Showing posts with label recommended daily. Show all posts
Showing posts with label recommended daily. Show all posts

While including any fruits or veggies in your diet will be beneficial for your wellness – not to mention your waistline – some fresh foods have more of an impact on your wellbeing than others. We’ve rounded up the crème de la crème; the Supermen of all superfoods, which all contain more than their fair share of vitamins, minerals, and disease-fighting nutrients.


1. Alfalfa sprouts: Aside from being virtually fat-free and sporting less than 10 calories in a single cup, alfalfa sprouts are packed with phytochemicals called saponins. Why are these important? Saponins are thought to protect you against cancer and help lower your cholesterol. Try adding a few alfalfa sprouts on top of your turkey or veggie burger, or else get some of that fresh, earthy crunch in salads or sandwiches.


2. Apples: Sure they’re not exotic or new, but there’s a reason why apples have stood the test of time. This superfood is the richest fruit source of pection, which is a soluble fibre that lowers your blood pressure, reduces your cholesterol, decreases your risk of colon and breast cancers, and maybe even lessens the severity of your diabetes. If apples have never been your thing, try a different variety or toss a few slices with field greens, toasted pecans, and a light vinaigrette.


3. Avocados: In just one half of a medium-sized avocado, you’ll find 15% of your recommended daily folate intake and more than four grams of fibre. Avocados are also a powerhouse for heart health, being free of cholesterol while also rich in monounsaturated fats and potassium. Avocados make for a great base in creamy sandwich spreads, or you can add a few chunks to your favourite salsa for a simple and delicious way to dress up grilled chicken or fish.


4. Cranberries: You may have heard that the cranberry’s wheel-house is in protecting you against urinary tract infections, but don’t limit its superfood potential. Cranberries may improve blood cholesterol and aid in recovery from strokes, while cranberry juice has been shown to increase the potency of cancer drugs. You can get these tart and tangy berries in frozen form throughout the year, but the best time to eat them fresh is during their peak season from October through December.


5. Flaxseed: On top of lowering your blood cholesterol and reducing your risk of heart attacks, flaxseed also provides you with a rich source of lignan, a powerful antioxidant that may be a formidable force against disease and certain cancers, especially breast cancer. You digest ground seeds more efficiently than whole seeds, so these are the best ones to plump for. In just two tablespoons of ground seeds, you’ll find 20% of your recommended daily fibre intake and more than 100% of your recommended intake for omega-3 fatty acids, which fight inflammation. However, as flaxseeds are so full of fibre, you need to be careful when incorporating them into your diet. Doing too much too quickly can have a laxative effect, so gradually add it to baked goods (for a nutty flavour), on top of your cereal, or blended with yoghurt and fresh fruit for a tasty smoothie.


6. Papayas: Just one cup of papaya cubes gives you well over your daily requirement for vitamin C, as well as packing a nutritional one-two-punch of potassium and folate. Moreover, papaya is a good source of two powerful antioxidants – vitamins A and E – that protect you against heart disease and colon cancer. The rich, buttery flesh of this tropical superfood is amazing in smoothies and salads, but you’ll love it just on its own when you scoop it out of the shell with a spoon.

When two or more medicines are taken at the same time, the effects of one of the medicines can be altered by the other (drug-drug interaction). Aspirin can interact with other medicines.


Some of the more common interactions are listed below. However, this is not a complete list.


If you want to check your medicines are safe to take with aspirin, ask your doctor or pharmacist, or read the patient information leaflet that comes with your medicine.


Anti-inflammatory painkillers


Aspirin should not be taken with anti-inflammatory painkillers such as diclofenac, ibuprofen, indometacin or naproxen, as this increases the risk of bleeding in the stomach.


Read more information on these medicines on our anti-inflammatory painkillers medicines info page.


Methotrexate


Aspirin can reduce the body’s ability to remove methotrexate, and can therefore increase your risk of serious side effects from this drug.


SSRI antidepressants


Taking aspirin with SSRI antidepressants such as citalopram, fluoxetine, paroxetine, sertraline or venlafaxine may increase your risk of bleeding.


Read more information on these medicines on our SSRI antidepressants medicines info page.


Warfarin


Warfarin is an anticoagulant medicine that prevents your blood from clotting. Aspirin taken with warfarin can increase your risk of bleeding. However, there are some situations where you may be advised by your doctor to take aspirin and warfarin together.


Interactions with food and alcohol


There are no known interactions between aspirin and food.


However, it is a good idea to take aspirin with or after food, to help reduce irritation to the stomach.


It may be safe to drink alcohol with some painkillers that can be bought over the counter (OTC), as long as you:


Taking more than the recommended dose of aspirin or ibuprofen increases the risk of irritation to your stomach lining. This risk is increased further if you drink more than the recommended daily limits and may lead to bleeding from the stomach.



nteractions with other medicines

When two or more medicines are taken at the same time, the effects of one of the medicines can alter the effects of the other. This is known as a drug-drug interaction. Clopidogrel can interact with other medicines.


Some of the more common interactions are listed below. However, this is not a complete list.


Increased risk of bleeding


There is an increased risk of bleeding when clopidogrel is taken with some other medications including:


  • non-steroidal anti-inflammatory painkillers (NSAIDs) – such as diclofenac, ibuprofen and naproxen

  • dipyridamole – another type of antiplatelet

  • warfarin – an anticoagulant medicine that prevents your blood from clotting

If you want to check your medicines are safe to take with clopidogrel, ask your doctor or pharmacist or read the patient information leaflet that comes with your medicine.


Interactions with food and alcohol


There are no known interactions between clopidogrel and food, although it is a good idea to take clopidogrel with or after food, to help reduce irritation to the stomach.


It may be safe to drink alcohol with clopidogrel as long as you:


  • check the patient information leaflet that comes with the medicine

  • take the correct dose of your medicine

  • do not drink more than the maximum recommended daily limits of alcohol

Taking more than the recommended dose increases the risk of irritation to your stomach lining. This risk is increased further if you drink more than the recommended daily limits and may lead to bleeding from the stomach.



Interactions with other medicines

You may not always be able to take non-steroidal anti-inflammatory drugs (NSAIDs) in combination with other medicines. This is because some combinations of medicines can cause harmful side effects.


Taking NSAIDs can also make certain medicines less effective. This could be potentially dangerous if these other medicines are treating a serious condition, such as high blood pressure (hypertension).


Some commonly used medications known to interact with NSAIDs are outlined below.


(This is not a complete list; always carefully read the information leaflet that comes with your medication in case there are other interactions that apply to you).


Low-dose aspirin


Low-dose aspirin is given as a preventative treatment to thin the blood in people thought to be at risk of a blood clot which could then trigger a heart attack and stroke.


The use of NSAIDs are not usually recommended for people taking low-dose aspirin because:


  • NSAIDs can make the aspirin less effective in thinning the blood

  • the combination of the two medications can increase the risk of stomach ulcers forming

If the use of an NSAID is thought to be absolutely necessary then you may be switched to an alternative blood thinning medication such as clopidogrel.


Ciclosporin


Ciclosporin is a medication used to treat autoimmune conditions such as arthritis or ulcerative colitis.


It is also used in people who have received an organ transplant to prevent their body rejecting the transplant.


There is a small risk of experiencing kidney and liver damage if you take NSAIDs while also taking ciclosporin.


So if you need to take both medications at the same time you may be referred for regular blood tests so the state of your liver and kidneys can be assessed.


Diuretics


Diuretics are a group of medications that help remove fluid from the body and are often used in the treatment of high blood pressure.


Diuretics are generally safe to take in combination with NSAIDs but you will need regular tests as they can occasionally cause kidney damage and also lead to a rise in blood pressure.


Lithium


Lithium is a type of medication used to treat bipolar disorder and severe depression.


Taking NSAIDs in combination with lithium can disrupt the body’s ability to remove lithium from the body which can lead to a dangerous build-up of lithium levels.


If using NSAIDs is thought to be absolutely necessary, your dosage of lithium may need to be reduced and you will need regular blood tests to check lithium levels.


You should be alert for the symptoms of lithium poisoning which include:


  • ataxia (loss of balance and co-ordination)

  • blurred vision

  • dizziness

  • muscle twitching

  • tinnitus (ringing in your ears)

Methotrexate


Methotrexate is a medication used to treat rheumatoid arthritis.


It is not usually recommended to take NSAIDs in combination with methotrexate as it can lead to a build-up of methotrexate in the body.


This can make you more vulnerable to infection and cause liver and kidney damage.


Phenytoin


Phenytoin is a medication used to treat epilepsy.


Some types of NSAIDs can enhance the effects of phenytoin which can cause a wide range of symptoms, such as:


  • lack of energy

  • mental confusion

  • muscle twitching

  • unusual bleeding, such as a nosebleed or bleeding gums

Selective serotonin reuptake inhibitors


Selective serotonin reuptake inhibitors (SSRIs) are a group of medications used to treat depression as well as a number of other mental health conditions such as anxiety disorder and obsessive compulsive disorder.


There is evidence that taking SSRIs in combination with an NSAID can increase the risk of a person experiencing bleeding inside their digestive system.


The risk is thought to be small, but as a precaution you should be alert for signs that bleeding has taken place.


Depending on the location and type of blood vessel, you may have long-term bleeding which could lead to anaemia. Symptoms of anaemia include:


  • fatigue (feeling tired all the time)

  • shortness of breath

  • pale skin

  • irregular heartbeats

Alternatively, the bleeding can be rapid and massive, causing you to vomit blood or pass stools that are black and tar-like.


Warfarin


Warfarin is a medication used to treat people with a history of blood clots, or those thought to have a high risk of developing blood clots at a later date.


The use of NSAIDs is not usually recommended for people taking warfarin as it can enhance the effects of the medication and make you prone to excessive bleeding.


Alcohol


It is usually safe to drink alcohol while taking an NSAID, as long as you stick to the recommended daily limits (three to four units of alcohol a day for men, and two to three units for women).


Drinking more than the recommended daily limit of alcohol may irritate your stomach lining. Therefore, you may be unable to take NSAIDs if you are going to drink more than the recommended daily limit.


If you are a heavy drinker and you take an NSAID, the risk of you having bleeding in your stomach may be higher. Speak to your GP or pharmacist if you are not sure whether you should be taking NSAIDs.


Food


There are no known interactions between NSAIDs and food. Ideally, take NSAIDs after eating and avoid taking them on an empty stomach. This will help minimise the risk of the medicine upsetting your stomach.


Other NSAIDs


It is always best to use one type of NSAID at a time to minimise the risks of side effects. If you have been prescribed a prescription-only NSAID, such as celecoxib, avoid taking any over-the-counter medication that contains ibuprofen or aspirin.


Many cold and flu remedies contain a combination of different medications, one of which is often an NSAID, such as ibuprofen.


So always carefully read the packet to check for possible interactions. Taking these sorts of remedies after already taking an NSAID could be potentially dangerous.



Interactions