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What foods should be avoided while taking Xarelto?

9 Answers

Brenforts7 9 June 2021

Can I drink green tea or eat green leafy vegetables while I’m taking Xarelto?

Votes: +0
Inactive 9 Nov 2020

Dark greens cranberries grapefruit

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Cody grip cap man 5 Oct 2019

Xarelto is effected by different foods that are eaten. Foods that are natural blood thinners cause the Xarelto to be more active. Things like Bengay muscle cream can also cause a reaction. If you think you can eat anything you want you are risking your life. Control or avoid foods that are natural blood thinners and there are a lot of them. If the manufacture is not saying or making a commitment has nothing to do with the reality of using the drug, you need to be careful.

Votes: +0
badboyz8 2 Oct 2019

Is coconut water ok to drink while on Xarelto

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DraivenKane 13 Jan 2018

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.

Votes: +0
yoninah 12 May 2017

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.

Votes: +2
Mamabear100 30 Sep 2017

Is there a problem drinking aloe juice while taking xarelto?

Inactive 27 Feb 2014

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.

Votes: +1
irisheyes52 5 Sep 2015

WRONG WRONG WRONG. that is the beauty of Xarelto. No food or beverage of choice issues!
You must be thinking of warfarin products as all your comments are true for that drug family.

davethompson01 13 Jan 2016

This is incorrect. Xarelto does not have any food interactions. Before you begin taking ANY medication (herbal, OTC, prescribed, or any other kind) discuss it with your doctor.

Just to help clarify:

(Cranberry and) grapefruit inhibit the body's ability to metabolize Coumadin. Because of this consumption of grapefruit (and cranberry) products can lead to dangerous hemorrhaging. THEY MUST NOT BE CONSUMED WITH COUMADIN! (They have no effect on Xarelto.) While cranberry was actually removed off the label in 2011, many practitioners still recommend against taking cranberry with Coumadin. As always, discuss your situation with your doctor.


There isn't a specific Coumadin diet, but here are some things to keep in mind: Vitamin K lowers the effectiveness of Coumadin. A single Vitamin K rich meal shouldn't hurt you, but diet rich in Vitamin K is not recommended. Specifics to avoid are spinach, kale, parsley, collard and mustard greens, and brussels sprouts. There are others, and a quick nutritional label check should help keep you within your recommend limits. Speaking of, you can discuss these with your doctor too:)

zephyrcat 28 Nov 2016

About a week after I began taking Xarelto (mid-Sept 2016) my gums began to bleed at night. The evening is always when I had for years taken my low-dose aspirin. My doctor took me off the aspirin and, until last night (Nov 27, 2016) everything has been okay. Last night around midnight my gums began to bleed again. In thinking about foods I ate, yesterday I had green tea for lunch, but I have done that before. What was new is that while I always have a small cup of fruit before bedtime, the night before last and last night for the first time in a long time, the fruit was pink grapefruit. No opinion yet; just a comment.

bilbug 28 March 2017

what testing is used to determine drug-food interactions,drug-drug interactions
with these new anticoagulants which are only as good as coumadin but not significantly better ,which cannot be monitord as coumadin?how does one know? as an md i find this unethical and maybe negligent to prescribe a med i cannot monitor. i monitor all other meds. not having a stroke is not how you assess the effects. or do we monitor the old fashion way-bleeding gums, blood in stool, excessive bruising. these are symptoms that could trigger an inr/protime with coumadin. i see patients with anemia, blood in stool who are not aware. is 3 days really long enough off med before procedures?can your prescribing md answer these question with confidence? mine couldnt. 20$/mos with the added cost of surveillance vs. 400$/mos based on the for profit pharmaceutical company's assurance. in the last decade these companies have been involved in multiple million dollar negligent suits.

Anntaieth 20 Oct 2019

What about strawberries and raspberries?

DemoninDC 7 Dec 2012

There are no foods that you have to avoid while taking Xarelto. That is the beauty of the drug as opposed to Warfarin. Eat and enjoy yourself.

Votes: +1
jason1969 22 March 2016

Actually, I would advise against eating yourself, particularly given your increased risk of bleeding.

musicalmatrix 16 Feb 2017

thanks. I needed that laugh.

Inactive 2 Dec 2012

The literature and interaction from, 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.

Take care,


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