Drug interactions
Enoxaparin + Ginkgo biloba
Severity: Moderate
Enoxaparin and Ginkgo biloba: 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
Ginkgo inhibits platelet-activating factor, and bleeding events have been reported with anticoagulants and antiplatelet drugs. Combined with enoxaparin the risk of bleeding may be increased.
What this interaction means in plain words
Enoxaparin and Ginkgo biloba 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
Platelet-activating factor antagonism adds to enoxaparin's anticoagulant effect.
What to do
Advise stopping ginkgo during enoxaparin therapy, particularly before procedures. Monitor for bleeding if it is continued.
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 Enoxaparin with Ginkgo biloba?
MediHelp rates the interaction as moderate. Enoxaparin and Ginkgo biloba 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. Ginkgo inhibits platelet-activating factor, and bleeding events have been reported with anticoagulants and antiplatelet drugs. Combined with enoxaparin the risk of bleeding may be increased.
How serious is the interaction between Enoxaparin and Ginkgo biloba?
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 stopping ginkgo during enoxaparin therapy, particularly before procedures. Monitor for bleeding if it is continued.
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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