Since ancient times, there have been sayings that food pairings should not be used with food. For example, eating tofu and honey will cause deafness, and eating seafood and tomatoes will produce arsenic poisoning. These sayings that sound scary are unreasonable. But don't take medication and diet taboos as whispers.
Recently, a case report published in the European Heart Journal warns: taking cardiovascular drugs flecainide (antiarrhythmic drug) and warfarin (anticoagulant to prevent thrombosis_ During span4span and cerebral infarction), drinking wolfberry tea may cause poisoning.
For some chronically ill patients who need to take medicine for a long time, taking medicine and daily diet are complementary. Once the food and the drug "communicate", it will not only reduce the efficacy of the drug, but may also cause more serious consequences. Here are some common contraindications for taking cardiovascular diseases.
The four types of cardiovascular drugs each have "taboo" foods
Some foods may not only affect the efficacy of cardiovascular drugs, but also aggravate the condition. Therefore, when patients with cardiovascular disease are taking drugs, they must not eat foods that affect each other.
1. Take statin lipid-lowering drugs: eat less grapefruit
Lipid-lowering drugs (statins) taken with grapefruit will increase liver and muscle toxicity. statins is currently the most widely used lipid-lowering drug. The active ingredients in grapefruit will greatly increase its concentration in the blood. The study found that patients with dyslipidemia took 1 tablet of lovastatin with 1 cup of grapefruit juice. Compared with taking 1 cup of white water, the blood concentration of the drug was 10-15 times higher.
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2. Take antihypertensive drugs: eat less bananas
Bananas can provide potassium that lowers blood pressure,It can excrete too much sodium ion out of the body, thereby reducing its boosting effect and reducing the damage to blood vessels. Studies have shown that eating bananas regularly can prevent high blood pressure, and eating two bananas a day can also help improve blood pressure. However, during the period of taking antihypertensive drugs, especially during the period of adjusting the dose, it is best to eat less bananas, otherwise it may increase the side effects of the drug and cause low blood pressure.
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3. Take diuretics: drink less coffee
caffeine can promote kidney function and have a diuretic effect. If you take hydrochlorothiazide , furosemide and other diuretics with antihypertensive effect at the same time, it will increase the diuretic effect and easily cause excessive loss of sodium ions in the body.
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4. Take anticoagulants: eat less green leafy vegetables
Anticoagulants such as warfarin can inhibit vitamin K and thus inhibit vitamin K-dependent coagulation factor to prevent further formation of blood clots. The order of vitamin K content of general foods is: green leafy vegetables>meats and eggs and milk>fruits and cereals. Therefore, avoid eating a lot of green leafy vegetables before and after taking warfarin, including leeks, spinach, asparagus, amaranth , cabbage, green peas, mustard , spinach , bean sprouts, etc.
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In addition, you need to find the best time to take cardiovascular drugs.
1. Coronary heart disease medicine: get up in the morning.
2. Antihypertensive drugs: Take it at 7 am and 2 pm.
3. Lipid-lowering drugs: Take it at night.
What needs to be reminded is that because there are subtle differences in the way of taking each medicine, the specific medication plan needs to be in accordance with the doctor's advice.
Tips for taking medicine safely
Don’t worry about the effects of food and medicines and develop a “drug-phobia”, so stop the medication yourself. At this time, it is better not to eat certain foods instead of Stop the drug first. At the same time, you need to consult your physician, pharmacist, and dietitian for inquiries and understanding of the effects of related drugs and foods before making a decision.
For foods that have been shown to cause adverse reactions, it is best not to eat them at the same time as the medication. For similar foods, if there is no evidence of such interactions, such as citrus oranges and oranges at the same time, if you want to eat it, don't worry too much. Because the effects of food and drugs also have a dose-corresponding relationship, if you take a little occasionally, if the amount is not too much (such as 50g), you can also use it with confidence. At the same time, pay attention to the interval of taking, usually the interval between eating food and these drugs is 1-2 hours . If you really don’t understand and worry, you can consult a nutritionist to understand the relevant content.
For some special drugs such as tumor drugs, anticoagulant drugs, antibiotics, etc., it is best to routinely monitor blood drug concentration. On the one hand, it can prevent the drug concentration from being too high or too low, which affects the efficacy; on the other hand, it can also understand eating Whether certain special foods have an effect on it, provide a basis for eating food or not looking for alternative drugs.
integrated from "Family Medicine", Sohu.com
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