Coumadin Warfarin - Patients on Anti-Coagulants - Be particular of What You Drink
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Many heart patients are routinely settled on anti-coagulants. Anti-coagulants help keep blood thin and flowing freely through veins and arteries; decreasing the risk of heart charge and stroke. Heart patients with Atrial Fibrillation (Af), in particular, are advised to take anti-coagulants.
Atrial fibrillation is the most common type of persistent, irregular heartbeat (cardiac arrhythmia). In atrial fibrillation, the heart's upper chambers beat irregularly, affecting blood flow to the heart muscle and to the rest of the body. It increases the patient's risk of blood clots, which can cause strokes and what is known as Tia (transient ischemic attack). Tia is what most people refer to as a "mini-stroke", in which the outpatient suffers the effects of a stroke, but only for the short term.
For patients with Af, the heart beat may return to normal on its own, or the physician may use electrical shock to get the heart back into its normal rhythm. Some patients, however, do not acknowledge to this therapy, and want anti-coagulants to forestall stroke and other complications. In increasing to Af, other heart problems may also want medicine with anti-coagulants.
Some doctors prescribe an aspirin each day for its blood thinning and anti-coagulant effects, but some patients want something stronger than the uncomplicated aspirin. For these patients, there are many prescribe anti-coagulants and blood thinners from which doctors choose.
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Anti-coagulants do have side effects; the most prevalent of which is the inability of your blood to properly clot in the event of surgery, or other bleeding. It is, therefore, very important to inform your doctors that you are on anti-coagulants, and to stop taking them before you have surgery. In addition, anti-coagulants may interact negatively with other medications and cause complications.
The most common anti-coagulant is warfarin, also known as coumadin. If your physician prescribes warfarin, you should determined result all the recommendations that go along with warfarin, together with having a appropriate understanding of all the interactions. The most important things you should know about warfarin include:
o You should not come to be pregnant while taking warfarin. Be distinct that you're using a trustworthy form of birth operate while taking this medicine. If you come to be pregnant while taking this medicine, let your physician know immediately. Warfarin can cause birth defects.
o You must temporarily stop taking warfarin if you want any sort of surgery, together with a spinal tap.
o Do not take warfarin in composition with aspirin or Nsaids, (non-steroidal anti-inflammatory drugs) unless your physician advises you that it's ok. Nsaids contain ibuprofen, naproxen, celecoxib, and diclofenac. Even our very common over the counter pain relievers like motrin and advil are ibuprofen, and can cause serious interactions with warfarin. Serious bleeding in your stomach and intestines can result when you combine warfarin and these drugs.
o Watch what you eat and drink. This may be the most surprising consideration for patients who take warfarin. Many patients have no idea that their diet can significantly influence how warfarin works for them.
Dietary Concerns for Patients of Warfarin
Warfarin can be seriously affected by the amount of vitamin K in your diet. And, vitamin K is in many of the foods that we eat in large amounts, together with the following:
o liver
o broccoli
o brussels sprouts
o spinach
o Swiss chard
o Coriander
o Collards
o Cabbage
o other green leafy vegetables
Even green tea, which has received rave reviews lately for its health benefits, can have a negative interaction with warfarin because of its vitamin K level. This is important for patients to understand, because many people have begun to drink green tea for its health benefits, particularly for those with heart problems.
The infer that green tea has been recommended for heart patients is because it has been shown to be productive in lowering Ldl cholesterol (the bad cholesterol that clogs our arteries). In addition, green tea inhibits the formation of abnormal blood clots, which are the important cause of heart attacks and strokes. So, we have begun to think of green tea as a salutary beverage for people who have heart disease or may be genetically predisposed to heart disease.
However, we now know that those heart patients who are taking warfarin for its anti-coagulation benefits should not drink green tea - or at least should not do so without permission from their doctor.
One compelling piece of information was discovered by the department of Pharmacy convention at the University of Florida. One outpatient receiving warfarin after having a mechanical valve change in his aorta, was progressing well with the warfarin treatment. However, his body's absorption of the drug suddenly changed.
Within one week, the patient's absorption of the warfarin dropped dramatically. Upon exam of the patient's diet, it was discovered that he had recently begun to drink about one half to one gallon of green tea per day. Once the outpatient stopped drinking the green tea, his absorption of the warfarin began to return to normal.
Many people do not recognize that green tea is a indispensable source of vitamin K, so even if patients have been advised to avoid foods rich in vitamin K, they may not realize that green tea falls into this category.
So, if you're a heart patient, be sure to talk to your physician about green tea. Green tea contains many restorative benefits, and can be particularly salutary for heart patients. However, if you're a heart outpatient who has been prescribed warfarin, green tea could significantly reduce the absorption of your medication.
If you'd like to drink green tea for its health benefits, your physician may be able to recommend you on a quantity that would be appropriate along with your warfarin.
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