Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
160 Doctors are Online

Can internal bleeding be stopped with Xarelto?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2001
Answered : 10295 Questions
Question
Have DVT, yesterday DR replaced warfarin with xarelto. Plus will have chemical clot reduction in two days by radiologist interventionist (vascular degree)
Can internal bleeding be stopped with Xarelto?
Will any of these drugs cause reactions-metformin, Paxil, Trilipix, Niaspan, spironolactone, atorvastatin, metoprolol ?
Posted Fri, 29 Aug 2014 in Veins and Arteries
 
 
Answered by Dr. Michelle Gibson James 58 minutes later
Brief Answer:
metoprolol not supposed to be used with paxil

Detailed Answer:
HI, thanks for using healthcare magic

Warfarin has specific agents that can be used to stop or reduce bleeding. While the newer anti coagulants such as xarelto do not have specific agents, bleeding can both be prevented and treated.

Prevented by using for the time frame needed and avoiding in high risk such as kidney disease (because eliminated somewhat by the kidneys so would build up in system if kidneys not working).

Treated by: (1) withdrawal of the medication- it will then be eliminated from system
(2)compression of site of bleeding if the area is accessible
(3)using fluid replacement to keep up the volume of blood
(4)transfusion of blood products if this is an option
(5)there are also clotting medications that even though not specific to these new medications, can be used to help reduce bleeding

In terms of interactions, none of the medications mentioned interact with xarelto but they are a few other serious interactions between the list.

It is actually advised that metoprolol is never used with paxil due to extensive reaction and risk of serious effects. Paxil affects the level of metoprolol.
There are other members of the SSRI family and other antidepressants that are safer with metoprolol.

There is also risks associated with the atorvastatin with niaspan and trilipix. It is possible , if your cholesterol is extremely high and there is little other option , then the combination would need to continue because the benefits outweigh the risks.
Niaspan and atorvastatin- increase toxicity of each other, same of trilipix and atovastatin.


I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a General Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor