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Drug interactions

Cinnamon + Mistletoe

Severity: Minor

Cinnamon 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

Cinnamon (notably cassia, which contains coumarin) has been suggested to have mild effects on coagulation. Mistletoe is theorized to act in the opposite direction, but there are no reliable data on the combination.

What this interaction means in plain words

Cinnamon 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 effects on coagulation are theorized; the mechanism is not established.

What to do

Counsel patients on this herbal combination and watch for bleeding or bruising, particularly if they also take anticoagulants.

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 Cinnamon with Mistletoe?

MediHelp rates the interaction as minor. Cinnamon 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. Cinnamon (notably cassia, which contains coumarin) has been suggested to have mild effects on coagulation. Mistletoe is theorized to act in the opposite direction, but there are no reliable data on the combination.

How serious is the interaction between Cinnamon 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: Counsel patients on this herbal combination and watch for bleeding or bruising, particularly if they also take anticoagulants.

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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