Medical alert received

[Hertbeat321]

Medical alert received

[BobD Volunteer]

AF Association Admin posted this a few days ago but thanks anyway for reminder. We have been telling people this for over a year. Also that the food must be substantial and contain some fat. A slice of toast is NOT enough and it needs a proper meal..

[Hertbeat321 in reply to BobD]

Great I have been telling my brov to eat with it, then the alert came in for me only the other day, you kinda think I really should tell folks, 😊

[BobD Volunteer in reply to Hertbeat321]

spread the word . I do !

[jennydog in reply to BobD]

Bob, I am confused.

I take Pradaxa ( dabigatran ) which I found difficult to start with as they prescribed an antacid with it. CDreamer alerted me to the fact that it needs an acid stomach so an antacid was a no - no, and something that I'd never needed anyway.

What are you supposed to do if you aren't feeling well and don't feel like eating anything? I have always taken the Pradaxa every 12 hours with or without food without a problem.

[BobD Volunteer in reply to jennydog]

Pradaxa is not Rivaroxaban so has different requirements. The instructions for Rivaroxaban are quiet clear. With food or you risk not being protected.

[Sambaqui in reply to BobD]

Thanks Hertbeat321 for your post and Bob for your comment. I generally have muesli and toast for breakfast and then take the Riveroxaban - I'm guessing this does not count as a "proper meal", though my blood certainly takes a while to coagulate when I cut myself. Anyone any thoughts on how to best move the dose time from breakfast to dinner?

Do I have breakfast an hour later for consecutive days until it hits lunchtime and then continue moving lunch (generally salad) on an hour at a time until it becomes dinner?

.

[goldey]

I read the original study about this a while back. The study proved that 100% of the medicine is only absorbed if taken with a real meal. If you were just to take it with a slice of toast or a glass of juice or nothing, only a small percentage of the drug would be absorbed -- possibly rendering it useless to you. So taking it with a meal actually has nothing to do with how hard it might be on your stomach, etc -- it is absolutely necessary for full absorption of the medicine. BTW, I read another study that proved that the Xarelto is at its peak effectiveness for about 12-14 hours after you take it. After that, it not as effective. This is why we should take it at night, so it is still effective in the morning when we are waking up. Most heart attacks occur in the morning because that is when the Fibrinogen is at its peak in the body and we need the anti-coagulant the most. If you're not taking it within 12 hours of the time you get up in the morning, please start doing that! (With a meal!)

[Hertbeat321 in reply to goldey]

Exactly

[GrannySmithgs5]

What does this actually mean ? I need more factual information , being told Rivaroxiban needs to be taken with a ' proper ' meal means nothing . Are we talking calorie and so many grams of fat or volume of food . Many of us with AF are overweight and therefore eating less calories and fat than normal . Before I start trying to persuade my GP that I need to change my anticoagulant ( and this will take some arguments ) I need to be absolutely sure of my facts , as does everyone else taking the drug . Too many random statements and too little facts .

[Hertbeat321 in reply to GrannySmithgs5]

You can’t get more factual than the NHS alert basically some have been taking it on empty stomach, or as someone pointed out a cup of tea and a biscuit isn’t good enough, depends when you take it, morning or evening

Just a little bit more substance than the biscuit, whatever you have for breakfast , taking it you eat something? Or like my brother in the evening just after his tea, generally it’s good to have some fat, ( butter, olive oil, coconut, milk, yoghurt, ) as then the drug is absorbed better, the GP will have had this alert, too, so yes discuss with him,

[Hertbeat321 in reply to GrannySmithgs5]

Also read goldey reply spot on

[Hidden in reply to GrannySmithgs5]

And for me the key to losing weight was to eat fewer carbs and more good fats. Egg and some avocado for breakfast, salad with protein for lunch with a dressing made with olive oil, meat, non starchy vegetables for dinner. Any "treats" are grain free (made with almond flour and coconut flour and erythritol. Now down 50 pounds in about 10 months, and best of all no hunger due to the increased intake of good fats (including the previously shunned saturated fats like butter). Cholesterol and BP down too! Triglycerides dropped like a rock from 180 to 70 when I gave up carbs. My primary care provider and cardiologist agree that the information to eat less fat and more carbs was based on bogus research and orchestrated by those intent on making money from it (grain producers), and the politicians to whom they donated heavily in the US. Read The Big Fat Surprise by Nina Teicholz.

[Hertbeat321 in reply to Hidden]

Spot on read all this, I do good fats and healthy foods, at 125 lbs always been this weight about,,,it’s so much easier on your joints,