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Drug interactions

Dalteparin + Mistletoe

Severity: Minor

Dalteparin 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

Mistletoe preparations have been described as having uncertain effects on coagulation, and any influence on dalteparin activity is not well characterized. A clinically important interaction has not been demonstrated.

What this interaction means in plain words

Dalteparin 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.

Dalteparin belongs to Cardiovascular; Mistletoe belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

No established mechanism; any effect on coagulation or platelet function from mistletoe constituents is theoretical.

What to do

Discourage unsupervised use of mistletoe products in patients on dalteparin. Monitor for bleeding or thrombotic events if used.

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 Dalteparin with Mistletoe?

MediHelp rates the interaction as minor. Dalteparin 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. Mistletoe preparations have been described as having uncertain effects on coagulation, and any influence on dalteparin activity is not well characterized. A clinically important interaction has not been demonstrated.

How serious is the interaction between Dalteparin 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: Discourage unsupervised use of mistletoe products in patients on dalteparin. Monitor for bleeding or thrombotic events if used.

What other medicines interact with Dalteparin?

MediHelp also lists interactions of Dalteparin with, for example, Defibrotide, Ketorolac, Mifepristone. The full list is on the Dalteparin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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