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Topic: coumadin diet ??

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Subject: coumadin diet ??
Date Posted: 1/13/2014 8:52 PM ET
Member Since: 12/30/2013
Posts: 6
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I would like comments, thoughts, recipes about living with and eating coumadin diet...been on warfarin for four years for DVT and soooo tired of not having the veggies I love....I'm not able to eat the same amount of "K" free foods every day....and would like to hear from others who share this predicament......Right now I have smoothies and shakes and lots of meat and bread and some veggies....but my protime is still fluctuating....1.5 to 5.3.  I know there are millions of others out there and just wondered if there are any n PBS ??

Date Posted: 1/14/2014 5:42 PM ET
Member Since: 7/10/2011
Posts: 2,353
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I don't take it, but I do prescribe it, and have a lot of patients that fluxuate like you.  First of all, are you taking it a 4 pm daily and having your blood drawn in the morning?  Fluxuations of time can affect results.  It is a peak-trough drug, and must be measured at a precise interval after taking.  Also, if you are on the generic, and your pharmacy got it from China it might not be good.  Generics from other countries are not precise either.  Generic warfarin has a very small window of tolerance, yet generic brands can vary by as much as 20% and still be within the legal requirements for drugs sold in the US.   In other words if the pill is supposed to have 1 mg, it can have anywhere from 0.8 - 1.2 mg, which is a lot in the anticoagulant world.  So, your pills may be causing your variance, not what you eat.  If this is a concern, go to the branded Coumadin, it is a little more money but the amount of drug in the pill will be accurate.

I have my patients make out menus for a week of the foods that they love that have K, like spinach.  Then they have to eat the same amount of those K foods every week, and I adjust the Coumadin to their diet.  Hope that helps.



Last Edited on: 1/14/14 5:43 PM ET - Total times edited: 1
Subject: generic versus branded
Date Posted: 1/15/2014 8:04 PM ET
Member Since: 12/30/2013
Posts: 6
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Thanks Carol for the info......I was taking warfarin from Kroger and then changed  to VA freebies and that is when the trouble started...after big fluctuation, I went back to Kroger meds and had pro time done this am and it was 2.5 !!!  Good to be back in range....I take 5mg warfarin on Tues and Fri pm and 2.5 on the other nights of the week......glad you confirmed what I had suspected as the problem......Wonder if I should go to Coumadin anyway ?     I surely don't want to end up on Lovanox again.....One more problem though, Some websites say NO carrots or tomatoes or peas and others say they're ok....wish there wasn't so many contradictions on the gazillion sites out there.....Thanks again for your help...Beverly.

Date Posted: 1/17/2014 7:04 PM ET
Member Since: 7/10/2011
Posts: 2,353
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Stop reading the internet, there is more misinformation out there than reality.  Looking at a gazillion sites is only going to confuse you.  Again, make a diet you like and can live with, eat it every week, adjust your medication to it.  Consistency is the most important thing, not the amount of peas you eat.  Ask Kroger where their warfarin is manufactured, they should know.  If you are stable on their generic, there is no need to change.

(Carole with an 'e')



Last Edited on: 1/19/14 10:21 PM ET - Total times edited: 1