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If you have had spinal anesthesia while on xarelto®, watch for back pain or any nerve or muscle-related signs or symptoms. do not take xarelto® if you have an artificial heart valve or abnormal bleeding. tell your doctor before all planned medical or dental procedures. before starting xarelto®, tell your doctor about any conditions, such as kidney, liver, or bleeding problems. to help protect yourself from a stroke, ask your doctor about xarelto®. insurance changes? xarelto® has you covered...