Supplement × Prescription·a caution·Insufficient evidence

Fenofibrate + Garlic Extract

Caution Insufficient evidence

Fenofibrate has antiplatelet-like effects and is reported to potentiate the action of anticoagulants. Concentrated garlic extract has mild antiplatelet activity, so combining the two could additively increase bleeding tendency, particularly in patients also taking warfarin, antiplatelet drugs, or other blood-thinning supplements.

From the database

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Pair type
Caution
Evidence
Insufficient
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionInsufficient evidence

What is happening. Fenofibrate has antiplatelet-like effects and is reported to potentiate the action of anticoagulants. Concentrated garlic extract has mild antiplatelet activity, so combining the two could additively increase bleeding tendency, particularly in patients also taking warfarin, antiplatelet drugs, or other blood-thinning supplements.

Mechanism. Garlic-derived organosulfur compounds inhibit platelet aggregation. Fenofibrate independently displays antiplatelet and anticoagulant-potentiating properties. Their effects on hemostasis can be additive, raising the theoretical risk of bleeding.

Recommendation. Use concentrated garlic supplements cautiously with fenofibrate, especially around surgery or alongside anticoagulant/antiplatelet therapy. Watch for easy bruising, nosebleeds, or prolonged bleeding, and inform clinicians of supplement use.

Stack Score

How it moves the number.

Effect on the composite score

If both Fenofibrate and Garlic Extract are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1Rahman K, Lowe GM. Garlic and cardiovascular disease: a critical review. J Nutr. 2006.Needs sourceNo link

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