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Is royal jelly 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

Do not take royal jelly while on warfarin. If already taking it, stop immediately and contact your doctor for an urgent INR check. Report any blood in urine, unusual bruising, or prolonged bleeding.

Why this interaction occurs

Royal jelly appears to potentiate the anticoagulant effect of warfarin, causing clinically significant INR elevation (6.88–7.29 in reported case) and bleeding complications such as hematuria. The exact pharmacokinetic or pharmacodynamic mechanism is not yet established.

Evidence

Evidence level: limited.

Data source

PubMed - PMID 16553520

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 royal jelly with warfarin?
Avoid unless your doctor or pharmacist directs otherwise. Do not take royal jelly while on warfarin. If already taking it, stop immediately and contact your doctor for an urgent INR check. Report any blood in urine, unusual bruising, or prolonged bleeding.

Related interactions

All royal jelly interactions →  ·  All warfarin interactions →

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