Drug & supplement interaction

Chaga + Dalteparin

Dalteparin brand name: Fragmin.

Moderate Interaction
The bottom line Moderate

Chaga has a moderate interaction with Dalteparin. Theoretically, chaga may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Chaga and Dalteparin

Here is the interaction we found between these two, with the evidence behind it.

Moderate

ANTICOAGULANT/ANTIPLATELET DRUGS

Why this applies to Dalteparin

Dalteparin falls under ANTICOAGULANT/ANTIPLATELET DRUGS — the group Chaga interacts with.

Theoretically, chaga may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro and animal research suggests that chaga extract can inhibit platelet aggregation. This effect has not been reported in humans.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the situation with Chaga and your Dalteparin (Fragmin) shot. Dalteparin is already a blood thinner, working by lowering your blood's ability to clot. Lab and animal studies hint that Chaga might make platelets (the cells that help form clots) a little less sticky. So in theory, pairing the two could nudge your bleeding risk up a bit, on top of what the Dalteparin is already doing.

I want to be honest: this is a theoretical concern only. It hasn't actually been seen in people, so I'm not ringing alarm bells. Still, with a blood thinner, I'd keep an eye out for things like easy bruising, nosebleeds, bleeding gums, or any unusual bleeding. Before you start or stop the Chaga, please run it by your pharmacist or doctor.

References
  1. Hyun KW, Jeong SC, Lee DH, et al. Isolation and characterization of a novel platelet aggregation inhibitory peptide from the medicinal mushroom, Inonotus obliquus. Peptides 2006;27(6):1173-8. PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Chaga Also Interacts With Other Medications

Chaga has 326 moderate known drug interactions in our database — the Dalteparin one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Chaga

Covers the 2,830 medications we’ve checked against Chaga. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Dalteparin

This page covers Chaga only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Dalteparin page lists 218 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Danshen (major), Piracetam (major), Aconite (moderate) and Allspice (moderate).

By severity: 3 major · 190 moderate · 25 minor.

From our pharmacist’s overview on the Dalteparin page

“Dalteparin (Fragmin) is an injectable blood thinner used to prevent and treat dangerous clots, which is exactly why this list warrants real vigilance, and nearly all 218 ingredients on it thin the blood too. They are herbs and extracts with clot-inhibiting or antiplatelet effects of their own, so stacking them on dalteparin can push bl…”

Reviewed by 2 · Jul 18, 2026

Open the Dalteparin interaction page

One more smart check

Taking Chaga as Part of a Dietary Supplement Product? Check It for Interactions

We hold 889 real supplement products containing Chaga, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Chaga. Your product may carry other ingredients that interact with Dalteparin too, on top of Chaga — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Chaga and Dalteparin Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Chaga
Top 25%

#296 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Dalteparin
Top half

#793 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Chaga

What is Chaga?

  • Immune support
  • Antioxidant support
  • General wellness/tonic
  • Blood sugar support
  • Inflammation

Chaga is a fungus that grows mostly on birch trees and is used as a tea or supplement, mainly for immune and antioxidant support. Human evidence for its benefits is very limited, and it may raise some safety concerns such as effects on blood sugar, bleeding, and kidney stones. Talk with your pharmacist or doctor before using it, especially if you have a health condition or take other medicines.

Read the full Chaga monograph & all interactions
Medication

About Dalteparin Injection

What Is Dalteparin Injection Used For?

Brand name: Fragmin

Fragmin (dalteparin) injection is used to prevent blood clots (deep vein thrombosis, or DVT) in people having hip replacement or abdominal surgery, and in hospitalized patients who are largely immobile due to acute illness. It is also used to reduce ischemic complications — meaning clot-related events — in people with unstable angina or a type of heart attack called non-Q-wave MI, when given alongside aspirin.

Fragmin is approved for the extended treatment of symptomatic venous thromboembolism (VTE — blood clots in the veins or lungs) in adults with cancer, to reduce the chance of clots coming back, for up to six months. It is also approved to treat symptomatic VTE in pediatric patients from birth (at least 35 weeks gestational age) onward. Fragmin is not intended for the acute (immediate emergency) treatment of VTE.

See full Dalteparin Injection drug information
Keep checking

Other Drugs & Chaga

Browse every other medication we’ve checked against Chaga — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
326Moderate
0Minor
2,503No known interaction
Moderate

326 interactions

Showing 60 of 326 moderate interactions — see all 326 on the Chaga page.

No interaction 2,503 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Chaga and Dalteparin Together: Common Questions

Can you take Chaga with Dalteparin?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Chaga and Dalteparin interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.