Drug interactions
Panax ginseng + Tolmetin
Severity: Minor
Panax ginseng and Tolmetin: 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
Panax ginseng has been reported to alter coagulation and platelet function, and tolmetin impairs platelet aggregation and can injure the gastric mucosa. Together they may modestly raise the risk of bleeding, although the data are limited and inconsistent.
What this interaction means in plain words
Panax ginseng and Tolmetin 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
Possible additive antiplatelet effects of the NSAID and ginseng constituents; the mechanism for ginseng is not firmly established.
What to do
Ask patients about herbal use and monitor for bruising or gastrointestinal bleeding. Avoid the combination in patients who also take anticoagulants or have a history of ulcer bleeding.
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 Tolmetin
- Ketorolac intranasal + Tolmetin Contraindicated
- Ketorolac + Tolmetin Contraindicated
- Aceclofenac + Tolmetin Major
- Acemetacin + Tolmetin Major
- Alteplase + Tolmetin Major
- Amlodipine-hydrochlorothiazide-valsartan + Tolmetin Major
Frequently asked questions
Can I take Panax ginseng with Tolmetin?
MediHelp rates the interaction as minor. Panax ginseng and Tolmetin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Panax ginseng has been reported to alter coagulation and platelet function, and tolmetin impairs platelet aggregation and can injure the gastric mucosa. Together they may modestly raise the risk of bleeding, although the data are limited and inconsistent.
How serious is the interaction between Panax ginseng and Tolmetin?
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 patients about herbal use and monitor for bruising or gastrointestinal bleeding. Avoid the combination in patients who also take anticoagulants or have a history of ulcer bleeding.
What other medicines interact with Tolmetin?
MediHelp also lists interactions of Tolmetin with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Tolmetin page.
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