What should not be eaten with red plums?
Feb 20, 2025
Source: Cainiu Health
Dr. Bai Hongmei
Introduction
Under normal circumstances, red plums should not be consumed with honey, chicken meat, duck eggs, black carp, bitter apricot kernels, or taken together with medications such as Azithromycin Dispersible Tablets, Norfloxacin Capsules, Warfarin Sodium Tablets, Digoxin Tablets, and Phenytoin Sodium Tablets. Patients should avoid consuming red plums simultaneously or in large quantities while taking these foods and medications.
Generally speaking, red plums should not be consumed together with honey, chicken, duck eggs, black carp, bitter apricot kernels, or other similar items. They also should not be taken with medications such as azithromycin dispersible tablets, norfloxacin capsules, warfarin sodium tablets, digoxin tablets, and phenytoin sodium tablets. The specific details are as follows:
I. Foods
1. Honey: Combining red plums and honey may cause adverse reactions. Honey contains various enzymes, while red plums are rich in fruit acid. When consumed together, a chemical reaction might occur, producing substances that are difficult to digest, which could lead to gastrointestinal discomfort, such as diarrhea.
2. Chicken: Consuming red plums with chicken may cause physical discomfort. Chicken is warm in nature and rich in nutrients such as protein, while red plums are relatively cool in nature and contain considerable amounts of fruit acid and dietary fiber. Their differing properties and components may interact, easily causing indigestion or abdominal pain.
3. Duck eggs: Eating red plums together with duck eggs may be detrimental to health. Duck eggs are cool in nature and rich in nutrients such as protein and fat. The fruit acid in red plums may react with the protein in duck eggs, forming substances that are difficult for the human body to digest and absorb. Long-term or excessive consumption of these together may affect gastrointestinal function.
4. Black carp: Consuming red plums with black carp may have adverse effects on health. Black carp is rich in nutrients such as protein and unsaturated fatty acids, while the fruit acid in red plums may bind with the protein in black carp, forming substances that are difficult to digest, leading to symptoms of indigestion such as bloating and abdominal pain.
5. Bitter apricot kernels: Bitter apricot kernels contain amygdalin, which may decompose to produce hydrogen cyanide under certain conditions. Certain components in red plums may promote the decomposition of amygdalin, increasing the production of hydrogen cyanide. Hydrogen cyanide is a toxic substance, and excessive intake may cause symptoms such as dizziness, nausea, and vomiting.
II. Medications
1. Azithromycin dispersible tablets: The fruit acid in red plums may increase gastric acidity, potentially altering the dissolution and absorption environment of azithromycin dispersible tablets. This may affect the absorption rate and extent of azithromycin in the gastrointestinal tract, reducing the drug's bioavailability and thus affecting its therapeutic effect.
2. Norfloxacin capsules: This medication belongs to the quinolone antibiotic family. Metal ions in red plums, such as calcium and magnesium, can form insoluble chelates with norfloxacin, reducing drug absorption and preventing the medication from effectively exerting its antibacterial and therapeutic effects.
3. Warfarin sodium tablets: Red plums contain vitamin K, which affects the blood coagulation process, while warfarin sodium is an anticoagulant that works by inhibiting the synthesis of vitamin K-dependent coagulation factors. Red plums may counteract the anticoagulant effect of warfarin, increasing the risk of thrombosis.
4. Digoxin tablets: Red plums have a high potassium ion content, while digoxin is a cardiac glycoside drug used to treat diseases such as heart failure. A high-potassium state may affect the electrophysiological properties of myocardial cells. When used together with digoxin, it may alter digoxin's effects and increase the occurrence of arrhythmias.
5. Phenytoin sodium tablets: Components in red plums may alter the pH and motility of the gastrointestinal tract, thus affecting the absorption rate and extent of phenytoin sodium. Meanwhile, some substances in red plums may interact with phenytoin sodium in the body, leading to unstable blood drug concentrations.
When taking these foods and medications, patients should avoid consuming them together with red plums or eating large quantities of red plums simultaneously to reduce the risk of adverse reactions or drug interactions.
