SAFE — No Known Interaction
🟢 SAFE — Apixaban and Nicotinamide Riboside can be taken together safely.
Evidence level: THEORETICAL
Apixaban and Nicotinamide Riboside are generally considered safe to use together. No adverse interactions have been reported in medical literature.
No clinically significant interaction between Apixaban and Nicotinamide Riboside has been identified in medical literature.
No interaction documented between Apixaban and Nicotinamide Riboside. Always inform your healthcare provider about everything you take.
High caution required. Fish oil, vitamin E, and nattokinase all have blood-thinning properties that can amplify Apixaban. CoQ10 and vitamin K can REDUCE warfarin effectiveness. Take at their normal times but inform your prescriber about ALL supplements. Request INR monitoring if starting or stopping any supplement while on an anticoagulant.
Higher risk for: elderly patients, those with liver disease, history of GI bleeding, concurrent use of multiple blood thinners, recent surgery, vitamin K intake changes, alcohol use, or low body weight.
Monitor for signs of altered bleeding when combining Apixaban with Nicotinamide Riboside. Watch for: unusual or easy bruising, blood in urine or stool, prolonged bleeding from minor cuts, frequent nosebleeds, bleeding gums, or heavy menstrual periods. Have your INR or clotting times checked more frequently when starting or stopping this combination. When to seek emergency help: Severe bleeding that does not stop, blood in vomit, sudden severe headache, vision changes, confusion, or weakness on one side of the body (possible internal bleeding or stroke).
No urgent discussion needed, but keep your provider informed. Say: "I take Apixaban alongside Nicotinamide Riboside — anything I should know?"
Safe combination at standard doses. Continue your medication as prescribed. Inform your doctor or pharmacist that you are using both, so they can monitor for any changes over time.
Apixaban and Nicotinamide Riboside are generally considered safe to use together. No adverse interactions have been reported in medical literature.
High caution required. Fish oil, vitamin E, and nattokinase all have blood-thinning properties that can amplify Apixaban. CoQ10 and vitamin K can REDUCE warfarin effectiveness. Take at their normal times but inform your prescriber about ALL supplements. Request INR monitoring if starting or stopping any supplement while on an anticoagulant.
Monitor for signs of altered bleeding when combining Apixaban with Nicotinamide Riboside. Watch for: unusual or easy bruising, blood in urine or stool, prolonged bleeding from minor cuts, frequent nosebleeds, bleeding gums, or heavy menstrual periods. Have your INR or clotting times checked more frequently when starting or stopping this combination. When to seek emergency help: Severe bleeding that does not stop, blood in vomit, sudden severe headache, vision changes, confusion, or weakness on one side of the body (possible internal bleeding or stroke).
Safe combination at standard doses. Continue your medication as prescribed. Inform your doctor or pharmacist that you are using both, so they can monitor for any changes over time.
No urgent discussion needed, but keep your provider informed. Say: "I take Apixaban alongside Nicotinamide Riboside — anything I should know?"
Or browse the full interaction database (121,000+ pairs).