STAYING SMOKE FREE



DIET AND WARFARIN

WARFARIN (COUMADIN) IS AN ANTI-COAGULANT MEDICATION THAT HELPS TO PREVENT BLOOD CLOTS. INDIVIDUALS WHO ARE AT RISK OF FORMING BLOOD CLOTS TOO QUICKLY ARE OFTEN PRESCRIBED WARFARIN TO REDUCE THEIR RISK OF SERIOUS COMPLICATIONS. THE EFFECTS OF WARFARIN CAN BE INFLUENCED BY THE AMOUNT OF VITAMIN K CONSUMED IN YOUR DIET. IF YOU ARE TAKING WARFARIN, IT IS IMPORTANT TO FOLLOW THE DIETARY RECOMMENDATIONS BELOW TO ENSURE THAT YOUR MEDICATION IS WORKING WELL.

1. Keep Dietary Vitamin K Intake Consistent.

IT IS IMPORTANT TO EAT A NORMAL, BALANCED DIET TO HELP MEET YOUR NUTRITIONAL NEEDS. DO NOT TRY TO REMOVE ALL VITAMIN K FROM YOUR DIET

• THE GOAL IS TO KEEP THE AMOUNT OF VITAMIN K IN YOUR DIET AS CLOSE TO THE SAME AS POSSIBLE. YOUR DOCTOR WILL PRESCRIBE YOUR DOSAGE OF WARFARIN WITH CONSIDERATION TO YOUR CURRENT DIET. IF YOU DO MAKE MAJOR CHANGES, LET YOUR DOCTOR KNOW.

• Increasing the amount of Vitamin K in your diet can decrease the effects of Warfarin.

Lowering the amount of Vitamin K in your diet can increase the effects of Warfarin.

• If you are aware of foods that contain Vitamin K, you will be better able to keep the amount of Vitamin K in your own diet consistent. See the chart on the next page for the Vitamin K content of foods.

2. lET YOUR PHYSICIAN KNOW IF YOU TAKE ANY SUPPLEMENTS

HERBAL, VITAMINS, AND MINERAL SUPPLEMENTS MAY IMPACTS THE EFFECTS OF WARFARIN

• INFORM YOUR DOCTOR IF YOU ARE CONSISTENTLY TAKING A MULTIVITAMIN OR A DIETARY SUPPLEMENT (LIKE ENSURE, BOOST, GLUCERNA OR CARNATION INSTANT BREAKFAST) THAT CONTAINS VITAMIN K

• Vitamin E supplementation (more than 800 IU/day) may be unsafe for individuals taking warfarin

• Many herbal supplements and green herbal teas can alter the effects of warfarin and should not be consumed without physician approval

3. fOODS TO limit

• GRAPEFRUIT AND GRAPEFRUIT JUICE MAY ADVERSELY INTERACT WITH WARFARIN

• GREEN HERBAL TEAS

• ALCOHOLIC BEVERAGES

ALCOHOL CONSUMPTION IS NOT RECOMMENDED WHILE TAKING WARFARIN. IF YOU CHOOSE TO DRINK ALCOHOL SPEAK WITH YOUR DOCTOR FIRST. LIMIT YOUR INTAKE TO 1-2 DRINKS PER DAY (0-1 FOR WOMEN, 0-2 FOR MEN). ONE DRINK=WINE- 5 OZ., BEER- 12 OZ., LIQUOR 1.5 OZ.

VITAMIN K CONTENT OF MAJOR FOOD GROUPS

Serving Size Vitamin K (mcg)

|VEGETABLES | | |

|Kale |½ cup cooked |531 |

| |1 cup raw |112 |

|Spinach |½ cup cooked |444 |

| |1 cup raw |145 |

|Collards |½ cup cooked |418 |

| |1 cup raw |184 |

|Swiss chard |1 cup raw |299 |

| |½ cup cooked |287 |

|Mustard greens |½ cup cooked, chopped |415 |

| |1 cup raw, chopped |144 |

|Turnip greens |½ cup cooked |265 |

| |1 cup raw |138 |

|Parsley, raw |¼ cup |246 |

|Broccoli |1 cup cooked |220 |

| |1 cup raw |89 |

|Brussels Sprouts |1 cup cooked |219 |

|Cabbage |½ cup cooked |82 |

|Green leaf lettuce |1 cup |71 |

|Romaine lettuce |1 cup raw |57 |

|Asparagus |4 spears |48 |

|Okra |½ cup cooked |32 |

| |1 cup raw |31 |

|Onions, scallions |½ cup raw |103 |

|Green peas |1 cup cooked |41 |

|Watercress, chopped |1 cup |85 |

|FRUITS | | |

|Prunes, dried, uncooked |½ cup |52 |

|Avocado |1 unit |42 |

|Blueberries, blackberries |1 cup |28-29 |

|OILS | | |

|Soybean oil |1 Tbsp |25 |

|Canola oil |1 Tbsp |10 |

|Olive oil |1 Tbsp |8 |

HELPFUL REMINDERS

• Common beverages such as water, soft drinks, coffee and tea contain little or no vitamin K.

• A serving of cooked vegetables contains significantly more vitamin K than the same size serving of raw vegetables. Vegetables shrink when cooked but do not lose vitamin K.

• Vitamin K is stored in fat. Leaner meats and low-fat dairy products will have less vitamin K.

IF YOU ARE FEELING ILL AND CANNOT EAT FOR SEVERAL DAYS, CALL YOUR PHYSICIAN.

FOR QUESTIONS PLEASE CALL A DIETITIAN AT 434-924-2286

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BREADS, CEREALS, RICE, OATMEAL, PASTA, ETC.

Milk, cheese, sour cream, butter, yogurts, etc.

Lean poultry, beef, fish, eggs

Apples, bananas, pears, oranges

Leafy green vegetables - highest amount of vitamin K

LOWEST

HIGHEST

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PATIENT AND FAMILY EDUCATION

PATIENT AND FAMILY EDUCATION

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