Drug & supplement interaction

Oolong Tea + Aspirin, Dipyridamole

Aspirin, Dipyridamole brand names: Aggrenox, Asasantin Retard.

Moderate Interaction
The bottom line Moderate

Aspirin, Dipyridamole falls into 2 drug categories that Oolong Tea can interact with; the most serious is rated moderate. Theoretically, oolong tea might increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.

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

Oolong Tea and Aspirin, Dipyridamole

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

Why Are There 2 Interactions?

Oolong Tea interacts with whole categories of medication. Aspirin, Dipyridamole falls into 2 of those categories, so it can interact with Oolong Tea 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 Aspirin, Dipyridamole

Aspirin, Dipyridamole falls under ANTICOAGULANT/ANTIPLATELET DRUGS — the group Oolong Tea interacts with.

Theoretically, oolong tea might increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Oolong tea contains caffeine. Caffeine is reported to have antiplatelet activity. Theoretically, the caffeine in oolong tea might increase the risk of bleeding when used concomitantly with these agents. However, this interaction 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

Aggrenox combines two blood thinners (aspirin and dipyridamole), so it already lowers your blood's ability to clot. The thinking here is that caffeine in oolong tea may have a mild antiplatelet effect of its own, which could, in theory, add a little to that. If they stacked up, you might notice things like easier bruising, nosebleeds, or bleeding gums.

I want to be honest about how thin this evidence is. This concern comes only from lab and animal studies, and it has never actually been reported in people. A normal cup or two of oolong is very unlikely to cause trouble. Still, if you drink large amounts daily or notice unusual bleeding, mention it to your pharmacist or doctor.

Moderate

DIPYRIDAMOLE (Persantine)

2 of 2
Theoretically, oolong tea might decrease the vasodilatory effects of dipyridamole and interfere with its use prior to stress testing.
Oolong tea contains caffeine. Caffeine is a methylxanthine that may inhibit dipyridamole-induced vasodilation. It is recommended that methylxanthines such as caffeine, as well as methylxanthine-containing products such as oolong tea, be stopped 24 hours prior to pharmacological stress tests. Methylxanthines appear more likely to interfere with dipyridamole than adenosine-induced stress testing.
Severity Moderate Likelihood Probable Evidence B

Interaction 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..

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

Here's the practical takeaway with Aggrenox (which combines aspirin and dipyridamole). The caffeine in oolong tea can blunt the way dipyridamole widens your blood vessels. For everyday use as a blood thinner to prevent strokes, a cup of tea here and there isn't likely to be a big deal, and this concern is largely theoretical.

Where it really matters is if your doctor uses dipyridamole for a pharmacological cardiac stress test. Caffeine can interfere with that test and give a misleading result. That's why doctors usually ask you to avoid caffeine, including oolong tea, coffee, and chocolate, for about 24 hours before such testing. If you're on Aggrenox and have a stress test coming up, check with your pharmacist or doctor about what to hold and when.

References
  1. Underwood DA. Which medications should be held before a pharmacologic or exercise stress test? Cleve Clin J Med 2002;69:449-50. PubMed
  2. Aqel RA, Zoghbi GJ, Trimm JR, et al. Effect of caffeine administered intravenously on intracoronary-administered adenosine-induced coronary hemodynamics in patients with coronary artery disease. Am J Cardiol 2004;93:343-6. PubMed
  3. Zheng XM, Williams RC. Serum caffeine levels after 24-hour abstention: clinical implications on dipyridamole (201)Tl myocardial perfusion imaging. J Nucl Med Technol 2002;30:123-7.

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

Oolong Tea Also Interacts With Other Medications

Oolong Tea has 8 major, 517 moderate, 126 minor known drug interactions in our database — the Aspirin, Dipyridamole 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 Oolong Tea

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

Everything else you take

See Every Supplement That Interacts With Aspirin, Dipyridamole

This page covers Oolong Tea only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Aspirin, Dipyridamole page lists 243 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Adenosine (major), Asarabacca (major), Beer (major) and Danshen (major).

By severity: 8 major · 206 moderate · 29 minor.

From our pharmacist’s overview on the Aspirin, Dipyridamole page

“Aspirin with dipyridamole (Aggrenox) keeps platelets from clumping to prevent a second stroke, so it should be no surprise that the great bulk of this page is about bleeding. Most listed supplements can thin the blood further, and the risk reaches into ordinary life: beer and wine both carry major ratings because alcohol alongside aspi…”

Reviewed by 2 · Jul 18, 2026

Open the Aspirin, Dipyridamole interaction page

One more smart check

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

We hold 75 real supplement products containing Oolong Tea, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Oolong Tea. Your product may carry other ingredients that interact with Aspirin, Dipyridamole too, on top of Oolong Tea — 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 Oolong Tea and Aspirin, Dipyridamole 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 Oolong Tea
Steady interest

#1,132 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Aspirin, Dipyridamole
Steady interest

#1,730 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 Oolong Tea

What is Oolong Tea?

  • Weight management
  • Mental alertness and energy
  • Heart health
  • Blood sugar support
  • Antioxidant support

Oolong tea is a traditional partially oxidized tea made from the same plant as green and black tea, and it provides caffeine and plant antioxidants. As a beverage it is generally considered safe for most healthy adults in moderate amounts, but evidence for specific health benefits like weight loss or blood sugar control is limited. If you have heart, blood pressure, or caffeine-sensitivity concerns, talk with your pharmacist or doctor.

Read the full Oolong Tea monograph & all interactions
Keep checking

Other Drugs & Oolong Tea

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

8Major
517Moderate
126Minor
2,178No known interaction
Major

8 interactions

Moderate

517 interactions

Showing 60 of 517 moderate interactions — see all 517 on the Oolong Tea page.

Minor

126 interactions

Showing 60 of 126 minor interactions — see all 126 on the Oolong Tea page.

No interaction 2,178 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 Oolong Tea and Aspirin, Dipyridamole Together: Common Questions

Can you take Oolong Tea with Aspirin, Dipyridamole?
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 Oolong Tea and Aspirin, Dipyridamole?
Aspirin, Dipyridamole belongs to more than one drug category, and Oolong Tea 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 Oolong Tea and Aspirin, Dipyridamole 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.