Drug & supplement interaction

Gum Arabic + Bivalirudin

Bivalirudin brand names: Angiomax, Angiox, Angiomax Rtu.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Gum Arabic and Bivalirudin in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Gum Arabic and Bivalirudin

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Bivalirudin and Gum Arabic in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Gum Arabic safety at a glance

Gum Arabic overall Generally safe Generally recognized as safe as a food additive, though high supplemental doses may cause digestive upset.
Pregnancy Use caution Amounts found in foods are likely fine, but supplemental amounts have not been well studied, so check with your doctor.
Breastfeeding Use caution Food amounts are likely fine, but there is not enough information on supplement doses while breastfeeding.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Bivalirudin and Gum Arabic? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Bivalirudin

Interactions in our licensed database are recorded against drug classes, not just single drug names. Bivalirudin is filed under a single classification — anticoagulant/antiplatelet drugs. Gum Arabic has documented interactions with 2 drug classes — the most serious being amoxicillin (amoxil, trimox) (moderate) and oral drugs (moderate) — and none of Bivalirudin’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Gum Arabic Does Interact With Other Medications

Gum Arabic has 2,022 moderate known drug interactions in our database — Bivalirudin isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Gum Arabic

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

What to actually watch for

What Gum Arabic Itself Has Been Linked To

This is not an interaction — nothing below involves Bivalirudin. It is the side-effect record for Gum Arabic on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Gum Arabic, this list is the first place to look.

  • Bloating or gas / Diarrhea / Vomiting / Nausea Additional detail

    “Orally, gum arabic can cause minor gastrointestinal disturbances such as abdominal bloating, flatulence, nausea, vomiting, cramping, and mild diarrhea. These effects occurred in 15%, 82%, and 90% of subjects respectively in one study. They may subside with continued use within 2 weeks.”

    Gum Arabic · Natural Medicines adverse-effect record, reported in diarrhea.

    6 sources cited
    1. 8072. Jensen CD, Spiller GA, Gates JE, et al. The effect of acacia gum and a water-soluble dietary fiber mixture on blood lipids in humans. J Am Coll Nutr 1993;12:147-54. PubMed
    2. 18237. Babiker R, Merghani TH, Elmusharaf K, et al. Effects of gum Arabic ingestion on body mass index and body fat percentage in healthy adult females: two-arm randomized, placebo controlled, double-blind trial. Nutr J 2012;11:111. PubMed
    3. 99098. Babiker R, Elmusharaf K, Keogh MB, Banaga AS, Saeed AM. Metabolic effect of gum Arabic (Acacia senegal) in patients with type 2 diabetes mellitus (T2DM): randomized, placebo controlled double blind trial. Functional Foods in Health and Disease. 2017;7(3): DOI
    4. 105038. Ali NE, Kaddam LA, Alkarib SY, et al. Gum Arabic (Acacia Senegal) Augmented Total Antioxidant Capacity and Reduced C-Reactive Protein among Haemodialysis Patients in Phase II Trial. Int J Nephrol. 2020;2020:7214673.
    5. 105040. Mortensen A, Aguilar F, Crebelli R, et al. Re-evaluation of acacia gum (E 414) as a food additive. EFSA J. 2017;15(4):e04741. PubMed
    6. 108051. Larson R, Nelson C, Korczak R, et al. Acacia Gum Is Well Tolerated While Increasing Satiety and Lowering Peak Blood Glucose Response in Healthy Human Subjects. Nutrients 2021;13(2):618. PubMed
  • Stomach upset Additional detail

    Recorded for Gum Arabic in the same Natural Medicines adverse-effect record shown under Bloating or gas / Diarrhea / Vomiting / Nausea above.

Everything above comes from the Natural Medicines adverse-effect record for Gum Arabic — expand a row for the licensed statement it rests on. We haven’t matched Bivalirudin to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for Bivalirudin.

Everything else you take

See Every Supplement That Interacts With Bivalirudin

This page covers Gum Arabic only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Bivalirudin page lists 202 supplements it has a documented interaction with, worst first, each one explained.

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

By severity: 2 major · 183 moderate · 17 minor.

From our pharmacist’s overview on the Bivalirudin page

“Bivalirudin (Angiomax) is a strong intravenous blood thinner used during heart procedures like angioplasty, and because bleeding is already its main built-in danger, this list deserves genuine care. All 202 supplements on it interact the same basic way: they thin the blood or blunt platelets themselves, stacking bleeding risk on top of…”

Reviewed by 2 · Jul 18, 2026

Open the Bivalirudin interaction page

One more smart check

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

We hold 3 real supplement products containing Gum Arabic, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Gum Arabic. Even though Gum Arabic itself has no known interaction with Bivalirudin, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Gum Arabic and Bivalirudin 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 Gum Arabic
Top half

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

29 days ago today
Medication Bivalirudin
Top half

#1,207 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.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Gum Arabic reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Gum Arabic and Bivalirudin records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Gum Arabic

What is Gum Arabic?

Gum Arabic
  • Digestive and gut health
  • Source of soluble fiber
  • Constipation or bowel regularity
  • Prebiotic support
  • Cholesterol support
  • Blood sugar support

Gum arabic is a soluble dietary fiber from the acacia tree that is widely used as a safe food additive and is sometimes taken as a supplement for digestive health and as a prebiotic. Early studies suggest possible benefits for gut bacteria, cholesterol, and blood sugar, but the evidence is limited, and high doses can cause gas and bloating. Talk to your pharmacist or doctor before using it as a supplement.

Acacia senegal · Fabaceae · Dried gum (sap exudate) from the trunk and branches · Powder, soluble fiber supplement, capsules; also used as a food additive (stabilizer/emulsifier)

An interaction check asks whether these two react with each other — it does not ask whether Gum Arabic is a good idea for someone in your situation. Here is what our Gum Arabic record says about it on its own.

Gum Arabic: dosing

There is no official, standardized supplement dose for gum arabic. The amounts used in research studies have varied, and it is also commonly consumed in small amounts as a food ingredient.If you choose to take it as a fiber supplement, follow the directions on the product label, and consider starting with a lower amount to see how your body responds.

From our Gum Arabic monograph — the full record covers uses, side effects and every documented interaction.

Read the full Gum Arabic monograph & all interactions
Medication

About Bivalirudin

Most-Reported Side Effects for Bivalirudin

From FAERS, the FDA’s public side-effect reporting system (960 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Hemorrhage 87 reports
Heparin-induced thrombocytopenia 74 reports
Gastrointestinal haemorrhage 43 reports
Vascular stent thrombosis 39 reports
Thrombosis 38 reports
Keep checking

Other Drugs & Gum Arabic

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

0Major
2,022Moderate
0Minor
807No known interaction
Moderate

2,022 interactions

Showing 60 of 2,022 moderate interactions — see all 2,022 on the Gum Arabic page.

No interaction 807 drugs checked — show the list

We also checked Gum Arabic against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 807 medications checked with no known interaction — see the full Gum Arabic list.

Evidence & sources

Gum Arabic References

The 8 references that drive our Gum Arabic monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Jensen CD, Spiller GA, Gates JE, et al. The effect of acacia gum and a water-soluble dietary fiber mixture on blood lipids in humans. J Am Coll Nutr 1993;12:147-54. PubMed
  2. Eltayeb IB, Awad AI, Elderbi MA, Shadad SA. Effect of gum arabic on the absorption of a single oral dose of amoxicillin in healthy Sudanese volunteers. J Antimicrob Chemother 2004;54:577-8. PubMed
  3. Babiker R, Merghani TH, Elmusharaf K, et al. Effects of gum Arabic ingestion on body mass index and body fat percentage in healthy adult females: two-arm randomized, placebo controlled, double-blind trial. Nutr J 2012;11:111. PubMed
  4. Babiker R, Elmusharaf K, Keogh MB, Banaga AS, Saeed AM. Metabolic effect of gum Arabic (Acacia senegal) in patients with type 2 diabetes mellitus (T2DM): randomized, placebo controlled double blind trial. Functional Foods in Health and Disease. 2017;7(3): DOI
  5. Beneke CE, Viljoen AM, Hamman JH. Polymeric plant-derived excipients in drug delivery. Molecules. 2009;14(7):2602-20. PubMed
  6. Ali NE, Kaddam LA, Alkarib SY, et al. Gum Arabic (Acacia Senegal) Augmented Total Antioxidant Capacity and Reduced C-Reactive Protein among Haemodialysis Patients in Phase II Trial. Int J Nephrol. 2020;2020:7214673.
  7. Mortensen A, Aguilar F, Crebelli R, et al. Re-evaluation of acacia gum (E 414) as a food additive. EFSA J. 2017;15(4):e04741. PubMed
  8. Larson R, Nelson C, Korczak R, et al. Acacia Gum Is Well Tolerated While Increasing Satiety and Lowering Peak Blood Glucose Response in Healthy Human Subjects. Nutrients 2021;13(2):618. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Gum Arabic and Bivalirudin Together: Common Questions

Is it safe to take Gum Arabic with Bivalirudin?
We do not list a known interaction between Gum Arabic and Bivalirudin. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
How was the Gum Arabic and Bivalirudin combination checked?
Interactions in our licensed database are recorded against drug classes. Bivalirudin is filed under 1 classification, and Gum Arabic has documented interactions with 2 drug classes — none of Bivalirudin's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Gum Arabic interact with any other medications?
Yes. Gum Arabic has 2,022 documented drug interactions in our database — Bivalirudin is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Bivalirudin interact with any supplements?
Yes. Bivalirudin has documented interactions with 202 supplements in our database — Gum Arabic is not one of them. The Bivalirudin interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Bivalirudin and Gum Arabic?

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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.