Wednesday, 22 May 2013

For warfarin (Coumadin, Marevan) patients


Variation in the vitamin K content of your diet may affect the way warfarin (Marevan, Coumadin) works. It is not necessary to avoid food rich in vitamin K but you should keep to a consistent vitamin K diet adjusting your warfarin dose. Just maintain your diet and avoid making drastic changes.


FOOD

VITAMIN K CONTENT

LOW

MODERATE
HIGH

BEVERAGES

coffee

green tea

cola

herbal tea

fruit juice 

Chrysanthemum tea

milk


CEREALS AND GRAIN PRODUCTS
bread


cereals


pasta


rice


DAIRY AND EGG PRODUCTS
butter
margarine

cheese


egg


OIL AND DRESSINGS
(to limit to not more than 3 tablespoons a day )
corn oil
olive oil

peanut oil
mayonnaise

sesame oil
salad dressing

sunflower oil
soybean oil

MEAT

beef



chicken



pork



seafood


VEGETABLES

carrot
asparagus
broccoli
dark green, leafy vegetables are generally rich in vitamin K
cauliflower
cabbage
brussel sprouts
corn
celery
dou miao
cucumber
lentils
kailan
garlic
Lettuce (butterhead, romaine, cos)
parsley

Iceberg lettuce

seaweed

mushroom

spinach

onion

spring onion

pumpkin

watercress

potato



snap beans



sweet potato



turnip



tomato


FRUITS

apple
avocado

removal of fruit peels reduce vitamin K content
banana


grapes


mango



orange



pear


 

plum



strawberry



watermelon


DESSERTS AND SNACKS
cake
pistachio nut

chocolate



honey



ice-cream



jam



peanut



yoghurt



Some foods and dietary supplements which may interfere with warfarin by other mechanisms: Liver, Papaya, Soymilk, Tofu :take consistent amounts and avoid large quantities
Avoid the following: Cranberries, Grapefruit, Herbal and Traditional medicines (eg ginseng, dang gui, danshen, cordyceps ). Supplements e.g. coenzyme Q10, ginko biloba, omega fish oils, garlic, ginger supplements;  weight loss teas, body building protein supplements