*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature L: Laxatives.

Taking Rivaroxaban With Other Medicines And Herbal Supplements

NHS medicines information on possible interactions with rivaroxaban and other medicines, herbal remedies and supplements.

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.

OutUK's A to Z of Gay Health continues and you can read this week's feature L: Laxatives. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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