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Thank you for your question.
The main thing here is that if your atrial fibrillation or flutter still do happen from time to time then you will need to be on an additional blood thinner like xarelto.
However if you have not had any episode of atrial flutter of fibrillation then you may opt not to be on xarelto.
Our main aim, as you may know, with giving xarelto (which is different from aspirin or plavix in that aspirin and plavix act on platelets whereas xarelto and warfarin act on various coagulation factors) is to reduce clot formation in patients who have atrial fibrillation because if a clot does form in such patients there is a high likelihood of stroke or other catastrophic consequences.
So your question to your doctor should be that if you are not having atrial fibrillation or atrial flutter then what is the need of being on xarelto? If you have not had any heart rhythm problem for years then there is no reason that you should be on an additional blood thinner like xarelto as far as I am concerned.
Let me know if you have more questions.
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