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Fruits That Affect Warfarin

author image Lindsay Stern
Lindsay Stern is a registered dietitian and licensed nutritionist who has been working in community and clinical nutrition since 2006. Currently she specializes in wellness and prevention and has been a certified Health and Wellness Coach since 2012. Stern holds Master of Public Health nutrition from the University of Minnesota.
Fruits That Affect Warfarin
A bowl of dried prunes on a wooden table. Photo Credit: nata_vkusidey/iStock/Getty Images

Eating healthy can be simplified when taking prescription warfarin, once you know which foods contain vitamin K. Several foods interact with this medication -- including vegetables and fruits that provide vitamin K, a nutrient that makes proteins to thicken the blood -- and can negate warfarin's blood-thinning effects. Knowing which fruits contain vitamin K can help you eat consistent amounts in your diet and allow warfarin to work effectively.

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Fruits to Limit

The recommended daily value for vitamin K is 80 micrograms, and it is important to limit fruits that provide 60 percent or more of the daily value to no more than three servings each day. A 1-cup serving of prunes, or dried plums, is the highest source of Vitamin K among fruits with a total of 103.5 micrograms, or 129 percent of the recommended daily value. Kiwifruit is the second highest at 72.5 micrograms per 1-cup serving. Other fruits that are moderately high in vitamin K include cooked plantains and rhubarb, avocados, blueberries and blackberries.

Fruits to Consume

There are several fruits that have no vitamin K that would interact with warfarin. You can eat citrus fruits and juices, including tangerines, oranges and clementines, without side effects. Grapefruits also contain no vitamin K but are known to interact with many medications, so make sure to check for interactions with other medications you may be taking. Other fruit options that contain very little vitamin K include watermelon, apples, pineapple and bananas and fresh or canned cherries, pears, peaches and papayas.

Vegetables to Limit

Fruits can provide a significant amount of vitamin K, but it's also important to monitor vegetables when taking warfarin. Green leafy vegetables are some of the best sources of vitamin K and can provide more than 200 percent of the daily value. Consume no more than a half-cup serving each day of leafy greens like kale, spinach or collard greens. A half-cup serving of Brussels sprouts or 1 cup of lettuce and broccoli also provides a significant amount of vitamin K and should be limited to three servings or fewer each day.

Special Considerations

To ensure your medication works effectively, eat consistent amounts of vitamin K each day. For example, if you like to eat fruits like berries, kiwifruits or avocados or dark green vegetables, make sure you eat some every day. A sudden increase or decrease in the amount of vitamin K can change the effect warfarin may have on your blood. Grapefruit juice and cranberry juice are sometimes of concern to patients taking warfarin. However, recent studies indicate that consuming up to 4 ounces per day of either of these juices doesn't cause significant interactions. Always report any changes in your diet to your physician, and get your recommended regular blood testing to help you and your doctor monitor how warfarin and your diet are working together.

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