MODERATE — Monitor Closely
CAUTION — additive bleeding risk
Evidence level: MODERATE
Both dong quai and aspirin thin the blood through different mechanisms — together bleeding risk increases.
Additive antiplatelet effects from dong quai coumarins + aspirin cyclooxygenase inhibition.
Monitor for increased bruising/bleeding. Inform doctor.
Take Aspirin with food. Dong Quai can be taken at the same or different meal. Anti-inflammatory botanicals (turmeric, boswellia, willow bark) may have additive effects with NSAIDs — this could be beneficial but also increases GI irritation risk. Willow bark contains salicin (aspirin-like) and should not be doubled up with NSAIDs.
GI ulcer history, concurrent anticoagulants
Unusual bruising, prolonged bleeding, GI bleeding
Mention dong quai use if on antiplatelet therapy.
NSAID interactions often involve bleeding risk or kidney strain. Safer anti-inflammatory alternatives: curcumin/turmeric, omega-3 fish oil, or acetaminophen (for pain without anti-inflammatory effects). Use NSAIDs at the lowest effective dose for the shortest duration.
Both dong quai and aspirin thin the blood through different mechanisms — together bleeding risk increases.
Take Aspirin with food. Dong Quai can be taken at the same or different meal. Anti-inflammatory botanicals (turmeric, boswellia, willow bark) may have additive effects with NSAIDs — this could be beneficial but also increases GI irritation risk. Willow bark contains salicin (aspirin-like) and should not be doubled up with NSAIDs.
Unusual bruising, prolonged bleeding, GI bleeding
NSAID interactions often involve bleeding risk or kidney strain. Safer anti-inflammatory alternatives: curcumin/turmeric, omega-3 fish oil, or acetaminophen (for pain without anti-inflammatory effects). Use NSAIDs at the lowest effective dose for the shortest duration.
Mention dong quai use if on antiplatelet therapy.
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