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Medical Forum / General / General / December 2006Coumadin and green leafy vegetables
We are told that eating green leafy vegetables affects the INR for Coumadin users. Questions: 1.Does it increase or decrease the INR? 2.Does the caution apply only to very green and leafy vegetables, such as spinach, or is lettuce included? 3.How much of the vegetable must one eat in order to have a significant effect? 4.How soon after eating does the effect show up? Should one be careful about eating before an INR test is done, for how long? > We are told that eating green leafy vegetables affects the INR for >Coumadin users. Questions: > >1.Does it increase or decrease the INR? The relevant compound is Vitamin K. Vitamin K works in the opposite direction as coumadin. Vit K promotes coagulation, coumadin inhibits coagulation. Looking for info on vitamin K content of various greens may help you. But I would think your doctor would advise you as to what dietary restrictions you should observe. bob >2.Does the caution apply only to very green and leafy vegetables, such as >spinach, or is lettuce included? [quoted text clipped - 4 lines] >4.How soon after eating does the effect show up? Should one be careful >about eating before an INR test is done, for how long? :: We are told that eating green leafy vegetables affects the INR for :: Coumadin users. Questions: [quoted text clipped - 10 lines] : : bob It is very unfortunate that patients using bllod thinning medications have to limit their intake of vitamin K rich foods. Those foods are actually some of the healthiest foods in a diet. Vitamin K promotes good bone health and high dietary intake of vitamin K is related to reduced risk of fracturers. Green leafy vegetables which are high in vitamin K are also nutrient rich foods high in minerals and lutein, a flavonoid promoting good eye health and preventing macular degeneration. :: 2.Does the caution apply only to very green and leafy vegetables, :: such as spinach, or is lettuce included? [quoted text clipped - 4 lines] :: 4.How soon after eating does the effect show up? Should one be :: careful about eating before an INR test is done, for how long?  SignatureJuhana
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