Drug interactions
Dabigatran + Ginko biloba
Severity: Moderate
Dabigatran 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
Dabigatran is an oral direct thrombin inhibitor, and ginkgo may mildly impair platelet function. The combination could raise bleeding risk, though evidence consists mostly of theory and isolated reports.
What this interaction means in plain words
Dabigatran 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
Additive pharmacodynamic effects of thrombin inhibition and ginkgolide antagonism of platelet-activating factor.
What to do
Advise patients to avoid ginkgo while taking dabigatran. If used, monitor for bruising, bleeding and hemoglobin changes.
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 Dabigatran with Ginko biloba?
MediHelp rates the interaction as moderate. Dabigatran 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. Dabigatran is an oral direct thrombin inhibitor, and ginkgo may mildly impair platelet function. The combination could raise bleeding risk, though evidence consists mostly of theory and isolated reports.
How serious is the interaction between Dabigatran 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 patients to avoid ginkgo while taking dabigatran. If used, monitor for bruising, bleeding and hemoglobin changes.
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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