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Do dietary vitamin k levels matter for someone on clopidogrel?

Paleosooze profile image
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Having seen references to people on warfarin not being able to eat veggies etc high in vitamin k, it's got me a bit concerned. I'm on a special elimination diet for autoimmune diseases and it's high in veggies. If I have to restrict my vitamin k intake, then it'll make the diet even more restrictive. Do I need to be concerned about this on clopidogrel?

Thanks

Susie

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Paleosooze
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5 Replies

No Susie - vitamin K only has to be restricted if you're taking warfarin. This is because warfarin works in a different way to clopidogrel, aspirin and heparin.

Hopefully, if the Rivaroxaban trials are successful, then no one will have to worry what they eat ... but that's some way off yet.

Paleosooze profile image
Paleosooze

Thanks so much for that Kate, that's very reassuring. What about the other way round ie there's some supplements that my nutritionist would like to recommend to me that are food based but are naturally blood thinners ie oil of oregano and fish oils. Do you think it would be a problem to have them, or is that something I need to check with Prof K when I next see him?

Annslack profile image
Annslack

You can ask your pharmacist to look it up for you.They have access to some databases that list all known interactions. They also can have good understanding of how each drug works.your nutritionist should also know how the supplements work and which drugs they interact with.I am in heparin was given assurances by the pharmacist that it was safe to take fish oil with it. Dr Khamashta was very positive about my taking herbs and supplements so long as I have checked that t hey are safe. It is important to talk to him about it. It is important for him to know what you take and it means you can tell anyone who queries it that you have his approval. This is helpful with friends famly or other doctors or are either anxious or disapproving of your use of anything other than medicine. I have found that the fish oils help. All the best Ann

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Paleosooze

Thanks Ann, that's really helpful. Do you mind me asking, what symptoms have you found the fish oil has helped with? I want to take it to help low mood. I read a book about it, which was fascinating, because it said in depression, the phospholipid layer in the brain is too thin and high dose fish oils work by building it up (v basic summary!). There surely must be a link between APS and depression for those of us Hughesies that suffer.

Paleosooze profile image
Paleosooze

Those are the ones I've got which I was taking before my APS diagnosis. I'll email them about dose with clopidogrel. I'll update here if I get anywhere. Yes, it was Prof Puri's book I read :) Thanks!

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