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trish602 (@trish602)


Heart Rhythm Conditions | Last Active: Aug 28 9:16am | Replies (52)

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I need to ask, how do you deal with the dietary restrictions of being on Coumadin? My research indicates that it’s fairly complected and you have to be very watchful of your diet. I’ve been on Xerellto for a year now and seem to have no side effects. I have AFib and a leaking valve. Unless I consider the cost. I do worry that I take 1300mg Tylenol several times a week (aching joints) and the long term effects on my liver. I like and eat a wide variety of fresh food. When asked, my primary simply said “you wouldn’t like the restrictions”. Anyway. Thanks for your input. You’ve been there. Grandma Jan

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Replies to "I need to ask, how do you deal with the dietary restrictions of being on Coumadin?..."

You and I have exchanged information before @grandmajan, so I’ll pick up where we left off (as I remember it). I don’t find dietary restrictions to be a problem with Coumadin. The reason is that your personal standard diet gets locked into your anticoagulant index as long as you stick to it, and when you settle on a Coumadin dosage, it’s already taken into account. I check my index regularly (monthly) with a blood test to be sure I remain at a steady level. My diet includes a modest portion of green vegetables every day, despite their vitamin K content, although I don’t eat spinach any more because of its high K content (the only limitation that confronts me).

I am concerned about your dosage of 1300 mg of Tylenol several times a week. The FDA recommends no more than 600 mg of Tylenol in a 24-hour period — if at all (especially if you consume alcoholic beverages). The FDA also recently issued warnings about Xarelto and Pradaxa, both anticoagulants for which there is no antidote available yet. Your doctor should now give you pretty detailed advice on how to avoid bleeding while on those two medications. I’d ask for that advice as a Xarelto recipient. I hope this is helpful. Let me know how things are going with you. Martin

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