What Multivitamin Can You Take With Coumadin?
Multivitamins can be great additions to your diet, but if you are on Coumadin or other blood thinning medications, avoid multivitamins that contain vitamin K and high doses of vitamin E. These vitamins can interfere with how Coumadin works. Instead, choose a vitamin that provides the other essential vitamins and minerals in appropriate doses.
Effects
Coumadin is a blood thinner, which makes it more difficult for your body to form a clot. This reduces your risk of a heart attack and stroke from a blood clot in your arteries or veins. Vitamin K is a vitamin that your body uses to make blood clots. Therefore, if you consume too much vitamin K and you are on blood thinners, you will be more likely to form a clot 3. MedlinePlus adds that high doses of vitamin E from supplements can interfere with how vitamin K functions in your body and recommends avoiding it if you take blood thinners 123.
- Coumadin is a blood thinner, which makes it more difficult for your body to form a clot.
Recommended Vitamins
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There are plenty of other essential vitamins that can be included in your multivitamin. Some multivitamins also contain macro-minerals and trace-minerals such as:
- calcium
- phosphorus
- magnesium
- sodium
- potassium
- chloride
- iron
- manganese
- copper
- iodine
- zinc
- fluoride
- selenium
These vitamins and minerals help your body provide energy to your cells, support your immune system and run your nervous system.
Before You Take A Multivitamin
The first step to selecting a multivitamin if you are on Coumadin is to talk to you doctor about your diet. Your doctor can determine if your diet is too high in vitamin K or vitamin E. PubMed Health adds that you must avoid certain foods such as:
- large amounts of leafy green vegetables
- cranberries
- cranberry juice
- soybean oil
- canola oil
- because these foods contain a large amount of vitamin K
Considerations
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All of the vitamins and minerals that are found in multivitamins are found naturally in foods. Therefore a multivitamin may not be necessary. If you choose to add one, be sure to follow the instructions on your medication. Failure to do so, could lead to a blood clot and other serious consequences. Communicate with your doctor about other prescription and nonprescription medications that you are on.
- All of the vitamins and minerals that are found in multivitamins are found naturally in foods.
- If you choose to add one, be sure to follow the instructions on your medication.
Related Articles
References
- MedlinePlus: Vitamin K
- MedlinePlus: Minerals
- MedlinePlus: Blood Thinners
- Oregon State University: Vitamins
- Albahrani AA, Greaves RF. Fat-Soluble Vitamins: Clinical Indications and Current Challenges for Chromatographic Measurement. Clin Biochem Rev. 2016;37(1):27–47.
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- Ebben M, Lequerica A, Spielman A. Effects of pyridoxine on dreaming: a preliminary study. Percept Mot Skills. 2002;94(1):135-40. doi:10.2466/pms.2002.94.1.135
- U.S. National Library of Medicine. ToxNet: Nicotinic acid. Updated November 28, 2018.
- Chambial S, Dwivedi S, Shukla KK, John PJ, Sharma P. Vitamin C in disease prevention and cure: an overview. Indian J Clin Biochem. 2013;28(4):314–328. doi:10.1007/s12291-013-0375-3
- Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. Washington (DC): National Academies Press; 2000.
- Golan D, Staun-ram E, Glass-marmor L, et al. The influence of vitamin D supplementation on melatonin status in patients with multiple sclerosis. Brain Behav Immun. 2013;32:180-5. doi:10.1016/j.bbi.2013.04.010
- Mason C, de Dieu Tapsoba J, Duggan C, Wang CY, Korde L, McTiernan A. Repletion of vitamin D associated with deterioration of sleep quality among postmenopausal women. Prev Med. 2016;93:166–170. doi:10.1016/j.ypmed.2016.09.035
- Rizvi S, Raza ST, Ahmed F, Ahmad A, Abbas S, Mahdi F. The role of vitamin E in human health and some diseases. Sultan Qaboos Univ Med J. 2014;14(2):e157–e165.
- DiNicolantonio JJ, Bhutani J, O'Keefe JH. The health benefits of vitamin K. Open Heart. 2015;2(1):e000300. doi:10.1136/openhrt-2015-000300
- NIH Osteoporosis and Related Bone Diseases National Resource Center. Calcium and Vitamin D: Important at Every Age. Updated October 2018.
- Ross AC. Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: National Academies Press; 2011.
- Straub DA. Calcium supplementation in clinical practice: a review of forms, doses, and indications. Nutr Clin Pract. 2007;22(3):286-96. doi:10.1177/0115426507022003286
- U.S. National Library of Medicine. ToxNet: Calcium Compounds. Updated January 29, 2000.
- Gröber U, Schmidt J, Kisters K. Magnesium in Prevention and Therapy. Nutrients. 2015;7(9):8199–8226. doi:10.3390/nu7095388
- U.S. National Library of Medicine. DailyMed: Milk of Magnesia. Updated October 19, 2018.
- Kantor ED, Rehm CD, Du M, White E, Giovannucci EL. Trends in Dietary Supplement Use Among US Adults From 1999-2012. JAMA. 2016;316(14):1464–1474. doi:10.1001/jama.2016.14403
Writer Bio
Brady Williams is a third-generation chiropractor who has been writing and lecturing on topics in health, nutrition, chiropractic, sports medicine and wellness since 2006. He holds a Bachelor of Science in general science and a Doctor of Chiropractic from Palmer College of Chiropractic. He also holds a Master of Science in sport science and rehabilitation from Logan University.