INR monitoring

4 interactions related to INR monitoring

Warfarin + Vitamin K

Warfarin and vitamin K have directly opposing effects on blood clotting. Warfarin works by interfering with how the liver recycles vitamin K, so changes in vitamin K intake can push warfarin's effect up or down and alter the INR.

high
warfarinvitamin Kwarfarin interactionCoumadinINR monitoringblood thinner food interactionsvitamin K supplementsleafy greens and warfarinanticoagulant safety

vitamin d + vitamin k2

Vitamin D and vitamin K2 act synergistically on calcium metabolism: vitamin D increases calcium absorption while vitamin K2 activates osteocalcin and matrix Gla protein to direct calcium into bone and away from soft tissue. The main caution is for people taking warfarin.

low
vitamin dvitamin Kbone healthcalciumcalcium metabolismfat-soluble vitaminssupplement interactionvitamin d absorptionwarfarinINR monitoring

blood thinner + vitamin e

High-dose vitamin E supplements can add to the bleeding risk of anticoagulant and antiplatelet medications by inhibiting platelet aggregation and antagonizing vitamin K–dependent clotting factors.

high
blood thinnervitamin ewarfarinCoumadinINR monitoringdrug supplement interactionbleeding risk supplementsanticoagulant safetyblood thinner safety

warfarin + fish oil

Fish oil may modestly add to bleeding risk when combined with warfarin, though most people on stable doses show little change in INR.

moderate
warfarinfish oilomega-3warfarin interactionINR monitoringbleeding risk supplementsblood thinner safetydrug supplement interactionCoumadin