Coumadin (Warfarin) and Your Diet This information downloaded from the Dr. Gourmet web site. For more information on eating healthy and eating well go to www.drgourmet.com. In General The main dietary concern of taking warfarin has to do with the amount of vitamin K in your diet. Vitamin K changes the way warfarin affects the blood. When you eat foods that are high in vitamin K, you can decrease the effect of warfarin. Likewise, eating less vitamin K can increase the effect of the medication The key is to try to eat a similar amount of foods that contain vitamin K each day. Don’t make any major changes to your diet without speaking with your doctor. If you want to lose weight, eat a lower fat diet or become a vegetarian, your doctor would want to know about these changes to help manage your warfarin. Leafy green vegetables have contain higher amounts of vitamin K and one rule of thumb is to suspect that green veggies, cabbages and lettuces are high in Vitamin K. Also certain legumes like peanuts and peas might cause problems. Certain vegetable oils have high amounts of vitamin K. Foods that are low in vitamin K include roots, bulbs, tubers, some fruits and fruit juices. Cereals, grains and other milled products are low in vitamin K. Keep in mind that the amount of foods you eat with vitamin K add up. So if you eat a more foods that contain medium amounts of vitamin K in a particular day, your vitamin K intake will be high for that day. What about alcohol? You should avoid drinking alcohol while taking warfarin because alcohol can change the way your body responds to the medicine. Talk with your doctor about this. He or she may tell you that it’s fine to drink alcohol but may want you to have a similar amount of alcohol each day so that your blood levels of warfarin remain stable. Vegetables Anchovies, fillets Asparagus, cooked Asparagus, raw Beans, green, cooked Beets, cooked, sliced Broccoli, cooked, chopped Broccoli, raw, chopped Brussels sprouts, cooked Brussels sprouts, raw Cabbage, Chinese, raw, shredded Cabbage, napa, raw, shredded Cabbage, red, raw, shredded Carrots, cooked, slices Carrots, raw, strips or slices Cauliflower, cooked Cauliflower, raw Serving Size 1 each 5 spears 5 spears 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 2007 Timothy S. Harlan, M.D. | All rights reserved. | www.drgourmet.com Low Medium Medium Medium Low High High High High Medium High Medium Medium Low Medium Low Coumadin (Warfarin) and Your Diet : 2 Celery Collard Greens, cooked Corn, yellow, cooked Corn, yellow, raw Cucumber Eggplant, cooked, cubed Eggplant, raw, cubed Endive, raw, chopped Fennel Garlic Kale, raw, chopped Leek, raw Lettuce, arugula Lettuce, Boston/Bibb, raw Lettuce, green leaf, raw Lettuce, Iceberg, raw Lettuce, red leaf, raw Lettuce, Romaine, raw Mushrooms, raw Mustard greens, raw, chopped Okra, cooked Onions, green/scallions, raw Onions, white/red/yellow, raw Parsley, raw Parsnips, cooked Peas & onions, frozen, cooked Peas, green, cooked Peas, green, frozen, cooked Peas, sugar snap, cooked Pepper, green bell Pepper, jalapeno Pepper, red bell Pepper, red chili, hot Pepper, yellow sweet Potato, red, cooked Potato, sweet, cooked Potato, white, baked Shallots, chopped Snow peas, raw Spaghetti/Marinara sauce Spinach, cooked Spinach, frozen Spinach, raw Squash, acorn Squash, butternut, cooked, cubed Squash, summer, cooked Swiss Chard, raw 1 stalk 1 cup 1 cup 1 cup 1 medium 1 cup 1 cup 1 cup 1 bulb 3 cloves 1 cup 1 medium 1/2 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 10 oz 1 cup 1 medium 1 medium 1 medium 1 each 1medium 1 medium 1 medium 1 medium 1 Tbsp 1 cup 1 cup 1 cup 10 oz. 1 cup 1 cup 1 cup 1 cup 1 cup 2007 Timothy S. Harlan, M.D. | All rights reserved. This information downloaded from the Dr. Gourmet web site. For more information on eating healthy and eating well visit www.drgourmet.com. Low High Low Low Low Low Low High Low Low High High Low High High Low Medium High Low High High High Low High Low Medium High High High Low Low Low Low Low Low Low Low Low Low Medium High High High Low Low Low High Coumadin (Warfarin) and Your Diet : 3 Tomato paste Tomato sauce, canned, no salt Tomato, plum Tomato, raw Tomatoes, canned, whole Tomatoes, cherry Tomatoes, sun-dried Turnip greens, raw Turnips, cooked Watercress, raw Zucchini, cooked 1 1 1 1 1 1 1 1 1 1 1 Tbsp cup Fruits Apple, peeled Apple, with peel Applesauce Avocado Banana Blackberries Blueberries Cantaloupe, cubed Cherries, no pits Cranberries, dried Cranberries, raw Currants Grapes, red/green, seedless Kiwi fruit Lemon Lime Mango Melon, cantaloupe, diced Melon, honeydew, diced Orange Orange peel Peach Pear Pineapple, fresh, diced Plum Prunes, dried Pumpkin, canned Raisins Strawberries, fresh, sliced Watermelon, fresh, cubed Serving Size 1 medium 1 medium 1 cup 1/4 1 medium 1 cup 1 cup 1 cup 1 cup 1/3 cup 1/3 cup 1/2 cup 1 cup 1 medium 1 medium 1 medium 1 cup 1 cup 1 cup 1 medium 1 tsp. 1 medium 1 medium 1 cup 1 each 2 each 1 cup 1/2 cup 1 cup 1 cup Low Low Low Low Low Medium Medium Low Low Low Low Low Medium Medium Low Low Low Low Low Low Low Low Low Low Low Low Medium Low Low Low Meats Bacon, pork, cooked Beef stock Serving Size 2 strips 1 cup Low Low medium cup cup cup cup cup cup cup 2007 Timothy S. Harlan, M.D. | All rights reserved. This information downloaded from the Dr. Gourmet web site. For more information on eating healthy and eating well visit www.drgourmet.com. Low Low Low Low Low Low Medium High Low High Low Coumadin (Warfarin) and Your Diet : 4 Beef, cooked, lean Beef, ground, fried, lean Chicken stock Chicken, cooked, breast, no skin Clams, canned, chopped Clams, fresh Crabmeat, cooked Fish, cod, cooked Fish, grouper, cooked Fish, haddock, cooked Fish, halibut, cooked Fish, salmon, cooked Fish, sole, cooked Fish, tuna, canned Fish, tuna, cooked Lamb, cooked Liver, beef, cooked Mussels, cooked Pork, cooked Scallops, cooked Shrimp, cooked Turkey pepperoni Turkey sausage, cooked Turkey, cooked, no skin 3.5 ounces 3.5 ounces 1 cup 3.5 ounces 1 can 3.5 ounces 1 cup 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces 3.5 ounces Starches Tortilla, flour, 6-inch Bulgar, cooked Bread, white/wheat/rye Crackers, graham Rice, wild, cooked Cornmeal, yellow Flour Melba toast, plain Couscous, cooked Bagel Biscuit Cornbread Serving Size 1 each 1 cup 1 slice 2 squares 1 cup 1 cup 1cup 1 cup, rounds 1 cup 1 whole 1 1 piece – 2.5 x 2.5inch 100 grams 1 cup 4 squares 1 cup 1 1 cup 1 oz 1 cup Cornmeal, blue Cornstarch Crackers, saltine Croutons, plain English muffin Grits, cooked Pasta, dry Rice, white & brown, cooked 2007 Timothy S. Harlan, M.D. | All rights reserved. This information downloaded from the Dr. Gourmet web site. For more information on eating healthy and eating well visit www.drgourmet.com. Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Coumadin (Warfarin) and Your Diet : 5 Tortilla, corn, 6-inch Cereals Barley, dry Cereal, cream of wheat Cereal, oatmeal Grits, cooked 1 each Low 1/4 cup 1 cup 1 cup 1 cup Low Low Low Low Legumes and Beans Almonds Bean sprouts, mungo, fresh Beans, black, dried, cooked Beans, garbanzo, canned Beans, great northern, canned Beans, great northern, dried, cooked Beans, kidney, canned Beans, kidney, dried, cooked Beans, lima, dried, cooked Beans, navy, canned Beans, navy, dried, cooked Beans, pinto, canned Beans, pinto, dried, cooked Beans, red kidney, canned Beans, red kidney, dried, cooked Cashews Lentils, dry, cooked Peanut butter, low fat Peanuts Pecans, chopped Pine nuts Pistachio nuts Soybeans (ddamame) Tahini Tofu Walnuts, chopped Serving Size 1 oz 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1 cup 1/2 cup 1/4 cup 1/4 cup 2 Tbsp 1 cup 1 oz 1 cup 1 cup 1 Tbsp 3.5 oz 1 cup Low Medium Low Low Low Low Low Low Low Low Low Low Low Low Low Medium Low Low Low Low Low Low High Low Low Low Dairy Buttermilk, non-fat Cheese, blue Cheese, cheddar Cheese, cheddar, reduced fat Cheese, cottage Cheese, feta Cheese, fontina Cheese, goat Cheese, monteray Cheese, mozzarella, part skim Cheese, parmesan Serving Size 1 cup 1 oz 1 oz 1 oz 1 cup 1 oz 1 oz 1 oz 1 oz 1 oz 1 oz Low Low Low Low Low Low Low Low Low Low Low 2007 Timothy S. Harlan, M.D. | All rights reserved. This information downloaded from the Dr. Gourmet web site. For more information on eating healthy and eating well visit www.drgourmet.com. Coumadin (Warfarin) and Your Diet : 6 Cheese, ricotta, reduced fat Cheese, swiss, low fat Egg substitute Egg, white, large Egg, whole, large Egg, yolk large Milk, 2 percent Milk, coconut Milk, dry, non fat Milk, dry, non-fat Milk, evaporated, non-fat Milk, soy Milk, whole Sour cream, non fat Yogurt, plain, low-fat 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 cup oz cup each each each cup cup cup cup cup cup cup cup cup Beverages Beer Bourbon Carbonated soda Coffee, brewed Coffee, instant, granules Grapefruit juice Lemon juice Lime juice Orange juice Sake Tea, brewed Tomato juice, canned, no salt V-8 juice Vodka Wine Serving Size 12 oz 1 oz 12 oz 1 cup 1 tsp 1 cup 1 oz 1 oz 1 cup 1 oz 1 cup 1 cup 1 cup 1 oz 1 cup Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Fats Butter Cream cheese Mayonnaise, reduced calorie Oil, canola Oil, corn Oil, grapeseed Oil, olive Oil, peanut Oil, safflower Oil, sesame Oil, soybean Sour cream Serving Size 1 tsp. 1 Tbsp. 1 Tbsp. 1 tsp. 1 tsp. 1 tsp. 1 tsp. 1 tsp. 1 tsp. 1 tsp. 2 Tbsp 1 Tbsp. Low Low Low Low Low Low Low Low Low Low Medium Low 2007 Timothy S. Harlan, M.D. | All rights reserved. This information downloaded from the Dr. Gourmet web site. For more information on eating healthy and eating well visit www.drgourmet.com. Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Coumadin (Warfarin) and Your Diet : 7 Misc. Allspice Baking powder Baking soda Basil, fresh Bay leaves, crushed Capers Cardomom, ground Celery Seed Chili powder Chives Cilantro, fresh Cinnamon, ground Cloves, ground Cumin, seed Curry powder Dill, fresh Garlic powder Gelatin, dry, unflavored Ginger root Ginger, ground Ketchup Marjoram, ground Mint Mustard Mustard, seed Nutmeg, ground Olives, ripe, canned Oregano, dried Paprika Pepper Pepper, red, ground Pickle, dill Pickle, gherkin Relish Rosemary Saffron Sage, ground Salt Sesame seeds Soy sauce Tabasco sauce Tarragon, dried Thyme, dried Vanilla extract Vinegar Wasabi root Serving Size 1 tsp 1 tsp 1 tsp 5 leaves 1 tsp 1 Tbsp 1 tsp 1 tsp 1 tsp 1 Tbsp 9 sprigs 1 tsp 1 tsp 1 tsp 1 tsp 5 sprigs 1 tsp 1 envelope 1 tsp 1 tsp 1 Tbsp 1 tsp 2 Tbsp 1 Tbsp 1 tsp 1 tsp 3.5 oz 1 tsp 1 tsp 1 tsp 1 tsp 1 medium 1 medium 1 Tbsp 1 tsp 1 Tbsp 1 tsp 1 tsp 1 tsp 1 Tbsp 1 tsp 1 tsp 1 tsp 1 tsp 1 Cup 1 2007 Timothy S. Harlan, M.D. | All rights reserved. This information downloaded from the Dr. Gourmet web site. For more information on eating healthy and eating well visit www.drgourmet.com. Low Low Low Low Low Low Low Low Low Low High Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low Medium Low Low Low Coumadin (Warfarin) and Your Diet : 8 Worcestershire sauce Yeast, dry, active 1 Tbsp 1 tsp Low Low Sweets Chocolate syrup Chocolate, bakers, bittersweet Cocoa, dry, powered Gelatin, fruit flavored Graham crackers Honey Jam/jelly Jam/jelly, apricot Maple syrup Pie, apple Pudding Sherbet Splenda Sugar, white or brown Wafer, chocolate Serving Size 2 Tbsp 1 square 2 Tbsp 1 cup 2-1/2 square 1 Tbsp. 1 Tbsp. 1 Tbsp 1 Tbsp 1 piece 1 cup 1 cup 1 tsp 1 Tbsp. 1 each Low Low Low Low Low Low Low Low Low Low Low Low Low Low Low 2007 Timothy S. Harlan, M.D. | All rights reserved. This information downloaded from the Dr. Gourmet web site. For more information on eating healthy and eating well visit www.drgourmet.com.
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