Doctor insights on:
Diet For Coumadin Takers
refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
No proven value: Naturopaths peddle potions that are made under unregulated conditions with no guarantee of potency, composition or purity. Many contain adulterants that can be dangerous or toxic and most are useless fillers. There are no clinical trials of these products. Save your money and work with your regular physician and a good exercise therapist. ...Read moreSee 2 more doctor answers
Not required, but...: A good idea. If you are unconscious and found bleeding, there are antidotes to coumadin, (warfarin) fresh frozen plasma and vitamin k to reverse it. So a good idea to wear a bracelet, especially if you are on it long term, like with a prosthetic heart valve or chronic atrial fibrillation. ...Read more
Avoid....: Herbs, dark leafy greens, broccoli, brussel sprouts, asparagus, cabbage and pickles all contain high amounts of vitamin k. These foods need to be eaten sparingly if you are on coumadin (warfarin). To keep your pt/inr level stable, you need to have a consistent intake of vitamin k. ...Read moreSee 1 more doctor answer
Diet pills: Anyone that is on Coumadin (warfarin) need to be aware of the drug drug interactions that occur and you will need to discuss with you doc and have the inr measured more frequently at the beginning. Diet pills only help to get you jump started on your diet. What you need is a change in you eating habits and exercise. ...Read more
Salt restriction: Salt restriction is more important than fluid restriction in most patients. Fluid restriction might be appropriate in a patient with low sodium. Salt restriction is important in all patients with congestive heart failure. A typical recommendation would be 2000 milligrams of sodium daily. ...Read moreSee 2 more doctor answers
Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?
Are there consequences to combining a multi-vitamin, biotin (diet supplement), and pravastatin sodium?
Combo: It isn't likely you would have ill effects from that drug trio. ...Read more
Is rivaroxaban xalerto safe and good drug for preventing stroke in Afib compared to aspirin and plavix (clopidogrel) together in72 yr man with hypertension,s.cr1.56?
Xalerto is best: His CHA2DS2-VASc score is 2 (age and presence of hypertension). All studies have concluded that the benefit from anticoagulation significantly exceeds the risks for almost all AF patients with a score of 2 or more. Xalerto will more effectively reduce his risk of stroke and won't increase his risk of bleeding. ...Read more
My mom takes coumadin, (warfarin) . Is it safe for her to take centrum cardio vitamins (with plant phytols) to help lower her cholesterol?
Yes: I truly believe that high antioxidant levels in the blood is the key to fight disease states. Although vitamin k can counteract the affects of coumadin, (warfarin) i would much rather have my patients eat whole foods like fruits and veggies and take a slightly higher dose of Coumadin (warfarin) than deny themselves these potent antioxidants. A diet rich in especially berries can raise HDL (good cholesterol). ...Read moreSee 2 more doctor answers
Moderate Vit K: Most nuts have a moderate amount of vitamin k in them, so with each handful you're antagonizing the Coumadin (warfarin) effect, that is, lowering your inr. Sunflower seeds have a very low amount of vitamin k, but still, the effect is simply dose-dependent: the more you eat them, the greater the impact. Another thought: ask your md to switch to xarelto or pradaxa... ...Read more
How does eating leafy greens effect the Coumadin (warfarin) level in a person on coumadin (warfarin)?
Lowers INR: If you eat spinach, turnip greens, broccoli, brussels sprouts, parsley or other leafy greens, this may counteract the effect of Coumadin (warfarin) on blood clotting, making your blood thicker and lowering your inr. If you like leafy greens, you should eat a consistent amount each week and titrate your Coumadin (warfarin) dosage based on that. ...Read more