Drug interactions
Ginko biloba + Tenecteplase
Severity: Moderate
Ginko biloba and Tenecteplase: 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
Tenecteplase is a thrombolytic with a high inherent bleeding risk, and ginkgo may mildly impair platelet function. The combination may theoretically add to hemorrhagic risk, though reports are scarce.
What this interaction means in plain words
Ginko biloba and Tenecteplase 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.
Ginko biloba belongs to Gastrointestinal Tract; Tenecteplase belongs to Cardiovascular.
Why it happens
Additive effects of fibrinolysis and ginkgolide antagonism of platelet-activating factor.
What to do
Record herbal use before thrombolysis and monitor closely for bleeding afterward. Advise stopping ginkgo during acute treatment.
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 Ginko biloba
- Ginko biloba + Ketorolac Major
- Abciximab + Ginko biloba Moderate
- Aceclofenac + Ginko biloba Moderate
- Acemetacin + Ginko biloba Moderate
- Alteplase + Ginko biloba Moderate
- Anagrelide + Ginko biloba Moderate
Other interactions of Tenecteplase
- Alteplase + Tenecteplase Contraindicated
- Acetylsalicylic acid + Tenecteplase Major
- Apixaban + Tenecteplase Major
- Argatroban + Tenecteplase Major
- Dabigatran etexilate + Tenecteplase Major
- Dalteparin + Tenecteplase Major
Frequently asked questions
Can I take Ginko biloba with Tenecteplase?
MediHelp rates the interaction as moderate. Ginko biloba and Tenecteplase 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. Tenecteplase is a thrombolytic with a high inherent bleeding risk, and ginkgo may mildly impair platelet function. The combination may theoretically add to hemorrhagic risk, though reports are scarce.
How serious is the interaction between Ginko biloba and Tenecteplase?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Record herbal use before thrombolysis and monitor closely for bleeding afterward. Advise stopping ginkgo during acute treatment.
What other medicines interact with Ginko biloba?
MediHelp also lists interactions of Ginko biloba with, for example, Ketorolac, Abciximab, Aceclofenac. The full list is on the Ginko biloba page.
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