Ginkgo Biloba and Warfarin: Drug Interaction Guide
Quick answer: This combination requires caution. Ginkgo Biloba and Warfarin can be used together with adjustments and monitoring.
How Ginkgo Biloba interacts with Warfarin
Ginkgo may inhibit platelet-activating factor and impair platelet aggregation, adding to warfarin-related bleeding risk. Case reports and pharmacodynamic plausibility support caution.
What you should do
Avoid routine combination or monitor closely for bleeding and INR instability. Ask specifically about herbal products during anticoagulant review.
Key facts
Severity
Moderate — caution required
Mechanism
Ginkgo may inhibit platelet-activating factor and impair platelet aggregation, adding to warfarin-related bleeding risk....
Action
Avoid routine combination or monitor closely for bleeding and INR instability. Ask specifically about herbal products du...
Frequently asked questions
Can I take Ginkgo Biloba and Warfarin together?
With caution. Avoid routine combination or monitor closely for bleeding and INR instability. Ask specifically about herbal products during anticoagulant review.
What is the severity of this interaction?
The interaction between Ginkgo Biloba and Warfarin is classified as Moderate — caution required. Ginkgo may inhibit platelet-activating factor and impair platelet aggregation, adding to warfarin-related bleeding risk. Case reports and pharmacodynamic plausibility support caution.
What should I do if I'm prescribed both?
Avoid routine combination or monitor closely for bleeding and INR instability. Ask specifically about herbal products during anticoagulant review. Always consult your prescribing clinician — do not stop or change medications without medical guidance.
Last reviewed: by iMedic Medical Editorial Team. Our editorial process.