Drug interactions
Choline magnesium trisalicylate + Ginko biloba
Severity: Moderate
Choline magnesium trisalicylate 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 may impair platelet function, and salicylates add to bleeding tendency through their effect on platelets and gastric mucosa. The combination could increase the likelihood of bruising or bleeding.
What this interaction means in plain words
Choline magnesium trisalicylate 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.
Why it happens
Possible additive antiplatelet effect; nonacetylated salicylates have weaker platelet effects than aspirin, so the interaction is largely theoretical.
What to do
Discourage ginkgo during chronic high-dose salicylate therapy, and monitor for bleeding signs such as bruising, melena or epistaxis. Stop ginkgo before procedures.
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
- Anagrelide + Ginko biloba Moderate
Frequently asked questions
Can I take Choline magnesium trisalicylate with Ginko biloba?
MediHelp rates the interaction as moderate. Choline magnesium trisalicylate 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 may impair platelet function, and salicylates add to bleeding tendency through their effect on platelets and gastric mucosa. The combination could increase the likelihood of bruising or bleeding.
How serious is the interaction between Choline magnesium trisalicylate 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: Discourage ginkgo during chronic high-dose salicylate therapy, and monitor for bleeding signs such as bruising, melena or epistaxis. Stop ginkgo before procedures.
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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