Moderate: use with caution

Is ginkgo safe with blood thinners?

Also searched as: apixaban, clopidogrel, rivaroxaban, Xarelto

Short answer

Use caution. Ginkgo may increase bleeding risk, and there are reports of bleeding in people taking it with blood thinners. Ask your prescriber before using it.

Why it happens

Ginkgo may affect how platelets work. Combined with medicines that already reduce clotting, bleeding risk may go up.

What to do

  • Talk to your prescriber or pharmacist before taking ginkgo with any blood thinner.
  • Stop ginkgo before surgery or dental procedures if your care team advises it.

Signs to watch for

  • Unusual bruising or bleeding
  • Blood in urine or stools

If symptoms are severe, call 911 or go to the nearest emergency room.

Sources

Last reviewed November 4, 2026. For education only, not medical advice. Talk to your pharmacist or prescriber before changing anything.

Check your whole list at once

SafeMix checks every prescription, over-the-counter medicine, supplement and peptide you take against each other, and shows the FDA or NIH source behind each alert.

Download on the App StoreGet it on Google Play

More interaction guides