| Individuals taking warfarin should be cautious in using high doses of Gamma-Tocopherol and,
if they do so, they should have their INRs carefully monitored and their warfarin doses
appropriately adjusted if indicated. Individuals with vitamin K deficiencies, such as those
with liver failure, should be cautious in using high doses of Gamma-Tocopherol.
Gamma-Tocopherol should be used with caution in those with a history of hemorrhagic stroke,
those with lesions with a propensity to bleed, and those with inherited bleeding disorders.
High dose Gamma-Tocopherol supplementation should be stopped about one month before surgical
procedures and can be continued after recovery from the procedure. Individuals taking iron
supplements shouldn't take Gamma-Tocopherol concurrently with the iron. Gamma-Tocopherol
has only recently been introduced into the nutritional supplement marketplace so no adverse
reactions have been reported. High doses of Gamma-Tocopherol might potentiate the effects of
antiplatelet drugs (such as abciximab, aspirin, clopidogrel, dipyridamole, eptifibatide,
ticlopidine, and tirofiban). Cholestyramine, colestipol, isoniazid, and mineral oil might
all lower Gamma-Tocopherol absorption. Neomycin might impair utilization of
Gamma-Tocopherol. Orlistat is likely to inhibit Gamma-Tocopherol absorption. Sucralfate
might interfere with Gamma-Tocopherol absorption. Supplemental alpha-tocopherol might lower
plasma concentration of Gamma-Tocopherol. Desiccated ox bile might increase the absorption
of Gamma-Tocopherol. Most iron supplements contain the ferrous form of iron. This form can
oxidize Gamma-Tocopherol, which is marketed in a free, unesterified form, to its pro-oxidant
form, if taken concurrently. Medium-chain triglycerides might enhance absorption of
Gamma-Tocopherol if taken concurrently. Phytosterols and phytostanols, including
beta-sitosterol and beta-sitostanol might decrease plasma Gamma-Tocopherol levels. Plant
phenolic compounds and flavonoids might participate in redox cycling reactions and help
maintain levels of reduced Gamma-Tocopherol. Selenium might function synergistically with
Gamma-Tocopherol. Vitamin C might help maintain Gamma-Tocopherol in its antioxidant form.
Olestra is likely to inhibit the absorption of Gamma-Tocopherol. Some herbs, including
garlic and ginkgo, possess antithrombotic activity. High doses of Gamma-Tocopherol used
concurrently with these herbs might enhance their antithrombotic activity. This website is
intended to educate and inform, and should not replace discussions with your doctor. |