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Is saffron (Crocus sativus) Safe with warfarin?

⚠️ HIGH SEVERITY
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warfarin saffron (Crocus sativus)
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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 regular or high-dose saffron supplementation while taking warfarin. If saffron is consumed, monitor INR more frequently and report any signs of unusual bleeding or bruising to your healthcare provider.

Why this interaction occurs

Saffron inhibits CYP enzymes including CYP3A4 and CYP1A2, which are involved in warfarin metabolism. Inhibition may increase warfarin exposure and bleeding risk. Warfarin has a narrow therapeutic index making this pharmacokinetic interaction clinically significant.

Evidence

Evidence level: limited.

Data source

PubMed - PMID 40167627

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 saffron (Crocus sativus) with warfarin?
Avoid unless your doctor or pharmacist directs otherwise. Avoid regular or high-dose saffron supplementation while taking warfarin. If saffron is consumed, monitor INR more frequently and report any signs of unusual bleeding or bruising to your healthcare provider.

Related interactions

All saffron (Crocus sativus) interactions →  ·  All warfarin interactions →

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