{"id":632268,"date":"2025-05-27T09:30:26","date_gmt":"2025-05-27T13:30:26","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=632268"},"modified":"2026-09-09T15:39:21","modified_gmt":"2026-09-09T19:39:21","slug":"foods-to-avoid-while-taking-brilinta","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/foods-to-avoid-while-taking-brilinta\/","title":{"rendered":"5 foods to avoid while taking Brilinta"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/brilinta\">Brilinta<\/a> (ticagrelor) is a brand-name <a href=\"https:\/\/www.singlecare.com\/drug-classes\/anticoagulants\">antiplatelet prescription drug<\/a> that prevents blood clots. The drug has been approved by the Food and Drug Administration (FDA) to reduce the risk of <a href=\"https:\/\/www.singlecare.com\/blog\/cardiac-arrest-vs-heart-attack\/\">heart attack<\/a>, <a href=\"https:\/\/www.singlecare.com\/blog\/signs-of-a-stroke\/\">stroke<\/a>, and cardiovascular death in people with acute coronary syndrome (ACS) or who have recently experienced a myocardial infarction (heart attack). Brilinta works best when used alongside a heart-healthy diet. It\u2019s also essential to <a href=\"https:\/\/www.singlecare.com\/blog\/diet-supplements-can-interact-medications\/\">avoid grapefruit<\/a> and certain over-the-counter supplements when taking Brilinta, as they can interfere with the drug\u2019s effectiveness.<\/p>\n<h2 id=\"how-brilinta-works\">How Brilinta works<\/h2>\n<p>Brilinta\u2019s active ingredient, <a href=\"https:\/\/www.singlecare.com\/prescription\/ticagrelor\">ticagrelor<\/a>, prevents blood cells called platelets from sticking together to form clots. This thins the blood to help avoid clot-related problems such as stroke, heart attack, and other cardiovascular problems. Brilinta reaches its maximum concentration in the blood within 90 minutes of taking it and stays effective for several hours. <a href=\"https:\/\/www.singlecare.com\/prescription\/brilinta\/dosage\">Dosage<\/a> ranges from 60 mg to 90 mg twice per day.<\/p>\n\t\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t\t<p id=\"headline\">Save up to 80% on Brilinta with SingleCare<\/p>\n\t\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t\t<div class=\"details-wrap\">\n\t\t\t\t\t<div class=\"details\">\n\t\t\t\t\t\tBrilinta 90 mg (60 Tablets)\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"address\">\n\t\t\t\t\t\t23666 - Hampton, VA\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-food-lion.svg\" alt=\"Food Lion\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$26.60<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/brilinta#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/brilinta#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-cvs.svg\" alt=\"CVS Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$27.82<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/brilinta#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/brilinta#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/brilinta#blog-cta\" class=\"coupon-see-all-btn\">See Brilinta prices at all pharmacies<\/a>\n\t\t\t<\/div>\n\t\t\n<h2 id=\"5-foods-to-avoid-with-brilinta\">5 foods to avoid with Brilinta<\/h2>\n<p>Grapefruit is the only food that must be strictly avoided on Brilinta because of potential drug interactions. \u201cIt\u2019s also best to avoid excessive alcohol, high-sodium foods, and high-fat foods,\u201d says Jodie Pepin, Pharm.D., clinical pharmacy program manager at Harbor Health in Round Rock, Texas.<\/p>\n<p>Aside from grapefruit, healthcare professionals recommend limiting a few specific food types and supplements that increase either the risk of bleeding or cardiovascular problems, including:<\/p>\n<h3 id=\"1-grapefruit\">1. Grapefruit<\/h3>\n<p>It\u2019s important not to take Brilinta with grapefruit, grapefruit juice, and other grapefruit products. That\u2019s because grapefruit blocks an enzyme that helps your body metabolize the drug.<\/p>\n<p>\u201cThis can cause Brilinta to build up in your system, which may increase your risk of side effects, especially bleeding,\u201d explains <a href=\"https:\/\/www.medicalofficesofmanhattan.com\/our-team\/dr-tatiana-echeverry\/\">Tatiana Echeverry, MD<\/a>, a board-certified internist with Medical Offices of Manhattan in New York, New York.<\/p>\n<p>\u201cAvoiding grapefruit helps keep your medication working safely and the way it\u2019s intended to work,\u201d emphasizes <a href=\"https:\/\/harborhealth.com\/providers\/jodie-pepin\">Dr. Pepin<\/a>. It\u2019s also a good idea to avoid drinking the following tropical juices, as they can affect the same CYP3A4 enzyme as grapefruit: kiwi, pineapple, papaya, lychee, starfruit, and passionfruit.<\/p>\n<h3 id=\"2-excess-alcohol\">2. Excess alcohol<\/h3>\n<p>Individuals who frequently consume alcohol should limit their drinking while taking Brilinta. \u201cAlcohol can thin the blood,\u201d says Dr. Pepin. <a href=\"https:\/\/www.singlecare.com\/blog\/brilinta-and-alcohol\/\">Drinking a lot of alcohol while also taking a blood thinner like Brilinta<\/a> raises the risk of bleeding. She warns that the risk of severe bleeding is further increased if you take a dose of aspirin with Brilinta.<\/p>\n<p>Drinking an occasional beer or glass of wine while taking Brilinta is fine for most patients. Moderate alcohol consumption is unlikely to increase the risk of side effects significantly, but excessive drinking increases the risk of bleeding, including nosebleeds and internal bleeding. \u201cLimit or avoid depending on your medical history. Ask your provider for guidance,\u201d says Dr. Pepin. The good news? There\u2019s no need to avoid other favorite beverages <a href=\"https:\/\/www.singlecare.com\/blog\/brilinta-and-caffeine\/\">like coffee<\/a>.<\/p>\n<h3 id=\"3-high-sodium-foods\">3. High-sodium foods<\/h3>\n<p>It\u2019s a good idea to avoid sodium-packed canned soups, deli meats, and salty packaged snacks like potato chips while on Brilinta. While sodium is an essential nutrient, the <a href=\"https:\/\/www.acc.org\/About-ACC\/Press-Releases\/2024\/04\/01\/21\/46\/majority-of-people-with-heart-disease-consume-too-much-sodium\">American College of Cardiology<\/a> warns that too much of it causes high blood pressure, forcing the heart to work harder and increasing the risk of stroke.<\/p>\n<p>Bottom line: While <a href=\"https:\/\/www.singlecare.com\/blog\/salt-good-or-bad-for-you\/\">salt<\/a> doesn\u2019t directly interact with Brilinta, Dr. Pepin suggests cutting back because it can contribute to cardiovascular issues.<\/p>\n<h3 id=\"4-fatty-and-fried-foods\">4. Fatty and fried foods<\/h3>\n<p>Foods high in <a href=\"https:\/\/www.heart.org\/en\/healthy-living\/healthy-eating\/eat-smart\/fats\/saturated-fats\">saturated and trans fats<\/a> are not good for your <a href=\"https:\/\/www.singlecare.com\/conditions\/high-cholesterol-treatment-and-medications\">cholesterol<\/a> or heart. Since Brilinta is prescribed for <a href=\"https:\/\/www.singlecare.com\/blog\/tag\/heart-health\/\">heart health<\/a>, eating foods high in these unhealthy fats only undermines the treatment. Dr. Pepin recommends avoiding processed meats, fried foods, and packaged processed snacks. It\u2019s a good idea to limit full-fat dairy (heavy cream and butter), cream-based salad dressings and pasta sauces, and fatty cuts of meat (such as beef with visible marbling). For specific fat intake guidelines, seek personalized medical advice from a healthcare provider or nutritionist.<\/p>\n<h3 id=\"5-blood-thinning-foods\">5. Blood-thinning foods<\/h3>\n<p>Certain foods affect platelet aggregation, the process by which your blood cells clump together to form a clot. Meaning, they act as natural blood thinners. Typically, the effect isn\u2019t strong enough to cause a problem, but when you eat them along with an anticoagulant, such as Brilinta, it can increase your bleeding risk. To stay on the safe side, <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11547462\/\">avoid the following<\/a> in large amounts:<\/p>\n<ul>\n<li>Ginger<\/li>\n<li>Cocoa<\/li>\n<li>Garlic<\/li>\n<li>Fish and fish oil<\/li>\n<\/ul>\n<p>It\u2019s okay to have these staple ingredients occasionally in small quantities, but eat them with caution\u2014and advice from your provider.<\/p>\n<h3 id=\"supplements-to-avoid\">Supplements to avoid<\/h3>\n<p>In addition to watching what you eat, it\u2019s important to consider whether your daily supplements or vitamins may interact with Brilinta. Healthcare providers recommend avoiding the following supplements while taking this blood thinner:<\/p>\n<ul>\n<li><b>St. John\u2019s wort:<\/b> Drs. Echeverry and Pepin say that <a href=\"https:\/\/www.singlecare.com\/prescription\/st-johns-wort\">St. John\u2019s wort<\/a> reduces the effectiveness of Brilinta by activating a liver enzyme called CYP3A4 that helps the body metabolize Brilinta. \u201cWhen this happens, your body may get rid of Brilinta too quickly\u2014before it has a chance to work properly,\u201d says Dr. Pepin.<\/li>\n<li><b>Saw palmetto: <\/b>Dr. Echeverry says <a href=\"https:\/\/www.singlecare.com\/prescription\/saw-palmetto\">saw palmetto<\/a> may also affect how the body metabolizes ticagrelor, the active ingredient in Brilinta. According to <a href=\"https:\/\/www.mayoclinic.org\/healthy-lifestyle\/consumer-health\/in-depth\/herbal-supplements\/art-20046488\">the Mayo Clinic<\/a>, taking saw palmetto with Brilinta increases the risk of bleeding and bruising.<\/li>\n<li><b>Ginkgo biloba:<\/b> Gingko is an <a href=\"https:\/\/www.singlecare.com\/blog\/medicinal-plants-in-pharmacy\/\">herbal supplement<\/a> marketed as a treatment for various medical conditions, including blood disorders and memory problems. \u201cGinkgo biloba may increase the risk of bleeding, especially when combined with blood-thinning medications,\u201d says Dr. Echeverry.<\/li>\n<\/ul>\n<p>It\u2019s a good idea to tell your prescriber about any supplements or over-the-counter medications you take before taking a dose of Brilinta. This can help prevent serious side effects and other issues. For instance,\u00a0 nonsteroidal anti-inflammatory drugs (<a href=\"https:\/\/www.singlecare.com\/drug-classes\/nsaids\">NSAIDs<\/a>) like<a href=\"https:\/\/www.singlecare.com\/blog\/ibuprofen-interactions\/\"> ibuprofen<\/a> can increase the risk of bleeding while taking anticoagulants like <a href=\"https:\/\/www.singlecare.com\/blog\/brilinta-without-insurance\/\">Brilinta<\/a>, <a href=\"https:\/\/www.singlecare.com\/prescription\/warfarin-sodium\">warfarin<\/a>, and <a href=\"https:\/\/www.singlecare.com\/prescription\/plavix\">Plavix<\/a>.<\/p>\n<h2 id=\"what-should-you-eat-while-taking-brilinta\">What should you eat while taking Brilinta?<\/h2>\n<p>People taking Brilinta should follow a\u00a0<a href=\"https:\/\/www.singlecare.com\/blog\/heart-healthy-diet\/\">heart-healthy diet<\/a>. Heart-healthy foods include fruits and vegetables, whole grains, lean proteins, and healthy fats. The <a href=\"https:\/\/www.nhlbi.nih.gov\/health-topics\/dash-eating-plan\">DASH diet<\/a>, which stands for Dietary Approaches to Stop Hypertension, prioritizes plant foods with smaller portions of low-fat dairy, fish, and poultry. The DASH diet also emphasizes a low daily sodium intake.<\/p>\n<p>Ultimately, diet can play a significant role in supporting overall health after a heart attack or while living with coronary artery disease or other <a href=\"https:\/\/www.singlecare.com\/blog\/news\/heart-disease-statistics\/\">cardiovascular diseases<\/a>. Dr. Pepin recommends asking your provider for advice on how to adjust your eating habits. Lifestyle changes for better heart health also include regular exercise and quitting smoking.<\/p>\n<h2 id=\"gastrointestinal-side-effects-of-brilinta\">Gastrointestinal side effects of Brilinta<\/h2>\n<p>Like other prescription medications, Brilinta is not without <a href=\"https:\/\/www.singlecare.com\/blog\/brilinta-side-effects\/\">side effects<\/a>. The most common gut-related problems associated with Brilinta are <a href=\"https:\/\/www.singlecare.com\/conditions\/diarrhea-treatment-and-medications\">diarrhea<\/a> and <a href=\"https:\/\/www.singlecare.com\/blog\/nausea-relief-medication-and-home-remedies\/\">nausea<\/a>. Eating fatty or processed foods can exacerbate both.<\/p>\n<h3 id=\"serious-side-effects-and-risks-of-brilinta\">Serious side effects and risks of Brilinta<\/h3>\n<p>Your diet will not affect the risk of serious side effects from Brilinta. However, it is still important to know the red flags of life-threatening side effects or allergic reactions.<\/p>\n<p>Seek medical advice if you experience any of the following on Brilinta:<\/p>\n<ul>\n<li>Shortness of breath<\/li>\n<li>Slow heart rhythm<\/li>\n<li>Irregular heartbeat<\/li>\n<\/ul>\n<p>Seek urgent medical attention if you experience:<\/p>\n<ul>\n<li>Red or purple spots on skin accompanied by confusion, fatigue, or severe headache (signs of thrombotic thrombocytopenic purpura\u2014TTP\u2014a disorder in which blood clots form in small blood vessels)<\/li>\n<li>Signs of bleeding, including nosebleeds, brown urine, <a href=\"https:\/\/www.singlecare.com\/conditions\/black-stool-causes\">black stool<\/a>, or vomit that looks like coffee grounds<\/li>\n<li>Signs of allergic reaction (trouble breathing, hives, swelling, dizziness, confusion).<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Brilinta (ticagrelor) is a brand-name antiplatelet prescription drug that prevents blood clots. The drug has been approved by the Food and Drug Administration (FDA) to reduce the risk of heart attack, stroke, and cardiovascular death in people with acute coronary syndrome (ACS) or who have recently experienced a myocardial infarction (heart attack). Brilinta works best [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":632251,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[20945,9650,737,20951,8905],"coauthors":[20942],"class_list":["post-632268","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-blood-clots","tag-blood-thinners","tag-heart-health","tag-high-blood-pressure","tag-seasonal","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.0 (Yoast SEO v28.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>5 foods to avoid while taking Brilinta<\/title>\n<meta name=\"description\" content=\"Grapefruit and ginger are two of five foods and supplements to avoid while taking Brilinta in order to avoid interfering with the blood thinner\u2019s effectiveness.\" 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