xiaohuli42 replied: "The main one I can think of is concentrated grapefruit juice. People like to drink that as part of dieting, but it inhibits the metabolism of warfarin in the liver. Another one to avoid is St. John's wort, which increases the metabolism of warfarin. A small amount of alcohol increases warfarin's effects, but for alcoholics, the effects are decreased because the liver makes extra enzyme to try to get rid of all the alcohol.
There are others if you want to read about them:
"
♥ lani s replied: "For the reason that Coumadin works by preventing the formation of clotting factors that are dependent on the ingestion of vitamin K, HIGH INTAKE of foods with high Vitamin K content could weaken the effect of coumadin. Therefore intake of foods that are high in vitamin K should be avoided in large quantities, but not altogether. REMEMBER that you need to eat a balanced diet even when you are in coumadin so it means you need not to avoid all the foods that has Vitamin K but you need to LIMIT HIGH INTAKE of those. High in vitamin K can decrease the effect of coumadin but on the other hand, lowering your vitamin K intake can increase its effect. You then should try to eat a normal, balanced diet keeping the amount of vitamin K the same everyday.
Example of foods with large amounts of Vitamin K that high intake should be avoided are as follows:
>>Dark green leafy foods and vegetables such as broccoli,spinach, parsley,turnips green, mustard green, brussels sprouts, horse radish, Swiss chard, coriander, collard green, kale, cabbage,etc.
>>Liver
>>Some legumes and vegetable oils
In addition, you have to AVOID intake of cranberries, cranberry juice, or cranberry herbal products. Avoid drinking alcohol too. Those can increase the effects of coumadin and can cause bleeding problems .
Chewing tobacco can also alter the effects of Coumadin.
As always, it is important to talk to your doctor about the changes of the amount of those foods in your diet.Checking your "INR" is also very important while you are on coumadin."
DVT-Anyone have one in the groin or higher and have surgery to remove it?Did you get off the coumadin then? I was diagnosed with a DVT that traveled from the knee up to the groin area. The clot is about 4" long and is more in the trunk of my body. Only one section is in the groin/leg. People are telling me to have it removed so I can get off the coumadin. I've checked with 2 docs and looked online and all indications are they can remove the clot (after inserting a type of filter to catch the small clots that might break loose and go to my heart or lungs), but I would probably have to still be on coumadin for the rest of my life because the vein is "damaged" and more clots could form there.
Is there anyone out there that knows differently? Has had something similar and had it removed? Is living with a huge clot now with no complications..or with complications?
Any help would be greatly appreciated. Please let me know the state or town you live in if you have docs with different opinions so I can check into it.
Thanks for the help!
sexy_shelly2007 replied: "i am 22 years old and i live in albany ny. they found a dvt in my right brachial in my right arm they put me on coumadin and lovanox when my inr got too low. Ive done this now for a little over a year still getting superficial clots the whole time. I had a port put in my chest to have my blood drawn because i have no venous access. I was just in the hospital for 11 days i just got out about a week and a half ago. They found a new dvt in my left lower calf. They placed an ivc filter an inferior vena cava filter about 2 or so weeks again and i haven't had a problem with it. They said that it will prevent the clot from moving to my heart or lungs and that it will prevent any new clot that may form in my lower limbs from moving all though it does not prevent the one in my arm from going anywhere. It gives me some piece of mind knowing it won't go anywhere. I have had the whole coag workup and everything has come back negative no one knows why i clot i just do and basically thats the answer that everyone is giving me right now its frustrating to not know but just treat the symptom. I will be on coumdain for the rest of my life. They kept me in the hospital on heparin until my inr got therapuetic because i got a clot (which is very unusual) on the lovanox which i had to go on because i had knee surgery. I am back on the coumadin again and right now i am therapuetic i have to get my inr drawn through the port once a week right now and its been this way for almost a year but ive had to go on and off again because of surgery's and what not. I am frustrated with the blood draws and the coumadin in general but when finally maintained you will only need to get blood drawn once a month for your inr or at least this is what they tell me... I have to be on coumadin the rest of my life to prevent more clots. I have gone to NY oncology hematology in albany and they are very good. i also got a second opinion from the i think adirondak oncology hematology up in saratoga ny and both docs said the same thing... If i can help in any way feel free to im me on yahoo with sexy_shelly2007 or aim with sillyshelly2002"
Does anyone have antiphospholipid anitbody syndrome? I am on coumadin and it gets spendy going to the lab monthly, I am looking into an at home "inr" monitor. Anyone know of a good one I should buy????
Mary L replied: "Antiphospholipid Antibody Syndrome
Antibodies are blood proteins that fight foreign agents. When they turn against the body's own cells, they are called autoantibodies.
This condition is a rare disorder of the immune system. (The immune system - including the thymus gland, the spleen, lymph nodes, special types of tissues in the digestive system and bone marrow, lymphocytes and antibodies - protects the body from foreign substances, cells and tissues.) "
Dental extractions for coumadin patient with diabetes.? Just looking for advise/past experiences here. 38 year old female on coumadin, mitral valve replacement 4 yrs ago, in need of full mouth extraction. Doctor doesn't feel need to be taken off coumadin. Diabetic also, type 2. What are recommendations, and how long is healing process? What is a safe liquid diet, since I am diabetic?
drnsheltie replied: "bleeding can be corrected or controlled if needed. Blood clots from being off coumadin can kill you."
Is there anybody else out there dealing with Protein S, Pulmonary Embolism, How do you deal? I ahve Protein S and Prothrombin gene mutation 20210A is there anybody out there like me? I have had a pulmonary embolism and superficial clotting. I am on coumadin. What do I have to look forward to?
countrybumpkin replied: "I have had 5 pulmonary embolisms...in a three month period i actually had to have a filter placed in my aorta to prevent further problems. I am lupus anticoagulant..meaning i clot easily i will be on coumadin for the rest of my life...I have to be tested weekly due to the lupus and the coumadin don't seem to want to regulate in me. The best thing you can do is to be sure and have your blood checked as often as you can too thin and you bleed to thick and you clot.....I hope you can regulate yours however my doctor has told me they are coming out with a new medicine that works better than coumadin ever thought of and testing as often will not be necessary anymore. Best of luck to you."
hello replied: "Below is a good support for you to join that have many other people that have the same clotting disorders that you have. You really aren't alone.
Really, if you keep your INR in range you should be fine. Have your family members tested for these though as they are genetic.
I have Lupus, APS, Lp(a) and MTHFR."

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