If you have AFib, you may want to avoid energy drinks, but a cup of coffee is probably fine. Eliquis (apixaban) works by selectively inhibiting (blocking) the effects of factor Xa (FXa), an enzyme that plays a key role in the formation of substances that cause blood clotting. Still, you should follow the specific recommendations of your doctor or registered dietitian. Interaction result. This content does not have an English version. For example, you should plan the following: Its also important to read the label of Eliquis and other paperwork that comes with the drug. Eliquis may interact with two classes of antidepressants: Interaction result. Yes. Its used to help prevent or treat blood clots in certain situations. inhibiting the activity of certain clotting proteins. There are many things people can eat and drink that may help keep the blood thin and reduce the chances of developing dangerous clots. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Eating a healthy diet can optimize your cardiovascular and overall health while taking Eliquis. This medication can cause bleeding. For example, numerous citrus-flavored soft drinks contain grapefruit juice or grapefruit extract. Last medically reviewed on July 15, 2020. Can Atrial Fibrillation Cause an Enlarged Heart? Doctors may not prescribe Eliquis with these medications. Warfarin and other VKAs: Dosing and adverse effects. Protein should make up about 15 percent of your total daily calories on the TLC diet. Do not stop taking Eliquis suddenly. Select one or more newsletters to continue. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Promptly consult your doctor or pharmacist. Also used to protect against the development of deep vein thrombosis (DVT) (blood clots in the deep veins) following hip or knee replacement surgery. get complex carbohydrates and fiber from fruits and vegetables, canola oil is a source of heart healthy fats, eat omega-3 rich fish like salmon twice per week, Dash Diet Proportions: Carbohydrates, Fat & Protein. Vitamin K is a group of fat-soluble vitamins that plays an important role in: Vitamin K is present in products that include: Since many people with AFib are at risk for stroke, theyre prescribed blood thinners to help prevent blood clots. reducing the risk of blood clots, strokes, and other serious cardiovascular events. If you are taking Eliquis, it is important to speak with your doctor or pharmacist about all of the prescription medications, over-the-counter medications, vitamins and supplements you are taking. In addition to treatments like mediation, surgery, and other procedures, there are certain lifestyle changes, like your diet, that can help manage AFib. I wanted her to start taking turmeric for cough and congestion and he said it's perfectly fine. However, research suggests that CoQ10 may reduce the effectiveness of warfarin (Coumadin). deep vein thrombosis prevention in knee replacement, deep vein thrombosis prevention in hip surgery, treatment to prevent blood clots in chronic atrial fibrillation, blood clot in a deep vein of the extremities, blood clots with heparin-induced low platelet levels in the blood, prevention of venous thromboembolism recurrence, thrombosis with thrombocytopenia syndrome. When Eliquis is taken with an SSRI or SNRI, your risk of bleeding can increase further. Plavix, or clopidogrel bisulfate, keeps platelets from clumping to form blood clots. Yu CP, et al. Kidney donation: Are there long-term risks? Eliquis (apixaban) is a blood thinner medication that is used to both prevent and treat blood clots (including medical conditions like venous thromboembolism, pulmonary embolism, and deep vein thrombosis) as well as to prevent strokes and blood clots associated with atrial fibrillation (AFib). Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Before you start treatment with Eliquis, tell your doctor and pharmacist which prescription, over-the-counter, and other medications you take. Hypertension, or high blood pressure, can almost double your chances of developing AFib (26). She had heard of the interaction between grapefruit and certain medications and wondered if this had caused her nose bleed. But high blood glucose levels, which is a symptom of diabetes, may be a factor. Eliquis is broken down by a protein in your liver called CYP3A4. Can diet help improve depression symptoms? Yes, you can take Eliquis with other medications. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. If you take prescription medication, ask your doctor or pharmacist whether your medication interacts with grapefruit or other citrus products. 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. They can advise you on whether theres a safe amount to drink while taking Eliquis. Hidden source of grapefruit in beverages: Potential interaction with immunosuppressant medications. Some products that contain caffeine include: For years, it was standard to recommend that people with AFib avoid caffeine. So my plan of action is to eat a heart healthy diet, avoid sugar, and try to include a small amount of cranberry juice daily to help with liver function. Thrombolytics are typically used in emergency situations, such as dissolving a blood clot thats affecting the brain or heart. Eliquis reduces the clotting ability of the blood and is used in the treatment and prevention of several medical conditions associated with blood clots. Very Important A change in your. In two different studies, researchers found that individuals with untreated celiac disease had prolonged atrial electromechanical delay (EMD) (32). More current research is needed to determine how grapefruit can affect antiarrhythmic medications. If your doctor does prescribe Eliquis with an antidepressant, watch for possible symptoms of bleeding. Foods that are high in potassium include bananas, cantaloupe, grapefruits, oranges, tomato juice, prunes, honeydew melons, molasses and potatoes. These resources might help: Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. If the answer is yes, ask whether you need to eliminate that food from your diet. Does Apixaban Oral interact with other medications? Fresh fruits and vegetables are low in sodium, fat and total calories, but high in fiber, nutrients and plant compounds that contribute to heart health. Fresh herbs and spices can keep food flavorful without all the added sodium. The risk is greater in those taking other medications that affect blood clotting (such as NSAIDs or aspirin), with a history of traumatic or repeated spinal procedures or a history of spinal deformity or surgery. Your doctor may require you to undertake extra monitoring when switching to or from Eliquis. There is a problem with Eliquis and testosterone are not known to interact with each other. If you have questions about getting vaccines during Eliquis treatment, talk with your doctor or pharmacist. For example, vitamin K can make warfarin less effective. Instead of a normal heart rate, the atria pulse, or fibrillate, at a fast or irregular rate. You should avoid drinking grapefruit juice or eating grapefruit while taking Eliquis. The good news is, if you havent had the healthiest diet in the past, theres still time to turn things around. By affecting the process that helps blood clots form, NSAIDs can also increase your risk of bleeding. Twice a week, eat fish rich in heart-healthy omega-3 fatty acids such as tuna, cod, mackerel and salmon. Review/update the But multiple clinical studies have failed to show any link between caffeine intake and AFib episodes (9, 10). A 2020 study found that quitting alcohol significantly reduced arrhythmia recurrences in regular drinkers with AFib (8). information submitted for this request. My mom was told that she has NO food restrictions while on eliquis. Be sure to talk with your doctor about medication and food interactions. Sally, you do not need to avoid salads or dark green leafy vegetables on Eliquis. Very Important A change in your diet, medicine, or dosage may be necessary. Absorption is not affected by food or by crushing the tablets but the rate of absorption is reduced at higher dosages. Some can cause potentially dangerous health problems. Cham, Switzerland: Springer International Publishing AG; 2017. Theyre also loaded with sugar and other chemicals that can stimulate the cardiac system (15). It does not constitute medical advice. We comply with the HONcode standard for trustworthy health information. Is the ketogenic diet right for autoimmune conditions? For details about Eliquiss interactions, keep reading. increasing fiber intake in the form of vegetables, fruits, and beans, other products that contain lots of added sugar, leafy green vegetables, such as spinach and kale, healthy fats such as omega-3 rich fatty fish, avocados, and olive oil, fruits and vegetables that offer concentrated sources of vitamins, minerals, and antioxidants, high-fiber foods like oats, flax, nuts, seeds, fruit, and vegetables, fruits, such as avocados, bananas, apricots, and oranges, root vegetables, such as sweet potatoes and beets. to prevent a blood clot from forming in the heart of people with an irregular heartbeat (atrial fibrillation) and at least one additional risk factor. I am a reumatologist but now I am patient, a have massive pulmonar embolism and I started with Eliquis medication. The medications may be prescribed along with Eliquis. The contraindications of Eliquis include: Active bleeding refers to current bleeding, such as a bleeding ulcer. (The two substances may prevent blood from clotting.) Eliquis may cause dizziness as a side effect in some individuals. Metoprolol Tartrate : Should I avoid certain foods while taking Metoprolol Tartrate? The content on this website is intended for information purposes only. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. What conditions does Apixaban Oral treat? This content does not have an English version. 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). the unsubscribe link in the e-mail. Is it harm to use vitamin B complex and calcium with vitamin D3 in pregnancy. Eliquis may also increase your risk of bleeding from a minor fall or bump on the head. Temple NJ, et al., eds. Grapefruit you want to avoid all together. Swallow the mixture straight away and do not save it for later use. A single copy of these materials may be reprinted for noncommercial personal use only. It may also trigger AFib episodes in people who already have AFib, especially if you have existing cardiovascular disease or diabetes (4). This may increase your risk of bleeding. Atrial fibrillation (AFib) occurs when the normal rhythmic pumping of the upper chambers of the heart, called the atria, breaks down. For additional information about Eliquis, including details about its uses, see this article. Do not take two doses of Eliquis at the same time. other information we have about you. 2020; doi:10.1111/bcp.14404. My mom was told that she has NO food restrictions while on eliquis. E.R. Blood-thinning foods, drinks, and supplements, Treatment and home management for blood clots. However, its still important to talk with your doctor or pharmacist before taking any of these products during Eliquis treatment. It is created by eHealthMe based on reports of 140 people who take Cranberry and Eliquis from the FDA, and is updated regularly. Foods like butter, cheese, and red meat have high amounts of saturated fat. Simply taking your medication and grapefruit product at different times doesn't stop the interaction. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Some of these interactions are described in detail just below in the Drug interactions in depth section. Copyright 1996-2023 Drugs.com. Also, add at least 5 to 10 grams of soluble fiber and at least 2 grams of plant sterols and stanols per day to your diet. If you're taking one of these medications and crave that citrus flavor, Dr. Crites suggests switching to orange juice. Before you take Eliquis, be sure to talk with your doctor about your health history. information highlighted below and resubmit the form. Why increase the chance of bleeding right? This is because Eliquis can interact with grapefruit. WebMD does not provide medical advice, diagnosis or treatment. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. What Is the TLC Diet and How Does It Help Lower Cholesterol? Be mindful of your intake of essential minerals, such as magnesium and potassium. You may have noticed the alcohol warning label Eliquis can cause adverse reactions. foods made with partially hydrogenated vegetable oils, reducing intake of high-calorie processed foods. Certain medical conditions and other factors may increase the risk of interactions with Eliquis. However, there have been reports of an increased risk of blood clots with the use of testosterone products. Used to reduce the risk of stroke and blood clot formation in people with nonvalvular Atrial Fibrillation (AF). Mayo Clinic does not endorse companies or products. Healthline Media does not provide medical advice, diagnosis, or treatment. There are not any known interactions between Eliquis and acetaminophen (Tylenol). If we combine this information with your protected They can determine whether to prescribe the drug. Grapefruit. It's not enough to limit total fat intake alone, however, since different types of fat affect the cardiovascular system in different ways. Play it safe with prescription drugs. If you have had an allergic reaction to Eliquis or any of its ingredients, your doctor will likely not prescribe Eliquis. Available for Android and iOS devices. 2005-2023 Healthline Media a Red Ventures Company. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Foods high in sugar can elevate your blood glucose levels. EMD is a significant predictor of AFib (33, 34). John's wort, for example, activates one of the liver . The list of medications that can interact with grapefruit includes commonly prescribed medications that: Another potential problem is that some foods and drinks may contain grapefruit but don't say so in the name or on the ingredients list. Learn more about blood clot. Eliquis is an anticoagulant medication used to prevent and treat blood clots. The clots location and severity will determine the treatment. Promptly consult your doctor. To provide you with the most relevant and helpful information, and understand which In particular, you should avoid taking Eliquis with aspirin or other blood thinners, as this may increase your risk of bleeding. An antidote was approved in 2018, called andexanet alfa. Answer From Katherine Zeratsky, R.D., L.D. Always ask your doctor or pharmacist when you get a new prescription if it interacts with any foods or other medicines. Avoid eating too much meat or full-fat dairy, which contains a lot of saturated animal fats. The risk of bleeding may be increased when Eliquis is taken with certain other medications, such as aspirin or other blood thinners. This means that drinking alcohol while taking Eliquis could increase . A 2015 study found that diets high in saturated fat and low in monounsaturated fatty acids were associated with a greater risk of persistent or chronic AFib (22). Avoid or drink only small amounts of these when taking warfarin: Talk to your health care provider before making major changes in your diet and before starting medications, vitamins or herbal supplements. Avoid apple,. 21-24: Certain blood thinners. can increase the risk of side effects from Eliquis*, can make Eliquis less effective than usual.