More than 1.2 million people in the UK have been warned not to drink two fruit juices as it could pose a serious risk to their health. Many people would consider the beverages healthy options when they are trying to boost their vitamin intake, however some people should avoid them as they could make them unwell.
It is estimated that around 1.2million people in the UK take warfarin to stop their blood clotting. The anticoagulant makes your blood flow through the veins more easily making it much less likely that it will create a dangerous blood clot.
Most people will take it once a day in the evening and will need blood tests at least every 12 weeks to make sure their dose is correct. They must also always carry an anticoagulant alert card which must be shown to a doctor or dentist before any medical or dental procedures, including vaccinations and routine appointments with the dental hygienist.
The NHS says most adults and children can take warfarin but warns some might not be suitable for the medication. These include those who:
However there are some side-effects including increased bleeding if you cut yourself or occasional nosebleeds. You might also bruise more easily and your gums might bleed when you brush your teeth.
Other common side effects are a mild rash and hair loss. You should talk to your doctor or pharmacist if these side effects bother you or do not go away.
There are some serious side effects which include bleeding suddenly without a cut or injury or if it will not stop. The NHS advises: "This can be dangerous and needs urgent medical attention." It says you should call 111 for advice if you have:
You should go to A&E if:
It warns: "These are symptoms of serious bleeding. If you have any serious bleeding, stop taking warfarin."
And it adds very rarely warfarin can lead to bleeding in the brain. It says call 999 now if you get any of these symptoms:
You may also feel tired, weak or sick. For full details visit the NHS website here.
And the NHS has also set out some dos and don'ts over what people taking the medication can eat and drink. This includes avoiding two popular fruits and juices made from them.
It advises: "It's very important to keep your diet stable while taking warfarin. This means your dose of warfarin is more likely to stay the same. Any big changes in what you eat or drink can change how your body responds to warfarin."
The NHS says foods containing a lot of vitamin K can affect how warfarin works. These include:
It adds: "It's important that you eat foods containing vitamin K, so rather than leaving them out of your diet, make sure you eat similar amounts of them regularly. This will mean the level of vitamin K in your blood stays fairly constant and makes it more likely that your INR level stays stable."
But there are other foods which should be avoided completely. Cranberry and grapefruit juice increase the blood-thinning effects of warfarin by inhibiting the liver enzymes responsible for breaking down the medication.
This causes higher levels of warfarin to remain in the bloodstream which significantly increases the risk of dangerous bleeding and bruising. The NHS adds: "Do not drink cranberry or grapefruit juice while you're taking warfarin. It can increase the effect of your medicine and put you at higher risk of bleeding."
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