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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can DVT On The Left Calf Be Treated?

I had foot surgery 3 weeks ago... got a DVT in left calf... started xarelto! But I have been taking MINDSOOTHE which is St. Johns Wort- (so stupid) I know. I quit taking yesterday but what should I look out for? I m nervous that I have really messed up the effectiveness of the xarlelto and worried about the consequences now.
Thu, 30 Nov 2017
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Ayurveda Specialist 's  Response
Hi There

After going through your query I understand your concern.

I would like to tell you that St. John's wort decreases levels of Xarelto (Rivaroxaban ) by affecting hepatic /intestinal enzyme metabolism. Avoid concomitant use of Rivaroxaban with these kind of drugs. Rivaroxaban dose should be increased if these drugs are coadministered.

Kindly consult with your treating physician/ vascular surgeon regarding this.

Hope to have been helpful.

Kind Regards
Dr. Navneet Bansal
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How Can DVT On The Left Calf Be Treated?

Hi There After going through your query I understand your concern. I would like to tell you that St. John s wort decreases levels of Xarelto (Rivaroxaban ) by affecting hepatic /intestinal enzyme metabolism. Avoid concomitant use of Rivaroxaban with these kind of drugs. Rivaroxaban dose should be increased if these drugs are coadministered. Kindly consult with your treating physician/ vascular surgeon regarding this. Hope to have been helpful. Kind Regards Dr. Navneet Bansal