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A very timely post, Ross. I met the daughter of an old friend of ours in the hospital lobby the other day. Her mother was recovering from pneumonia and was diagnosed with A-fib. She has been started on warfarin so I was telling her not to let them persuade her to cut all greens and healthy foods from her diet but to regulate the drug with her CONSISTANT diet. Her daughter said the only thing they told her was to "stay away from cranberry juice"!!
 
Cranberry Juice

Cranberry Juice

Thank goodness I've got a few good genes to counter the ones that got me a my congentially defective aortic valve...I've consumed gallons of cranberry juice and never noticed it impacting my INR.

Regarding the genetic test, if health insurance would cover it, why not get one? I say this knowing that my present health insurance company will never cover the test.

-Philip
 
I WAS drinking a lot of cranberry juice when it messed up the INR. I had been complaining of a bladder infection the whole time I had that catheter in the hospital (which was almost a week). The nurses' solution was to bring me gallons of cranberry juice. When my INR was unstable after I left the hospital, I was going on spurts of drinking lots and then no cranberry juice, which, once pointed out by my Nurse Practictioner, correlated to the swings in the INR. Once I gave up cranberries and their juice, life settled down.

Those of you who are self-testers/dosers are fortunate that you can make corrections right away in your meds. It costs me a lot of money in co-pays to fool around with changing my diet to include things which seem to cause huge swings in the INR. (Also, it is a pain in the *** to run to the doctor for the tests when I am working...)

By the way, yesterday, after days of doubling my warfarin after the bridging episode, my PT was a lowly 1.5. Yow!
 
I WAS drinking a lot of cranberry juice when it messed up the INR. I had been complaining of a bladder infection the whole time I had that catheter in the hospital (which was almost a week). The nurses' solution was to bring me gallons of cranberry juice. When my INR was unstable after I left the hospital, I was going on spurts of drinking lots and then no cranberry juice, which, once pointed out by my Nurse Practictioner, correlated to the swings in the INR. Once I gave up cranberries and their juice, life settled down.

Those of you who are self-testers/dosers are fortunate that you can make corrections right away in your meds. It costs me a lot of money in co-pays to fool around with changing my diet to include things which seem to cause huge swings in the INR. (Also, it is a pain in the *** to run to the doctor for the tests when I am working...)

By the way, yesterday, after days of doubling my warfarin after the bridging episode, my PT was a lowly 1.5. Yow!

Mary how much did you normally take before? You should have been beyond in range by now.

As a side note, it's not recommended to drink gallons of it, but for those that enjoy a glass or two now and then, have no worries.
 
Mayo Clinic Arizona has a warning about cranberry juice and INR, in plain sight, on the wall of the Coumadin Clinic.

I will be delighted to take a copy of the article to the Coumadin Clinic on my next visit to Mayo on the 30th of March.

I will also be sure that my radiologist receives a copy too.

Blanche
 
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