Can excessive intake of pineapple increase INR? Plums? I stay between 2.5 & 3.5 because of mitral valve replacement. i regulary eat lots of spinach & broccoli. I stay at around 3.0. Last check was 4.2! What could be the reason? I suspect I had large amount of pineapple juice, strawberries, mango, coconut milk, and plain yogurt. I take 10mg daily.
How can excessive intake of pineapple increase INR?
Question posted by forjcb on 12 Aug 2018
Last updated on 18 February 2019 by Happy Pharmacist
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Answers
Happy Pharmacist
18 Feb 2019
I disagree with the previous answer provided by "inactive" on Aug 12, 2018.
Eating spinach and broccoli will NOT jack up your INR. These are vegetables high in Vitamin K, which warfarin works against, and may decrease your INR if consumption is suddenly increased. However, the dose of warfarin prescribed for you takes into account your regular intake of Vit K, so if your INR is staying around 3.0 and you can keep a consistent level of Vit K intake, then don't change anything. Many reasons can cause INR to go up, but the ones you mentioned, pineapple juice may be the biggest culprit. Pineapples contain bromelain, which can increase INR if consumed in large amount.
Inactive
12 Aug 2018
Spinach and broccoli can jack up your INR level. Mango is another factor contributes to the INR level. Pineapple juice can increase your INR as well because it contains Vitamin K. Any fruits or juice containing Vitamin K can have effects.
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pineapple, warfarin, spinach, broccoli
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