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.
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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)
- 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
- 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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