Can Elderly Patients on Blood Thinners Safely Consume Honey? - Nutrition

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Can I consume honey while taking anticoagulants?


My father, who is 92 years old, is taking LIXIANA FC TAB 30MG (edoxaban) to prevent non-valvular atrial fibrillation combined with congestive heart failure and hypertension.
I would like to know if it is safe to give him honey, and if so, what would be a safe daily amount (in tablespoons).
Additionally, could you suggest a daily menu that would be beneficial for his health? Thank you for your response.

jacky, 50~59 year old female. Ask Date: 2021/01/14

Dr. Cai Xiuwen reply Nutrition


Hello, regarding the interaction between LIXIANA FC TAB 30MG and food, it is advisable to consult a pharmacist.
As for honey, if there are issues with diabetes, it is important to control the total amount of carbohydrates.
One tablespoon of honey (20 grams) contains approximately 15 grams of sugar, so it is recommended to limit it to about 1-2 teaspoons per day.
For meal planning, please visit a nutrition consultation clinic where a dietitian can provide a plan based on your father's condition.
Wishing you health and safety.

Reply Date: 2021/01/14

More Info


When it comes to elderly patients, especially those on blood thinners like Lixiana (edoxaban), dietary considerations are crucial for maintaining health and preventing complications. Honey is generally considered safe for most people, including elderly patients, but there are some important factors to consider.

First, Lixiana is an anticoagulant used to prevent blood clots in patients with non-valvular atrial fibrillation and other conditions. While honey itself does not have anticoagulant properties, it is essential to monitor the overall diet and any potential interactions with medications. Honey is high in sugar and calories, which can be a concern for elderly patients, particularly those with diabetes or weight management issues. Therefore, moderation is key.

In terms of quantity, a small amount of honey, such as one teaspoon (approximately 5 grams) per day, is generally considered safe for most individuals, including those on blood thinners. However, it is always best to consult with a healthcare provider or a registered dietitian who can provide personalized advice based on your father's overall health status, dietary needs, and any other medications he may be taking.

Regarding a daily menu for your father, it is important to focus on a balanced diet that includes a variety of food groups to ensure he receives adequate nutrition. Here are some general recommendations:
1. Fruits and Vegetables: Aim for a variety of colors and types. Fresh, frozen, or canned (without added sugars or salts) are all good options. Berries, leafy greens, and cruciferous vegetables (like broccoli and cauliflower) are particularly beneficial.

2. Whole Grains: Incorporate whole grains such as brown rice, quinoa, whole wheat bread, and oats. These provide fiber, which is important for digestive health.

3. Lean Proteins: Include sources of lean protein such as skinless poultry, fish, beans, lentils, and low-fat dairy products. Fish, especially fatty fish like salmon and mackerel, are rich in omega-3 fatty acids, which are beneficial for heart health.

4. Healthy Fats: Encourage the consumption of healthy fats found in nuts, seeds, avocados, and olive oil. These fats can help support cardiovascular health.

5. Hydration: Ensure he stays well-hydrated, primarily with water. Limit sugary drinks and excessive caffeine.

6. Limit Sodium: Since your father has high blood pressure, it is important to limit sodium intake. This can be achieved by avoiding processed foods and using herbs and spices for flavor instead of salt.

7. Regular Meals: Encourage regular meal times to help maintain stable blood sugar levels and overall energy.

Lastly, it is crucial to monitor your father's health regularly, especially when introducing new foods or supplements. Regular check-ups with his healthcare provider can help ensure that his dietary choices align with his medical needs and that his medications are effectively managing his conditions. Always consult with a healthcare professional before making significant changes to his diet or introducing new foods, especially given his age and medical history.

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