Drug interactions
Ginkgo biloba + Mistletoe
Severity: Minor
Ginkgo biloba and Mistletoe: minor 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 has been linked to bleeding events. Mistletoe is theorized to oppose coagulation effects, so the combined effect is unpredictable.
What this interaction means in plain words
Ginkgo biloba and Mistletoe have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Ginkgo's antagonism of platelet-activating factor may be offset by theorized opposing mistletoe effects; the mechanism is not established.
What to do
Ask about both herbs and monitor for bleeding or bruising. Advise against ginkgo if the patient is on anticoagulants or antiplatelets.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Mistletoe
Frequently asked questions
Can I take Ginkgo biloba with Mistletoe?
MediHelp rates the interaction as minor. Ginkgo biloba and Mistletoe have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Ginkgo inhibits platelet-activating factor and has been linked to bleeding events. Mistletoe is theorized to oppose coagulation effects, so the combined effect is unpredictable.
How serious is the interaction between Ginkgo biloba and Mistletoe?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Ask about both herbs and monitor for bleeding or bruising. Advise against ginkgo if the patient is on anticoagulants or antiplatelets.
What other medicines interact with Mistletoe?
MediHelp also lists interactions of Mistletoe with, for example, Aceclofenac, Aescin, Aspirin / citric acid / sodium bicarbonate. The full list is on the Mistletoe page.
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