Drug interactions
Ginger + Phenindione
Severity: Moderate
Ginger and Phenindione: 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
Ginger may add to the bleeding tendency of the vitamin K antagonist phenindione, although clinical studies with warfarin have not shown consistent changes in INR. The effect is mainly theoretical but anticoagulant bleeding can be serious.
What this interaction means in plain words
Ginger and Phenindione 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 pharmacodynamic effect: vitamin K antagonism plus possible antiplatelet activity of ginger.
What to do
Discourage ginger supplements during phenindione therapy. If used, monitor INR more frequently and watch for bleeding.
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?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Ginger and Phenindione, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Ginger
- Aceclofenac + Ginger Moderate
- Acemetacin + Ginger Moderate
- Aescin + Ginger Moderate
- Aspirin / citric acid / sodium bicarbonate + Ginger Moderate
- Aspirin rectal + Ginger Moderate
- Aspirin + Ginger Moderate
Frequently asked questions
Can I take Ginger with Phenindione?
MediHelp rates the interaction as moderate. Ginger and Phenindione 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. Ginger may add to the bleeding tendency of the vitamin K antagonist phenindione, although clinical studies with warfarin have not shown consistent changes in INR. The effect is mainly theoretical but anticoagulant bleeding can be serious.
How serious is the interaction between Ginger and Phenindione?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Discourage ginger supplements during phenindione therapy. If used, monitor INR more frequently and watch for bleeding.
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.