Anticoagulants
Considering a medication or supplement with an anticoagulant? Explore compatibility questions in one focused reference.
Interactions
Supplement interactions on fileNo supplement in this library is recorded as interacting with this medication. Coverage is partial — 171 of 216 medications have interaction data, drawn from the 107 supplements written up so far. Absence here is incomplete coverage, not a safety claim.
- Trade names
- Warfarin (Coumadin), Heparin, Enoxaparin (Lovenox), Rivaroxaban (Xarelto), Apixaban (Eliquis), Dabigatran (Pradaxa)
- family
- anticoagulants
Full write-up
What is it
Anticoagulants are medicines in the anticoagulant family. Examples include Warfarin (Coumadin), Heparin, Enoxaparin (Lovenox), Rivaroxaban (Xarelto), Apixaban (Eliquis), and Dabigatran (Pradaxa).
This page is a focused reference for compatibility questions involving these medicines and other medications or supplements. For questions related to a medical condition or treatment, consult a clinician.
What interacts with it
Several supplements may add to the blood-thinning effect of Anticoagulants by inhibiting platelet aggregation or having antiplatelet or anticoagulant properties. This concern applies to Alpha-Lipoic Acid (ALA), Bacopa Monnieri, Lycopene, MSM (Methylsulfonylmethane), Saffron Extract, and Tongkat Ali (Eurycoma). The possible clinical importance is uncertain for some of these combinations, while Saffron Extract may be of particular concern with warfarin or DOACs. Lion's Mane has shown antiplatelet activity in preclinical studies, but increased bleeding has not been demonstrated in humans, making the concern theoretical. Discuss these combinations with a prescriber or pharmacist.
For Selenium and Shilajit, a clinically meaningful interaction has not been established. Any added bleeding risk is theoretical, and Selenium-specific close INR monitoring is not supported beyond standard Anticoagulant monitoring. Pure oral Collagen peptides have no established clinically meaningful interaction, but multi-ingredient products should be checked for added ingredients that may affect bleeding risk.
Practices that increase the chance of falls, trauma, or skin injury can matter because Anticoagulants may make bruising or bleeding more severe. Intense or fall-prone Cycling, poorly controlled inversions or high-fall-risk poses during Yoga, Hatha Yoga, or Vinyasa Yoga, and trauma during Tai Chi may therefore require caution. TENS / EMS Therapy should not be used over bruised, fragile, or broken skin; a clinically significant hematoma or internal bleeding risk has not been established, but bruising is a theoretical concern in people taking Anticoagulants. A qualified instructor may help with Yoga modifications, and individual circumstances can be reviewed with a clinician.