Drug interactions
Danshen + Meloxicam
Severity: Moderate
Danshen and Meloxicam: 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
Danshen (Salvia miltiorrhiza) has antiplatelet and anticoagulant-like effects and has been linked to increased warfarin effect. With meloxicam, which impairs platelet function and can injure the gastric mucosa, bleeding risk may rise.
What this interaction means in plain words
Danshen and Meloxicam 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 antiplatelet and anticoagulant-like effects with NSAID-related mucosal injury.
What to do
Advise avoiding the herbal product when possible, or monitor for bruising and gastrointestinal bleeding if used.
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 Meloxicam
- Ketorolac intranasal + Meloxicam Contraindicated
- Ketorolac + Meloxicam Contraindicated
- Aceclofenac + Meloxicam Major
- Acemetacin + Meloxicam Major
- Acetylsalicylic acid + Meloxicam Major
- Alteplase + Meloxicam Major
Frequently asked questions
Can I take Danshen with Meloxicam?
MediHelp rates the interaction as moderate. Danshen and Meloxicam 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. Danshen (Salvia miltiorrhiza) has antiplatelet and anticoagulant-like effects and has been linked to increased warfarin effect. With meloxicam, which impairs platelet function and can injure the gastric mucosa, bleeding risk may rise.
How serious is the interaction between Danshen and Meloxicam?
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 avoiding the herbal product when possible, or monitor for bruising and gastrointestinal bleeding if used.
What other medicines interact with Meloxicam?
MediHelp also lists interactions of Meloxicam with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Meloxicam page.
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