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Is Curcumin Safe with Warfarin?

⚠️ HIGH SEVERITY
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Avoid high-dose curcumin supplements while on warfarin. Dietary turmeric in normal food amounts is generally acceptable. Report any unusual bruising or bleeding to your provider immediately.

Why this interaction occurs

Curcumin inhibits platelet aggregation and modulates thromboxane/prostacyclin balance. It also inhibits CYP2C9 and may downregulate P-glycoprotein, increasing warfarin bioavailability. Multiple case reports document significant INR elevation with curcumin co-administration.

Evidence

Evidence level: strong.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 134,328 reports mentioning Warfarin. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Warfarin + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take Curcumin with Warfarin?
Avoid unless your doctor or pharmacist directs otherwise. Avoid high-dose curcumin supplements while on warfarin. Dietary turmeric in normal food amounts is generally acceptable. Report any unusual bruising or bleeding to your provider immediately.
Does Curcumin affect how well Warfarin works?
Curcumin inhibits platelet aggregation and modulates thromboxane/prostacyclin balance. It also inhibits CYP2C9 and may downregulate P-glycoprotein, increasing warfarin bioavailability. Multiple case reports document significant INR elevation with curcumin co-administration.

Related interactions

All Curcumin interactions →  ·  All Warfarin interactions →

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Educational only — not medical advice.
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