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Drug interactions

Argatroban + Ginkgo biloba

Severity: Moderate

Argatroban and Ginkgo 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 inhibits platelet-activating factor and has been linked to case reports of bleeding. It may increase the bleeding risk of argatroban.

What this interaction means in plain words

Argatroban and Ginkgo 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.

Evidence level: Low

Why it happens

Antagonism of platelet-activating factor adds to direct thrombin inhibition.

What to do

Avoid ginkgo during argatroban therapy. Monitor for bleeding and aPTT.

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 Ginkgo biloba?

MediHelp rates the interaction as moderate. Argatroban and Ginkgo 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 inhibits platelet-activating factor and has been linked to case reports of bleeding. It may increase the bleeding risk of argatroban.

How serious is the interaction between Argatroban and Ginkgo 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: Avoid ginkgo during argatroban therapy. Monitor for bleeding and aPTT.

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.

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