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Drug interactions

Dong quai + Ginger

Severity: Moderate

Dong quai and Ginger: 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-type compounds and has been linked to raised INR and bleeding, and ginger has mild antiplatelet effects. Together they could increase bleeding risk, particularly in patients on other antithrombotic drugs.

What this interaction means in plain words

Dong quai and Ginger 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.

Evidence level: Low

Why it happens

Additive effects on hemostasis from coumarin-like constituents in dong quai and antiplatelet activity of ginger.

What to do

Avoid combining these supplements in patients taking anticoagulants or antiplatelets. Monitor for bruising and bleeding, and check INR if on warfarin.

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 Dong quai with Ginger?

MediHelp rates the interaction as moderate. Dong quai and Ginger 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-type compounds and has been linked to raised INR and bleeding, and ginger has mild antiplatelet effects. Together they could increase bleeding risk, particularly in patients on other antithrombotic drugs.

How serious is the interaction between Dong quai and Ginger?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining these supplements in patients taking anticoagulants or antiplatelets. Monitor for bruising and bleeding, and check INR if on warfarin.

What other medicines interact with Ginger?

MediHelp also lists interactions of Ginger with, for example, Aceclofenac, Acemetacin, Aescin. The full list is on the Ginger 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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