Drug interactions
Anagrelide + Ginko biloba
Severity: Moderate
Anagrelide and Ginko biloba: moderate interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Ginkgo biloba may impair platelet aggregation and add to the antiplatelet and bleeding effects of anagrelide. Clinical evidence is conflicting and mostly theoretical.
What this interaction means in plain words
Anagrelide and Ginko biloba can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Anagrelide belongs to Cardiovascular; Ginko biloba belongs to Gastrointestinal Tract.
Why it happens
Additive antiplatelet effects: ginkgolide platelet-activating factor antagonism plus anagrelide's platelet-lowering and aggregation-inhibiting action.
What to do
Advise avoiding ginkgo during anagrelide therapy. Monitor platelet counts and watch for bleeding.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Ginko biloba
- Ginko biloba + Ketorolac Major
- Abciximab + Ginko biloba Moderate
- Aceclofenac + Ginko biloba Moderate
- Acemetacin + Ginko biloba Moderate
- Alteplase + Ginko biloba Moderate
- Argatroban + Ginko biloba Moderate
Other interactions of Anagrelide
- Anagrelide + Panobinostat Contraindicated
- Anagrelide + Pimozide Contraindicated
- Anagrelide + Thioridazine Contraindicated
- Anagrelide + Vandetanib Contraindicated
- Abrocitinib + Anagrelide Major
- Alfuzosin + Anagrelide Major
Frequently asked questions
Can I take Anagrelide with Ginko biloba?
MediHelp rates the interaction as moderate. Anagrelide and Ginko biloba can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Ginkgo biloba may impair platelet aggregation and add to the antiplatelet and bleeding effects of anagrelide. Clinical evidence is conflicting and mostly theoretical.
How serious is the interaction between Anagrelide and Ginko biloba?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise avoiding ginkgo during anagrelide therapy. Monitor platelet counts and watch for bleeding.
What other medicines interact with Ginko biloba?
MediHelp also lists interactions of Ginko biloba with, for example, Ketorolac, Abciximab, Aceclofenac. The full list is on the Ginko biloba page.
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