Can Black Fungus Interact with Blood Thinners? A Guide for Patients - Pharmacology

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Black fungus and anticoagulants?


Dear Miss Liao,
Last year, you had 4 stents placed and are currently taking medications including Clopidogrel and Atorvastatin.
Friends and literature suggest that black fungus (wood ear mushroom) has anticoagulant properties.
I would like to ask:
1.
Is it okay to take the medication in the morning and consume black fungus extract in the evening? Are there any interactions?
2.
Can black fungus replace the medication? I am concerned that long-term medication use may have adverse effects on the body.
Thank you.

Simon Chang, 60~69 year old female. Ask Date: 2017/05/06

Dr. Liao Huiling reply Pharmacology


1.
The efficacy of foods as claimed by rumors or online sources cannot replace the evidence from medical research; therefore, do not substitute food for medication, especially for cardiovascular drugs used for long-term disease management—do not discontinue them without medical advice.
2.
Many foods in daily life can affect the absorption or metabolism of medications, but there is no need to worry excessively as long as you are not consuming large amounts of a single food, including black fungus.

Reply Date: 2017/05/06

More Info


When considering the interaction between black fungus (often referred to as black wood ear or Auricularia polytricha) and blood thinners, it is essential to understand both the properties of the fungus and the medications involved.
1. Understanding Black Fungus: Black fungus is a type of edible mushroom commonly used in Asian cuisine. It is known for its texture and nutritional benefits, including being rich in fiber, vitamins, and minerals. However, it is also suggested to have anticoagulant properties, which means it can potentially affect blood clotting.

2. Blood Thinners: The medications you mentioned, such as 保栓通 (likely a brand name for an antiplatelet medication) and 冠脂妥 (which may refer to a statin or another cholesterol-lowering agent), are designed to prevent blood clots. Blood thinners work by inhibiting the clotting process, which is crucial for patients with stents or a history of cardiovascular issues.

3. Potential Interactions:
- Timing of Consumption: Taking black fungus in the evening after your morning dose of blood thinners may not lead to immediate interactions, but it is essential to monitor how your body responds. The anticoagulant effect of black fungus could theoretically enhance the effects of your blood-thinning medications, increasing the risk of bleeding.

- Substituting Medications: It is crucial to understand that while black fungus may have some health benefits, it should not be used as a substitute for prescribed medications. Blood thinners are prescribed based on specific medical conditions and risks, and discontinuing them without medical advice could lead to serious health consequences, including the risk of thrombosis (blood clots) or embolism.

4. Recommendations:
- Consult Your Healthcare Provider: Before making any changes to your diet or medication regimen, it is vital to consult with your healthcare provider or a pharmacist. They can provide personalized advice based on your medical history, current medications, and overall health status.

- Monitor for Symptoms: If you decide to incorporate black fungus into your diet, be vigilant for any unusual symptoms such as increased bruising, prolonged bleeding from cuts, or any signs of gastrointestinal bleeding (e.g., blood in stool or vomit). If you experience any of these symptoms, seek medical attention immediately.

5. Long-term Medication Use: Concerns about the long-term use of blood thinners are valid, as they can have side effects. However, the benefits of preventing serious cardiovascular events often outweigh these risks. Discuss any concerns about side effects with your doctor, who may adjust your treatment plan or suggest alternative therapies if necessary.

In conclusion, while black fungus has some health benefits, it should not replace prescribed blood-thinning medications. Always consult with your healthcare provider before making dietary changes or altering your medication regimen to ensure your safety and well-being.

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