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Drug interactions

Dong quai + Nabumetone

Severity: Moderate

Dong quai and Nabumetone: 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 constituents and may have antiplatelet activity, so it could add to the bleeding tendency of an NSAID. Evidence consists mainly of case reports and theory.

What this interaction means in plain words

Dong quai and Nabumetone 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

Possible additive antiplatelet or coumarin-like effects combined with NSAID platelet inhibition and mucosal injury.

What to do

Advise patients to avoid dong quai while taking nabumetone, or monitor for bruising and gastrointestinal bleeding. Stop the herb before planned surgery.

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 Nabumetone?

MediHelp rates the interaction as moderate. Dong quai and Nabumetone 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 constituents and may have antiplatelet activity, so it could add to the bleeding tendency of an NSAID. Evidence consists mainly of case reports and theory.

How serious is the interaction between Dong quai and Nabumetone?

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 patients to avoid dong quai while taking nabumetone, or monitor for bruising and gastrointestinal bleeding. Stop the herb before planned surgery.

What other medicines interact with Nabumetone?

MediHelp also lists interactions of Nabumetone with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Nabumetone page.

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

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