Drug interactions
Dong quai + Ginseng
Severity: Moderate
Dong quai and Ginseng: 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 raised INR in patients on warfarin. Ginseng may also influence clotting, so combined use could add to bleeding risk.
What this interaction means in plain words
Dong quai and Ginseng 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 effects on coagulation, with coumarin constituents in dong quai and possible antiplatelet activity of ginseng.
What to do
Avoid the combination in anticoagulated patients where possible; otherwise monitor INR and bleeding signs.
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 Ginseng
- Acemetacin + Ginseng Moderate
- Alteplase + Ginseng Moderate
- Argatroban + Ginseng Moderate
- Aspirin / citric acid / sodium bicarbonate + Ginseng Moderate
- Aspirin rectal + Ginseng Moderate
- Aspirin + Ginseng Moderate
Frequently asked questions
Can I take Dong quai with Ginseng?
MediHelp rates the interaction as moderate. Dong quai and Ginseng 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 raised INR in patients on warfarin. Ginseng may also influence clotting, so combined use could add to bleeding risk.
How serious is the interaction between Dong quai and Ginseng?
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 the combination in anticoagulated patients where possible; otherwise monitor INR and bleeding signs.
What other medicines interact with Ginseng?
MediHelp also lists interactions of Ginseng with, for example, Acemetacin, Alteplase, Argatroban. The full list is on the Ginseng page.
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