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Drug interactions

Argatroban + Devil's claw

Severity: Moderate

Argatroban and Devil's claw: 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

Devil's claw has been linked to bleeding and altered coagulation in case reports, and may have mild antiplatelet effects. Combined with argatroban it could add to bleeding risk, though the evidence is limited.

What this interaction means in plain words

Argatroban and Devil's claw 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.

Evidence level: Low

Why it happens

Possible additive antiplatelet or anticoagulant effect; the mechanism is not well established.

What to do

Discourage use of devil's claw during anticoagulation. Monitor for bleeding and aPTT if the combination continues.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Argatroban with Devil's claw?

MediHelp rates the interaction as moderate. Argatroban and Devil's claw 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. Devil's claw has been linked to bleeding and altered coagulation in case reports, and may have mild antiplatelet effects. Combined with argatroban it could add to bleeding risk, though the evidence is limited.

How serious is the interaction between Argatroban and Devil's claw?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Discourage use of devil's claw during anticoagulation. Monitor for bleeding and aPTT if the combination continues.

What other medicines interact with Argatroban?

MediHelp also lists interactions of Argatroban with, for example, Defibrotide, Ketorolac, Mifepristone. The full list is on the Argatroban page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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