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Is Fisetin 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 combining fisetin with warfarin unless under close medical supervision with frequent INR monitoring. Fisetin supplements should be discontinued at least 2 weeks before elective procedures.

Why this interaction occurs

Fisetin, a flavonoid senolytic, demonstrates significant CYP2C9 inhibitory activity in vitro and in preclinical studies. As warfarin is primarily metabolized by CYP2C9, co-administration may substantially increase warfarin exposure. Fisetin also inhibits platelet aggregation and has antithrombotic properties, creating additive hemorrhagic risk.

Evidence

Evidence level: limited.

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 Fisetin with Warfarin?
Avoid unless your doctor or pharmacist directs otherwise. Avoid combining fisetin with warfarin unless under close medical supervision with frequent INR monitoring. Fisetin supplements should be discontinued at least 2 weeks before elective procedures.
How long should I wait between Warfarin and Fisetin?
Avoid combining fisetin with warfarin unless under close medical supervision with frequent INR monitoring. Fisetin supplements should be discontinued at least 2 weeks before elective procedures.

Related interactions

All Fisetin interactions →  ·  All Warfarin interactions →

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Educational only — not medical advice.
Always confirm with your doctor or pharmacist.