Drug & supplement interaction

Lotus + Ticlopidine

Ticlopidine brand names: Ticlid, Ticlopidine.

Moderate Interaction
The bottom line Moderate

Lotus has a moderate interaction with Ticlopidine. Theoretically, concurrent use of lotus with other antiplatelet drugs might reduce platelet aggregation and increase the risk of bleeding.

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

Lotus and Ticlopidine

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

Moderate

ANTICOAGULANT/ANTIPLATELET DRUGS

Why this applies to Ticlopidine

Ticlopidine falls under ANTICOAGULANT/ANTIPLATELET DRUGS — the group Lotus interacts with.

Theoretically, concurrent use of lotus with other antiplatelet drugs might reduce platelet aggregation and increase the risk of bleeding.
Neferine and isoliensinine, constituents of lotus, have been shown to inhibit platelet aggregation, in vitro. These constituents can inhibit the production of pro-aggregating factors like prostaglandins.
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 gist: ticlopidine already works by keeping your platelets from sticking together so clots don't form. Lotus has natural compounds (neferine and isoliensinine) that, at least in lab studies, seem to do something similar by slowing platelet clumping. Stack the two and you could be nudging your blood toward thinning a bit more than intended.

In real life that might show up as easier bruising, nosebleeds, gums that bleed when you brush, or cuts that take longer to stop. I want to be honest with you though: this is a theoretical concern from test-tube research, not proven in people, and eating lotus as food is a different story than taking a concentrated supplement. Still, since you're on ticlopidine, please run any lotus supplement past your pharmacist or doctor first.

References
  1. Yu, J. and Hu, W. S. [Effects of neferine on platelet aggregation in rabbits]. Yao Xue.Xue.Bao. 1997;32(1):1-4.
  2. Yang, J. and Zhou, K. NMR spectroscopic analysis of neferine and isoliensinine. Magn Reson.Chem 2004;42(11):994-997. 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

Lotus Also Interacts With Other Medications

Lotus has 211 moderate known drug interactions in our database — the Ticlopidine 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 Lotus

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

Everything else you take

See Every Supplement That Interacts With Ticlopidine

This page covers Lotus only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ticlopidine page lists 221 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 · 193 moderate · 25 minor.

From our pharmacist’s overview on the Ticlopidine page

“Ticlopidine (Ticlid) keeps platelets from clumping to prevent clots, so it already raises bleeding risk on its own, and over 200 of the 221 supplements flagged for it push in that same direction. That stacking effect deserves genuine respect from anyone taking this drug.”

Reviewed by 2 · Jul 18, 2026

Open the Ticlopidine interaction page

One more smart check

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

We hold 256 real supplement products containing Lotus, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Lotus. Your product may carry other ingredients that interact with Ticlopidine too, on top of Lotus — 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 Lotus and Ticlopidine 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 Lotus
Top half

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

29 days ago today
Medication Ticlopidine
Steady interest

#1,694 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 Lotus

What is Lotus?

Lotus
  • Digestive upset and diarrhea
  • Anxiety and relaxation
  • Sleep support
  • Blood sugar and cholesterol support
  • Skin and general wellness

Lotus is an edible aquatic plant used in food and traditional medicine across Asia, with parts like the seeds, leaves, and flowers taken for digestion, calm, and overall wellness. Most health claims come from laboratory and animal research rather than strong human studies, so its benefits as a supplement are not well proven. Eating lotus as food is generally safe, but talk to your pharmacist or doctor before using concentrated supplements, especially if you are pregnant, breastfeeding, or taking other medicines.

Read the full Lotus monograph & all interactions
Medication

About Ticlopidine

What Is Ticlopidine Used For?

Brand names: Ticlid, Ticlopidine

  • Ticlopidine is used to reduce the risk of stroke in people who have had a stroke or have had warning signs of a stroke and who cannot be treated with aspirin. Ticlopidine is also used along with aspirin to prevent blood clots from forming in coronary stents (metal tubes surgically placed in clogged blood vessels to improve blood flow). It works by preventing platelets (a type of blood cell) from collecting and forming clots.

See full Ticlopidine drug information
Keep checking

Other Drugs & Lotus

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

0Major
211Moderate
0Minor
2,618No known interaction
Moderate

211 interactions

Showing 60 of 211 moderate interactions — see all 211 on the Lotus page.

No interaction 2,618 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 Lotus and Ticlopidine Together: Common Questions

Can you take Lotus with Ticlopidine?
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 Lotus and Ticlopidine 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

Still Have a Question About Ticlopidine and Lotus?

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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.