mmctec Says:
Xarelto And Vitamins?
(Newest replies first)
Updated
Claire Says:
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!
49 Replies (3 Pages)
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49
Re: tara (# 10) 
Surprised your Dr said all vitamins are okay since my pulminologist said no Vit E or Fish Oil/Omega 3's including multi-vitamins which contain them. Also recently read about avoiding grapefruit (https://www.webmd.com/drugs/2/drug-156265-1153/xarelto-oral/rivaroxaban-oral/details/list-interaction-details/dmid-137/dmtitle-avoid-grapefruit-unless-md-instructs-otherwise/intrtype-food).
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Mitchel George Says:
Re: tara (# 10)
Tara - Your Dr Sounds Like My Kind of Physician! I've been wanting to take Vitamin C along with the Xarelto, and everybody's too scared to tell me it's OK, even though it would probably dissolve the residual DVTs in my legs. You probably wouldn't want to share his contact info with me, would you?
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Michael Says:
If anyone can show me any actual medical evidence or study that says vitamin E or K should not be taken with Xarelto I'd like to see it.
Thanks.
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Best to know Says:
Re: Lizzy B (# 8)
You can just in moderation it's because they have a high amount of vitamin k and can cause more clotting
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Dottie Says:
Re: Claire (# 6)
Hi you have to find a multivitamin that DOES not have K in it
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Barbara Says:
I take 50,000 units of Vit D once a week, Vit E when my count goes down, calcium and Vit C daily all by prescription from Dr while taking my Xarelto for 5 years and Coumadin for the previous 15 years No problems
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Gg Says:
Re: tara (# 10)
I was also given the same information from my doctor I take the same vitamins and supplements
No restriction on green vegetables or any other food
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41
Bill Says:
Re: Claire (# 14)
You have been mislead, you should not be taking certain Vitamin B supplements especially Niacin and Inositol that are part of the B family. Google these two with Xarelto and it says not to take them if you are on Xarelto.
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James Says:
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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ET Says:
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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Alpha Says:
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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Sharon Says:
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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Alfie Ro Says:
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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Alfie Ro Says:
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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Marcy Says:
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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Jinna Says:
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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Jinna Says:
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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Jinna Says:
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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Sharren Says:
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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