Get your Health question answered in 3 easy steps

193 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Can Xarelto, Toprol and Flecainide Acetate be taken with Black elderberry?

Answered by
Dr.
Dr. Salah Saad Shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 1450 Questions

default
Posted on Mon, 14 May 2018 in Medicines and Side Effects
Question: HI,
I've recently started taking Xarelto, along w/ Toprol XL and Flacainide acetate, and would like to know if any of the following interfere with Xarelto or any of the other meds. listed here?
- Black elderberry (Sambucus syrup)
- ColdEze (Zinc Gluconate)
- Vitamin K-2/MK7
- Flonase (Fluticasone propionate – GlucoCorticoid, 50mcg)
doctor
Answered by Dr. Salah Saad Shoman 1 hour later
Brief Answer:
Toprol and flecainide has moderate interaction together

Detailed Answer:
Dear sir, I have gone through your question and I understand your concerns but these medications are potentially safe to take together except for using toprol together with flecainide which may have additive effects that might lead dizziness, slow or irregular heartbeats, fainting, or palpitations. You may need a dose adjustment or to safely use both medications..I hope you find this helpful.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Salah Saad Shoman 39 minutes later
Thank you, Doctor for your feedback. to clarify, I"m taking Toprol XL & Flecainide under direction of my cardiologist, and doing ok so far.
To clarify, my question was specifically for interference of the supplements I listed earlier vs. either of: Xarelto, Toprol XL or Flacainide. It sounds like the earlier mentioned 3 foods/nutrients, plus Flonase, should not be a problem with above 3 drugs? pls. confirm.
doctor
Answered by Dr. Salah Saad Shoman 15 hours later
Brief Answer:
Yes

Detailed Answer:
Dear sir, hello again.. yes , there are no reported interactions between the supplements your are taking and these medications.. However, black elderberry acts to increase the efficacy of the immune system , so if you are taking glucocorticoid as an immunosuppressant then they might be interacting with each other. I hope you find this helpful.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication ,   ,   ,  

Recent questions on Zinc gluconate

doctor1 MD

I have MILD CAD in the [L](carotid) PSV: 11-125 cm/s. What amount of Zinc and in what form will clear out the artery of build-up? The [R] carotid is NORMAL according to my report.

doctor1 MD

Hi I ve had variety of issues. Paranoia , depression but vitiligo very slow spreading if not reversing. But the cure for my acne was taking zinc, but everytime i stop taking it after a while it comes back and I feel low energry. I have lots of...

doctor1 MD

Hi Doc, I got viral fever and severe cold two days back, I am taking 1.( Cetirizine HCI, Paracetamo, phenylephrin hc & zinc Gluconate ) tables 2. Levofloxacin & Ornidazole tabs, twice a day. Today I got loose motion in dark green color. Cold is less, no running nose now but feeling week. Should in take eldoper or continue with the medication. Thaks, RR

doctor1 MD

I had a fever that ranged from 99 to 102.6 degrees and lasted for 6 days. During that time, I had chills and a headache. During the 5th and 6th day, that developed into a bad cold and cough. The cough, however, has gotten much worse. It's lasted 3 days now. I cough so hard that it shakes my whole body. My chest aches from it. It woke me up all through the night. It's also producing a lot of phlegm and making me sick to my stomach. It seems to lessen while I'm actually sucking on a cough drop with menthol, but that's the only time. I've been trying the "Cold-Eeze" throat spray and/or buckwheat honey - neither of which seem to do any good. Any ideas?

doctor1 MD

pus cell 0-3hpf is present in my 1 year old baby , he is having greenish colour some time yellowish , loose motion for 5 days , mucus is also can be seen in his stool can any one suggest me what is the normal range of puss cell in stool and what food can be given to him , doctor has given norflox and zinc gluconate . can anyone suggest me second opinion