Drug Interactions With Ginkgo (Cont.)

 
Ginkgo Interactions and Bleeding
Ginkgo decreases the ability of blood platelets to stick together. While this may be a beneficial effect in many situations, it can also increase the risk of bleeding. Combining ginkgo with medications that increase the risk of bleeding could be dangerous. Some of these "blood-thinning" medicines that may lead to ginkgo drug interactions include:
 
  • Aspirin (Bayer® and others)
  • Clopidogrel (Plavix®)
  • Heparin or heparin-like products, such as:

 

    • Dalteparin (Fragmin®)
    • Enoxaparin (Lovenox®)
    • Tinzaparin (Innohep®)

 

  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as:

 

 

  • Warfarin (Coumadin®, Jantoven®).
     
Do not combine ginkgo with any of these medications without your healthcare provider's approval and supervision.
(Drug Interactions With Ginkgo Continued: Page 3)
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Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;