Garlic Extract and Naproxen, a caution.
Concentrated garlic extract may add antiplatelet effects to naproxen's GI bleeding risk. Naproxen has a relatively strong association with upper GI complications, so even modest platelet effects may matter in high-risk people. The concern is highest with supplement-dose garlic extract, prior ulcers, older age, or other blood thinners.
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 Naproxen
- 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 effects to naproxen's GI bleeding risk. Naproxen has a relatively strong association with upper GI complications, so even modest platelet effects may matter in high-risk people. The concern is highest with supplement-dose garlic extract, prior ulcers, older age, or other blood thinners.
Mechanism. Garlic constituents can affect platelet aggregation and bleeding time. Naproxen inhibits COX enzymes and reduces protective gastric prostaglandins, increasing the chance that platelet effects translate into clinically relevant bleeding.
Recommendation. Avoid high-dose garlic extract if you take naproxen regularly. Use naproxen at the lowest effective dose and seek care for black stools, vomiting blood, or unusual bruising.
Sources (2)
- Rahman K, Lowe GM. Garlic and cardiovascular disease: a critical review. J Nutr. 2006;136(3 Suppl):736S-740S. PMID 16484553
- Castellsague J, Riera-Guardia N, Calingaert B, Varas-Lorenzo C, Fourrier-Reglat A, Nicotra F, et al. Individual NSAIDs and upper gastrointestinal complications: a systematic review and meta-analysis of observational studies (the SOS project). Drug Saf. 2012;35(12):1127-1146. PMID 23137151
Stack Score
How this pair moves the number.
Effect on the composite score
If both Garlic Extract and Naproxen 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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