Apixaban and Oats : Hello hope you are... - British Heart Fou...

British Heart Foundation

55,817 members34,757 posts

Apixaban and Oats

Hissencefloods profile image
43 Replies

Hello hope you are all coping well

I have been taking Apixaban for only 3 months

I check online and of course on here for comments and helpful info

I today decided i would start having porridge oats for breakfast now the cold weather is here

Warm porridge in winter feels so cosy and comforting

After reading online that there are no restrictions on any foods i decided to start my breakfast porridge this week

However i thought i better double check (just in case)

To my horror i looked on here and saw that some-one said oats are not advised for people taking Apixaban

Does anyone have any personal knowledge of this

It was said that oats can increase the effect of Apixaban

Any comments welcome

Take care

Written by
Hissencefloods profile image
Hissencefloods
To view profiles and participate in discussions please or .
Read more about...
43 Replies
Happyrosie profile image
Happyrosie

just a point on oats - if you flavour with salt or sugar be careful of the quantities of these flavourings

Otherwise, have a word with your dispensing pharmacist who is the one with the knowledge of medicinal reactions.

Autumn_Leaves profile image
Autumn_Leaves in reply toHappyrosie

Very good point! What you ADD to your oats can be important especially if you have to watch your sugar or salt intake. Even if it’s not a concern you still should pay attention. There are plenty of healthy additions you can make such as nuts or nut butters (if you’re not allergic), seeds, berries, fruit, yogurt either dairy or plant alternatives. Sometimes I use curry spices and leftover beans, which is delicious but time-consuming to make, unfortunately. The possibilities are endless.

Casualvisitor profile image
Casualvisitor

crikey, I've been eating porridge everyday for 1 plus months since on this drug. I had no idea they can't mix.

Autumn_Leaves profile image
Autumn_Leaves in reply toCasualvisitor

I’m sure you’ll be grand! It just goes to show that all someone just has to say “I read somewhere that …” and everyone is spooked by something that may just turn out to be internet hogwash!

Crystal614 profile image
Crystal614

I've been eating porridge for years and I've been taking Apixaban for 10 years. I've never heard of that before.

Knavesmire27 profile image
Knavesmire27

I was on Apixaban until very recently (now on warfarin following surgery) and I have eaten lots of porridge. I had never heard of that one. You could ask your pharmacist next time you pick up a prescription or even ask your doctors surgery. They may be able to check and get back to you. Take care

Milkfairy profile image
MilkfairyHeart Star

I suggest you contact the BHF helpline and speak with one of the cardiac nurses. They are very knowledgeable.

bhf.org.uk/informationsuppo...

My husband eats oats everyday and has been taking apixaban for many years, without any issues.

Perhaps take what you have read on the internet with a pinch of salt?

Gooner1947 profile image
Gooner1947 in reply toMilkfairy

Sound advice.

Czech_Mate profile image
Czech_Mate

I have porridge every morning, winter and summer, and have been on Apixaban for nearly 3 years now and I've noticed no problems. Cheers CM

HamishBoxer profile image
HamishBoxer in reply toCzech_Mate

Me too!

Blearyeyed profile image
Blearyeyed

You can eat your oats! There are no warnings on most foods while taking Apixaban (Eliquis).

The only consumables which you should take care with while on Apixaban are: Cannabis and it's derivatives, alcohol, caffeine. sugary and spicy foods and high dose herbal supplements or teas like garlic , ginger , st.johns wort , Q10 and other herbal supplements that have blood thinning qualities. Garlic and ginger at the small level they appear in recipes is usually ok.

In fact , consensus in the medical community is that you should still swap to oats from other breakfasts because the soluble fibre can help improve cardiac health whilst on heart medications and blood " thinners".

There is a small amount of debate that eating your oats at exactly the same time as taking your Apixaban could increase the amount of the medication in your bloodstream because of metabolic pathways, but, all that means, is that you take care on timing your meds and your breakfast and you could choose to leave your oats to 1-2 hours after your Apixaban or vice versa.

There is a bit more debate on whether you should have grapefruit juice, lime juice, cranberry juice, mango , wild blueberries or fish oil in foods but Apixaban does not have the same precautions for these foods either that other medications have , so again it may be a matter of timing and individual needs.

Apixaban is considered a better option than Warfarin, if you can use it, because it doesn't have the same amount of interactions. In fact , you don't have to limit Vitamin K on Apixaban as you need to on warfarin and certain other anticoagulants because it is not metabolised ( processed ) by the Vitamin K pathway so an increase of the medication in the blood does not occur as it would on Warfarin.

Hope that helps, Bee

Autumn_Leaves profile image
Autumn_Leaves in reply toBlearyeyed

That’s so helpful. Thank you.

Oats are also an excellent source of beta glucans and soluble fibre which can lower blood cholesterol levels. Oats are very versatile. I buy whole oats groats and use them as a substitute for rice or any other grain-type food sometimes. I love overnight oats too, so I’m definitely on Team Oats.

Blearyeyed profile image
Blearyeyed in reply toAutumn_Leaves

Team Oats 🏋️😆😆😆I heard a question on a comedy over Christmas which made me titter related to oats.

If they had a fight whom do you think would win , the Scots Porridge Oats Man or the Quaker Oats Man?

I think that one of them was kilted up and sometimes tossing the caber might have given him a bit of an advantage 😆😆😆

Hissencefloods profile image
Hissencefloods in reply toBlearyeyed

🤣😂🤣😂

beardy_chris profile image
beardy_chris in reply toBlearyeyed

I thought Quakers were traditionally pacifists?

Autumn_Leaves profile image
Autumn_Leaves in reply tobeardy_chris

Well, there’s your answer! 🤣

Hissencefloods profile image
Hissencefloods in reply toBlearyeyed

Thank you for your very comprehensive facts on the subject

I really found your response very informative and helpful

I really appreciate you taking the time to respond

Thank you to everyone for their feedback and information i am so grateful for all your replies

Take care and be safe

Blackknight57 profile image
Blackknight57

oats contain bit k, like most anticoagulants you need to reduce the amount of vit k intake. It’s not specific on any anti coagulant either, I’m on warfarin same thing applies

Airlie37 profile image
Airlie37

Hello I've been taking Apixaban since 2019 and I've never had any issues with oats, in fact they are a regular thing in my diet 😊I do watch my sugar intake and no longer have salt but otherwise my diet hasn't changed.Its down to the individual though and if you still have questions or concerns then I would suggest you speak to your pharmacist....I hope this helps x

Murderfan58 profile image
Murderfan58

How odd. I am on Apixaban since 2020 and before and after that always have porridge for breakfast made from supermarkets own brand of whole porridge oats . I use 60 g dry oats to 300ml oat milk that way I don't need to sweeten them or 60g dry oats 300ml skimmed milk and 20g of honey. Never had any problems. I have porridge for breakfast every morning all year round cooked in the microwave. Only when on holiday have continental breakfast at the hotel, but still have oats but granola with yogurt and naughty breakfast pastries .

HM24 profile image
HM24

Slightly off topic!I have started putting 1.5 table spoons of oat bran on my cereals. A friend told me about a study that found oat bran is very effective in notably lowering cholesterol. Something to do with the soluble fibre, I need to do some more reading, but from what I was told it sounded pretty convincing

I noticed they were charging a fortune for it in Holland and Barrett, so got big bag for under £2 from local health food shop!

Autumn_Leaves profile image
Autumn_Leaves in reply toHM24

Yes, that’s correct. Oat bran, oats or barley are good sources of beta glucans /soluble fibre, known to have beneficial effects on blood lipids. I buy them all, though H&B - what a ripoff! If you live near any Eastern European shops they often sell boil-in-the-bag barley groats which cook in about 15 mins as opposed to pearl barley which takes about 50mins. Those barley groats are a great way to add in more beta glucans. You can use them as a substitute for rice or quinoa. Napolina used to do tinned barley, already cooked. That was so handy, but it’s discontinued now. Barley flakes are good for porridge and not too expensive either.

Autumn_Leaves profile image
Autumn_Leaves in reply toHM24

PS Beans and legumes are also a great source of soluble fibre and very good for lowering your blood lipids. A barley and butter bean stew is a good one. If your health food shop does whole oat groats, they work well with savoury dishes.

BC4ever profile image
BC4ever

I buy Cavannah's Organic Oats from Aldi. They are lovely, and the cheapest around.

Canaries22 profile image
Canaries22

my husband has just come out of intensive care. He’s on apixaban and was encouraged to eat porridge for breakfast so I agree it’s what is put into porridge that could be the issue.

Gfern profile image
Gfern

Another example of the wonders of the internet and its ability to cause us to question everything, even clearly known facts are no longer safe in this wonderful world of knowledge. Maybe all this is a major cause for the rise in anxiety and growth in mental health problems. I have eaten porridge for breakfast for over 30 years been on Eliquis for the last 10 years so finding out that it might possible be endangering my health came as a shock to me. After due consideration I have called bulls*** and just enjoyed my breakfast porridge as always, hope that I survive the day. Best of luck to all fellow oat eaters on apixaban.

Lupaal profile image
Lupaal

I ear porridge every morning, I accidentally cut myself today and bleeding stopped in a minute. Can't say I've ever noticed any difference.

Deejay62 profile image
Deejay62

Hi, I went from warfarin to Edoxaban and I was told I can eat whatever I want, unlike when I was on warfarin. The only thing I can’t have with any of my 7 meds is grapefruit.

The anticoagulant clinic and my Gp pharmacist told me this.

authun profile image
authun

Been having apixaban and oats for more than 10 years without problems.

jimlad2 profile image
jimlad2

I've been on Apixaban for over a year (previously on edoxaban). I take one 5mg tablet at 10pm and only half a tablet at 9am as I take a lot of porridge every morning (150g). IIRC the warning is that it "may" increase the concentration of the AC in the blood. I also take an omega 3 capsule in the morning. I've noticed that my gums are more likely to bleed a little when brushing my teeth (probably too vigorously) after taking the evening dose than after the morning one. So far I've not had any issues. However, the usual caveat applies. We're all different.

SuziElley profile image
SuziElley

I often have porridge oats and take Apixaban. I mix my oats with yogurt and frozen berries then leave in the fridge overnight. Never had any issues.

Anothernewbie profile image
Anothernewbie

Oats are not a problem, but green veg, cabbage, kale, broccoli and sprouts MAY be a problem. This is because apixaban is an anti-coagulant and Vitamin K found in green veg helps blood to clot, so theoretically one cancels out the other. I have been on apixaban (5mg twice daily) since mid-September, have not changed my diet and have had no problems so far. As has been suggested, have a word with your pharmacist, who should be able to help, given their knowledge of your dose and frequency.

Milkfairy profile image
MilkfairyHeart Star in reply toAnothernewbie

Apixaban, is a direct oral anticoagulant DOAC, a non vitamin K antagonist.

Warfarin, is a vitamin K antagonist, hence the need to restrict foods containing vitamin K.

Cavalierrubie profile image
Cavalierrubie in reply toMilkfairy

l take warfarin and don’t restrict any foods. My warfarin dose is adjusted to what l eat. Eating vitamin K in moderation helps to stabalise my INR. The advantage of warfarin is a blood test to ensure my blood is at a safe level whatever l eat, unlike the new DOAC’s. I am unable to tolerate any of them.

Milkfairy profile image
MilkfairyHeart Star in reply toCavalierrubie

My husband is happily taking a DOAC, he didn't want the extra hassle of having to have his INR levels checked.

Cavalierrubie profile image
Cavalierrubie in reply toMilkfairy

It’s only a finger test every 6/8 weeks providing your INR is stable, the same as blood sugar test and takes about a minute. I don’t understand why it’s such a big deal for an anticoagulant that has been used for over 50 years and is very safe and for which the medical profession are very experienced with. It is still a very much needed anticoagulant in that respect and very reliable. A doctor in AE once told me that l was on the best one.

For me personally, l am grateful it is around as l can’t tolerate any of the new DOAC’s.

RoyMacDonald profile image
RoyMacDonald

I've been eating porridge for about 30 years and I've been taking Apixaban for 7 years. I've never heard of that being an issue. Makes no difference to my AF and I've just had breakfast. I eat my oats raw, but well soaked in water nowadays. I also add blueberries and nuts. I'm 81.

All the best.

Roy

Czech_Mate profile image
Czech_Mate

Sorry, but I couldn't resist:

The Scottish knight was riding Over Rannoch Moor

He'd got his oats in John O'Groats

And was going back for more

😉

Rustyoldperson profile image
Rustyoldperson

hi I have been on Apixaban for 4 1/2 years and have not stopped eating porridge with whole milk no sugar or sweetener hope that you will enjoy your porridge as I do

LaceyLady profile image
LaceyLady

What the ‘eck’ I’ve been on Apixaban for few years and eating porridge oats 🤷🏼‍♀️ I’m still here!

Trog1 profile image
Trog1

hi, I’ve been taking the lower dose of Apixaban since an emergency triple heart bypass 5 years ago left me with AF. I was told the medication shouldn’t cause any real problems with foods but should try to eat a healthy diet and avoid eating too many high fats and sugary foods. As my research showed how healthy and good for cholesterol levels oats are, I now have porridge made with half skimmed milk and half water most days around 20 to 30 minutes after taking my meds. I also add a heaped teaspoon of milled linseed, a few blueberries, half a level teaspoon of Manuka honey (rather than sugar) and half a small chopped banana (as my potassium levels were really low and the hospital Doctor advised me to half a small banana daily) and it fills me right through to lunchtime without feeling the need to snack. To date my lovely breakfast has never had any reaction with my morning Apixaban as I am aware and have no intention of changing my routine as I love it. Hope this helps.

Best wishes Bev H

wishIwasbetter profile image
wishIwasbetter

I agree with Crystal614. I have taken porridge for years with fruit. no sugar. No problems with Apixaban which I have also been on for years. I think whilst the internet is good it can be dangerous if taken as Gospel so to speak. I think your Medical people or Pharmacist would be a better bet than Google!

LaceyLady profile image
LaceyLady

Well, I developed T2 diabetes in 6/2021 virtually overnight 🤯 I went low carb to try and manage it, porridge is part of my menu and as for restricting my diet even more, that’s not an option.

Not what you're looking for?

You may also like...

Apixaban and Bleeding.

Hi everyone. I have been on Apixaban for 6 months and a month ago I started bleeding when going for...

Apixaban and colonoscopy?

I am scheduled for my regular colonoscopy. Because I have had polyps removed in pervious procedures...
Bobkins99 profile image

Apixaban and Lanzoprazole

I take apixaban following open heart surgery last year. Initially I was taking Lanzoprazole (PPI)...
Bobkins99 profile image

Apixaban and Antidote for bleeds.

I am taking Apixaban 5mg x 2 per day. My doctor has warned me that there is no antidote for...
Hullensian profile image

Oats, very surprised....

I've been eating oats in the morning for a long time. Mix it with blueberries, nuts, sometimes...

Moderation team

See all
HUModerator profile image
HUModeratorAdministrator
Luke_BHF profile image
Luke_BHFPartner
Will_BHF profile image
Will_BHFPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.