The literature and interaction from Drugs.com, does not have a warninf with food.
What should I avoid while taking Xarelto?
Avoid activities that may increase your risk of bleeding or injury. Use extra care to prevent bleeding while shaving or brushing your teeth.
Read under the section: "What other drugs will affect Xarelto?"
Click on the link.
As with coumadin, you must avoid grapefruit and cranberry anything. Avoid fish oil. Avoid green tea. Absolutely no aspirin products and no steroid or cortisone anything while xarelto is in your system. Avoid anything in the herbal family. You must pass any new meds, vitamins and herbal supplements by your doctor b4 taking.
This is a complicated question to answer and, unfortunately, stating that all foods are permissible is incorrect.
Firstly, here in the UK, the Patient Information Leaflet (PIL) does not mention any food restrictions. It doesn't state that all foods are permissible - it avoids the issue totally and keeps to the mention of drugs not to be taken with Rivaroxaban.
To this end, I contacted Bayer, the suppliers of the drug. Their first two replies hid behind the same silence as is on the PIL - they honestly said that the PIL does not mention any food restrictions without stating clearly that there are no food restrictions.
My third letter to them pressed them to state clearly that there were no food restrictions. They refused to do this. What they *did* state was that the food restrictions placed upon patients who are taking Rivaroxaban are those that are determined by the patient's GP (their usual doctor).
So, it's incorrect to state that there are no Food Restrictions. The Food Restrictions are those placed upon each individual user by their GP - and that from the the Company, Bayer, who make the drug.
I don't believe that a GP is in any real position to make that decision (unless they have access to information that the producer and developer have that they aren't making Public) so Bayer's answer is probably worthless.
I would stay away from grapefruit and grapefruit juice just to be safe. There have been multiple reports from different sites, including WebMD and the FDA site, that grapefruit and grapefruit juice can interact with the new blood thinners as well and cause them to be more potent. Which means you can have a higher chance of bleeding with them if you eat grapefruit or drink grapefruit juice. It doesn't say in the reading materials that come with Xarelto but it's being found out other places.
- Xarelto Information for Consumers
- Xarelto Information for Healthcare Professionals (includes dosage details)
- Side Effects of Xarelto (detailed)
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