Diet when taking Warfarin is an auxiliary method of primary treatment. This medicine is prescribed if a person has heart disease or has undergone heart surgery.

The main essence of nutrition during a diet is maintaining a stable level of vitamin K, as well as salts and trace elements. Doctors prescribe the dosage of the medicine based on the daily intake of vitamin K. It is for this reason that diet is very important for people.

The diet includes restrictions on the consumption of table salt (daily intake up to 7 g), liquid (up to 1.3 liters, including first courses, drinks). Products that stimulate the central nervous system and cardiovascular system are completely excluded from the diet.

These include: alcoholic, caffeinated drinks, energy drinks, chocolate, cocoa, strong broths (fatty fish, meat, mushrooms), fatty foods, smoked foods, marinades, spicy seasonings, foods high in cholesterol.

Consumption of foods that cause flatulence is minimized, but not completely limited.

The energy value of products consumed per day should not exceed 2355 - 2595 kcal. The protein content should not be more than 85 g (animals - 45 g), fats - 60-67 g (vegetables - 18 g), carbohydrates - 345-405 g.

Dishes are prepared without adding salt. You can only eat foods that are steamed, boiled, or baked. Fried foods are completely excluded.

Food is taken every two hours, the last meal should be taken at least three hours before bedtime.

What products are allowed

There is no need to think that following a diet, a person will not be able to eat delicious dishes. With the list of permitted products, you can make a huge number of not only tasty, but also healthy dishes.

The diet includes the following foods in the diet:

• buckwheat, barley, rice, oatmeal - a source of carbohydrates;
• whole grain pasta;
• boiled potatoes;
• greens, vegetables, sweet fruits are a source of fiber;
• lean fish, lean meat;
• 1 egg per day;
• low-fat fermented milk products;
• vegetable and olive oil;
• weak black tea, green tea, rosehip decoction, fruit compotes, compote with dried fruits;
• sweets: dietary biscuits, gingerbreads, cookies;
• diet bread, rye bread.

Since the diet requires the consumption of large amounts of vitamin K, green vegetables, parsley, dill, and green onions must be included in the daily diet. Vegetables are a priority: broccoli, lettuce, cabbage, green tea, cranberries.

Prohibited foods while taking Warfarin

As mentioned above, many foods are prohibited while taking this drug. For the diet to be effective and efficient, you need to reduce your intake of the following foods:

• baked goods, flour products, including white bread;
• canned food;
• sausages, sausages;
• smoked and boiled sausage;
• cakes, cookies, chocolates;
• fatty cheeses;
• fast food;
• sorrel, radishes, cabbage, onions, garlic;
• citrus fruits, sour apples;
• fatty dairy, meat, fish products;
• brewed coffee, chocolate;
• dough dishes.

The food you eat should under no circumstances be hot or, on the contrary, cold.

If a person decides to independently create a daily diet, then he must consult with his doctor so that the diet does not provoke an exacerbation of the disease.

Doctors do not advise making significant changes in diet. It is unacceptable to use diets for weight loss if you have heart disease. If you want to introduce new products into your diet, add vitamins or dietary supplements, then before consuming them, consultation with a specialist is strictly required.

Taking Warfarin - menu for two weeks

Week No. 1.

Monday.

09.00 – casserole with cottage cheese, weak coffee with milk.

11.00 – diet biscuit, glass of fruit compote.

13.00 – steamed vegetable stew of zucchini, eggplant, carrots, potatoes.

15.00 – a glass of kefir.

17.00 – baked lean river fish, rice, compote.

19.00 – salad: cucumbers, tomatoes, greens, lettuce leaves.

09.00 – a glass of low-fat milk, cheesecakes cooked in a double boiler.

11.00 – salad, cheese and bread.

13.00 – vegetarian borscht, mashed potatoes, steamed beef cutlet.

15.00 – fruit salad, a glass of compote with dried fruits.

17.00 – meat soufflé, rice.

19.00 – 1 soft-boiled egg, tea with lemon.

Wednesday.

09.00 – coffee with milk, bread, cheese.

11.00 – cottage cheese casserole with dried apricots, apple juice.

13.00 – broth with chicken breast, stew with vegetables and herbs, spinach, broccoli, and veal. Tea.

15.00 – cottage cheese with low-fat sour cream and sugar, compote with dried fruits.

17.00 – salad with vegetables.

19.00 – omelet, tea.

09.00 – fruit salad with bio-yogurt, a glass of kefir.

11.00 – bread with cheese, coffee with milk.

13.00 – vegetable soup with potatoes and herbs. Mashed potatoes, veal cue ball.

15.00 – oatmeal, glass of milk.

17.00 – beef liver baked in the oven with vegetables, rosehip infusion.

19.00 – fish salad with vegetables.

Friday.

09.00 – casserole with cottage cheese, glass of milk.

11.00 – chicken fillet with wheat porridge, compote.

13.00 – rice soup with herbs, 1 egg, boiled potatoes, vegetable salad.

15.00 – baked veal, rice, cucumber.

17.00 – glass of bio-yogurt, biscuit.

19.00 – vegetable salad with herbs, buckwheat porridge.

11.00 – cottage cheese with low-fat sour cream, compote.

13.00 – vegetarian cabbage soup, baked rabbit, vegetable salad, tea.

15.00 – vegetable pilaf, fruit puree, tea.

17.00 – peppers stuffed with vegetables and chicken breast, vegetable salad, apple juice.

19.00 – buckwheat milk porridge, tea.

Sunday.

09.00 – oatmeal with milk and sugar, dried fruit compote.

11.00 – cottage cheese casserole, compote.

13.00 – vegetable soup with chicken broth. Baked fish with vegetables, tea.

15.00 – kefir, biscuit.

17.00 – “green” vegetable salad. A glass of tea.

19.00 – steam fish cutlet, rice.

Week No. 2.

Monday.

11.00 – cottage cheese with sour cream, kefir.

13.00 – vegetable salad with herbs, baked beef with vegetables, tea.

15.00 – vegetable broth with egg and herbs.

17.00 – vegetable salad, bread with cheese.

19.00 – glass of bio-yogurt, biscuit.

Tuesday.

09.00 – omelet, tea.

11.00 – cheesecakes, compote.

13.00 – buckwheat soup, mashed potatoes, beef cutlet, compote.

15.00 – vegetable stew, tea.

17.00 – vegetable salad.

19.00 – bread with cheese, tea.

09.00 – oatmeal with milk, tea.

11.00 – buckwheat with baked beef, compote.

13.00 – vegetable salad, soup with beef meatballs, noodles with cheese, tea.

15.00 – fruit salad, compote.

17.00 – a glass of kefir with a biscuit.

19.00 – 1 egg with vegetable salad and herbs.

Thursday.

09.00 – cottage cheese casserole, tea.

11.00 – biscuit, glass of yogurt without additives.

13.00 – vegetable borscht with boiled chicken breast, navy pasta, compote.

15.00 – fruit salad.

17.00 – baked fish with vegetables, tea.

19.00 – a glass of kefir or fermented baked milk.

09.00 – buckwheat with milk, tea.

11.00 – compote with biscuit.

13.00 – rice soup, wheat porridge with chicken meatballs, vegetable salad, apple compote.

15.00 – bread with cheese, tea with lemon.

17.00 – baked potatoes with vegetables, a glass of kefir.

19.00 – bio-yogurt.

Saturday.

09.00 – egg, bread, cheese, tea.

11.00 – cottage cheese with sour cream, compote.

13.00 – chicken breast broth with homemade noodles, vegetable salad with herbs, buckwheat porridge with chicken breast.

15.00 – fruit salad, apple juice.

17.00 – cottage cheese casserole, tea with lemon.

19.00 – baked fish with rice porridge.

Sunday.

09.00 – milk noodles, tea.

11.00 – vegetable salad, bread, cheese.

13.00 – rice soup with chicken broth, vegetable salad, compote.

15.00 – steamed beef cutlets, rice, rosehip broth.

17.00 – fruit salad with cranberries, cranberry juice.

19.00 – baked fish with vegetables, tea.

It is necessary to remember that the diet when taking Warfarin will only be effective if it is followed regularly.

We will continue to reveal the specifics of treatment with warfarin, a blood thinning drug. The medicine protects the heart and blood vessels, preventing the formation of blood clots that threaten the development of heart attack and stroke.

True, with a lot of advantages, the tablet does not tolerate neglect of food. Errors in nutrition impair blood clotting, leading the INR (international normalized ratio) away from the target level.

As we have already found out, a decrease in blood clotting ability increases the risk of bleeding, and an increase in it increases the risk of thrombosis.

Now more about diet as an important component of warfarin therapy.

Vitamin K interferes with blood thinning. I ate a vitamin - I wasted my money on warfarin

The action of warfarin is based on inhibition of the production of vitamin K in the liver. It is logical to assume: the more of this vitamin in the body, the less the effect of the drug. I ate a vitamin and wasted money on warfarin.

Pumpkin puree soup rich in vitamin K. Photo from healthemy.com

Food products vary greatly in their vitamin K content: some do not contain it at all, others only a little, and others are completely saturated with it.

By unknowingly eating a product with such a “vitamin impregnation”, you can reset the INR below the target level and leave blood clots uncontrolled.

Foods low in vitamin K do not interfere with warfarin's ability to work.

These include:

• bread and cereals (oatmeal, buckwheat, wheat, corn), pasta and rice,
• meat and fish in any form: sausages, cutlets, chops and other poultry, pork, beef,
• milk and dairy products: kefir, fermented baked milk, sour cream, cottage cheese, cheese, yoghurts, butter,
• sunflower and peanut oil,
• eggs (chicken, quail),
• mushrooms,
• some vegetables (carrots, eggplants, potatoes, green peppers),
• fruits and fruit juices without red tints: yellow apples, bananas, citrus fruits, peaches, green grapes;,
• Drinks include herbal (but not green!) and black tea, coffee.

Red Apple. Photo from pxhere.com

Of course, 100 g of grapes or 1 peach will not upset the INR balance. But 2 kg of grapes or red apples washed down with several cups of hibiscus is easy. It's all about the quantity and limits of what is acceptable.

From personal experience: the pigment that gives fruits and vegetables their red color lowers the INR.

When even a little greenery is too much

Foods high in vitamin K are always taboo if you are taking warfarin. Therefore, read and remember.

IN list of products that should be limited, includes any greens in the form of herbs, spices, vegetables and their mixtures, oils and tea, namely:

• asparagus, peas, pumpkin, cucumber (especially with peel), beans, tomatoes,
• beet greens, turnip greens, shallots, celery, spinach, rhubarb, parsley,
• cabbage (Brussels sprouts, broccoli, white, sour),
• vegetable mixtures,
• plums (regardless of color and size),
• margarine, mayonnaise,
• olive oil,
• green tea.

Consistency in nutrition and unscheduled INR analysis will save the situation

Remember: we adjust the dose of warfarin to your diet, and not vice versa.

If you have a small amount of vitamin K in your diet and your INR is between 2.0 and 3.0, keep going.

If you decide to once again treat yourself to the joys of vitamins, it is better to donate blood unscheduled, and let the attending physician evaluate how liquid it is. The main thing is consistency of taste preferences and the absence of excesses (such as vegetarianism or a sudden love for greens).

Is it possible to raise a glass on holidays?

A bottle of beer on the weekend or a glass of wine on holidays certainly lifts your spirits. However, what about warfarin? It’s definitely not worth becoming an absolute teetotaler and an ulcer.

Warfarin tolerates alcohol in moderation.

White wine. Photo from naked-science.ru

In terms of 1 dose of alcohol per day – 1 bottle of beer or 1 glass of wine or 1 cocktail or 1 glass of spirits. However, I don’t presume to say that taking an intoxicating potion every day is so safe.

It would be more logical to stop at 1 glass of expensive white (once again, not red!) wine for the holidays.

Going beyond the measured daily dose is fraught with a sudden increase in INR and life-threatening bleeding.

The warfarin diet and the anti-atherosclerosis diet are completely different concepts.

Diet and diet are different.

If vegetables and fruits occupy one of the key places in the fight against “bad” cholesterol, then when taking warfarin they can play a cruel joke.

By saturating the body with vitamins, such products will disrupt the target INR level, which inhibits the growth of blood clots.

Of course, everything is important. The progression of atherosclerosis leads to an increase in “diseases of civilization.” Following a diet that is appropriate for them creates a background that helps the medications work. But the prescription of warfarin also does not happen out of nowhere. And those diseases that served as the reason for taking it have already caused harm to the body.

Eggplant rolls. Photo from goodfon.ru

Therefore, when tormented by the choice between lettuce leaves, potatoes fried in sunflower oil and hard-boiled eggs, it is better to opt for chicken rolls in eggplant baked in cheese batter.

To be continued. In the following article you will learn what dangers lie behind the simultaneous use of antibiotics, antipyretic drugs and warfarin.

Main photo of the article from the site sovety-ogorodniku.ru

Warfarin is a drug belonging to the pharmacological group of anticoagulants. The medicine reduces blood clotting and blockage of blood vessels. During treatment with Warfarin, it is necessary to follow a diet, as it helps to increase the effectiveness of the drug and reduces the risk of negative side effects.

The action of Warfarin is determined by its composition. The medicine contains substances that reduce blood clotting. The mechanism of action is based on inhibition of the activity of vitamin K, which is responsible for coagulation.

The medicine presented is prescribed after a preliminary medical examination. With its help, the expected effective dosage of the drug and possible side effects are determined. On average, patients take up to 0.5 mg of Warfarin daily for preventive purposes, but it is possible that dosage adjustment may be necessary.

The drug is prescribed for both long-term and short-term use. Long-term use of Warfarin is prescribed for diseases accompanied by venous thrombosis and thromboembolism.

Indications for short-term use:

Foods with potassium and magnesium - change your diet

Thus, the diet during treatment with Warfarin is based on fundamental principles, the observance of which determines the positive effect of this method of nutrition.

Prohibited Products

The diet when taking Warfarin involves avoiding many foods. It is this fact that worries many patients. Sometimes giving up foods and dishes that have become familiar causes serious discomfort. However, unpleasant sensations can be eliminated with proper nutrition.

Products that are excluded from the daily diet:

Beef tongue: benefits and composition of the product, its storage and use

In general, the diet when taking Warfarin involves avoiding many foods and drinks.

What can you eat while taking Warfarin?

Strict refusal of various foods causes a lot of inconvenience due to the need to completely rebuild the daily diet. During this period, many patients have a question about what can be eaten during treatment with Warfarin. You can get the answer to this question by reading the list of main products recommended when taking the drug.

Authorized products:

Warfarin is a medication that works to prevent blood clots from forming. As a rule, it is prescribed after heart surgery, as well as for the treatment of diseases associated with the risk of thrombosis. When taking this drug, the patient must follow a special diet. The main task of this diet is to maintain a stable level of minerals, salts and vitamin K in the body, since the dosage of the medicine significantly depends on the amount of vitamin K received. Also diet when taking Warfarin for atrial fibrillation required in order to normalize the composition of the blood and the condition of the blood vessels. This is very helpful in treating the underlying disease. Below you will get acquainted with this technique in more detail, and you will also be able to study diet when taking Warfarin in table form.

What should the diet be like while taking warfarin?

List of approved products when taking warfarin, it is similar to the list of treatment table No. 10.

Your source of carbohydrates should be porridge cooked in water, as well as whole grain pasta. The latter should ideally be made from plain wheat, without any additives like seaweed or spinach. Boiled potatoes, rye bread crackers and low-calorie bread, which do not contain vitamin and mineral supplements, are also allowed.

Nutrition while taking warfarin and controlling your blood intake means daily use foods enriched with fiber. These are primarily fresh fruits, vegetables and herbs. It is advisable to choose sweet fruits. If you like all kinds of desserts, choose ones that do not contain coconut oil, cocoa powder or chocolate.

An ideal source of protein is low-fat fish, rabbit and poultry. It is better to boil or steam the meat, first removing visible fat. You can also grill food, but sauces should not contain seasonings or oil. One chicken egg per day is also allowed. It can be soft-boiled, hard-boiled or baked.

As for low-fat fermented milk products, they can be present in your diet in almost any quantity. It is better to choose fats of plant origin. Ideally, they should be natural, unrefined oils. Unsalted butter is also allowed in very small quantities.

Another rule of such a diet is to follow a fractional nutrition system. Every day you should have 5-6 meals. It is better, of course, that the diet be stable. That is, breakfasts, lunches, dinners and snacks must take place every day at a specifically designated time. The recommended interval between all meals is 3 hours. Portions should be very small in volume - you can eat no more than 400 grams in one sitting.

Avoid natural coffee and completely eliminate alcoholic drinks.

Proper nutrition while taking warfarin table:

Diet while taking warfarin: list of prohibited foods

The diet when taking Warfarin and Statins will exclude a variety of foods that were previously a common part of your daily diet. In particular, we are talking about all baked goods and flour products. Puff pastry and any products and dishes prepared from it are prohibited. Cakes, cookies and biscuits are completely excluded. You will also have to forget about chocolate.

You cannot eat meat products such as sausages, bacon, frankfurters, canned food, etc. Fatty meats are also prohibited. Soups can only be prepared in water, chicken or vegetable broths - mushroom, meat and fish are prohibited.

All cheeses are excluded, with the exception of ricotta with a fat content of up to 5%, and sandwich pastes and pates should not be eaten.

The diet prohibits pickled and pickled vegetables, all legumes.

Prohibited vegetables and fruits:

• spinach;
• radish;
• radish;
• White cabbage;
• garlic;
• onion;
• sorrel;
• citrus fruits (limit);
• sour apples (limit).

As for drinks, the diet prohibits milkshakes, which contain a lot of fat and sugar, as well as instant coffee, cocoa and natural coffee.

Do not add heavy or dry cream to tea. However, in any case, you can follow such a diet only as prescribed by a doctor - in no case should you prescribe medical nutrition for yourself, no matter what disease you are talking about.

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Diet while taking Warfarin list of prohibited foods

Warfarin has found very wide use for the prevention of thrombosis and the treatment of complications caused by them, however, its pronounced interaction with food forces patients to adhere to a certain diet. We will talk about the list of prohibited foods when taking Warfarin in this article.

I decided to write this article after interviewing about a hundred patients who regularly take Warfarin. It turns out that one part has not heard about the diet at all, and the second has heard about it, but does not adhere to it. This shocked me a little, since the effect of Warfarin can be completely neutralized by poor nutrition. Therefore, for convenience, I will present the list of prohibited products in the form of a table.

According to its pharmacological properties, warfarin is an inhibitor of vitamin K, so its action blocks vikasol-dependent blood coagulation factors (II, VII, IX, X), which are involved in the formation of a blood clot.

If the patient’s diet is dominated by foods rich in vitamin K, then the dose of Warfarin prescribed by the doctor may not be enough.

Here are the basic rules that a patient should know and adhere to when taking Warfarin:

• When selecting a dose, it is necessary that the patient tell the doctor in detail about his diet, what foods he likes and which he practically does not consume;
• When treating with Warfarin, the patient should adhere to the same diet that was at the beginning when selecting the dose. Maintaining a stable level of vitamin K in the blood is the main goal of this diet;
• The basis of this diet is table 10 according to Pevzener (salt-free diet - table No. 10).

Read more about indications and contraindications for taking Warfarin

Diet while taking warfarin - list of prohibited foods in table form

The body's daily requirement for vitamin K can vary significantly depending on age. In an adult it is 120 - 150 mcg. A patient taking Warfarin should take this into account and limit intake of the products listed in the table below.

List of foods prohibited during treatment with Warfarin, in table form

List of foods high in vitamin K	Amount of vitamin K (mcg per 100g)
Parsley (greens)	1640
Dandelion leaves (greens)	778
Watercress (greens)	542
Spinach (greens)	483
Basil (greens)	415
Cilantro (greens)	310
Lettuce (greens)	173
Green onion (feather)	167
Broccoli	102
White cabbage	67
Prunes	60
Cabbage	53
Pine nut	52
Celery (root)	41
Kiwi	40

The table shows that foods such as parsley, dandelion leaves, spinach, cilantro, basil, etc. contain huge amounts of vitamin K. Consumption of these foods will lead to more pronounced blood clotting. However, if the patient is an ardent fan of “greenery” and cannot imagine life without it, it is simply necessary to tell the doctor about it. The doctor will take this fact into account and prescribe higher doses of Warfarin.

Diet with warfarin - what not to do

As mentioned above, the basis of the dietary menu is table No. 10 (salt-free diet, which is used for hypertension). It is only necessary to limit the consumption of those products that enhance the effect of Warfrain, causing bleeding, or weaken its effect, increasing the risk of blood clots.

Products that contain vitamin K are described above in table form. Therefore, let's talk about products that enhance the effect of Warfarin, the inclusion of which in the diet can cause uncontrolled bleeding. These include:

• garlic;
• papaya;
• The alkaloid Quinine, present in various drinks as a tonic and having a bitter taste, can cause bleeding. People undergoing treatment should carefully read the composition of the drink before drinking it. The most famous are Schweppes Bitter Lemon, Schweppes Indian Tonic Water, Jumbo Gin and Tonic, Evervess;
• cranberries and cranberry juice. Products containing even small amounts of cranberries should also be avoided;
• herbal preparations that can be included in various dietary supplements, such as ginkgo biloba, angelica, and sage.