Moderate interactionModerate

Leafy greens and Warfarin: interaction, severity and spacing

Leafy greens and Warfarin interact because vitamin K1 from leafy greens competes with warfarin. The risk is variability more than the amount: a sudden jump in intake lowers the INR. Take them with care. Moderate risk.

Last reviewed: 2026-09-20Reviewed by: StackingRight clinical review

The interaction in detail

Summary of the Leafy greens and Warfarin interaction
PairLeafy greens and Warfarin
TypeFood interaction
SeverityModerate
Required spacingNone specified
OnsetAt the time of dosing

Mechanism

Vitamin K1 from leafy greens competes with warfarin. The risk is variability more than the amount: a sudden jump in intake lowers the INR.

What to do

Keep your leafy-green intake consistent week to week rather than avoiding greens entirely.

How to fit both into one day

Warfarin
eveningflexible

An evening dose is conventional so the INR drawn the next morning reflects a stable interval. Keep vitamin K intake consistent.

Putting Leafy greens in the morning and Warfarin in the evening satisfies the 0-hour separation without disrupting either one's absorption window.

Leafy greens and Warfarin: common questions