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Is It Safe To Take Cannabis For Crohns Disease When On Xeralto?

Posted on Tue, 21 Apr 2015

Question: Hi,

I take medical cannabis for my crohns disease , i use it in edibles , vaporizer and the odd smoke when short for time.

i have been started on Xeralto for my bloodclot in my lung for next three months but im worried as my crohns will start getting worse, i know i cant smoke with a bloodclot in lung , but is it safe to take small doses of edibles ? im worried as xeralto is a new drug and dont want to hurt myself or cause more bleeding etc

can i please get some advice ASAP as each day i go without my medical cannabis i am getting unwell with my crohns flare ups

Answered by Dr. Dr. Klerida Shehu (1 hour later)

Brief Answer:
Following advice...

Detailed Answer:
Hi,

I have gone through your medical history carefully and understood your concerns.

1. You are saying to be suffering of Crohn's disease. May I know if it is in the remission stage or flare up (activisation)?

2. Xarelto is important to use in your case due to blood clot in your lungs. If the actual stage of Crohn's disease is remission, you have less chances to get bleeding side effects.

3. However, in any case, I advise to follow up with measuring INR level as it will help adjust the dosage.

Hope it helped!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Klerida Shehu (5 hours later)

Hi Thank you for your reply

1. my crohns is in remission , i have no bleeding from the back passage , i am slowly gaining weight after the surgery when i lost weight

2. so i am not in a flare up i am safe to take a small dose of medical cannabis or should i be fine with usual doses? ( a few grams a day?)

3. i am having a blood specialist appointment on the 7th of april so i get a blood test then should i take my cannabis before that test or wait till after?

Thanks XXXXXXX

Answered by Dr. Dr. Klerida Shehu (14 hours later)

Brief Answer:
Following answers to your queries.

Detailed Answer:
Hi back,

1. If your Crohn's is in the remission state, then, you have less chances for bleeding.

2. However, if you decide to take marijuana , I advise to use small amounts. Marijuana itself increases the risk of bleeding. If combined with xarelto in Crohn's disease, the risk is higher although studies have concluded that it can ease the symptoms of Crohn's and prolongs duration of remission state.

3. To my opinion, you should get blood test first, then continue taking marijuana together with xarelto.

Hope it answered to your queries!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Dr. Klerida Shehu (27 minutes later)

Hi Dr. Klerida Shehu

Thank you for replying, ok i will get the blood test on tuesday and then get the results and start taking it i am eating healthy enough to keep my crohns stable until then

Thank you for the help it has been comforting to know i can take both medicines together

Answered by Dr. Dr. Klerida Shehu (6 hours later)

Brief Answer:
It's a pleasure to hear that my advice were somehow helpful for you.

Detailed Answer:
Hi back,
It's a pleasure to hear that my advice were somehow helpful for you.

I encourage to continue with healthy diet and lifestyle. You can take both the medicines together.

Wish you health!
Dr. Shehu

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj