The People's Perspective on Medicine

Turmeric Interacts with Coumadin

Who would imagine that curry, guacamole, cranberries or mango could interact with a medicine to cause a potentially life-threatening interaction? All these foods may alter the action of warfarin (Coumadin), an anticoagulant used to prevent blood clots. What should you know about food-drug interactions? Did you realize that turmeric interacts with warfarin?

Scary Food-Drug Interactions:

Both doctors and patients may overlook food-drug interactions when they are discussing a new prescription medication. As a result, patients may not realize when their eating habits put them in harm’s way. One reader learned about this the hard way.

Turmeric Interacts with Warfarin:

Q. Turmeric increases the anticoagulant effect of Coumadin. I have been on Coumadin for 15 years because of an artificial aortic valve.

I had read that turmeric was effective in lowering cholesterol and began sprinkling it on broccoli. My INR went up dramatically and my pharmacist said, “STOP!” Have there been any studies on the blood-thinning effect of turmeric?

A. You are not the first person to report this interaction between Coumadin (warfarin) and turmeric. Others have reported a spike in their INR lab values (a measure of blood anticoagulation) and we believe this is a dangerous combination. Our fear is that this could lead to a serious bleeding episode.

Interactions That Reduce the Effectiveness of Warfarin:

Coumadin is actually an exception. Most prescribers are aware of potential interactions between this blood-thinner and the vitamin K contained in green leafy vegetables. Excess vitamin K can reverse the effect of warfarin and lead to dangerous blood clots.

In response to this advice, however, people may restrict their diets too stringently. Some patients become frustrated wondering how to get their vitamins because they have been told to swear off all salads, vegetables and multi-vitamins containing vitamin K. Instead, health care professionals should tell them to get the same amount of vitamin K each day from food (as they would from a multivitamin). As a result, the prescriber could adjust the dose appropriately.

Very few people taking warfarin are warned that avocados, green tea or menthol cough drops could also interfere with warfarin’s effectiveness. Dietary supplements may pose a risk as well. St. John’s wort, Coenzyme Q10 and ginseng may interact in the same way.

Interactions That Increase Warfarin Activity:

Cranberry juice, mango, garlic, fish oil and turmeric (in curry or in curcumin pills), on the other hand, may increase the blood thinning activity of warfarin (Norwood et al, Journal of Pharmacy Practice, Dec. 2015). A recent review cites evidence that curcumin has anti-clotting activity (Keihanian et al, Journal of Cellular Physiology, June 2018). Scientists did research in rats to check out interactions between curcumin with warfarin and clopidogrel (Liu et al, Planta Medica, July 2013). They found that curcumin affects absorption of both warfarin and Plavix, but they saw no evidence of increased bleeding. The higher INR values that many patients have reported to us suggest that this combination is too tricky to try at home, however.

Other Food and Drug Interactions:

Many other drugs and dietary supplements can be affected by food or drink. Tea (hot or iced) can reduce the absorption of iron from pills or non-meat foods such as spinach. Coffee and foods based on soybeans cut absorption of the thyroid hormone levothyroxine (Skelin et al, Clinical Therapeutics, Feb. 2017).

Fiber in bran can diminish the absorption of a powerful heart medicine called Lanoxin (digoxin) and statin-type cholesterol-lowering medicines such as Lipitor (atorvastatin) and Zocor (simvastatin). High fiber foods such as bran muffins can also make certain antidepressants less effective.

Watch Out for Peppermint:

Peppermint is a popular ingredient in candy, chewing gum, cough drops and herbal tea. It is used in dietary supplements for treating irritable bowel syndrome. Research shows that peppermint may affect enzymes in the body that that help process many medicines (Unger & Frank, Rapid Communications in Mass Spectrometry, 2004). Unfortunately, the practical implications of this activity have not been explored.

Food-Drug Interactions with Grapefruit:

Grapefruit has a similar but stronger impact. It can raise blood levels of a range of medications including Lipitor, Mevacor and Zocor as well as BuSpar, Estrace, Plendil, Sonata, Tegretol and Viagra. Significantly, a recent review found that grapefruit juice increased blood levels and duration of the opioid oxycodone (Feng, Zhu & Zhou, Journal of Pain Research, May 24, 2017). The volunteers in the study drank almost a cup of grapefruit juice three times a day.

Certain drugs used to treat overactive bladder, such as fesoteradine (Toviaz), also interact with grapefruit and grapefruit juice (Pasko et al, International Journal of Clinical Pharmacy, Dec. 2016). As a result, people may be more likely to suffer side effects such as dry mouth, irregular heartbeat, blurred vision, headache, difficult urination or constipation.

The allergy drug fexofenadine (Allegra) interacts with grapefruit juice as well, albeit through a different mechanism (Yu et al, Journal of Pharmaceutical Sciences, online April 13, 2017). Paradoxically, this interaction dramatically decreases the amount of fexofenadine in the bloodstream.

Learn More:

Such food-drug interactions can be confusing. Anyone who would like to know more may want to consult our Guides to Coumadin, Food and Grapefruit Interactions.

Drugs can interact with other medicines as well as with foods, beverages or dietary supplements. Bad combinations cause thousands of deaths each year. The best protection is information and vigilance. Your health professional may not be aware of every possible danger, so you need to protect yourself.

Revised 5/28/18

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About the Author
Joe Graedon is a pharmacologist who has dedicated his career to making drug information understandable to consumers. His best-selling book, The People’s Pharmacy, was published in 1976 and led to a syndicated newspaper column, syndicated public radio show and web site. In 2006, Long Island University awarded him an honorary doctorate as “one of the country's leading drug experts for the consumer.” .
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As I have served in mission work in Bangladesh I developed a taste for eastern food high in turmeric, curry, ginger root, and garlic. For years I have eaten at least three servings of eastern foods per week. I am now 81.

When I was 79, I was prescribed coumadin for a-fib, and about four weeks after I started taking coumadin I started to have infections and was hospitalized four days for a very serious infection. After I was released from the hospital the infections continued. Although I was not hospitalized for the subsequent infections, my primary care physician was running out of anti-biotics to treat the concurrent infections. When I stopped taking coumadin, the infections stopped.

I suspect that I did not need the coumadin any longer, as I was eating a diet high in turmeric, ginger root, curry, and garlic. I have a cardiologist who is very aware of this. I am still alive and doing very well without any blood thinners.

Drinking grapefruit juice or eating grapefruit and taking a calcium channel blocker can cause a deadly interaction with heart rhythm.

I’ve been on Warfarin for years, and my INR is consistently in range. I love fruits and vegetables and eat plenty. The secret is being consistent in what one eats. If you have a consistent diet, your dosage can be adjusted to match it, and you’ll be fine.

Would using Tumeric along with another type of blood thinner cause similar problems? I am currently taking Apixaban (Eliquis) for AFib.

Over the Memorial Day weekend I read the People’s Pharmacy article about raw onion and bee stings. Sunday afternoon I was working in may yard and got stung by a wasp on my cheek. After checking to make sure the stinger was out, I remembered the article that day. Cut a small piece of onion and applied it to the place where I was stung. The stinging pain was gone in 5 minutes. THIS WORKS!!! I still had some swelling and discomfort but the pain was GONE!

I also am on Coumadin and just wondering if I could or should take turmeric and what changes I should take or make to taking this for arthritis?

I have none.

Have any of you balanced Warfarin with turmeric successfully????

Has anyone successfully taken tumeric tablets and been able to decrease the warfarin amount they are on … Because of the side effects and getting arthritis that is starting to bother him .my husband is looking at maybe trying this .. Tumeric he has taken in the past has helped his arthritic problems a lot , we have our own INR machine so would be able to check his levels regulary and keep track of where his blood is at .. Any imput would be appreciated …

I took Turmeric/Curcumin along with Warfarin for 6 years with no side effects. Warfarin requires monthly blood tests, whereas Xarelto does not, so I switched to Xarelto 2 years ago, and still no side effects.

I have been taking warfarin for a minimum of 40 years, now very arthritic hands leads me down a new path, would appreciate any comments re taking turmeric , cinnamon and fresh ginger about 1/2 teaspoonful of each daily in a large cup of warmed Almond Milk

My nurse practitioner told me to continue taking turmeric (for arthritis) and eating small amounts of green leafy vegetables which are needed to prevent calcification. She said she can balance that with the dosage of warfarin prescribed. So far it has worked out. My INR reading is just where she wants it to be. I take 5mg warfarin every night, and my INR is 2.0. I take tumeric about twice a week, only 1/2 capsule, and I have no arthritic pain.

My sister’s experience with Turmeric and Coumadin. My sister’s INR readings were at a steady 9 ml a day for a long time. A friend of ours introduced us to the natural herb Turmeric to help with her diabetes, which it did begin to lower. We started taking the Turmeric powder about a week before her next IRN lab. We received an alarming call from the lab at 6:15 am the next morning to please stop all Coumadin until we heard from her Dr. later that morning. I know we had not changed our routine with diet or exercise, when I remembered the one thing we had changed was adding a forth teaspoon of Turmeric with our morning’s meal.

This is not to take away from the benefits of Turmeric, but because of the lab result, perhaps Turmeric and Coumadin should not be taken together. That’s all.

I am 61 years of age & have been taking 3-4 mgs daily of Warfarin for nearly 20 years. I have AF Atrial Fibrillation & have recently been diagnosed with AS Ankylosing Spondylitis – an autoimmune arthritus.
I know the Warfarin keeps my INR around 2.1 to 2.4 regularly & improves my chances of not having a stroke but it gives me no joint relief.
I am seriously considering taking Turmeric (Curcumin BP )in conjunction with the Warfarin. The Curcumin comes in 1100 mg tablets.
I planned to take 1 Curcumin morning & night & 2 mg Warfarin once at night.
I also plan to have regular INR tests.
Has anyone out there tried this approach?
All input appreciated.
Regards
RobB

I have been taking Curcumin Complex for 4 years years as a result of reading that studies at M.D. Anderson may possibly have an effect in treating M.G.U.S. I advised my oncologist at Dana Farber and have noted that during the past 10 years there have been no appreciable increase in paraproteins.

Since the Mgus remains stable, tested twice per year and have not noticed any problem with excessive bleeding even with dental treatment, I plan to continue taking 875mg twice daily. I also take an 81 mg. aspirin daily. I hope my decision is prudent.

Hi, I am looking into taking Magnesium-Curcumin supplement, but am on Warfarin 2.5 mg, 4 times a week and 5 mg. 3 times a week. From what I’ve read, I shouldn’t take them both together as my blood would really thin out. I take it because I have permanent A Fib, small leaky heart valve and mild congestive heart failure.

I would really like to get off of all my meds and go back to all supplements. Could you tell me, do you have A Fib also. If you do, did Doctor say it was okay to take the mag-cur. supplement? Thank you so much for your time. Bonnie

I have just started taking Curcumin BCM95….are there any side effects if I also take 1 (81mg) baby aspirin a day?

Right on brother and all the power to you (Y) Oh, and also > thank you!

I have been on Coumadin for perhaps 7-8 years for arrhythmia, 2.5 Mg. daily, with periodic INR tests which have been good. My doctor knows I take fish oil. Wish I could get some info if blueberries affect INR levels, also any other dark fruit such as grapes, fruit juices containing dark berries. Had serious bleed 5 years ago requiring blood transfusions so I am careful but not phobic about would-be blood thinners. Does anyone know about these “green drinks” and if they are safe for someone on Coumadin.
People’s Pharmacy response: If the green drinks have enough kale, spinach or other greens in them to be helpful, they could pose an interaction hazard with Coumadin.

I’ve been on warfarin almost 2 years after a PE. I eat blueberries almost daily, large salads and many fresh veggies. My husband makes me green smoothies for lunch at least twice weekly. The secret is to carefully calculate your “greens” and maintain them daily. I eat pretty close to 350 mcg of Vitamin K daily; not terribly different than before the clots. I have however given up kale, collards, chard – just too high in K to make a big mistake. I admit I miss them but that was not a level of risk that I could accept. I eat lots of broccoli and brussel sprouts though. I just keep a running total of how much K is in eat thing. It’s only hard the first week when you’re learning the value and amount of each food item — but well worth it.

Could using turmeric lead to taking smaller doses of Coumadin ? I know its a balancing act.
People’s Pharmacy response: doing the experiment would require very close monitoring!

In response to the person who mentioned not having seen any Plavix-turmeric connection, I did — big surprise, as I hadn’t yet visited this page. I began bleeding at the slightest scratch, took me a while to figure out what was going on, as I often didn’t even feel it. I was taking high-grade capsules — I wish I could take turmeric instead of Plavix, as I can’t use NSAIDs and have arthritis. Hope this provides a clue to someone else . . .

When taking Coumadin, it is extremely important that the patient not make radical changes to diet. A simple change can create a different INR result, so making several changes at the same time may make it impossible to find which new food or supplement is causing a change in the INR. Additionally, since so many substances affect Coumadin, either increasing or decreasing INR measurements, it is important to make changes gradually or one-of-a-time, so that the individual can confer with his medical provider about any changes that result. If a person makes dietary changes slowly and one at a time, Coumadin levels can be adjusted to stay in proper range.

After my DVT and massive saddle PE last year, it took more than a year to find my “go to” list of Vitamin K content in food. It’s called the USDA National Nutrient Database for Standard Reference. ALL OF THE FOODS ON THIS LIST *LOWER* YOUR INR – they cause more clotting.
Easy version: chose the 2nd link below, scroll down to Vitamin K, and click the “W” to have the list sorted by level of the vitamin. Then use Ctrl-F or the search feature in your browser to look for “curry powder”, for example.
You deserve to have more control over your INR. There’s too much ignorance on this topic, and “do not eat curry powder without talking to your doctor” is right up there with not eating the following since 1 tsp. of curry powder contains the same Vitamin K (2 micrograms) as the following foods:
Cookies, oatmeal, commercially prepared, regular, 25 g (one cookie)
Spaghetti with meat sauce, frozen entree, 283 g
Plums – 1 plum
Cream of mushroom soup, canned, prepared with water, 1 cup
LETTUCE, ICEBERG, 8 grams (a small amount; Note: a head has 130 mcg)
Reese’s Puffs General Mills cereal, 3/4 cup
Saltines, 4 crackers
…and many, MANY more.
Compare 2 micrograms of Vitamin K in the foods I listed (including curry powder aka source of curcumin) to the levels in kale, spinach, and collard greens: 836-1147 micrograms for one cup.
If you had to talk to your doctor before eating any food on this 22 page PDF list your doctor would lose his or her mind! Concentrate on the high levels and even more importantly, WHICH FOODS YOU EAT A LOT OF. If you are prone to eat 50 saltine crackers at one time, those will have MORE Vitamin K (100 mcg) than a cup of raw broccoli (89 mcg)!
I monitor my INR at home so I also have more control and can test when I choose, which also allows me more flexibility.
Paying it forward… :-)
Links: http://www.ars.usda.gov/Services/docs.htm?docid=8964 and
http://www.ars.usda.gov/Services/docs.htm?docid=22114

I thank you, this is brilliant!

I am a Pharmacist and a drug discovery chemist. I have been in the health care and Pharmaceutical industry for more than forty years. I read all the comments on the interaction of blood thinners like coumadin and plavix. Of the two drugs all clinical evidence points than plavix is a much more safer drug when people take spices like turmeric, ginger cinnamon and others. Moreover when you take as spices they contain other ingredients which counteract some of the actions of the main ingredient.
In case of turmeric it contains no less than 10 to 15 different closely related substances to curcumin. Taking one to two capsules of turmeric or 1-2 grams of turmeric should not effect the clinical effects of drugs like plavix. In case of coumadin it is a different issue. It is a old drug like heparin and they are strong blood thinners but at the same time they have at times more side effects.

I am taking warfarin. I had an elevated INR after having two meals of curry in an Asian restaurant. I discovered the advice not to consume turmeric in a book by the Peoples Pharmmacist concerning food and natural remedies. I think this is what caused the INR elevation. I belong to Kaiser and told their Coumadin Clinic after I had stopped eating curry and had a normal result, but the person there (probably a pharmacist) did not agree and said I could consume curry, since it was probably a small amount.
I will tell my doctor. I believe it is true and do not plan to consume curry, since it will lead to being tested more often. The previous contact at the Coumadin Clinic thought it was due to diarrhea, but that has not been a big problem lately. Unfortunately, I am on a gluten-free diet, and the curry dishes were the majority of the gluten-free dishes in the restaurant.

I need to know if anyone takes arthritic meds with 50 mg of turmeric while on plavix if its safe?

will turmeric interact with plavix? I Also take k

Re the Turmeric/Coumadin question. My VA pharmacist told me if I wanted to try the Turmeric, begin 4 days ahead (In 4/5 months I’ve been at INR 1.8/2.2). I began with about 1/4 to 1/2 Turmeric per day on dinner food four days ahead and went from 1.8 to 2.2. I’m going to do 1/2 tsp per day from now until the 17th when I have next blood test.
Seems almost impossible to get a real handle on this stuff. My diet is the same, oatmeal and varied fruit & nuts, and then fruit snacks all day; sandwich with protein for lunch. At dinner it’s vegetables (ratatouille type veg or a cup of romaine for salad) Seems to keep me (and now with the addition of the Turmeric) somewhat over 200.
Does anybody (or the Graedons) have an opinion of INR self-test kits?? Thanks, Mrs. Innes

I was so excited to see in this past Mondays paper 3/14/11, about taking turmeric for neuropathy in the feet. I am suffering from lupus, fibromyalgia, osteoarthritis and my feet are killing me. However, since I am on coumadin I am afraid to try the turmeric because of my INR. Any other suggestions as to how to alleviate the pain in my feet?

Hi,
I have been taking warfarin since march of 2010. I could not get protein levels stable. I began experimenting with turmeric spice (making my own gravity packed gelcaps) had to experiment with dosage. In a nutshell turmeric stabilized protein levels for me at 2 #60 gravity packed gelcaps/day. Now I am experimenting with how long can I take the turmeric before in becomes ineffective.
PEOPLE’S PHARMACY RESPONSE: WE TRUST YOUR INR IS MONITORED ON A REGULAR BASIS. SO LONG AS YOU STICK WITH THE SAME DOSE OF WARFARIN AND DON’T CHANGE YOUR TURMERIC DOSE, YOU SHOULD BE OK BUT MUST BE MONITORED.

How much Turmeric should I be taking for psoriasis, should I take it in pill form or the regular spice?
PEOPLE’S PHARMACY RESPONSE: YOU COULD TRY HALF TO A WHOLE TEASPOON AS SPICE, OR 1.5 TO 3 GRAMS DAILY IN CAPSULES. REMEMBER: NO TURMERIC OR CURCUMIN FOR ANYONE ON COUMADIN.

I am a 73 yo male, have experienced pulmonary embolism and DVT twice during the past 3 years, am now on warfarin for life. Any new promising and safer meds on the horizon to replace warfarin ??

I know that turmeric supplements increase the risk of bleeding when taken with Warfarin, but what about turmeric spice. Is there a safe amount I can take daily?
PEOPLE’S PHARMACY RESPONSE: SOME OF THE PEOPLE WHO REPORTED PROBLEMS TO US WERE USING POWDERED TURMERIC SPICE. AN OCCASIONAL CURRY SHOULD NOT BE A SERIOUS PROBLEM FOR MOST PEOPLE (BE MODERATE!), BUT DAILY USE MAY REQUIRE RE-ADJUSTMENT OF THE WARFARIN DOSE.

I am on Coumadin for life after a pulmonary embolism 6 months ago, as well as after genetic testing revealed (pre-Coumadin) a risk factor for clotting. I had a long hard time reaching a stable INR result. My current level of coumadin is10, 10 12.5 mg daily, in that order. I eat greens regularly, and my INR has been fine for the last 3 months until the last test which was 1.3. I also use turmeric on a lot of food, which should have raised the INR number, I would have thought.
I am working this out with my internist, but so little is known about interactions and coumadin (except for Vit. K, and yes, I do take a multivitamin daily).
I also take 1000 mg of fish oil, 1200 vit D and 1200 calcium. I take Lipitor 20 mg and was taking Metformin 500 (for pre-diabetes pro active approach) until recently when I stopped it because of leg cramps.
Any comments would be appreciated, no matter how far fetched they may seem.

I am on coumadin for Protein C Deficiency for life. I also have a progressive disease that might be helped by taking turmeric. Why can’t I take turmeric daily and just have my protime tested more frequently while taking turmeric?

Is it safe to take Turmeric for leg cramps while taking Warfarin?

Is there a potential for osteoporosis with long term use of warfarin?
Can the use of things as turmeric, cranberry juice, clove, cinnamon spices/oils or glyco proteins be used in such a manner as to be able to replace the need/use of warfarin,?????
I take two (2) 5mg warfarin daily.
PEOPLE’S PHARMACY RESPONSE: IT CAN BE DANGEROUS TO MIX THESE NATURAL PRODUCTS WITH WARFARIN. INTERACTIONS MAY BE UNPREDICTABLE, AS THEY DEPEND TO SOME EXTENT ON GENETICALLY DETERMINED ENZYME ACTIVITY.

I have been on coumadin for over ten years with an artificial aortic valve. I recently discovered that chocolate and alcohol can also spike coumadin INR. That’s in addition to the dark green veggies and their generous helpings of Vitamin K, but Vitamin K reduces the thinning power of coumadin, while many other things increase it.
I was recently looking for a protein supplement bar and found that nearly all of them had a significant amount of Vitamin K in them. Cranberries are another culprit that can thin too much, a seasonal reason for spikes.
Probably more, but this may give you some other places to look.
S. Smith

Is there any information on vitamin K content of water chestnut peels? The USDA data list only has peeled (canned) water chestnuts, not whole fresh ones. I am looking for an explanation of a recent drop in INR that coincided with adding unpeeled water chestnuts to salads. Another candidate was kabucha, eaten whole (with its green skin), but removing the skin had no effect; I have assumed USDA figures for “winter squash, all varieties” applied to kabucha too.

Warfarin is a very complex drug; it contains not one, but 2 active components of different potency and its mechanism of action is by causing a controlled nutritional deficiency state. Warfarin absorption is altered by several minerals (most notably zinc, iron, magnesium, and aluminum), and its metabolism and excretion are altered by the functions of several body systems (TS, many of my patients who experience a sudden rise in INR with no other changes in their life are found to have had a significant change in their thyroid function).
It is important to realize that spices and herbs are mostly plant products, and the potency or concentration of a given mineral or chemical can vary, not only from plant to plant, but from one part of the plant to another part of the same plant. This means that it is difficult to keep your intake of a specific vitamin, mineral, or phytopharmaceutical consistent when you are consuming raw or natural product. And, since vitamins and mineral supplements and herbals are classified as ‘food supplements’ and not as ‘drugs’, they are not required to meet the same standards as drugs, and the actual contents may not match the labeled value.
There are several drugs and supplements which, if you are already taking them when the warfarin is stated, and you continue the same dose after you start the warfarin, will not cause a significant problem because the interaction occurs instantly and is factored into the warfarin dosing from the start. (From Dr. Noteboom’s experience, I’m guessing that turmeric might be one of these.) Of course, the warfarin will need to be readjusted if you then stop taking the other agent. You can see why it is important that your doctor and pharmacist know any time you add, change, or stop taking a supplement or herbal.
DOK is right, there ought to be something easier to use. Unfortunately, we haven’t found it yet!
So, whenever possible, check with your pharmacist or physician (or a reputable site, like this one) before adding or stopping a supplement or changing your diet while on warfarin, confirm the change with your physician at your next appointment and your pharmacist the next time you’re at the pharmacy so that it’s in the official records, and check your INR regularly!

Warfarin info is terrible. Most simply state ‘dangerous interactions’ w/out indicating +/- actions on warfarin or mechanism of action. And it seems the list is ridiculously long. Have there been any studies done on other blood ‘thinners’ like cranberry, turmeric, etc? It seems that there must be a better, safer compound out there that doesn’t have as many ‘dangerous interactions’ associated w/ it.

Regarding the comment on broccoli and Coumadin from 1/7/09. Broccoli contains vitamin K and will not “spike” the INR but rather will lower it significantly. This is why broccoli can increase the risk for clotting in patients on Coumadin. Patients should be consistent with the amount of broccoli (and other dark greens) in their diet and the INR should not be effected. Changes in the INR will occur if greens are suddenly dropped or if someone goes on a “broccoli binge.”

Hello,
I have a Coumadin question. I am on Coumadin for life because of the MTHFR clotting factor. (I have had problems with blood clots and pulmonary embolism prior to going on Coumadin.)
My INR has been very stable. It was 2.5 on Jan. 9, but I had it checked yesterday and it was 4.9!! (which is w-a-y too high) I was shocked. I have had no change in my diet or medications.
What would cause this? Does this mean I have some other major problem going on?
Thanks for your help.

This posting was very interesting. I am not on medication for blood thinning; however I experienced post menopausal bleeding after taking certain meds, such as aspirin and Boniva. Then the bleeding began again after eating foods high in phytoestrogen, including tumeric. After taking myself off of those foods (including the tumeric) the bleeding stopped.

I thank you for sharing with a big wide smile!

I just recently started taking Turmeric to help with my psoriasis after reading about the benefits in one of your Q & A’s and I was wondering how much should I take a day and how long before I see any results?

Since my Pro-time tests for Warafin vary, would it be advisable to take 1/2 Aspirin in the morning and the Warafin before bedtime?
PEOPLE’S PHARMACY RESPONSE: PLEASE CHECK WITH YOUR PHYSICIAN BEFORE STARTING TO TAKE ASPIRIN WHEN YOU ARE ALREADY TAKING WARFARIN.

I have been on coumadin for 4 yrs. due to arrhythmia. Cranberry juice (plain, no sugar or other juices added) is supposed to increase INR and mine is always on the low side. so I agree with the digestion comment. It depends on how you metabolize. My cardiologist doesn’t want me taking ANY thing natural ie fish oil. My primary dr.says take it. Fish oil is recommended for arrhythmia!

I take 500 mg turmeric daily while on coumadin. I have noticed a slight increase in INR, but variations can be due to many factors, Vitamin K containing foods, different rates of intestinal absorption. That is why the INR is such an important test to run regularly, especially if unusual bleeding occurs, such as spontaneous nosebleeds, bleeding under the skin, etc.

I recently started taking Solaray Turmeric with Boswelian and Bromelain. Is there a chance of kidney problems with this herb? I only have one kidney – lost the other one to stones. Thanks

So, turmeric and coumadin are an unwise mix. My question: is turmeric and plavix also a bad mix?
PEOPLE’S PHARMACY RESPONSE: WE DON’T KNOW. COUMADIN IS MUCH MORE LIKELY TO INTERACT WITH MANY OTHER FOODS AND DRUGS, BUT PLAVIX MAY ALSO INTERACT WITH A NUMBER OF BOTANICALS THAT INTERFERE WITH BLOOD CLOTTING. NO ONE HAS REPORTED A PLAVIX-TURMERIC PROBLEM TO US YET, BUT THAT DOESN’T MAKE THE COMBINATION SAFE.

I read this in the newspaper the other day and was very suprised that you didn’t pick up on broccoli as a factor that can raise an individual’s INR as it is high in Vitamin K. My husband has been on coumadin for years and has avoided eating too much broccoli because it spikes his INR. I would have thought this individual would have known this about broccoli.
PEOPLE’S PHARMACY RESPONSE: IT IS VERY IMPORTANT NOT TO GO OVERBOARD WITH BROCCOLI OR OTHER GREEN VEGETABLES WHEN TAKING COUMADIN. THEY ARE RICH IN VITAMIN K AND CAN INTERFERE WITH THE EFFECTIVENESS OF COUMADIN, POTENTIALLY LEADING TO A DANGEROUS BLOOD CLOT.

re: turmeric and coumadin;please don’t throw the baby out with the bathwater; there are lots of foods or supplements that are not supposed to be taken while on coumadin;
I have been taking 1 capsule daily(2 of cheaper brands)of turmeric since 2006; it sure helps to reduce inflammation; ( I am taking it preventatively against fibromyalgia as well as brain inflammation that MIGHT result in Alzheimer’s disease or other dementia;)
Maybe Peoples Pharmacy can make a list that contains most of the foods (like Ginger, etc.) or supplements like Omega 3, etc. that interact with coumadin.That would be helpful; Just do not make turmeric take the blame. (I am a faithful reader of this column!)

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