Garlic
Negative Interactions
3- Potential Negative Interaction
Garlic
Ticlopidine
Garlic (Allium sativum) has been shown to help prevent atherosclerosis (hardening of the arteries), perhaps by reducing the ability of platelets to stick together. Interfering with the action of platelets results in an increase in the tendency toward bleeding and in theory could dangerously enhance the effect of ticlopidine. Standardized extracts of garlic have been associated with bleeding in people only on rare occasions. People taking ticlopidine should consult with a doctor before taking products containing standardized extracts of garlic or eating more than one clove of garlic daily.
TiclopidineGarlic- Rose KD, Croissant PD, Parliment CF, Levin MB. Spontaneous spinal epidural hematoma with associated platelet dysfunction from excessive garlic ingestion: A case report. Neurosurgery 1990;26:880-2.
- Gadkari JV, Joshi VD. Effect of ingestion of raw garlic on serum cholesterol level, clotting time and fibrinolytic activity in normal subjects. J Postgrad Med 1991;37:128-31.
- Burnham BE. Garlic as a possible risk for postoperative bleeding. Plast Reconst Surg 1995;95:213.
- Potential Negative Interaction
Garlic
Warfarin
Garlic (Allium sativum) has been shown to help prevent atherosclerosis (hardening of the arteries), perhaps by reducing the ability of platelets to stick together. This can result in an increase in the tendency toward bleeding. Standardized extracts have, on rare occasions, been associated with bleeding in people. Garlic extracts have also been associated with two human cases of increased warfarin activity. The extracts were not definitively shown to be the cause of the problem. People taking warfarin should consult with a doctor before taking products containing standardized extracts of garlic or eating more than one clove of garlic daily.
WarfarinGarlic- Rose KD, Croissant PD, Parliment CF, Levin MB. Spontaneous spinal epidural hematoma with associated platelet dysfunction from excessive garlic ingestion: A case report. Neurosurgery 1990;26:880-2.
- Gadkari JV, Joshi VD. Effect of ingestion of raw garlic on serum cholesterol level, clotting time and fibrinolytic activity in normal subjects. J Postgrad Med 1991;37:128-31.
- Burnham BE. Garlic as a possible risk for postoperative bleeding. Plast Reconst Surg 1995;95:213.
- Sunter WH. Warfarin and garlic. Pharm J 1991;246:722 [letter].
- Reduces Effectiveness
Garlic
Chlorzoxazone
Test tube studies show that watercress, garlic, tea, and cruciferous vegetables, such as Brussels sprouts, broccoli, and Chinese cabbage, block the breakdown of chlorzoxazone into inactive compounds. Controlled human research is needed to determine whether these interactions are important in people taking chlorzoxazone.
ChlorzoxazoneGarlic- Walter-Sack I, Klotz U. Influence of diet and nutritional status on drug metabolism. Clin Pharmacokin 1996;31:47-64.
- Marchand LL, Wilkinson GR, Wilkens LR. Genetic and dietary predictors of CYP2E1 activity: a phenotyping study in Hawaii Japanese using chlorzoxazone. Cancer Epidemiol Biomarkers Prev 1999;8:495-500.
Supportive Interactions
1- Support Medicine
Garlic
Dipyridamole
A test tube study has shown ajoene, a compound found in garlic that prevents platelet clumping, enhances the beneficial action of dipyridamole on human platelets. Controlled research is needed to determine whether taking garlic supplements together with dipyridamole might enhance the effectiveness of either compound taken alone.
DipyridamoleGarlic- Apitz-Castro R, Escalante J, Vargas R, Jain MK. Ajoene, the antiplatelet principle of garlic, synergistically potentiates the antiaggregatory action of prostacyclin, forskolin, indomethacin and dipyridamole on human platelets. Thromb Res 1986;42:303-11.