Drug & supplement interaction

Marshmallow + Streptokinase

Streptokinase brand names: Kabikinase, Streptase.

Minor Interaction
Medically reviewed by · Updated September 2026
The bottom line Minor

Streptokinase falls into 2 drug categories that Marshmallow can interact with; the most serious is rated minor. Theoretically, mucilage in marshmallow might impair absorption of oral drugs.

Read the full interaction report
SeverityMinor
LikelihoodPossible
Interactions2
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Marshmallow and Streptokinase

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

Marshmallow interacts with whole categories of medication. Streptokinase falls into 2 of those categories, so it can interact with Marshmallow in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Minor).

Minor

ORAL DRUGS

1 of 2

Why this applies to Streptokinase

Streptokinase falls under ORAL DRUGS — the group Marshmallow interacts with.

Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Marshmallow contains mucilage which can affect oral drug absorption. To avoid changes in absorption, take marshmallow 30-60 minutes after oral medications.
Severity Minor 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 some good news that should put your mind at ease. The concern on file is that marshmallow's mucilage (its slippery, gel-like fiber) could coat the gut and slow down how an oral medicine is absorbed. But streptokinase isn't a pill you swallow. It's a clot-busting drug given straight into a vein in the hospital, usually for a heart attack, a clot in the lungs, or a blocked catheter.

Because streptokinase goes directly into your bloodstream, it completely skips your stomach and intestines, so marshmallow's gut-coating effect doesn't apply here. This warning was really meant for oral medications. Even so, it's always smart to tell your hospital team and pharmacist about any supplements you take.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Monographs on the medicinal uses of plant drugs. Exeter, UK: European Scientific Co-op Phytother, 1997.
  2. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
  3. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  4. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
Minor

ANTICOAGULANT/ANTIPLATELET DRUGS

2 of 2

Streptokinase also falls under ANTICOAGULANT/ANTIPLATELET DRUGS.

Theoretically, marshmallow flower might have antiplatelet effects.
Animal research suggests that marshmallow flower extract has antiplatelet effects. However, the root and leaf of marshmallow, not the flower, are the plant parts most commonly found in dietary supplements. Theoretically, use of marshmallow flower with anticoagulant/antiplatelet drugs can have additive effects, and might increase the risk for bleeding in some patients.
Severity Minor Likelihood Unlikely Evidence D

Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans..

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

Streptokinase is a powerful clot-busting medicine given in the hospital, usually during emergencies like a heart attack or a serious clot. Because it actively breaks down clots, it already raises the chance of bleeding on its own. The concern here is that marshmallow could, in theory, add a little extra blood-thinning effect on top.

Honestly, I wouldn't lose sleep over this one. The worry comes from animal studies on marshmallow flower, while most supplements use the root or leaf, which aren't the parts linked to this effect. The evidence is theoretical and the odds are low. Still, since streptokinase is only used in a closely monitored hospital setting, your care team controls bleeding risk carefully. Always tell them about any supplements you take.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Hage-Sleiman R, Mroueh M, Daher CF. Pharmacological evaluation of aqueous extract of Althaea officinalis flower grown in Lebanon. Pharm Biol 2011;49(3):327-33.

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

Marshmallow Also Interacts With Other Medications

Marshmallow has 1 moderate, 2,038 minor known drug interactions in our database — the Streptokinase one above is among them. If you take anything else, check it against the full list below.

Moderate 1 Minor 2,038 No known interaction 791 (incl. Streptokinase)
Taking anything else?

Check Another of Your Medications Against Marshmallow

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

Everything else you take

See Every Supplement That Interacts With Streptokinase

This page covers Marshmallow only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Streptokinase page lists 219 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 · 191 moderate · 25 minor.

From our pharmacist’s overview on the Streptokinase page

“Streptokinase (Kabikinase, Streptase) is the clot-buster given in emergencies like heart attacks, and because its whole job is dissolving clots, this list warrants real respect. Of the 219 supplement and herbal ingredients with interactions on file, 202 have blood-thinning or antiplatelet activity that can push bleeding risk higher.”

Reviewed by 2 · Jul 18, 2026

Open the Streptokinase interaction page

One more smart check

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

We hold 1,622 real supplement products containing Marshmallow, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Marshmallow. Your product may carry other ingredients that interact with Streptokinase too, on top of Marshmallow — 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 Marshmallow and Streptokinase 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 Marshmallow
Top 10%

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

29 days ago today
Medication Streptokinase
Steady interest

#2,130 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 Marshmallow

What is Marshmallow?

Marshmallow
  • Cough and sore throat
  • Dry mouth and throat irritation
  • Digestive upset and heartburn
  • Skin irritation
  • Soothing inflamed tissue

Marshmallow root is a traditional herb rich in soothing, gel-like fibers called mucilage, which is why it has long been used for coughs, sore throats, and stomach irritation. Evidence for these uses is mostly traditional and preliminary, but it is generally considered gentle and well-tolerated for short-term use. As with any supplement, check with your pharmacist or doctor before using it, especially if you are pregnant, breastfeeding, or taking other medicines.

Read the full Marshmallow monograph & all interactions
Keep checking

Other Drugs & Marshmallow

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

0Major
1Moderate
2,038Minor
790No known interaction
1 Moderate 2,038 Minor 790 No interaction
Moderate

1 interaction

Minor

2,038 interactions

Showing 60 of 2,038 minor interactions — see all 2,038 on the Marshmallow page.

No interaction 790 drugs checked — show the list

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

Showing the 60 most looked-up of 790 medications checked with no known interaction — see the full Marshmallow list.

See the full Marshmallow interactions page
See every supplement checked against Streptokinase, ranked by severity
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

Keep exploring
Marshmallow monograph › Uses, safety, and every drug interaction in one place Streptokinase supplement interactions › Every supplement checked against Streptokinase, ranked by severity Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Marshmallow and Streptokinase Together: Common Questions

Can you take Marshmallow with Streptokinase?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
Why are there 2 interactions listed for Marshmallow and Streptokinase?
Streptokinase belongs to more than one drug category, and Marshmallow interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Marshmallow and Streptokinase interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

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

Still Have a Question About Streptokinase and Marshmallow?

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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.