Fresh Ginger — Safety & Interactions
Sheng Jiang · Rhizoma Zingiberis Recens
Use with caution. Practitioner review recommended before use.
Contraindications
- Strong heat syndromes or fluid dryness without cold
- Perioperative use of concentrated ginger supplements
- Bleeding disorders or gallstones in the context of high-dose supplement use
Cautions
- MSK notes that concentrated ginger supplements may increase bleeding risk, especially around surgery or with anticoagulants and NSAIDs.
- Clinical supplement data should not be assumed equivalent to small culinary or formula doses of fresh Sheng Jiang.
- High-dose supplement use during pregnancy or lactation remains controversial; traditional culinary or formula use is not the same as concentrated extract use.
Drug Interactions
| Drug Class / Substrate | Mechanism | Severity | Source |
|---|---|---|---|
| NSAIDs such as diclofenac or ibuprofen - possible increased bleeding risk. | |||
| Anticoagulants or antiplatelet drugs - possible increased bleeding risk through platelet effects. | |||
| Hypoglycemics or insulin - possible additive glucose-lowering effect. | |||
| Tacrolimus - ginger increased plasma levels in preclinical work. | |||
| Cyclosporine - concomitant use reduced blood concentrations in vivo. | |||
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.