first 4 hours. ...Read more

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Can I take a few cloves of garlic daily with Rivaroxaban. Hoping it won't thin my blood too much as I understand it's a bloodthinner as well. Thanks?

Can I take a few cloves of garlic daily with Rivaroxaban. Hoping it won't thin my blood too much as I understand it's a bloodthinner as well. Thanks?

Garlic has not: Been shown to cause anti-coagulation. There are no conclusive scientific studies regarding this. So you can enjoy moderate amounts of the spice. Here's an article I googled:



Effect of dried garlic on blood coagulation, fibrinolysis, platelet aggregation and serum cholesterol levels in patients with hyperlipoproteinemia by J. Harenberg ∗, C. Giese, R. Zimmermann
...Read more

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Can I drink alcohol with rivaroxaban? Thanks

Can I drink alcohol with rivaroxaban? Thanks

Xarelto and alcohol: Although there are no direct interactions between alcohol and Xarelto, it is best to drink as little as possible while on it. Xarelto increases the risk of bleeding, and alcohol can increase risks of bleeding from the digestive tract, in addition to increasing the risk of falling if intoxicated. If you limit yourself to one drink a day, you will probably be fine. Good luck. ...Read more

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I am on rivaroxaban for a month but my face and abdomen are bloated but I haven't gained weight...will this bloating go in time. Thanks?

I am on rivaroxaban for a month but my face and abdomen are bloated but I haven't gained weight...will this bloating go in time. Thanks?

Tell your doc.: Face and abdominal swelling is not listed as a side effect of Xarelto usually. But if you have liver disease xarelto can worsen liver function, and may lead to swelling for that reason. Please call and notify your doc of your swelling right away. If it gets worse, go to the ER. ...Read more

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I am on Rivaroxaban for persistant A Fib. Can I take a 300 mg of Magnesium supplement daily. Will the two drugs make the blood too thin? Thanks

I am on Rivaroxaban for persistant A Fib. Can I take a 300 mg of Magnesium supplement daily. Will the two drugs make the blood too thin? Thanks

No known interaction: There are no known interactions between Magnesium oxide and rivaroxaban. Therefore, taking magnesium supplement OTC will not increase blood thinner effect of rivaroxaban. However, other OTC items can increase blood thinning effects of rivaroxaban, such as NSAID's (aspirin, ibuprofen, naproxen) and especially alcohol usage.

You should ask your cardiologist the above question! ...Read more

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Before surgery I've had afib, so how many doses of rivaroxaban and clopidogrel for me to drink every day??

Before surgery I've had afib, so how many doses of rivaroxaban and clopidogrel for me to drink every day??

Risk factors: The answer is determined on the patient's risk factors and there are a few, as well as on the type of afib and possibly on the type of surgery. Rivaroxaban is generally given 20 mg once daily with the evening meal and Plavix (clopidogrel) 75 mg once daily along with aspirin. The complexities requires you to discuss this with your doctor or cardiologist. ...Read more

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I'm on new oral anticoagulant rivaroxaban I feel very fatigued is it safe to take a vit supplement while im on this drug?

Yes but. . .: You need to discuss your concerns w/your prescribing doctor. Rivaroxaban is sold here in the states as xarelto (http://www. Drugs. Com/mtm/rivaroxaban. Html). While it isn't affected by vitamin k (unlike warfarin), it's still a good idea to chat w/your family doc to discuss why you're feeling fatigued. You didn't mention why you're taking this drug. Atrial fibrillation can make you tired. So can blee. ...Read more

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I take Rivaroxaban and wonder how my Doctor knows if is working as there is no way of measuring the anticoagulant effect like Coumadin (warfarin) Thanks?

I take Rivaroxaban and wonder how my Doctor knows if is working as there is no way of measuring the anticoagulant effect like Coumadin (warfarin) Thanks?

It is working: Some medicines require monitoring and some do not. Coumadin (warfarin) needs to be monitored but Rivaroxaban does not. Think about this...when the doctor gives you antibiotics does he measure them? No, he sees if the infection goes away. Rivaroxaban does not need to be measured because scientific study has proven that it works to prevent stroke or treat blood clots. No measurement needed, proof by evidence. ...Read more

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After CABG with ligation LAA, is it still need anticoagulant? Better use warfarin or rivaroxaban? I'm AF

After CABG with ligation LAA, is it still need anticoagulant? Better use warfarin or rivaroxaban? I'm AF

Atrial fibrillation: Anticoagulation is used to lower risk of stroke in those w/atrial fibrillation (it's also used post-operatively to lower risk of blood clots). There are advantages & disadvantages to warfarin vs newer oral anticoagulants such as rivaroxaban. Final decision depends upon patient, such as nutrition habits, ability to get testing, cost, etc. If you're already taking Pradaxa, you don't need either. ...Read more

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After taking Rivaroxaban will I have the same risk of having a blood clot as someone without atrial fibrillation thanks?

After taking Rivaroxaban will I have the same risk of having a blood clot as someone without atrial fibrillation thanks?

Lower risk: 71 years old wiyh history of prior stroke and Atrial Fibrillation on rivaruxiban. Your risk of developing stroke is significantly reduced with anticoagulantion. The concern is alcohol addiction with taking anticoagulant as risk of fall is also increased. ...Read more

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Can I smoke cannabis while on rivaroxaban for a pulmonary embolism?

Can I smoke cannabis while on rivaroxaban for a pulmonary embolism?

Best not to smoke: Smoking anything is not in your best particularly with recent PE. You are young, save your lungs. If you are on medicinal marijuana you could confer with your doctor or pharmacist regarding drug interactions if oral intake was appropriate for you. ...Read more

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What is the difference between plavix (clopidogrel) and rivaroxaban? Which one is a superior bloodthinner for patient with stent and atrial fibrilation?

What is the difference between plavix (clopidogrel) and rivaroxaban? Which one is a superior bloodthinner for patient with stent and atrial fibrilation?

Different drugs: Plavix (clopidogrel) is a "blood thinner" that acts on the cells called the platelets. Usually, people take Plavix (clopidogrel) after a stent. Rivaroxaban is a true blood thinner, that makes the blood unable to form a clot. That is taken with atrial fibrillation to prevent strokes. That's the difference. ...Read more

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Clot, size of egg, in jugular 7 days. Clot is getting larger and pain in head, jaw and ear is unsettling. Xarelto rivaroxaban perscribed. Home worried?

Clot, size of egg, in jugular 7 days. Clot is getting larger and pain in head, jaw and ear is unsettling. Xarelto rivaroxaban perscribed. Home worried?

I think you: Need to go in. Thrombosis in the jugular vein? Call docs, tell them about the pain control issue and get treated. The jugular vein is an unusual place to have a dvt, make sure mood is treated and u r skeeping at night. If on chemo, Mirtazapine at night can help with nausea, sleep and mood and modafanil can help w/fatigue due to chemo. Good luck, wish I had more to offer. ...Read more

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I am being treated for a provoked pulmonary embolism and just wondered if it was safe for me to smoke cannabis while on rivaroxaban?

I am being treated for a provoked pulmonary embolism and just wondered if it was safe for me to smoke cannabis while on rivaroxaban?

No: If you have a choice, don't. While smoking is not recommended, tobacco or cannabis, for anyone..... In someone who had a blood clot lodge in his lung, it is a very poor choice. Taking rivaroxaban does not mean that it is now safe to smoke. ...Read more

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Why has doctor put me on Ace Inhibitors for atrial fibrillation? I am already on Betablockers and Rivaroxaban thanks

Why has doctor put me on Ace Inhibitors for atrial fibrillation? I am already on Betablockers and Rivaroxaban thanks

Good: An ace inhibitor can further reduce your blood pressure and curtail the progress of fibrosis in the left atrium, both of which can exacerbate the substrate for atrial fibrillation. ...Read more

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After Heart CABG+ligation LAA, better taken warfarin 2mg + clopidogrel 75mg or rivaroxaban 20mg + clopidogrel 75mg??

After Heart CABG+ligation LAA, better taken warfarin 2mg + clopidogrel 75mg or rivaroxaban 20mg + clopidogrel 75mg??

Complex issue: While warfarin has been around longer with an excellent safety record, the new kid on the block, rivaroxaban, also appears to be possibly safer. A major difference, patients don't have to get their blood tests every 7 to 30 days with rivaroxaban. That in itself makes rivaroxaban a nicer alternative. ...Read more

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Is rivaroxaban xalerto safe and good drug for preventing stroke in Afib compared to aspirin and plavix (clopidogrel) together in72 yr man with hypertension, s.cr1.56?

Is rivaroxaban xalerto safe and good drug for preventing stroke in Afib compared to aspirin and plavix (clopidogrel) together in72 yr man with hypertension, s.cr1.56?

Xalerto is best: His CHA2DS2-VASc score is 2 (age and presence of hypertension). All studies have concluded that the benefit from anticoagulation significantly exceeds the risks for almost all AF patients with a score of 2 or more. Xalerto will more effectively reduce his risk of stroke and won't increase his risk of bleeding. ...Read more

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Is it okay for me to smoke cannabis while on rivaroxaban? I'm being treated for a pulmonary embolism which was provoked due to me being hospitilised after renal failure.

Is it okay for me to smoke cannabis while on rivaroxaban? I'm being treated for a pulmonary embolism which was provoked due to me being hospitilised after renal failure.

No: Smoking (inhaling smoke, which is full of lung irritants and cancer-causing chemicals) of any kind is unhealthy. Cannabis is illegal under U.S. federal law, so one can be convicted of a crime. Having a conviction may have bad side effects, such as problems getting a new job or the inability to enter Canada for a vacation. Regardless, cannabis is not necessary for life. ...Read more

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In my CABG, my doctor also do ligation LAA and RAA, so how many dose I must taken rivaroxaban and clopidogrel with out taking aspirin and warfarin?

In my CABG, my doctor also do ligation LAA and RAA, so how many dose I must taken rivaroxaban and clopidogrel with out taking aspirin and warfarin?

Depends: Was afib only post CABG or did you have before surgery? But usually would cont cont anti coagulation (rivaroxiban, dabigatran, epixiban, or Coumadin) 4-6 weeks post ligation. Anti platelet therapy (aspirin or plavix) depends on other health conditions. ...Read more

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Can xarelto be cut in half?

Can xarelto be cut in half?

Yes, YetCarefulAbout: Dose/day. Xarelto inhibits clot formation & is Rx'ed because of evidence/concern of forming clots inside blood vessels (not just at blood vessel breaks) thus any bleeding problems are ↑ed. Xarelto does NOT thin blood; blood viscosity does not change. Can efficacy of Xarelto to ↓ clotting be checked? Yes, using TEG machine, see: http://goo. Gl/XxOW9c, good for checking any kind of clotting issue. ...Read more

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Can I take seaweed with xarelto?

Can I take seaweed with xarelto?

Yes with caution: Seaweed contains very high levels of iodine. If you don't have thyroid problems, you should be safe to combine the two.

On a side note, too much iodine can also alter the thyroid hormone levels. Be cautious with the amount of seaweed you ingest. ...Read more

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Is xarelto known by other names?

Rivaroxaban: Rivaroxaban is the generic name for Xarelto which is a factor Xa inhibitor. It is an oral anticoagulant. Eliquis (apixaban) is also a factor Xa inhibitor. ...Read more

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Which food should I avoid taking Xarelto?

Which food should I avoid taking Xarelto?

None;: Xarelto does not interact with any food, so you no need to worry about food as far as Xarelto’s concerned. ...Read more

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How can you tell if xarelto is therapeutic?

How can you tell if xarelto is therapeutic?

Xarelto: Xarelto is used to prevent strokes and reduces formation of blood clots caused by atrial fibrillation as long as you stroke free you can consider the drug to be therapeutic. ...Read more

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Does "Xarelto" cause an increase of weight?

Does "Xarelto" cause an increase of weight?

No, slows clotting: By inhibiting factor Xa, the last step in clot formation; is Rxed because of evidence/concern of forming clots inside blood vessels, not just at blood vessel breaks, thus bleeding is ↑ed because Xarelto slows clotting at all locations. It does NOT thin blood; blood viscosity does not change. For more details study PI (Prescribing Information), at http://www. Janssenmd. Com/pdf/xarelto/XARELTO_PI. Pdf ...Read more

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How can you pronounce the drug "xarelto" and how much does it costs?

How can you pronounce the drug "xarelto" and how much does it costs?

Xarelto: Is pronounced as zarelto is expensive, several dollars a pill but with proper indications such as nonvalvular atrial fibrillation, dvt, pe should be covered by the insurance but may need prior authorization ...Read more

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How long do I have to stay on Xarelto? How do we know if it is working?

Depends: It depends on why you are on Xarelto in the first place. There are no commonly used tests for monitoring the effectiveness of Xarelto. You should discuss it with the doctor who prescribed the medication.
Wish you good heath! ...Read more