Drug & supplement interaction

Olive + Rivaroxaban

Rivaroxaban brand name: Xarelto.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Olive and Rivaroxaban in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Olive and Rivaroxaban

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Rivaroxaban and Olive in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Olive at all — not against Rivaroxaban, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Olive safety at a glance

Olive overall Use caution Olive as food and oil is very safe, but concentrated supplements are less studied.
Pregnancy Use caution Olive oil and olives as food are fine, but avoid concentrated supplements unless your doctor approves.
Breastfeeding Use caution Olives and olive oil are safe foods, but the safety of concentrated supplements is not well known.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Rivaroxaban and Olive? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Olive Itself Has Been Linked To

This is not an interaction — nothing below involves Rivaroxaban. It is the side-effect record for Olive on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Olive, this list is the first place to look.

  • Acne Additional detail

    “Orally, one patient in one clinical trial reported bad skin and acne after using olive leaf extract.”

    Olive · Natural Medicines adverse-effect record, reported in acne.

    1 source cited
    1. 101860. Somerville V, Moore R, Braakhuis A. The effect of olive leaf extract on upper respiratory illness in high school athletes: A randomised control trial. Nutrients. 2019;11(2). pii: E358. PubMed
  • Stomach upset Additional detail

    “Orally, olive fruit is well tolerated when used in typical food amounts. Olive leaf extract seems to be well tolerated.

    Most Common Adverse Effects:

    Orally: Headache and stomach discomfort.”

    Olive · Natural Medicines adverse-effect record, reported in cluster headache.

  • Headache Additional detail

    “Orally, three patients in one clinical trial reported headache after using olive leaf extract.”

    Olive · Natural Medicines adverse-effect record, reported in cluster headache.

    1 source cited
    1. 101860. Somerville V, Moore R, Braakhuis A. The effect of olive leaf extract on upper respiratory illness in high school athletes: A randomised control trial. Nutrients. 2019;11(2). pii: E358. PubMed

Everything above comes from the Natural Medicines adverse-effect record for Olive — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Rivaroxaban’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Rivaroxaban column appears here.

From our Q&A

Questions About Olive or Rivaroxaban

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Olive or Rivaroxaban, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Rivaroxaban

This page covers Olive only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Rivaroxaban page lists 285 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Danshen (major), Grapefruit (major), Piracetam (major) and St. John's Wort (major).

By severity: 5 major · 240 moderate · 40 minor.

From our pharmacist’s overview on the Rivaroxaban page

“Grapefruit is the interaction I would flag first for anyone taking rivaroxaban (Xarelto). It slows how the body clears this blood thinner, and higher levels mean more bleeding risk.”

Reviewed by 2 · Jul 18, 2026

Open the Rivaroxaban interaction page

One more smart check

Taking Olive as Part of a Dietary Supplement Product? Check It for Interactions

We hold 2,653 real supplement products containing Olive, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Olive. Even though Olive itself has no known interaction with Rivaroxaban, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Olive and Rivaroxaban Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Olive
Top 10%

#113 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Rivaroxaban
Top 10

#10 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Olive reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Olive and Rivaroxaban records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Olive

What is Olive?

Olive
  • Heart health
  • High blood pressure
  • High cholesterol
  • Antioxidant support
  • Antimicrobial
  • General wellness

Olive comes from the same tree that gives us olives and olive oil, and its leaf and fruit contain antioxidant compounds like oleuropein and hydroxytyrosol. Olive oil as part of a Mediterranean diet is well-studied for heart health, but supplements made from olive leaf or fruit extract have less solid evidence. Talk to your pharmacist or doctor before starting any supplement, especially if you have health conditions or take medications.

Olea europaea · Oleaceae · Leaves and fruit (including olive fruit pulp and olive oil) · Capsules, tablets, liquid extracts, teas, olive leaf extract, olive oil

An interaction check asks whether these two react with each other — it does not ask whether Olive is a good idea for someone in your situation. Here is what our Olive record says about it on its own.

Olive: dosing

There is no official standard dose for olive leaf or olive fruit supplements. Products vary widely in their strength and in how much oleuropein or hydroxytyrosol they contain.The best advice is to follow the directions on the product label and not exceed the recommended amount.

From our Olive monograph — the full record covers uses, side effects and every documented interaction.

Read the full Olive monograph & all interactions
Medication

About Rivaroxaban

What Is Rivaroxaban Used For?

Brand name: Xarelto

Rivaroxaban tablets are used to reduce the risk of stroke in adults with nonvalvular atrial fibrillation (an irregular heart rhythm), treat deep vein thrombosis (DVT, a blood clot in a vein) and pulmonary embolism (PE, a blood clot in the lungs), and lower the chances of these clots coming back. They also help prevent clots after hip or knee replacement surgery, protect hospitalized patients at risk for clots, and — in combination with aspirin — reduce the risk of major cardiovascular events in adults with coronary artery disease (CAD) or peripheral artery disease (PAD).

Rivaroxaban tablets are also approved for treating VTE (venous thromboembolism, blood clots in veins) and preventing recurrence in pediatric patients from birth to under 18 years, and for preventing clots in children aged 2 and older with congenital heart disease after the Fontan procedure. Rivaroxaban for oral suspension (available as Rivaroxaban Granule and Xarelto oral suspension) is specifically indicated for these two pediatric uses.

See full Rivaroxaban drug information
Keep checking

Other Drugs & Olive

Browse every other medication we’ve checked against Olive — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Olive References

The 2 references that drive our Olive monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Liccardi G, D'Amato M, D'Amato G. Oleaceae pollinosis: a review. Int Arch Allergy Immunol 1996;111:210-7. PubMed
  2. Somerville V, Moore R, Braakhuis A. The effect of olive leaf extract on upper respiratory illness in high school athletes: A randomised control trial. Nutrients. 2019;11(2). pii: E358. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Olive and Rivaroxaban Together: Common Questions

Is it safe to take Olive with Rivaroxaban?
We do not list a known interaction between Olive and Rivaroxaban. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Rivaroxaban interact with any supplements?
Yes. Rivaroxaban has documented interactions with 285 supplements in our database — Olive is not one of them. The Rivaroxaban interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Rivaroxaban and Olive?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.