Doctor insights on:
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
If I take Rivaroxaban with alcohol will the anticoagulant effect of both of them be dangerous? Thanks
Can I take Allopurinol with rivaroxaban. I have read where Allopurinol increases bleeding. Thanks?
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
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
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
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
Can you get a tattoo on rivaroxaban? Been on year and half and suffered many injuries yet no more then normal blood loss including surgery
No: Tattoo are a form of self-mutilation. No one should get those, much less a person on a blood thinner. ...Read more
Is there any contraindication about using both l-arginine based creams/gels and xarelto/rivaroxaban (anticoagulant)?
No: As far as I know, there is no known contraindication, and I have searched for it and found none. ...Read more
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
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
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
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
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
After taking Rivaroxaban will I have the same risk of having a blood clot as someone without atrial fibrillation thanks?
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
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
I am being treated for a provoked pulmonary embolism and just wondered if it was safe for me to smoke cannabis while on rivaroxaban?
Why has doctor put me on Ace Inhibitors for atrial fibrillation? I am already on Betablockers and Rivaroxaban thanks
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
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
Copidogrel can it be reversed like warafin? Causes Stomach pain have diverticulitis New Dabigatran, rivaroxaban, and apixaban have no antidote true?
Is reversible (Idarucizumab)
the rest require FFP (Fresh frozen Plasma
Copidogrel would require Platelet Rich plasma!
Hope this helps!
Dr Z ...Read more
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
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?
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
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
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