Drug & supplement interaction

Mesoglycan + Urokinase

Urokinase brand name: Abbokinase.

Moderate Interaction
The bottom line Moderate

Urokinase falls into 2 drug categories that Mesoglycan can interact with; the most serious is rated moderate. Theoretically, combined use might increase bleeding risk.

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

Mesoglycan and Urokinase

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

Why Are There 2 Interactions?

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

Moderate

ANTICOAGULANT/ANTIPLATELET DRUGS

1 of 2

Why this applies to Urokinase

Urokinase falls under ANTICOAGULANT/ANTIPLATELET DRUGS — the group Mesoglycan interacts with.

Theoretically, combined use might increase bleeding risk. However, human evidence suggests that mesoglycan has profibrinolytic activity without affecting coagulation. These agents include aspirin, clopidogrel (Plavix), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, ticlopidine (Ticlid), warfarin (Coumadin), and others.
Severity Moderate Likelihood Possible Evidence B

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

Urokinase is a powerful clot-busting drug given in the hospital to break down dangerous blood clots, like those in the lungs or blocked IV lines. Because its whole job is to dissolve clots, anything else that nudges your body toward less clotting could, in theory, raise your bleeding risk when paired with it.

Mesoglycan contains heparin-like compounds, so on paper combining the two might mean more bruising, oozing, or harder-to-stop bleeding. That said, the human evidence here is reassuring: mesoglycan seems to help dissolve clots without strongly thinning the blood itself, so the real-world risk looks low. Still, since urokinase is a serious hospital medicine, always tell your care team about any supplements you take so they can keep a close eye on you.

References
  1. Blardi P, Messa G, Puccetti L, et al. [Effects on the coagulation-fibrinolysis system of a single oral dose of mesoglycan at the beginning and at the end of a prolonged treatment in man]. Recenti Prog Med 1995;86:282-9.
  2. Vittoria A, Messa GL, Frigerio C, et al. Effect of a single dose of mesoglycan on the human fibrinolytic system, and the profibrinolytic action of nine daily doses. Int J Tissue React 1988;10:261-6.
  3. Messa, G., Blardi, P., La Placa, G., Puccetti, L., and Ghezzi, A. [Effects of 2 single oral doses of mesoglycan on the coagulation-fibrinolysis system in man. A pharmacodynamic study]. Recenti Prog.Med. 1995;86(7-8):272-281.
Moderate

THROMBOLYTIC DRUGS

2 of 2

Urokinase also falls under THROMBOLYTIC DRUGS.

Theoretically, combined use might increase bleeding risk. These drugs include alteplase (Activase), anistreplase (Eminase), reteplase (Retevase), streptokinase (Streptase), and urokinase (Abbokinase).
Severity Moderate Likelihood Possible Evidence B

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 thing to know about pairing these two. Urokinase is a clot-busting drug given in the hospital to break up dangerous clots, like those in the lungs or in a blocked artery. It works by powerfully dissolving clots, which already raises your risk of bleeding on its own.

Mesoglycan contains heparin-like compounds that can gently thin the blood. So in theory, using them together could stack two blood-thinning effects and increase the chance of bleeding, anything from easy bruising to more serious bleeding. I'll be honest, this concern is largely theoretical and the evidence is limited. But since urokinase is only used in urgent hospital settings, your care team will already be watching your clotting closely. Just be sure they know about any mesoglycan you've taken.

References
  1. Raso AM, Maggio D, Trogolo M, et al. [Effectiveness of mesoglycan therapy in patients with ischemia of the lower limbs. Preliminary results of a new therapeutic protocol]. Minerva Cardioangiol 1997;45:383-92.

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

Mesoglycan Also Interacts With Other Medications

Mesoglycan has 121 moderate known drug interactions in our database — the Urokinase one above is among them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Mesoglycan

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

Everything else you take

See Every Supplement That Interacts With Urokinase

This page covers Mesoglycan only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Urokinase 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 Urokinase page

“Urokinase (Abbokinase) exists to dissolve dangerous blood clots, which means it already pushes your clotting system about as far as medicine dares. Nearly everything on this page, more than 200 herbs and supplements, thins the blood or slows platelets in its own right, so adding any of them raises the odds of serious bleeding on top of…”

Reviewed by 2 · Jul 18, 2026

Open the Urokinase interaction page

How much people look this up

Where Mesoglycan and Urokinase 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 Mesoglycan
Steady interest

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

29 days ago today
Medication Urokinase
Steady interest

#2,659 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 Mesoglycan

What is Mesoglycan?

  • Vein health and chronic venous insufficiency
  • Leg ulcers
  • Peripheral artery disease and leg pain
  • Reducing blood clot risk
  • Hemorrhoids

Mesoglycan is a blend of natural sugar-protein compounds (glycosaminoglycans, including heparan sulfate and dermatan sulfate) taken from animal tissue and used mainly for blood vessel and circulation problems. Some small studies suggest possible benefit for vein-related conditions, but the overall evidence is limited and not strong. Because it can affect blood clotting, talk to your doctor or pharmacist before using it.

Read the full Mesoglycan monograph & all interactions
Keep checking

Other Drugs & Mesoglycan

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

0Major
121Moderate
0Minor
2,708No known interaction
Moderate

121 interactions

Showing 60 of 121 moderate interactions — see all 121 on the Mesoglycan page.

No interaction 2,708 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 Mesoglycan and Urokinase Together: Common Questions

Can you take Mesoglycan with Urokinase?
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.
Why are there 2 interactions listed for Mesoglycan and Urokinase?
Urokinase belongs to more than one drug category, and Mesoglycan 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 Mesoglycan and Urokinase 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.