Examples include bloody stool or urine, coughing up blood, and unexplained bruising. Foods to Limit while Taking Blood Thinners.Answer: Yes, the effectiveness of apixaban (Eliquis), rivaroxaban (Xarelto), betrixaban (Bevyxxa), and other anticoagulant drugs (blood-thinners) classified as "direct factor Xa inhibitors" may be impacted by taking certain supplements.St. Advertising revenue supports our not-for-profit mission. If youd like to learn more about getting certain lab tests while you take Eliquis, talk with your doctor or pharmacist. Alcohol may increase the risk of stomach bleeding with Eliquis. You can take certain steps to help prevent interactions with Eliquis. A single copy of these materials may be reprinted for noncommercial personal use only. Note: Before you start treatment with Eliquis, its important to tell your doctor if these contraindications apply to you. You have started by asking the question about taking Eliquis (Apixiban) with the supplement turmeric. The Centers for Disease Control and Prevention (CDC) recommends consuming less than 2,300 mg of sodium per day as part of a healthy diet (27). More research is needed to determine how blood glucose levels can affect AFib. Cold hands or feet. (The two substances may prevent blood from clotting.) More current research is needed to determine how grapefruit can affect antiarrhythmic medications. Xanax is a drug thats used to treat panic disorders and anxiety. One of the goals of the TLC diet is to reduce total cholesterol and low-density lipoprotein, or LDL, while raising high-density lipoprotein, or HDL. Eliquis may also interact with certain medications and foods. Health conditions or factors that might interact with Eliquis include: Here are some frequently asked questions about Eliquis and possible interactions. Certain foods are particularly beneficial for the health of the cardiovascular system and may help improve heart functioning (37). This process can increase your risk of bleeding. It is created by eHealthMe based on reports of 36 people who take Eliquis and . In the past, individuals with AFib have been warned to limit vitamin K levels because it could reduce a blood thinners effectiveness. Weight gain. Don't take these interactions lightly. Eliquis should be taken exactly as prescribed by your doctor. Let them know if you drink alcohol or take cannabis. Hope this helps! Like Helpful Hug 4 Reactions Interested in more discussions like this? If you have questions about getting vaccines during Eliquis treatment, talk with your doctor or pharmacist. Several NSAIDs are available over the counter (OTC), meaning you can purchase them without a prescription. Eliquis reduces the clotting ability of the blood and is used in the treatment and prevention of several medical conditions associated with blood clots. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Eliquis works by inhibiting the activity of certain clotting proteins in the blood. As with other medications, Eliquis can interact with food and certain other drugs. Atrial Fibrillation and Strokes: What's the Risk if You Take Eliquis? (2021). Numerous studies have shown that a Mediterranean diet (a diet high in fish, olive oil, fruits, vegetables, whole grains, and nuts) may help reduce the risk of AFib (38). Be sure to read labels and try to stick with fresh foods and foods with low sodium or no salt added. Doctors may recommend benzodiazepines (such as Xanax) for people having hip or knee surgery. Warfarin and food, herbal or dietary supplements: A systematic review. inhibiting the activity of certain clotting proteins. She had heard of the interaction between grapefruit and certain medications and wondered if this had caused her nose bleed. health information, we will treat all of that information as protected health Here's why and what you should be looking for. Tablets may be crushed and mixed with water or apple juice/sauce to make swallowing easier. Antidepressants are used to treat depression. The label may have colored stickers that mention an interaction. Cardiologists may recommend that you reduce certain types of fat if you have AFib. Accessed Oct. 24, 2018. I've been of the understanding that I need to take Eliquis for the rest of my life, however, my cardiologist in Florida has suggested that I could stop taking the Eliquis. Can you eat oranges while taking eliquis? To provide you with the most relevant and helpful information, and understand which If you have AFib, its best to limit your alcohol consumption. Avoid apple,. Selected from data included with permission and copyrighted by First Databank, Inc. By sharing this information with them, you may help prevent possible interactions. Eliquis is broken down by a protein in your liver called CYP3A4. If you have any questions about what to eat while taking Eliquis, talk to your doctor or dietitian. There are many things people can eat and drink that may help keep the blood thin and reduce the chances of developing dangerous clots. If you are a Mayo Clinic patient, this could Simply taking your medication and grapefruit product at different times doesn't stop the interaction. Because potassium can interact with certain medications, talk to your doctor before adding more potassium to your diet. This increases your risk of bleeding. Gastrointestinal side effects such as constipation, vomiting, diarrhea, or abdominal pain may also occur. Apixaban Oral Food Interactions Apixaban Oral Common Brand (s): Eliquis : apixaban View Free Coupon Should I avoid certain foods while taking Apixaban Oral? Warfarin is a blood thinner that can be more effective when restricting foods that are vitamin K-rich. On the other hand, a medication that stays in the body too long may build up to potentially dangerous levels. Aim to limit your sodium intake to less than 2,300 mg per day. Hypertension, or high blood pressure, can almost double your chances of developing AFib (26). 2005 - 2023 WebMD LLC. Guidelines suggest avoiding the use of Eliquis in people who are obese (BMI >40kg/m2 or weight of 120kg or more) because there is a lack of research investigating the use of the drug in this population. If your doctor does prescribe Eliquis with an antidepressant, watch for possible symptoms of bleeding. However, research suggests that CoQ10 may reduce the effectiveness of warfarin (Coumadin). This may increase your risk of bleeding. You may opt-out of email communications at any time by clicking on health information, we will treat all of that information as protected health Gluten is one type of protein in wheat, rye, and barley. Its likely that less healthy sources of polyunsaturated fats, like corn oil and soybean oil, have different effects on AFib risk than healthy sources of polyunsaturated fats like salmon and sardines. Interaction explained. Book - Ending the Crisis: Mayo Clinic's Guide to Opioid Addiction and Safe Opioid Use. In particular, you should avoid taking Eliquis with aspirin or other blood thinners, as this may increase your risk of bleeding. NSAIDs can prevent platelets (a type of red blood cell) from clumping together to form blood clots. Your doctor may require you to undertake extra monitoring when switching to or from Eliquis. Note: Cannabis is illegal at a federal level, but is legal in many states to varying degrees. Less likely than warfarin to interact with other drugs or foods; however, it does interact with some medicines. Atrial fibrillation (AFib) occurs when the normal rhythmic pumping of the upper chambers of the heart, called the atria, breaks down. 2005-2023 Healthline Media a Red Ventures Company. However, certain foods and drinks can make warfarin work not as well at preventing blood clots. Fresh herbs and spices can keep food flavorful without all the added sodium. Saturated fats, most of which come from animal-based products, should be limited to less than 7 percent of total calories. Warfarin is a blood-thinning medication that helps treat and prevent blood clots. Eliquis and Pregnancy. However, there have been reports of an increased risk of blood clots with the use of testosterone products. NSAIDs: Do they increase my risk of heart attack and stroke? Consider coverage with another anticoagulant if Eliquis needs to be stopped for any reason other than significant bleeding or completion of the course of therapy because premature discontinuation has been associated with thrombotic events (the formation of a blood clot within a blood vessel). A single copy of these materials may be reprinted for noncommercial personal use only. Eliquis is used for a variety of medical conditions in adults including: Eliquis is typically taken twice daily. Tell all healthcare providers that you are taking Eliquis. To keep vitamin K intake consistent, avoid changing the amounts of vitamin K-rich foods or drinks you have from day to day or week to week. A change in your diet, medicine, or dosage may be necessary. All rights reserved. Heart failure: Could a low sodium diet sometimes do more harm than good? Last updated on July 14, 2022. There is an increased risk of spinal or epidural hematomas resulting in long-term or permanent paralysis forming in people taking Eliquis who are also undergoing spinal puncture or epidural or spinal anesthesia. Pulmonary embolism can lead to complications such as right heart failure and recurrent blood clots. Also used to protect against the development of deep vein thrombosis (DVT) (blood clots in the deep veins) following hip or knee replacement surgery. reducing the risk of blood clots, strokes, and other serious cardiovascular events. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. It appears this site might not be worth the effort. A healthy diet while taking Eliquis should include: Fruits and vegetables Before you start treatment with Eliquis, tell your doctor and pharmacist which supplements, herbs, and vitamins you take. (A clotting factor is a substance that helps your blood clot.) To make sure its safe for you, tell your healthcare professional if you: It is important to tell your doctor about all other medications you are taking, including over-the-counter drugs, vitamins, and herbal supplements, as they may interact with Eliquis. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Its used to help prevent or treat blood clots in certain situations. Heres a closer look at certain drug interactions of Eliquis. If you develop symptoms, tell your doctor right away. foods made with partially hydrogenated vegetable oils, reducing intake of high-calorie processed foods. Over the years, experts have debated how caffeine affects people with AFib. You should avoid eating grapefruit or drinking grapefruit juice unless your doctor instructs otherwise. By addressing these health conditions, you may lower your chances of developing AFib. Some foods can negatively affect your heart health and have been shown to increase the risk of heart complications, like AFib, as well as heart disease. Also seek urgent medical help with any symptoms of a stroke (such as sudden dizziness, headache or loss of vision; difficulty with speech or slurring of your words, one-sided facial drooping) or signs of a blood clot (sudden, severe shortness of breath; pain, heat or swelling in a limb). They can advise you on whether its safe for you to take these medications together. You can take Eliquis (apixaban) with or without food. Talk to your doctor before consuming grapefruit while on medication. Eating lots of sugary foods constantly may also cause insulin resistance to develop, which significantly increases your chances of developing diabetes (28). No problems so far. Older studies have shown that this chemical can interfere with the effectiveness of antiarrhythmic drugs such as amiodarone (Cordarone) and dofetilide (Tikosyn) (35, 36). If you have questions about drug interactions that may affect you, talk with your doctor or pharmacist. If gluten-related digestive issues or inflammation are making your AFib act up, reducing gluten in your diet may help you get AFib under control.