Apixaban and Omega 3

[shorttail]

Has anyone had advice from their EP or GP regarding Apixaban and Omega 3 supplements.?

The only guidance I found was about Warfarin, and that Omega 3 made this more effective.

[Finvola]

This was raised recently and, as I take Apixaban and was taking 1000mg of cod liver oil daily, I asked a retired cardiologist friend for his views.

He said that although CLO has anti-platelet properties, he could see no problems at the dose I was taking. I intend to discuss this with my regular cardiologist when I see him later in the early summer.

I’m planning to return to my CLO but on a reduced dose - I suffer from nosebleeds and am trying everything to keep them at bay and at the same time keep my old joints in good nick too. BTW - haven’t had a bleed since I stopped CLO 4 weeks ago - coincidence or what?

[shorttail in reply to Finvola]

Thanks Finvola, interesting coincidence. I do not see a cardiologist now, referred back to my GP who I will check with at next visit.

[Mazdavi in reply to Finvola]

I am on Apixiban and I was advised not to continue with cod liver oil so I stopped noticed a marked difference in my joints but after reading this might look at a lower dosage

[Finvola in reply to Mazdavi]

Same here Mazdavi - especially my knees in this freezing weather in the UK. I intend to take medical advice before resuming on 300mg per day - an oily fish helping has more than that. Confusing.

[Kingsley09 in reply to Mazdavi]

I spoke to my anticoagulant clinic about omega 3 and they said some of there patients were on apixaban like me and we’re fine so I’m giving it a go if I start bruising I will stop it

[BobD Volunteer]

I would suggest that you speak to your pharmacist as these are the people who understand such matters.

[shorttail]

Thanks BobD, thats a good idea, they do know more about interactions I agree.

[CDreamer]

I have taken both for some time and not had any noticeable interactions.

I take Omega3 fish oils for brain & Nervous System more than Heart.

I met with my pharmacist and took a list of all meds & supplements and nothing was red flagged.

[Tmax71]

I have been told not to take any vitamins with the apixaban as they contradict with them, both GP and hospital advised that. 😊

[Kingsley09 in reply to Tmax71]

I think one of the reasons they tell you that is that apixaban is a new drug and they really don’t know themselves what might happen so they take the cautious approach

[GrannyE]

All I can say is that I have been taking omega 3 plus many other supplements with Apixaban all recommended by my functional medicine doctor who had been a consultant at Kings College Hospital so I think he knows what he is doing. I have taken omega 3 for about 30 years and have no intention of stopping it. I have not had any nosebleeds or excessive bleeding since the Apixaban was introduced so I have fingers crossed that it is all OK. I too do not want my joints to deteriorate. If I had nosebleeds etc that would change things for me.

[Tmax71 in reply to GrannyE]

I am still getting nose bleeds. I have heard that other people take vitamins. That’s good that your feeling good at the moment. Thanks for your feedback, it’s appreciated.😷

[Kingsley09 in reply to GrannyE]

What are the other vitamins that you are taking

[GrannyE in reply to Kingsley09]

I hardly dare tell you. It is a veritable battery of them Have been on a horrible no sugar no wheat no gluten diet since May. I was put on it by a very nice functional Medicine Doctor who had been a consultant at Kings College Hosp before he decided to go the functional route. I do feel better for it and what is more my arthritis is also better than it was which is good news and I have a lot more energy. Functional Medicine treats the whole body. It says food is medicine and you are what you eat. Your body has to be in balance so you have to take the supplements which suit you which may not be the same as other people. Having said that sugar appears to be bad for everyone and that goes for added fructose etc Proper honey fine

Here goes

2 phyto Milti vit tablets per day which seem to have pretty well everything in them.

Vit D3 5,000IU with dinner. (I have a book extolling the virtues of huge doses of Vit D3 but that must be balanced by K2. Vit D Miracle by Jeff T. Bowles)

L Acetyl Carnitine x 2 to be taken with meals with no protein.

Ubiquinol 100mg

Turmeric 200mg

L planetarium

chondromax (arthritis)

Omega 3 1000mg

Thorne Biogesst HCL & ox bile with meals with protein

(I have low stomach acid - years ago a GP prescribed omeprazole which lowered my already low stomach acid and triggered anaemia, not picked up by my her, which damaged my heart which is why I ended up with AFib!) The ox bile is because it helps digest fats. Had I not take omeprazole my heart would be all right now. Omeprazole, to stop stomach ucers, is OK for those of you who have too much stomach acid but do be careful. As one gets older stomach acid can decline naturally. (masses about it on the web) If you take omeprazole make sure that you are not becoming anaemic. You need the acid to metabolise iron, magnesium, digest protein etc.

Ascorbyl Plamitate 500mg (this is a fat soluble version of Vit C which gets into the cells rather than the ascorbic acid which sits in the entrance to the cell and blocks the complete Vit C from getting inside where it does most good)

magnesium (take with the Vit C cos that helps with the absorption, also if you have to take iron prescribed by doctor do not take the mag any where near when you take the iron. Iron needs vit C to be absorbed properly) I have another book The Magnesium Miracle which seems to say that it is not extra calcium which we need but magnesium. As I understand it if you do not have sufficient magnesium then the calcium goes into the cell, is not chased out by the magnesium, changes to the insoluble variety and just sits in the cell hardening it. With sufficient magnesium the calcium and the magnesium do a sort of dance in and out of the cell which is as it should be and all is well. Magnesium relaxes you. See Sanjay Gupta York Cardiology

Ashwagandha 450 at bedtime. Also relaxing

Told you it is a lot. All recommended for me by my Functional Med Doc.

I am so pleased I am now able to go for walks and even walk uphill and it is a long time since I have been able to do that. I do still have irregular heart beats, skipped beats and extra ones as well, and sometimes a bit of AFib but that rights itself again fairly quickly. It is about 3 1/2 years since I have been able to do that. My ablation was on the 23rd Oct 2017.

[shorttail]

Thanks folks, it does seem that there are no hard and fast rules, with various contradicting advice.

[Finvola in reply to shorttail]

That’s my conclusion too, shorttail.

[Charley53]

My inr went up to 3.1 and on checking the cod liver oil with malt extract which I just recently started taking, it says on label check with doctor or pharmacist as it contains vitamin A. Stopped it and my inr dropped back to 2.5. In my case I think I'll lay off it.