Drug interactions
Dong quai + Enoxaparin
Severity: Moderate
Dong quai and Enoxaparin: 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
Dong quai contains coumarin derivatives and has been associated with enhanced warfarin effect and bleeding. It may increase bleeding risk when combined with enoxaparin.
What this interaction means in plain words
Dong quai and Enoxaparin 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
Coumarin constituents and possible antiplatelet activity add to enoxaparin's anticoagulant effect.
What to do
Advise against dong quai during enoxaparin therapy. If used, 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?
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Other interactions of Enoxaparin
- Defibrotide + Enoxaparin Contraindicated
- Enoxaparin + Ketorolac Contraindicated
- Enoxaparin + Mifepristone Contraindicated
- Abciximab + Enoxaparin Major
- Aceclofenac + Enoxaparin Major
- Acetylsalicylic acid + Enoxaparin Major
Frequently asked questions
Can I take Dong quai with Enoxaparin?
MediHelp rates the interaction as moderate. Dong quai and Enoxaparin 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. Dong quai contains coumarin derivatives and has been associated with enhanced warfarin effect and bleeding. It may increase bleeding risk when combined with enoxaparin.
How serious is the interaction between Dong quai and Enoxaparin?
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 against dong quai during enoxaparin therapy. If used, monitor for bleeding and bruising.
What other medicines interact with Enoxaparin?
MediHelp also lists interactions of Enoxaparin with, for example, Defibrotide, Ketorolac, Mifepristone. The full list is on the Enoxaparin page.
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