Drug interactions
Mistletoe + Tolfenamic acid
Severity: Minor
Mistletoe and Tolfenamic acid: 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
Tolfenamic acid inhibits platelet function and can cause gastrointestinal bleeding, while mistletoe has uncertain and poorly documented effects on coagulation. No reliable clinical interaction is established.
What this interaction means in plain words
Mistletoe and Tolfenamic acid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Mistletoe belongs to Gastrointestinal Tract; Tolfenamic acid belongs to Musculoskeletal.
Why it happens
Mechanism not established; possible opposing effects on hemostasis.
What to do
No specific action beyond awareness is needed. Monitor for bleeding if the patient also takes anticoagulants.
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
Other interactions of Tolfenamic acid
Frequently asked questions
Can I take Mistletoe with Tolfenamic acid?
MediHelp rates the interaction as minor. Mistletoe and Tolfenamic acid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Tolfenamic acid inhibits platelet function and can cause gastrointestinal bleeding, while mistletoe has uncertain and poorly documented effects on coagulation. No reliable clinical interaction is established.
How serious is the interaction between Mistletoe and Tolfenamic acid?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No specific action beyond awareness is needed. Monitor for bleeding if the patient also takes anticoagulants.
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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