Arthritis Home > Xarelto and Breastfeeding

There may be potentially dangerous risks associated with taking Xarelto (rivaroxaban) while breastfeeding, as it is unclear if this drug passes through human breast milk. It is known that this medicine passes through breast milk in rats and can lead to fatal internal bleeding. Because of these potential risks, the manufacturer recommends that women not take Xarelto while breastfeeding.

Can Breastfeeding Women Take Xarelto?

It is unknown if Xarelto® (rivaroxaban) passes through breast milk in humans. Due to the unknown risks, the manufacturer recommends that women not breastfeed while taking Xarelto. Therefore, if you are breastfeeding or plan to start, you should talk with your healthcare provider before taking this medicine.
 

More Information on Xarelto and Breastfeeding

At this time, no studies have been done to determine whether Xarelto passes through breast milk in humans. This is quite common with new medications, especially those that are not commonly used in women who are nursing.
 
Xarelto is known to pass through breast milk in rats. Until more information is known, it should be assumed that the drug can also pass through breast milk in humans.
 
It is unknown how Xarelto exposure through breast milk would affect a child. However, this medication can cause serious side effects, such as fatal internal bleeding. This risk must be considered when deciding to breastfeed while taking Xarelto.
 

Talking With Your Healthcare Provider

You should discuss breastfeeding and Xarelto use with your healthcare provider. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision that is right for you.
Written by/reviewed by:
Last reviewed by: Kristi Monson, PharmD;
Last updated/reviewed:
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