MultiVitamin & Coumadin?

[OrlandoTommy]

Can anyone recommend a good multi vitamin to take that wont interfere with Toprol and Coumadin?

I used to take Pycnogenol every day now im paranoid to take anything at all, what do you recommend?

Thanks,
Tommy

 

[geebee]

I have been taking One-A-Day Essential for years without any problem.

 

[Cooker]

I take a Centrum and Vitamin C (1000mg) everyday along with Coumadin and Toprol. No problem.

 

[Ross]

I'm using a Walgreen version of Centrum Performance. No problems here.

Vitamin A 3500 IU (29% as Beta Carotene) 70%
Vitamin C 120 mg 200%
Vitamin D 400 IU 100%
Vitamin E 60 IU 200%
Vitamin K 25 mcg 31%
Thiamin 4.5 mg 300%
Riboflavin 5.1 mg 300%
Niacin 40 mg 200%
Vitamin B6 6 mg 300%
Folic Acid 400 mcg 100%
Vitamin B12 18 mcg 300%
Biotin 50 mcg 17%
Pantothenic Acid 12 mg 120%
Calcium 100 mg 10%
Iron 18 mg 100%
Phosphorus 48 mg 5%
Iodine 150 mcg 100%
Magnesium 40 mg 10%
Zinc 11 mg 73%
Selenium 70 mcg 100%
Copper 0.9 mg 45%
Manganese 4 mg 200%
Chromium 120 mcg 100%
Molybdenum 75 mcg 100%
Chloride 72 mg 2%
Potassium 80 mg 2%
Ginseng Root (Panax ginseng) 50 mg Standardized Extract *
Ginkgo Biloba Leaf (Ginkgo biloba) 60 mg Standardized Extract *
Boron 60 mcg *
Nickel 5 mcg *
Silicon 4 mg *
Tin 10 mcg *
Vanadium 10 mcg *
*Daily Value (%DV) not established.

 

[ruth]

My coumadin clinic recommends Centrum Silver - it's lowest in Vitamin K.

Oh, and no, I'm not old enough for 'silver' yet myself but what the hey.....

Peace,
Ruth

 

[ruth]

Sigh - Why was I told this when Silver has 30mcg of K and yours, Ross, has only 25??? - Geez. I really gotta stop believing what I'm told......

Correction, the BOTTLE of silver says 10mcg, for some reason the website said 30mcg.

Boy Ross, you're a good typer to write all that! jk

 

[catwoman]

I bought a bottle of multi-vitamins just last night at Wal-Mart. I didn't want one with viitamin K, so I had to hunt for one w/out vit. K. I bought an Equate brand w/out vitamin K, a formula for women.

I was surprised to see that so many include vitamin K -- include one listed with 100%.

BTW, I didn't think there was an RDA for vitamin K.

 

[Cooker]

Consistency is the key to INR control for me. If my diet is consistent (including a daily muti-vitamin with vitamin K) then there is no problem (for me). When I first started this journey I freaked out and stayed on edge about my diet (including OTC drugs). Thanks to this site (Ross, and Blanche in particular) I have a new understanding and appreciation for ACT therapy. I enjoy the foods that I love (not the same portions now).

I know that there are those who have a hard time managing their INR and I do not mean to imply they are doing anything incorrectly. Who knows, I could get out of whack tomorrow.

 

[catwoman]

I didn't think there was an RDA for vitamin K.

I just googled vitamin K and RDA and found something: 80 mcg for men, 70 mcg for women.

 

[Ross]

Sigh - Why was I told this when Silver has 30mcg of K and yours, Ross, has only 25??? - Geez. I really gotta stop believing what I'm told......

Correction, the BOTTLE of silver says 10mcg, for some reason the website said 30mcg.

Boy Ross, you're a good typer to write all that! jk

I was going to say, nuh uh, yours has more then mine, but still, it's not enough to really go bonkers over.

One thing important to remember, If you buy a vitamin with K, besure to stick with those same vitamins unless you want to be adjusting Coumadin doses again.

 

[Blanche]

Al and I are both taking Coumadin. Every day we also take a calcium supplement that contains 60mg of vitamin K. Been doing this for almost 7 years now. Our INRs have always been relatively stable.

The important thing when taking vitamins with vitamin K is to remember that they must be taken everyday. Problems happen when people run out of their vitamins and don't replace them for days. It's the old consistency problem again.

Regards,
Blanche

 

[jerseysue]

Multivitamin

Multivitamin

I take a Target multivitamin that has no Vit. K in it. My cardiologist told me not to take Centrum, or any multivitamin that has K in it: Target has one. I don't know about the interaction with the other drug mentioned.
The pharmacists are often the best people to check with.
Sue

 

[Ross]

I take a Target multivitamin that has no Vit. K in it. My cardiologist told me not to take Centrum, or any multivitamin that has K in it: Target has one. I don't know about the interaction with the other drug mentioned.
The pharmacists are often the best people to check with.
Sue

I bet you had a rough go at getting stable.

 

[OrlandoTommy]

Thanks

Thanks

Thanks everyone for the good info! That was my next question i was going to post asking about the multi vitamins that have K in them, but i got my answer.
I actually bought "One A Day Essentials", it was the only one i could find with no mention of Vitamin K in it.

Tommy

 

[halleyg]

Whole Foods has their own brand of multi w/no K, too.

 

[Ross]

Believe it or not, those that do have Vit K may actually help keep your dosing more stable. We've discussed this before.

 

[lb151]

I just read my bottle of vitamins and it has 100% of daily for K. I never thought about it till now...Ross,where do I find the info you speak of?

 

[Ross]

I just read my bottle of vitamins and it has 100% of daily for K. I never thought about it till now...Ross,where do I find the info you speak of?

Which info hon? About some Vit k keeping INR's more stable?

http://www.warfarinfo.com/vitamin-K.htm

Using Vitamin K to Smooth-Out Fluctuating INRs

If you walk into a dark room and switch on a 3-way light you notice a huge increase in the amount of light. If you switch to the next higher level, you do not notice as much change even though the increase is the same number of watts.

It appears that a similar thing happens when someone takes in very little vitamin K from eating vegetables. If this person then gets a little more vitamin K than usual, the INR can be thrown off. To get around this, some warfarin managers have tested giving people a known amount of vitamin K. Then they managed whether or not the INRs became more consistent.

A study done in the UK followed 70 people who had unstable INRs. They were divided into two groups ? those getting 150 mcg of vitamin K daily and those getting a placebo. The people getting the vitamin K had more consistent INRs than the people getting the placebo. Each person?s INRs for 6 months on the study were compared with their INRs for 6 months before the study.

It appears that taking a known amount of vitamin K daily and adjusting the warfarin dose upward to accommodate this, results in more stable INRs.

Reference: Sconce E. et al. Vitamin K supplementation can improve stability of anticoagulation for patients with unexplained variability in response to warfarin. Blood. 2006; Nov 16. (E Pub Ahead of Print).

Recommended Daily Allowance (RDA) :
80 micrograms

 

[lb151]

Sorry I wasnt more clear,Ross. (brain farts and such) Thats good information.So,as I sit here with vitamins I have been taking all along that have 80mcg. of vit.K,,to toss or not to toss. I was without them 3 weeks and just now started back.I have to admit my veggie intake is limited. With the new valve,everything needs more consideration. Why is this consuming me...I have to regain control somewhere and have inner prayer meeting.Thanks for your patience.

 

[Ross]

Don't toss them, but when you run out, be sure you get the same brand or at the very least, the same Vit K content. You may have to increase your dose a tad now that you've started back up, but everything can be adjusted for in time.

Hon like I said, stick around us and learn, then you won't feel like that anymore.