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Coopergirl52 profile image
21 Replies

I was listening to morning live on Monday and Dr Ranj Singh was on the programme talking about blood thinners he said with some of them you shouldn't eat Brocoli or drink Cranberry juice.

I'm on Asprin and Ticagrelor what are your thoughts im a bit worried should I or should I not be consuming both.

Don't want to make a doctors appointment just to ask a question.

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Coopergirl52 profile image
Coopergirl52
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21 Replies
Rosie1066 profile image
Rosie1066

Cranberry and some green vegetables refer to people taking Warfarin, not those on Aspirin.

Blackcatsooty profile image
Blackcatsooty

thank you Coopergirl

I take clopidogrel and I detest broccoli so now I can ban it from our kitchen.

Clopidogrel has pretty much eliminated migraines.

So it’s my favoured medication.

Sooty

Weetabixie profile image
Weetabixie

I'm on both aspirin and clopidogrel, can't take cranberry with the clopidogrel. I too read veg like cauliflower and broccoli can interfere with things like apixaban and warfarin etc

Sljp0000 profile image
Sljp0000

It's the amount of Vitamin K in them but refers to Warferin not Aspirin.

wischo profile image
wischo in reply to Sljp0000

And there is no restrictions on diet with apixaban. Warferin seems to interact with most things that contain Vitamin K apparently.

scentedgardener profile image
scentedgardener

You could read the patient information leaflet in with your pills, that will tell you, and for extra reassurance speak to a pharmacist. They are very knowledgable about drug interactions.

FrankWillbe profile image
FrankWillbe in reply to scentedgardener

Just what I was going to comment and mentioned to my wife.

Yogi1950s profile image
Yogi1950s

Indeed, there is little/no point in speaking to your doctor about what interacts well or harmfully with medication. They simply don't have a clue.The pharmacists are the ones to ask, indeed they frequently have to correct doctors prescribing as the doctor will have given two medications which interact badly with each other

Mdea1988 profile image
Mdea1988

The issue I found that drs are given a rule of thumb to follow, it doesn't account for how people's body takes in blood thinners, reacts how well they work every one's body is diffrent so as far as yes the answer is those things have things in them which can affect blood thinning medication, it depends how much you have and again your body will deal with them diffrent too, I've learned that eating a diet where If eating vegetables I eat them, i want to drink i do, and dose to my diet not diet to dose.

Pefki profile image
Pefki in reply to Mdea1988

I agree. My INR seems to jump all over the place now that I am on warfarin. I can't see the reason why but obviously, my body/system is sensitive and works differently to the guidelines. Even taking a paracetamol for a cold or getting more exercise or less sleep or skipping a meal when I am on the run, all seems to make a different.

LadyZ13 profile image
LadyZ13

The only warning I was aware of was not having grapefruit with statins. I take Clopedogrel and Apixban and eat a tonne of brocolli so will check those leaflets now!

Deejay62 profile image
Deejay62

Hi my anticoagulant as recently changed from 5 years on warfarin to Edoxaban. On warfarin I had to avoid certain foods or if I ate them to eat in small amounts. As someone said it has to do with vitamin K consumption.

I had a long list of foods to avoid or eat in moderation. Cranberry was on the definite no no list. I loved broccoli and would eat it twice a week regularly and it never affected my INR results. Now I have been changed, my pharmacist told me I can eat what I want drink what I want. The only thing I cannot have is grapefruit, which affects a lot of medicines.

All the best.

Mitchum profile image
Mitchum

Warfarin is a vitamin K antagonist! That's the way it works. Vitamin K is a "blood clotter" and Warfarin prevents it working. Many green leave foods carry copious amounts of vitamin K like spinach, broccoli, lettuce etc. You don't need to stop eating them but you must consume them in a "regular" pattern ie; try to eat a similar amount on a weekly basis. You must dose the diet and not the opposite. If you stabilise your INR it would not be prudent to stop eating broccoli for example, or to go totally vegan as this would affect greatly your INR. The key is to try and eat a similar diet. Cranberries are the same. If you take them you can't just start taking double or stop altogether UNLESS you monitor your INR accordingly. Hope this helps.

fishonabike profile image
fishonabike in reply to Mitchum

this is the advice that i was also given - i was on warfarin for a while and was concerned, but the staff from the blood thinner clinic were very helpful (before my discharge from hospital!!!!!) - in fact i got ore help from them than from any of the ward staff

Survivor1952 profile image
Survivor1952

I’m on aspirin and Ticagrelor. The leaflet for Ticagrelor (Brilique) has no dietary precautions but does warn about taking it with certain other medicines.

Sav100 profile image
Sav100

Hi, I’m on aspirin and Warfarin and can’t have grapefruit or cranberries in my diet. Have been told they interfere with the meds,

Mitchum profile image
Mitchum in reply to Sav100

Hello. When I first started on Warfarin I was told lots of things by people who should know better. Numerous foods and drinks interact with the drug but if you consume a regular amount and don't either stop or binge, there are few problems as your dosage can be adjusted accordingly. You must also understand that the medical profession likes to control everything. Anything for a quiet life! I have a friend who's husband, for the last four years of his life (he was 84) took Warfarin and was devastated when he was told he could not drink red wine, which was his life's love. That was wrong!

Sav100 profile image
Sav100 in reply to Mitchum

No, I’m lucky have great support from my local bloods team apart from cranberry and grapefruit nothing off limits just eat and drink in moderation, told body will adjust to everything in time xx

Mitchum profile image
Mitchum in reply to Sav100

But you could also take both of those in moderation.

spinningjenny profile image
spinningjenny

When I was on warfarin I couldn’t take cranberry but was told I could otherwise eat a normal diet. If that included a lot of greens then that was fine and would dictate the amount of warfarin I needed to cope.

I am now on edoxaban and haven’t been told of any dietary restrictions which is great because I love cranberry.

Mitchum profile image
Mitchum in reply to spinningjenny

That's what I was saying in my other reply. One should adjust the dose to the diet and not vice versa.

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