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Drug interactions

Choline magnesium trisalicylate + Mistletoe

Severity: Minor

Choline magnesium trisalicylate and Mistletoe: minor 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

Non-acetylated salicylates have weak antiplatelet activity but can still modestly alter bleeding risk. Mistletoe is thought to have opposing effects on coagulation, so the net effect is unclear.

What this interaction means in plain words

Choline magnesium trisalicylate and Mistletoe have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Opposing pharmacodynamic effects on hemostasis are theorized; the mechanism is not established.

What to do

Ask about herbal use and watch for bleeding or bruising. No routine dose change is needed.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Choline magnesium trisalicylate with Mistletoe?

MediHelp rates the interaction as minor. Choline magnesium trisalicylate and Mistletoe have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Non-acetylated salicylates have weak antiplatelet activity but can still modestly alter bleeding risk. Mistletoe is thought to have opposing effects on coagulation, so the net effect is unclear.

How serious is the interaction between Choline magnesium trisalicylate and Mistletoe?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Ask about herbal use and watch for bleeding or bruising. No routine dose change is needed.

What other medicines interact with Mistletoe?

MediHelp also lists interactions of Mistletoe with, for example, Aceclofenac, Aescin, Aspirin / citric acid / sodium bicarbonate. The full list is on the Mistletoe page.

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