1 interaction related to tcm
Danshen (Salvia miltiorrhiza), widely used in traditional Chinese medicine for cardiovascular indications, has both pharmacokinetic (decreased clearance of R- and S-warfarin) and pharmacodynamic (antiplatelet, antithrombotic) interactions with warfarin. Multiple published case reports describe massive over-anticoagulation with INRs above 8 and serious bleeds including haemothorax.