Chinese Caterpillar Fungus — Safety & Interactions

Dong Chong Xia Cao · Cordyceps

Contraindications

  • Myelogenous-type cancers
  • Use of expensive or unverified cordyceps products without authentication
  • Patterns of acute excess heat without underlying deficiency

Cautions

  • Cordyceps is frequently adulterated, so source quality matters more than with ordinary low-cost tonic herbs
  • MSK notes that cordyceps should not be used by those with myelogenous-type cancers because animal studies showed proliferation of erythroid progenitor cells
  • A case report of excessive bleeding after a dental procedure has been linked to daily tonic use of cordyceps

Drug Interactions

Drug Class / Substrate Mechanism Severity Source
Hypoglycemics / insulin Laboratory studies suggest additive hypoglycemic effects that may increase blood-sugar-lowering activity Moderate Memorial Sloan Kettering
Anticoagulants / antiplatelets May inhibit platelet aggregation and increase bleeding risk; MSK also cites a case report of excessive bleeding Moderate Memorial Sloan Kettering

This information is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before using herbal medicines, especially if you take prescription medications.