Diet while taking Warfarin. List of prohibited foods for arrhythmia after surgery

Anticoagulants are drugs that slow down blood clotting. Doctors prescribe such drugs to patients who have an increased risk of developing blood clots (thrombi). In a healthy person, the formation of a blood clot is necessary as a protective mechanism in case of injury or bleeding. In a patient, the formation of blood clots in large vessels can be life-threatening, worsen the course of the disease, and can cause serious complications (especially when blood clots form in the vessels that supply vital organs - the heart, lungs, brain, kidneys, etc.).

Anti-clotting drugs have different mechanisms of action. "Direct" anticoagulants

(for example, heparin) the patient receives by injection, usually in a hospital. They are analogues of molecules in the human body, their action begins immediately after administration. For long-term prevention, tablet drugs are used, most often “indirect” anticoagulants such as warfarin. They are called “indirect” because the slowdown in blood clotting is caused not by the drug itself, but by its indirect effect in the body.

Diet while taking warfarin: list of prohibited foods

The diet includes the following foods in the diet:

• buckwheat, barley, rice, oatmeal - a source of carbohydrates;
• whole grain pasta;
• boiled potatoes;
• greens, vegetables, sweet fruits are a source of fiber;
• lean fish, lean meat;
• 1 egg per day;
• low-fat fermented milk products;
• vegetable and olive oil;
• weak black tea, green tea, rosehip decoction, fruit compotes, compote with dried fruits;
• sweets: dietary biscuits, gingerbreads, cookies;
• diet bread, rye bread.

The foods recommended during therapy with Warfarin are contained in the table of the famous follower of diet therapy M. M. Pevzner. This scheme was developed by a specialist based on how much benefit a particular product brings to the patient’s body.

If you strictly follow this diet, the body’s hematopoietic function is enhanced, blood circulation is accelerated and liver function is stabilized.

In addition, there is a reduction in the risk of blood clots due to the normalization of cholesterol levels in the blood.

So, during Warfarin therapy, feel free to eat the following foods:

1. Buckwheat, oatmeal, rice, barley porridge.
2. Pasta, especially whole grain pasta.
3. Potatoes boiled or baked without oil.
4. Vegetables and fruits high in sugar.
5. Meat, fish with low fat content.
6. Eggs – no more than one per day.
7. Kefir, fermented baked milk, yogurt with 0 or 1% fat.
8. Sunflower and olive oils.
9. Non-concentrated black and green teas, fruit drinks, fruit or dried fruit compotes.
10. Low-calorie confectionery products: biscuits, gingerbread, low-fat cookies.
11. Whole grain bread (preferably dried), eating dietary bread is very beneficial.

• buckwheat, barley, rice, oatmeal - a source of carbohydrates;
• whole grain pasta;
• boiled potatoes;
• greens, vegetables, sweet fruits are a source of fiber;
• lean fish, lean meat;
• 1 egg per day;
• low-fat fermented milk products;
• vegetable and olive oil;
• weak black tea, green tea, rosehip decoction, fruit compotes, compote with dried fruits;
• sweets: dietary biscuits, gingerbreads, cookies;
• diet bread, rye bread.

Recommendations for atrial fibrillation

In addition to eliminating or limiting the consumption of foods that affect the action of Warfarin, the diet for atrial fibrillation should include the following principles:

• It is recommended to choose whole grains instead of simple carbohydrates.
• It is necessary to monitor the glycemic index of foods and add predominantly non-starchy vegetables and fruits with low sugar content to the menu.
• Protein sources should be consumed every day, and it is advisable to opt for fish and poultry rather than red meat.
• Use only healthy fats such as olive, coconut and grapeseed oil.
• Sources of caffeine, alcohol and spicy salty snacks (kimchi, Korean salads, pickled hot peppers) should be completely eliminated or limited as much as possible.
• Consumption of processed foods, sugar and carbonated drinks should be minimized.

What to pay attention to

The main goal of the diet for a patient taking therapy with Warfarin is to control the intake of vitamin K, a natural substance that suppresses its effect.

Therefore, the consumption of foods that may reduce its therapeutic effect should be avoided or minimized. If you eat foods rich in vitamin K, your INR levels will decrease.

The list of foods containing this vitamin in abundance includes: Brussels sprouts, various types of greens: coriander, parsley, chicory, red lettuce, spinach, watercress, as well as green and black teas, turnips, liver.

Slightly less vitamin K is found in canola oil, lettuce, coleslaw, green onions, soybean oil, cucumbers, apples, pistachios, mayonnaise, asparagus, and cauliflower.

Red apples, avocados, beans, bananas, chicken eggs, potatoes, sweet potatoes, rice, tomatoes, coconut pulp, sunflower oil, meat (including poultry), strawberries, and pasta are low in vitamin K.

However, the INR level should not be allowed to increase excessively in order to avoid the risk of bleeding.

When taking Warfarin, foods such as ginseng, fish oil, garlic, black and red currants, and ginger significantly increase the INR level.

Herbs such as arnica, red clover, echinacea, chamomile flowers, burdock, angelica, sweet clover, and cassia also enhance the increase in INR.

If you do not control the intake of vitamin K in the body while taking Vrafarin, you can cause a serious deterioration in the patient’s health.

Menu for the week

When planning a diet, the diet should be developed in conjunction with a professional nutritionist. Below is a sample menu for the week:

Monday

• For breakfast – milk buckwheat porridge, grape juice.
• Lunch – vegetable soup, rye bread.
• Dinner – boiled chicken with a side dish of rice and vegetables.
• Before going to bed, it is recommended to drink fermented baked milk (200 ml).

Tuesday

• Breakfast - a bread sandwich with jam, tea with lemon balm.
• Lunch – chicken cooked in the oven, vegetable salad, black bread.
• Dinner – potatoes with boiled vegetables.
• Before bed – rosehip decoction (250 ml).

Wednesday

• Breakfast – fruit salad with yogurt.
• Lunch – pasta with mild tomato sauce and sesame seeds, juice from a mixture of apple and grapes.
• Dinner – turkey and side dish of corn.
• Before bed - yogurt.

Thursday

• Breakfast – cereal flakes with yogurt.
• Lunch – sea fish with mashed potatoes, dried apricot compote.
• Dinner – vegetable stew with rice side dish.
• Finish the day with a glass of herbal tea.

Friday

• Breakfast – feta cheese (unsalted), grain bread, compote.
• Lunch – salmon fish with vegetable side dish.
• Dinner – vegetable cutlets, herbal tea.
• Before lights out - yogurt.

Saturday

• Breakfast – oatmeal with nuts and dried fruits.
• Lunch – baked salmon slices with a side dish of sprouted wheat grains.
• Dinner – cottage cheese casserole, topped with sour cream.
• Before bed - kefir.

Sunday

• Breakfast – wheat porridge with milk, freshly squeezed orange juice.
• Lunch – mackerel with potato side dish, rye bread.
• Dinner – casserole topped with sour cream.
• You can end the day by drinking a glass of kefir.

The above menu illustrates the principle approach to dietary nutrition. Herbal tea plays an important therapeutic and preventive role. Sugar and salt should be limited as much as possible.

Advantages and disadvantages

First of all, people on a diet suffer from the fact that they cannot eat their previously favorite foods. You can eat well, getting the necessary vitamins and minerals without losing your sense of taste.

The advantages are obvious:

1. The patient loses weight and will meet physical and physiological parameters.
2. With prolonged normalized nutrition, it is possible that dormant or suppressed physiological processes necessary for a person will be launched and the body’s healing will begin.
3. Food prices are not so high, since food products that are expensive to prepare and cost are disappearing from the diet.
4. Due to the fashionable trend towards healthy eating that has appeared in recent years, the circle of acquaintances and communication may expand. PP-nicks often unite in groups to share time, training and interests with the obligatory observance of a healthy lifestyle.

• the temporary duration of food restriction, depending on the duration of use of the medicine;
• systematic monitoring of INR.

Issues related to health and medication should be discussed with your doctor, who will select individual and optimal treatment options. The specialist will also advise what you can eat while taking Warfarin.

The drug Warfarin belongs to the group of anticoagulants - drugs that reduce the ability of blood to clot and slow down the process of thrombus formation. The discovery of Warfarin occurred in the 30s of the last century while identifying the causes of the mass death of cattle due to internal bleeding.

In the first years, the drug was used as rat poison. But since 1950, this remedy was patented and began to be widely used as a medicine. Among the manufacturers of the drug is the company Nycomed.

Fully or partially limited products

The diet when taking Warfarin involves the exclusion of:

• Concentrated meat/fish and mushroom broths.
• Fatty varieties of red meat, smoked sausages, goose and duck meat, canned meat and fish, mayonnaise, bacon, ham, animal/confectionery fat.
• Pickles, marinades, smoked meats, legumes, pasta, white bread, salty and fatty cheeses, baked goods, confectionery and especially with cream, chocolate, fried chicken eggs, fast food.
• Green tea, coffee, cocoa, alcohol-containing drinks.
• High-fat dairy products (cream, sour cream, cottage cheese, baked milk, yogurt with additives).
• Vegetables and fruits of dark green color (cabbage, amaranth greens, avocado, spinach, coriander leaves, cilantro, cucumber peel, parsley, kiwi fruits, lettuce, mint).
• Limit salt intake to 5-7 g/day and salty foods.

Table of prohibited products

Dietary Basics

The threat of occurrence and predisposition to blood clots requires prolonged use of the drug, which affects the diet. Based on this, table No. 10 is prescribed, with limited salt, liquids, and an emphasis on fresh vegetables.

Vitamin K is excluded. The diet leads to improved metabolism and blood circulation. The functioning of the kidneys and liver is normalized, the load on cardiac activity and blood vessels is reduced.

When taking Warfarin, the products that form the basis of the menu, boiled and steamed, or baked in the oven without oil and fat, are easily digestible:

1. Porridges: buckwheat, rice, barley, oatmeal, cooked with water and without salt, support energy with complex carbohydrates and give strength for the coming day. Dressing with oil and broths makes the cereal dish heavier.
2. Boiled potatoes are consumed without restriction.
3. Bakery products: rye flour crackers, diet bread without additives.
4. Fresh vegetables, fruits and herbs according to the table above.
5. Boiled lean fish, chicken, beef. Avoid sauces with herbs and spices.
6. Egg 1 pc. boiled or baked.
7. Diet milk, cottage cheese, kefir with a fat content of no more than 1%. Butter 1 tsp. per day, low fat.
8. Vegetables, sources of fiber. Tomatoes and tomatoes, unsweetened green apples, cucumbers, squash.
9. Pure water, juices, herbal teas, rosehip drink to quench your thirst.
10. Unsweetened desserts are healthy: fruit jelly, jellies and marmalades.

Restrictions

Question: “What should you not eat while taking Warfarin?” - should be first on the list when drawing up a healthy nutrition menu.

The menu excludes the list of prohibited foods when taking Warfarin:

• baked goods from puff pastry, yeast dough, butter dough;
• sweet confectionery desserts;
• chocolate;
• smoked meats, lard;
• fat meat;
• fermented vegetables: cabbage, beans, soy;
• canned, marinated meat, fish, vegetables;
• cheeses of all types;
• fresh spinach, white cabbage, radishes and radishes, green onions, garlic;
• sweet drinks: cocktails, coffee, cocoa;
• alcohol, energy drinks.

Foods consumed in moderation:

• chicken and vegetable soup;
• boiled lean meat;
• citrus;
• Italian ricotta cheese (5%);
• cauliflower, celery and carrots can easily replace salt in salads and soups;
• Pasta without oil, without added greens, is a source of carbohydrates. Limit consumption to 300 g at a time or extend it by 2.

Medicines and food can cause mutual reactions that have ambiguous consequences. Some products that enhance the effects of Warfarin may adversely affect your health. These include: garlic, papaya, sage, angelica, quinine, gingko biloba.

Diet while taking Warfarin

Moreover, the dishes served on the table should not be too hot or cold, but have a temperature slightly above room temperature. Despite the fact that the instructions for use of Warfarin impose such strict restrictions on food products, it is easy to create a completely tasty and nutritious daily menu from them.

There can be a huge number of options, and the diet is compiled by a nutritionist. You can do this yourself, but then you need to agree on the menu with your doctor. The main thing to remember is that when taking Warfarin, the diet should be strictly followed. Otherwise there may be the most unpleasant consequences. Each drug, including Warfarin, also has instructions for use. It describes not only the composition, pharmacological action and dosages, but also which foods or substances are not allowed to be eaten or taken at the same time as the medicine.

In some cases, the course of the disease may require even greater restrictions in the patient's diet. Then, in order to avoid thrombosis, doctors recommend eating exclusively pureed food with zero salt content.

Diet for thrombophlebitis: which foods are healthy and which should be avoided.

Peculiarities

Taking the drug Warfarin and a diet based on limiting the consumption of foods with vitamin K affects the general condition of the patient. To prescribe a food diet and inform the patient, special points are highlighted when using the drug:

1. Stick to the prescribed amount and dosage. How and when to take Warfarin, before or after meals, depends on the doctor's prescription. Doctors recommend taking the tablets with food to reduce the negative effects of the drug on the gastric mucosa.
2. Monitor and control INR with regular tests.
3. The medicine reduces the effect of vitamin K, which promotes blood clotting.
4. Identify and make a list of foods high in vitamin K.
5. Adhere to the eating regimen, which determines the patient’s future ability to work and health.

Warfarin is a natural antagonist (a substance that has the opposite effect) of vitamin K, which is actively involved in blood clotting processes. Vitamin K is found in large quantities in green foods, green tea, cranberries... It turns out that if we consume a lot of vitamin K with food, it will significantly reduce the effect of warfarin, this time, and affect the INR values, which, as we remember , can be deadly, that's two. Conclusion:

When taking warfarin, you MUST follow a diet. Excluded from the diet: cabbage of all types, green leafy vegetables, liver, cranberries and cranberry juices, grapefruits and grapefruit juice, green tea. Cucumbers can be consumed in small quantities, but only without peeling. It should be remembered that large fluctuations in weight can also lead to changes in the effect of the drug, which requires dose adjustment.

Warfarin and diet for it

Many patients, during treatment for a disease, do not pay any attention to the doctor’s words about the need to follow a diet while taking capsules or tablets. And they do it completely in vain. Unfortunately, not everyone wants to limit themselves in some way. Sick people especially do not like to do this. Therefore, as soon as the topic of diet comes up, they rush to leave the office. Ignore the diet while taking Warfarin. If you nevertheless ignore the recommendations of doctors and do not change anything in your diet, then you will have to wait a very long time for the desired effect from the pills.

The tasks facing the diet when taking Warfarin are simple. It is necessary to maintain a balance between the amount of minerals, salts and vitamins. The regimen for taking the drug depends on how accurately and correctly the nutrition is selected. By introducing dietary restrictions, you can achieve normalization of blood composition and improve the condition of blood vessels. In general, such changes contribute to a faster effect of treatment. In addition to the diet, the patient is prescribed a course of vitamins, which include Nycomed

A patient taking vitamins must remember that they are contained in products, and it is important not to exceed the maximum permissible dose. Each instructions for use included in the package contains precise instructions on how to take the tablets correctly and in what quantity.

The products approved for use while taking Warfarin are similar to those that are approved for use in diseases accompanied by circulatory failure of degrees I and IIa. This nutritional scheme was developed long ago by the founder of diet therapy, M.M. Pevzner. The table of products allowed for consumption was selected taking into account their value for the body.

With strict adherence to the rules, blood circulation is activated and the functioning of the liver is normalized. And most importantly, cholesterol plaques stop forming.

According to this diet, easily digestible carbohydrates, including sugars, are limited. The amount of animal fat consumed is reduced to a minimum. The food should contain a large amount of vitamin K; only if this rule is followed, the treatment will be successful. It is advisable to completely eliminate table salt from your diet. If it is difficult for a patient to give up salt, then you can add up to 7 grams to food per day. salt

It is also very important that the volume of liquid you drink is small. The entire volume of liquid should not exceed 1.3 liters

This also includes water from soups and drinks. Foods high in HDL cholesterol and extractive nitrogenous substances. The patient must be prepared for the fact that he will have to give up indigestible and heavy foods. All foods must be processed without frying. Each product approved for consumption brings benefits to the body and provides energy and nutrition.

The basis of dietary nutrition when taking Warfarin should be porridge cooked in water, without salt.

Cereals allowed for consumption:

• buckwheat;
• barley;
• rice;
• oatmeal;

You can also eat pasta. But they must be without additives in the form of algae or spinach. You can include potatoes in your diet, but only boiled ones. For baked goods - rye crackers or diet bread. You just need to check if they contain vitamin and mineral supplements. It is advisable that the bread be without them.

In addition to cereals, the diet involves consuming large amounts of fiber. Its sources are fresh vegetables, fruits and herbs. You just need to exclude sour fruits. The diet when taking warfarin should consist of predominantly consuming products of plant origin.

Fish will be no less in demand with this diet, but only low-fat varieties. Rabbit and chicken meat are perfect. If there is visible fat in the meat, it must be removed. It is unacceptable to eat meat with added sauces. You are allowed to eat an egg per day. It can be boiled or baked.

Fermented milk products should not be fatty. The diet allows the use of unsalted and low-fat butter. But it is allowed to be eaten in small quantities. Which dairy product will be beneficial for heart and vascular diseases? Cottage cheese, but not fatty or sour.

Authorized Products

The diet when taking Warfarin includes:

• Lean dietary meat (without skin) turkey, chicken, rabbit, lean beef, beef liver.
• Various types of sea/river fish (mackerel, herring, hake, mackerel, salmon, sturgeon, sardines, pike, carp, perch), seafood (shrimp, crabs, mussels, oysters, squid), fish oil and various types of seaweed.
• Virgin vegetable oils (olive, cottonseed, corn, sunflower) and other products containing unsaturated fatty acids - nuts, flax seeds, dried fruits, seeds.
• Cereals in various forms (bread, porridge, sprouted grains of wheat, rye, whole grain bread).
• Fermented milk/low-fat dairy products (cottage cheese, kefir, acidophilus milk, natural yogurt).
• Various types of vegetables/fruits that do not contain much vitamin K - bell peppers, zucchini, jacket potatoes, carrots, tomatoes, onions, sauerkraut, citrus fruits, apples, cherries, apricots, strawberries, black currants, gooseberries, which are allowed to be consumed in various forms.
• To drink - rosehip decoction, herbal teas, still mineral water, freshly squeezed juices from permitted vegetables/fruits, weak black tea, jelly, compote.

Table of permitted products

Mode

One cannot think that medication and nutrition prescribed for a long or short-term period will radically change the patient’s eating habits. The task of the doctor and the patient himself is to focus his desires on achieving health and a long life.

From the list of permitted products, you can prepare delicious and healthy dishes that are in no way inferior to culinary delights. Numerous recipes based on dietary foods have appeared on various resources, counting calories and taking into account weight and age.

Divide the daily norm into 5-7 parts so as not to feel hungry. For each snack, count 400 g, which prevents a person from overeating.

General rules

Dietary nutrition involves limiting food containing useful components, minerals and vitamins

It is necessary to pay attention to the information given in the manufacturer's leaflets, as well as possible allergic and other food reactions and overdoses

A balanced diet when taking Warfarin has a beneficial effect on the hematopoietic and circulatory systems, preventing the occurrence of embolisms and blood clots.

This leads to normalization of liver function, which cleanses blood vessels of toxins. A positive attitude and patient acceptance of dietary restrictions leads to satisfactory results.

Relying on the above features, the basic rules of diet that affect health have been constructed. They are easy to remember and follow:

1. Reduce salt intake. The daily norm is 7 g.
2. Prepare dishes by boiling or steaming.
3. Limit fried and oven-baked foods.
4. Divide the daily diet into 5-7 parts.
5. Establish separate consumption of protein and carbohydrate foods.
6. Consider the volume of liquids, namely soups, juices, drinks, water, fruits - no more than 1.3 liters per day.

Complexes with this research

Expanded hospital complex Expanded infectious screening for prevention and hospitalization 7,700 ₽ Composition
Coagulogram Study of the functional state of hemostasis 2,020 ₽ Composition

Preventive check-up Universal annual preventive screening RUB 11,960 Composition

IN OTHER COMPLEXES

• Examination during pregnancy. 3rd trimester 9,620 RUR
• Extended coagulogram RUB 4,150
• Joining IVF RUB 23,020
• Pregnancy planning. Clinical indicators RUB 6,630
• Women's check-up No. 1 RUB 19,290

Prohibited list

While taking Warfarin, excessive consumption of certain foods and foods may be detrimental to the patient's health.

The list of foods that are recommended to be eliminated from the diet or to minimize their consumption includes:

• High-calorie baked goods with a high sugar content: cakes, butter cookies, puff pastries, as well as bread made from premium flour.
• Canned foods, marinades, pickles.
• Sausages: ham, sausages, fatty kupaty, sausage, both boiled and smoked, half-smoked, raw smoked.
• Chocolate candies.
• Almost all types of cheese, except ricotta (it has low fat content).
• All types of fast food.
• Many varieties of greens: radishes, sorrel, onions, garlic.
• Seaweed, white cabbage.
• Citrus fruits, green unsweetened apples with a high acid content. However, the ban on green apples can be lifted if they are consumed peeled from the hard, tart peel.
• Meat, fish, poultry with a high fat content.
• Excessively fatty dairy and fermented milk products.
• Strong coffee, dark chocolate.
• Cranberries are prohibited both in their natural form and in the form of tinctures and fruit drinks!

Recommendations after heart surgery

When prescribing Warfarin after heart surgery, a more restrictive diet is required. As a rule, in such cases, the principles of table No. 10 according to Pevzner and dietary habits when taking the drug are combined.

The main principle of the diet is to minimize salt intake. Therefore, fast food, any salty snacks, canned food and semi-finished products are excluded from the menu.

Other restrictions concern fat and sugar, since their consumption increases the load on the vascular system. To avoid this, you need to give up sweets, baked goods, fried foods, smoked meats and sausages.

As with atrial fibrillation, you should not consume salted, pickled and fermented foods, caffeinated drinks and alcohol. Onions, garlic and all types of legumes are also not recommended. The basis of the diet should be low-fat sources of protein (fish and poultry, dairy products) and vegetables and fruits that do not affect the action of Warfarin.