Interaction databaseSupplement × PrescriptionReviewed May 2026

Garlic Extract and Ibuprofen, a caution.

Concentrated garlic extract may add antiplatelet activity to ibuprofen's bleeding risk. This is most relevant with high-dose garlic products, repeated ibuprofen use, upcoming procedures, ulcer history, or other blood-thinning medicines. Culinary garlic in food is much less concerning than supplement-dose extract.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Garlic Extract and Ibuprofen
Pair type
Caution
Evidence (highest tier)
Emerging
Source citations
2 sources
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Caution · Emerging evidence

Caution

What is happening. Concentrated garlic extract may add antiplatelet activity to ibuprofen's bleeding risk. This is most relevant with high-dose garlic products, repeated ibuprofen use, upcoming procedures, ulcer history, or other blood-thinning medicines. Culinary garlic in food is much less concerning than supplement-dose extract.

Mechanism. Garlic preparations can affect platelet aggregation and bleeding time in human studies. Ibuprofen can reversibly inhibit platelet COX-1 and increase NSAID-related GI mucosal injury, creating additive pharmacodynamic bleeding risk.

Recommendation. Avoid high-dose garlic extract while using ibuprofen regularly. Stop garlic extract before procedures if your surgical team recommends it, and watch for nosebleeds, bruising, black stools, or vomiting blood.

Sources (2)
  1. Fakhar H, Hashemi Tayer A. Effect of the Garlic Pill in comparison with Plavix on Platelet Aggregation and Bleeding Time. Iran J Ped Hematol Oncol. 2012;2(4):146-152. PMID 24575255
  2. Sostres C, Gargallo CJ, Arroyo MT, Lanas A. Adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs, aspirin and coxibs) on upper gastrointestinal tract. Best Pract Res Clin Gastroenterol. 2010;24(2):121-132. PMID 20227026

Stack Score

How this pair moves the number.

Effect on the composite score

If both Garlic Extract and Ibuprofen 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 documented at /methodology/stack-score.

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