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Drug interactions

Bemiparin + Ginko biloba

Severity: Moderate

Bemiparin 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

Bemiparin is a low-molecular-weight heparin, and ginkgo may impair platelet function. Spontaneous bleeding has been reported with ginkgo alone, so combining it with an anticoagulant may raise the risk.

What this interaction means in plain words

Bemiparin 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.

Evidence level: Low

Why it happens

Additive effect of ginkgolide-mediated platelet-activating factor antagonism and factor Xa inhibition by the heparin.

What to do

Advise avoiding ginkgo during bemiparin therapy where possible. If it is continued, monitor for bleeding signs and check hemoglobin as clinically indicated.

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 Bemiparin with Ginko biloba?

MediHelp rates the interaction as moderate. Bemiparin 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. Bemiparin is a low-molecular-weight heparin, and ginkgo may impair platelet function. Spontaneous bleeding has been reported with ginkgo alone, so combining it with an anticoagulant may raise the risk.

How serious is the interaction between Bemiparin 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 bemiparin therapy where possible. If it is continued, monitor for bleeding signs and check hemoglobin as clinically indicated.

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.

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

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