Dong Quai can dangerously increase the blood-thinning effect of warfarin, raising the risk of serious bleeding. Learn why this herbal supplement is not safe to use with anticoagulants and what to do instead.
When you take a herbal supplement blood thinner, a natural product used to reduce blood clotting, often without medical oversight. Also known as natural anticoagulants, these supplements can act just like prescription blood thinners—but without the lab tests, dosage control, or warnings. Many people think "natural" means safe, but that’s not true when it comes to your blood. A single daily ginkgo pill or garlic capsule might seem harmless, but if you’re also on warfarin or a DOAC, it could push your INR into dangerous territory overnight.
There are warfarin, a long-used anticoagulant that requires regular INR monitoring to stay in a safe range, and then there are herbs like ginkgo biloba, a popular supplement linked to increased bleeding risk, garlic, known to inhibit platelet function, and turmeric, whose active compound curcumin can interfere with clotting pathways. These aren’t just mild aids—they’re pharmacologically active. One study found that people taking ginkgo with warfarin had INR levels spike above 6.0, putting them at serious risk of internal bleeding. And no, your doctor probably didn’t ask you about your turmeric capsules.
That’s why INR monitoring, the lab test that measures how long your blood takes to clot is so critical—not just for people on warfarin, but for anyone using herbal supplements that affect clotting. Your INR isn’t just a number; it’s your early warning system. A high INR means your blood is too thin. A low one means you’re at risk for stroke. And herbal supplements can flip that number without you noticing until it’s too late.
You don’t need to avoid all herbs. But you do need to know which ones are risky, how they interact with your meds, and whether your body is handling the combo. That’s why the posts below cover real cases: how people ended up in the ER after combining fish oil with aspirin, why one woman had a brain bleed after starting ginger tea while on Eliquis, and how a simple switch from garlic pills to garlic powder cut her bleeding risk in half. You’ll find guides on what to ask your pharmacist, how to track your symptoms between lab visits, and which supplements have actual clinical evidence behind them—not just marketing claims.
This isn’t about fear. It’s about awareness. If you’re using an herbal supplement to feel better, you deserve to know if it’s quietly putting you at risk. The information here is practical, direct, and based on real patient outcomes—not theory. You’ll walk away knowing exactly which herbs to pause, which to monitor, and when to talk to your doctor before the next lab test.
Dong Quai can dangerously increase the blood-thinning effect of warfarin, raising the risk of serious bleeding. Learn why this herbal supplement is not safe to use with anticoagulants and what to do instead.