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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood Clots In The Legs After Taking Xarelto?

I have been taking Xeralto since Jan of this year. Yesterday, I started with warfarin because it is cheaper. I have had pulmonary embolism in my lungs once. the end of December, 2015. I have been told that I have pulmonary hypertension, but no reason why. I had a sonogram done in April, on my legs, which showed that there are more blood clots in my legs. This is after taking Xeralto for almost 4 months. I do not think there should be any kind of clots with medicine. In the last 5 days every joint in my body hurts to the touch. In my shoulder, wrists, fingers, ankles, feet and back. I have two questions- Could a blood disorder be the reason my blood coagulates so much? and Does Warfarin or Xeralto cause the joint pains I have. On a scale of 1 to 10 the pain is at least an 8 and often a 9. I believe my Mom had some kind of blood disorder that caused her to have blood clots. Please HELP!
Fri, 6 Sep 2019
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General & Family Physician 's  Response
Hello,

The Xarelto means rivaroxaban is the best anticoagulant medication. It is safe also as compare to Warfarin. You are right. You can have a blood disorder that is causing thrombosis means clots.

The prothrombin gene mutation, protein c deficiency, protein S deficiency, factor V leiden mutation etc can be the cause.

The complete coagulation profile should be done for further workup. Low molecular weight heparin injections can be given additionally to prevent thrombus.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Parth Goswami, General & Family Physician
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What Causes Blood Clots In The Legs After Taking Xarelto?

Hello, The Xarelto means rivaroxaban is the best anticoagulant medication. It is safe also as compare to Warfarin. You are right. You can have a blood disorder that is causing thrombosis means clots. The prothrombin gene mutation, protein c deficiency, protein S deficiency, factor V leiden mutation etc can be the cause. The complete coagulation profile should be done for further workup. Low molecular weight heparin injections can be given additionally to prevent thrombus. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician