Interaction databaseSupplement × PrescriptionReviewed May 2026

Garlic Extract and Ticagrelor, a caution.

Concentrated garlic supplements inhibit platelet aggregation. Combined with ticagrelor's P2Y12 inhibition, garlic supplements stack antiplatelet activity and can raise bleeding risk, particularly perioperatively.

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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At a glance

Substances
Garlic Extract and Ticagrelor
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 supplements inhibit platelet aggregation. Combined with ticagrelor's P2Y12 inhibition, garlic supplements stack antiplatelet activity and can raise bleeding risk, particularly perioperatively.

Mechanism. Allicin and related thiosulfinates inhibit platelet COX activity and thromboxane synthesis, modify membrane properties, and reduce calcium signalling. These add to ticagrelor's blockade of ADP-mediated platelet activation via P2Y12.

Recommendation. Avoid concentrated garlic supplements (aged garlic, allicin capsules) while on ticagrelor, and stop them at least 7 days before any planned surgery. Cooking with garlic is fine.

Sources (2)
  1. Rahman K, Lowe GM. Garlic and cardiovascular disease: a critical review. J Nutr. 2006;136(3 Suppl):736S-740S. PMID 16484553
  2. Heck AM, DeWitt BA, Lukes AL. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm. 2000;57(13):1221-7. PMID 10902065

Stack Score

How this pair moves the number.

Effect on the composite score

If both Garlic Extract and Ticagrelor 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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