Cautions with other medicines
Some medicines can affect how rivaroxaban works. This can lead to serious side effects.
Tell your doctor if you're taking any of these medicines before you start taking rivaroxaban:
- any other anticoagulant, such as warfarin or enoxaparin
- medicines to treat fungal or bacterial infections, such as fluconazole, erythromycin, clarithromycin or rifampicin
- medicines to treat HIV, such as ritonavir
- medicines to treat epilepsy, such as carbamazepine, phenytoin or phenobarbital
- non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin
Taking rivaroxaban with everyday painkillers
You can take paracetamol while you're taking rivaroxaban.
Do not take aspirin or ibuprofen while you're taking rivaroxaban unless a doctor has said it's OK. They increase the chance of bleeding.
Mixing rivaroxaban with herbal remedies and supplements
Do not take St John's wort, the herbal remedy for depression, while you're taking rivaroxaban. It can increase your risk of side effects.
There's not enough information to say that other herbal remedies and supplements are safe to take with rivaroxaban. They're not tested in the same way as pharmacy and prescription medicines.
Important: Medicine safety
Tell your doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements.