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Drug interactions

Dalteparin + Ginko biloba

Severity: Moderate

Dalteparin 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 biloba may impair platelet function and add to the bleeding risk of low-molecular-weight heparin. Evidence is limited to case reports and mechanistic reasoning.

What this interaction means in plain words

Dalteparin 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.

Dalteparin belongs to Cardiovascular; Ginko biloba belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Ginkgo's platelet-activating factor antagonism adds antiplatelet effects to dalteparin's anticoagulation.

What to do

Advise stopping ginkgo while on dalteparin, particularly around neuraxial procedures. Monitor for bleeding and bruising.

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 Dalteparin with Ginko biloba?

MediHelp rates the interaction as moderate. Dalteparin 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 biloba may impair platelet function and add to the bleeding risk of low-molecular-weight heparin. Evidence is limited to case reports and mechanistic reasoning.

How serious is the interaction between Dalteparin 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 stopping ginkgo while on dalteparin, particularly around neuraxial procedures. Monitor for bleeding and bruising.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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