QTc Prolongation by Grapefruit Juice and its Potential Pharmacological Basis
After a class I taught recently, I had a patient come up and ask me about coumidin’s interaction with other natural compounds (specifically, I believe, fish oils). She was on coumidin for atrial arrhythmia which, quite frankly, is not a bad idea if nothing else is attempted.
However, with rising evidence of fish oils and now flavonoids being able to reduce arrhythmias, the permanent use of blood thinning agents may need to be re-evaluated. Especially in the light that patients on blood thinners have to avoid most green leafy veggies which have unquestionable major benefits on long term health.