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Coumadin: Dietary Restrictions and Special Needs You Should Know

Coumadin® and other anticoagulants slow down the body’s ability to make blood clots. Anticoagulants are also referred to by some as “blood thinners”. Anticoagulants are used to treat or prevent medical conditions such as phlebitis, abnormal heart rhythm, or blockage of a heart artery. The most common anticoagulant is Coumadin, commonly known as Warfarin.

If you or someone you know is taking Coumadin it is important to follow certain daily precautions and dietary recommendations.

Dietary Guidelines

  • Eat the same types of foods you ate before unless otherwise instructed and discuss any diet changes with your doctor prior to making them
  • Do not eat foods rich in vitamin K, such as kale, collard greens, spinach, brussels sprouts, broccoli, spinach, parsley, asparagus, lettuce, endive, okra, and mustard greens.
  • Consult your doctor before taking any new medications, new vitamins or mineral supplements.
  • Avoid Alcoholic beverages and cranberry juice.
  • Avoid taking medications containing aspirin unless specifically ordered by your doctor
  • Many over-the counter medications and antibiotics alter the effects of Coumadin. Be sure that the doctor prescribing any other medications is aware that you are taking an anticoagulant
  • Medical Precautions

  • Wear a Medic Alert bracelet or carry a form of identification indicating you are taking an anticoagulant
  • Consult your doctor prior to travel and take an adequate supply of medications with you
  • If you miss a single dose of anticoagulant medication, take it as soon as you remember to take it, up to 24 hours after missing the dose
  • Contact your doctor if you miss multiple doses or if you go over a 24 hour period without taking a dosage of your anticoagulant
  • If you fall or obtain a blow to your head or body, contact your doctor immediately. It is possible for internal bleeding to occur without you being aware of a problem
  • When visiting any healthcare providers or dental appointment, be sure to inform them that you are taking anticoagulants
  • Daily Care Practices

  • Care for your hands and feet – wear gloves to protect your hands and don’t go barefoot
  • Avoid using sharp objects for example, use an electric razor to avoid cutting yourself
  • Take medications at the same time each day
  • Don’t change dose or stop taking your anticoagulant medication unless your doctor tells you to do so
  • These guidelines will help you or your loved one to safely and successfully take an anticoagulant, but if you ever have concerns about your anticoagulant medication, contact your primary care provider for specific instructions.

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