Drug interactions
Ginkgo biloba + Meloxicam
Severity: Moderate
Ginkgo biloba and Meloxicam: 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 has antiplatelet activity through inhibition of platelet-activating factor, and meloxicam impairs platelet function and can injure the gastric mucosa. Used together they may raise the risk of bleeding, including gastrointestinal bleeding. Evidence comes mainly from case reports and is inconsistent.
What this interaction means in plain words
Ginkgo biloba and Meloxicam 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 effects on platelet function and mucosal integrity.
What to do
Ask patients about ginkgo use and advise stopping it if they need regular NSAID therapy. Monitor for bruising, melena or other 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?
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Other interactions of Meloxicam
- Ketorolac intranasal + Meloxicam Contraindicated
- Ketorolac + Meloxicam Contraindicated
- Aceclofenac + Meloxicam Major
- Acemetacin + Meloxicam Major
- Acetylsalicylic acid + Meloxicam Major
- Alteplase + Meloxicam Major
Frequently asked questions
Can I take Ginkgo biloba with Meloxicam?
MediHelp rates the interaction as moderate. Ginkgo biloba and Meloxicam 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 has antiplatelet activity through inhibition of platelet-activating factor, and meloxicam impairs platelet function and can injure the gastric mucosa. Used together they may raise the risk of bleeding, including gastrointestinal bleeding. Evidence comes mainly from case reports and is inconsistent.
How serious is the interaction between Ginkgo biloba and Meloxicam?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Ask patients about ginkgo use and advise stopping it if they need regular NSAID therapy. Monitor for bruising, melena or other bleeding.
What other medicines interact with Meloxicam?
MediHelp also lists interactions of Meloxicam with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Meloxicam page.
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