Xarelto And Vitamins? (Page 2)

Was prescribed Xarelto 15 mg 2x daily two weeks ago for blood clot in the leg. I would like to keep taking the viamins/ supplements that I always took before this - I.e., B complex, Vit. C 1000 mg, Calcium/Magnesium, Vit D 2000 IU, Co-enzyme Q 10 200 mg, Biosil and Lutein. My doc said "no", but didn't tell me why not. Can't find any info anywhere to determine abiut this. Xarelto manufacturer has no info on package insert. Pharmacist doesn't seem to know either. I have read on another website that apparently the maket did not test for interactions w. vitamins, so they don't know. Does anyone here have any futher info regarding this? I feel that I really need to be taking my vitamins!

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I'm not sure why the dr. say no to the vitamins, maybe they think it will interfere with the meds they are giving us, or maybe they aren't that knowledgeable about them.
I will ask my chiro this week and post an ans., I've known her for 25yr and trust her.
Although she's only a chiro she has a lot of medical knowledge. She uses a lot of natural vitamins etc. in her practice. I want to see if if it's ok for me to continue with them.

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Just to update my earlier post re taking vitamins with Xarelto: I have now been taking 20mg. daily (successfully, happy to report!) for the past year for dvt and afib. I have been taking the following vitamins/supplements daily during this time with no problems: Vit. B complex, Vit. C 500 mg., Vit. D 1000 units, calcium 1000 mg., magnesium 400 mg., co-enzyme q-10 200 mg., Biosil and lutein/bilberry. The only supplements I no longer can take are fish oil and Vit. E. Not saying what works for me will be okay for everyone taking this drug, so please be sure to check with your doctor.

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thx for the info, I also stopped taking the fish oil and E after they put me on xarelto. I do take L-Arginine for my heart, showed to the ER doctor last visit and he seemed ok with it. also said Coq10 and vitamin D were ok take.

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I know this reply is kind of late in the game but I wanted to chime in that after taking Coumadin for a year in 2008 and now on Xarelto I find that some old habits are hard to die. I still only eat raw spinach because the amount of Vitamin K is minimal and increases when cooked. Even though a lot of people have said there are not dietary restrictions with Xarelto there is one and that is grapefruit. Grapefruit fights your liver and intestines for a protein during digestion and can cause you to have higher levels of Xarelto in your body. And for women with clotting issues I take a prenatal vitamin instead of a regular womans vitamin. There is no Vit K in prenatals and the extra folic acid won't hurt or harm you.

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I've asked my doctor about b complex and he says it's okay to take them.

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Hi Sharon & Linda,
My mom was diagnosed with DVT and had a blood clot in her pelvic region in September. She was given Xeralto15mg 2xdaily and then 20mg once a day. However she is anaemic. Did your anaemia get worse after taking xeralto?
Her haemoglobin is low and now the doc wants to do a blood transfusion? Also she is experiencing rapid heartbeat, fatigue and weakness which he says is related to the anaemia and not the dvt. Help!!

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Doing a blood transfusion is a temporary fix. I would be more concerned web why she is anemic? Is she bleeding somewhere? Does she have an illness that would make her anemic? The DVT/use of xarelto should have no effect on her anemia other than making her more at risk to bleed.
Eating high iron foods, vitamin c & hydration are more helpful than supplements. I would go that route for a few weeks first.

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You can take vitimins doctors only like u to take conventional meds.

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Been on blood thinners for 4 years. Developed whole body itch on Warfarin. Went on Pradaxa - same thing. Now on Xarelto, 20 mgs 1 x day, same thing, itch and diarrhea. Don't know what the outcome will be as Dr.says I have to be on thinners for AFib which has been controlled. But, Dr. says to quit ALL vitamins as the interaction is not known, there has not been any long term study done. There is no reversal for Xarelto as there is for Warfarin and is now for Pradaxa.

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Appreciated the feedback, Tara. I have been taking Xarelto now into my 3rd month and after my 3rd month I will be re-examined to see if the clot is gone. I developed it because I have the MTHFR mutation gene A1298C, which is inherited by parents. The only way to find this out, I had to have a DNA test done. Methylenetetrahydrofolate reductase (MTHFR) is a key enzyme in the folate pathway and is responsible for the metabolism of homocysteine.

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Forgive me, but I believe that with rivaroxiban (XARELTO) one is able to have the greens, and just about anything else (although we avoid blood-thinning or clot-forming supplements). On the other hand, the family of Vitamin K antagonists, warfarin (heparin, Coumadin = trade name) work by inhibiting the absorption of Vit K in the diet and as these levels have to be kept near constant, vegetables to be consumed have to be measured out daily and one's blood tested (I believe) monthly. XARELTO does not work that way, hence the ability for one to have some greens. (CHECK WITH YOUR DOCTOR). Good luck.

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Hi, I understand that your doctor won't address your taking vitamins/supplements with XARELTO. We are addressing this issue, ourselves. My husband (has clot; is on Xarelto) has permission from his doctor to take vitamins (such as C [500mg/d]; bioflavonoids [1000mg/d]; D3 [1,200 IU/d]; CoQ10 [made also by our bodies, 100mg/d]; and a fibrin-consuming supplement taken while fasting for a short time each day called Fibrenza. Fibrin is something the body makes to form clots and this material is digested by this supplement before it can. He is taking the smallest dose possible in the beginning and working up to the full dose. All of these were approved by either of two MD /PhDs. Some of the above are given in divided doses (dose divided into two times per day.
Would like to say something about vitamin C and bioflavonoids (bioflavonoids are "accessory" parts of Vit. C.). We can't manufacture C in our bodies. But we need it TO BUILD THE STRENGTH AND INTEGRITY OF OUR BLOOD VESSELS, that is, veins and arteries. In the absence of C, the body seeks to build structural integrity out of CHOLESTEROL, and deposits it inside our arteries to "strengthen" them.
The capillaries (that run between veins and arteries) benefit greatly from bioflavonoids structurally. Capillaries are found in important places in the body like retinas (eyes), fingertips & toes, and the kidneys, which are full of them.
So I feel the benefits of C and bioflavonoids outweigh the risks, just don't exceed amounts given, and take in divided doses (2), not exceeding total daily amount. The blood thinning effect from C and bioflavonoids is very mild in these doses.
Good luck. I am not prescribing, just giving you the experience of our doctors' approving these vitamins and these amounts when I asked.

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Your posting is helpful (about grapefruit being harmful (on Xarelto), and extra folate in the prenatal vitamins (not containing Vitamin K) not being harmful (details are important, and--thank you.
Would like to add that (regarding cooked spinach containing more Vitamin K than raw), cooking spinach also solidifies or crystallizes its oxalic acid content, making it more liable to form kidney stones.
About another vegetable, cooking cabbage TRIPLES its Vitamin K content,
Good luck, and thanks for your comments.

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Re: Melyn (# 4)

I bought a multivitamin without vitamin k. Vitamin k helps clot blood, a little expensive, worth it tho'. Pharmacists recommend a children vitamin because it didnt have vitamin k

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Re: Claire (# 6)

Hi Claire. I know this is an old post but just wondering how you’re doing? I’m on 20 m of xeralto 1x a day and have been taking my supplements. The only one I stopped taking is my fish oil because it has blood thinning properties. Really just wondering how you’re doing? Alfie

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I knew to stay away from fish oil but I didn’t know about vitamin E. Sheesh. Also I’ve been reading lots of conflicting views on vitamin K2, which I wanted to take.

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Re: CO Susie (# 2)

Susie I presume you are on Warfarin where you can't have green leafy with Xarelto you can eat all foods. I was on Wayfaring for 7 years before they put me on Xarelto. I got P. E's whilst on warfarin but this new medication has been brilliant. I am on blood thinners for life

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I need to know if I can take vitamin supplements while on Xarelto? I want to start taking my vitamin supplements again and I need to know if there will be a drug interaction with the Xarelto?

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Re: tara (# 10)

Walgreens pharmacist told me multiday vitamins including vitamin K are fine to take with Xarelto. Hoping this helps with my fatigue from Xarelto.

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Re: Ken (# 13)

Hi Ken Your story sounds familiar I was diagnosed with a DVT in my left leg in 2 places over 25yrs ago when I was 20 me like yourself was very active as a kid sports weightlifting etc also had a job that involved standing for hours pretty healthy the Dr's were mind boggled because of my age & family history so long story short lol I been on blood thinners since then & will be for the rest of my life!

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