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I want advice on for Xarelto atrial fibrillation. Please help.
Query: Hello doctor,I have heard about Xarelto as a treatment option for atrial fibrillation. I am interested in learning more. Can you provide information on the safety and efficacy of Xarelto in preventing stroke and blood clots in individuals with atrial fibrillation? Additionally, are specific lifestyl... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query, and I can understand your concern. Xarelto (Rivaroxaban) is an anticoagulant used to prevent stroke and blood clots in individuals with atrial fibrillation (AFib). It works by inhibiting the blood clotting factor Xa. Studies have shown its ef... Read Full »
I am diagnosed with DVT and under Xarelto. Should I continue it for three months or six months?
Query: Hello doctor, I have diagnosed with DVT before four months and currently on Xarelto 20 mg once a day. My hematologist has advised me to take six months of Xarelto. However, the literature says three months is enough. My all test results like protein C deficiency, protein S, factor 5, and prothrombi... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. I should appreciate your awareness of health. For venous thrombosis, anticoagulant should be taken for at least three months. However, when the risk of thrombosis is high then duration can be extended for the next additional three months. So the clinical correlatio... Read Full »
Is Xarelto the only treatment option for pulmonary embolism?
Query: Hello doctor, I am a 43-year-old male. I have been taking Xarelto for about a year-and-a-half due to a pulmonary embolism that I had. They were very small. I have done every test including the factor 5 and the conclusion was my constant driving. My biggest fear is obviously getting another blood clo... Read Full »
Answer: Hello, Welcome to icliniq.com. Xarelto is the brand name for the generic drug Rivaroxaban. It blocks the activity of certain clotting factors in the blood. It is used to prevent or treat deep vein thrombosis in which blood clots form in the deep veins of the legs. This can lead to pulmonary embol... Read Full »
Why is my D-dimer level elevated after the first dose of my COVID vaccine?
Query: Hello doctor, I do not have any symptoms, but my D-dimer level are very high. I do not have any history of vascular disease, pulmonary embolism, or blood clots. My question is, I discovered the D-dimer elevation three weeks after my first COVID-19 vaccine. Can I get my second dose if I still have h... Read Full »
Answer: Hi, Welcome to icliniq.com. I hope you are doing well in the pandemic. As you said, you have no signs and symptoms of any disease, and you have got vaccinated a few months back, and your D-dimers are pretty high, indicating that you have some low to intermediate grade clotting state. And, as ... Read Full »
What are the chances of having recurrent pulmonary embolism?
Query: Hello doctor,I had a pulmonary embolism four days after a C-section. I have been on Rivaroxaban with no problems. I am trying to find definitive statistics on my chance of having a recurrent pulmonary embolism. Kindly help. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. In acquired pulmonary embolism, immobilization after C-section was the cause, and the chance of recurrent pulmonary embolism was low if oral anticoagulant was taken for three to six months. The overall risk of recurren... Read Full »
My 17-year-old daughter is on Xarelto for factor V Leiden. Kindly advice.
Query: Hello doctor,My daughter is 17 years old, and she is on Xarelto for four months. Her liver enzymes have gone up. Although it is normal but has increased from the level before drug. Her AST is 43, and the range is up to 31. She is on bcp and has factor V Leiden. This is why her doctor put her on Xare... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. At this moment I am giving you further information regarding your daughter condition. She has factor V Leiden mutation, which is a congenital cause of thrombosis. So Xarelto (Rivaroxaban) like good anticoagulant drug prescribed to her should be continued. AST (asp... Read Full »
Does intake of Xarelto cause an increase in AST and ALT?
Query: Hi doctor, I am taking Xarelto 20 mg daily for DVT from the past four weeks. My blood work shows increased AST, which is double than normal, and ALT, which is triple than normal. Should I take today's dose? I take a lot of medicines for different health conditions. I have attached the photo of my pr... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have seen the attached prescription (attachment removed to protect patient identity). You are taking Alendronate, Alprazolam, Rivaroxaban, and Simvastatin for your different conditions. For example, Alendronate for osteoporosis, Simvastatin for hyperlipidemia, ... Read Full »
Should I take Xarelto if I am COVID-19 positive with a family history of clotting diseases?
Query: Hello doctor, I am a 35-year-old male. My height is 175 cm, and my weight is 74 kg. I am tested positive for COVID-19 today. My resting heart rate is 100 beats per minute, and I am fine without scaring symptoms. My father died unexpectedly from a pulmonary embolism at the age of 33, and my three si... Read Full »
Answer: Hello, Welcome to icliniq.com. Usually, I would not recommend any patient with COVID-19 take the tablet Xarelto (Rivaroxaban) unless he has developed shortness of breath or any other clot symptoms. But since you have a family history of clotting diseases and you are currently suffering from COVI... Read Full »