The patient treated with coumadin must pay particular attention to their diet, never forgetting that they are particularly exposed to the risks of "do it yourself" or "do it yourself" diets, which for no reason should be undertaken.
they hinder the anticoagulant effect of coumadin. This, of course, does not apply to friends or to generalist magazines and websites, whose advice - unless otherwise specified - does not take into account the current therapy.The traditional dietary recommendations for subjects receiving coumadin consist in the careful limitation of the following foods:
- cabbage and parsley (to be avoided or eaten in particularly modest quantities);
- broccoli, sprouts, cabbage, spinach, radicchio, turnip greens, sprouts, lettuce (avoid quantities exceeding 100 grams);
- asparagus, peas, lentils, soybeans, other green lettuce, tomato, fennel, avocado, mustard, egg yolk, mayonnaise (avoid major changes in quantities).
NOTES: cooking tomato and fennel significantly decreases their vitamin K content.
Among the foods of animal origin that are particularly rich in vitamin K, the liver stands out, which should therefore be replaced with other types of meat. Whole grains (pasta, rice, bran, polenta) should also be avoided, while the traditional ones do not create problems.
As for drinks, alcohol, caffeine, ginger, green tea and cranberry juice can interfere with the drug's effectiveness. Therefore, pay attention not only to coffee but also to drinks that contain caffeine, such as those like cola or Red Bull. Avoid spirits.
daily, the absorption of coumadin can be erratic and produce "ups and downs" in the effect.
It is not necessary to deprive oneself of particular foods, but for some of them it is necessary to keep constant the daily intake.
It is therefore more important to stabilize the intake of vitamin K with the diet, rather than "going crazy" to eliminate the main food sources.
Food must be regular in quality, quantity and times.
The foods listed above, for example, can be eaten in modest quantities every day, without ups and downs. Take this recommendation into account even when, for example, you go on vacation, because this is very often accompanied by a temporary change in eating habits.
The foods to keep under control are mainly vegetables.
You don't have to decrease or increase the vegetables, you simply have to consume a constant amount.
More generally, every patient being treated with coumadin should inform their doctor when they intend to significantly change their diet or before starting or stopping the intake of various drugs and supplements (multivitamins, vitamin K, Glucosamine, Ginkgo Biloba, Ginseng , Coenzyme Q10, fish oil, green tea, pineapple stem, garlic, linseed).
Coumadin intake
