Drug & supplement interaction

Sea Buckthorn + anistreplase, APSAC

anistreplase, APSAC brand name: Eminase.

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

Sea Buckthorn has a moderate interaction with anistreplase, APSAC. Theoretically, sea buckthorn may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.

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

Sea Buckthorn and anistreplase, APSAC

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

Moderate

ANTICOAGULANT/ANTIPLATELET DRUGS

Why this applies to anistreplase, APSAC

anistreplase, APSAC falls under ANTICOAGULANT/ANTIPLATELET DRUGS — the group Sea Buckthorn interacts with.

Theoretically, sea buckthorn may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Clinical research suggests that sea buckthorn fruit extracts can inhibit platelet aggregation and adhesion to collagen and fibrinogen.
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 keep in mind: anistreplase (Eminase) is a powerful clot-busting drug given in the hospital during a heart attack to break up an existing clot. It's already a strong blood thinner on its own, and it carries a real risk of bleeding. Sea buckthorn, when taken as a concentrated supplement, may make your platelets a little less sticky and slow clotting too.

Stacked together, the worry is added bleeding, things like bruising, bleeding gums, or harder-to-control bleeding. That said, this is mostly theoretical and based on limited research, and food amounts of the berry are unlikely to matter. Since anistreplase is only given by hospital staff, just tell your care team about any supplements you take so they can watch you closely.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Johansson AK, Korte H, Yang B, et al. Sea buckthorn berry oil inhibits platelet aggregation. J Nutr Biochem 2000;11:491-5.. PubMed
  2. Olas B, Kontek B, Szczesna M, et al. Inhibition of blood platelet adhesion by phenolics rich fraction of Hippophae rhamnoides L. fruits. J Physiol Pharmacol. 2017;68(2):223-9.

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

Sea Buckthorn Also Interacts With Other Medications

Sea Buckthorn has 288 moderate known drug interactions in our database — the anistreplase, APSAC one above is one of them. If you take anything else, check it against the full list below.

Moderate 288 No known interaction 2,542 (incl. anistreplase, APSAC)
Taking anything else?

Check Another of Your Medications Against Sea Buckthorn

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

Everything else you take

See Every Supplement That Interacts With anistreplase, APSAC

This page covers Sea Buckthorn only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the anistreplase, APSAC 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 anistreplase, APSAC page

“Anistreplase (Eminase) is a clot-dissolving drug given during a heart attack, and because bleeding is already its biggest hazard, this list deserves real vigilance. Almost every ingredient here has some blood-thinning or antiplatelet activity, meaning it could stack with anistreplase and make bleeding more likely or harder to stop.”

Reviewed by 2 · Jul 18, 2026

Open the anistreplase, APSAC interaction page

One more smart check

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

We hold 253 real supplement products containing Sea Buckthorn, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Sea Buckthorn. Your product may carry other ingredients that interact with anistreplase, APSAC too, on top of Sea Buckthorn — 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 Sea Buckthorn and anistreplase, APSAC 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 Sea Buckthorn
Top half

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

29 days ago today
Medication anistreplase, APSAC
Top 10%

#152 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 Sea Buckthorn

What is Sea Buckthorn?

Sea Buckthorn
  • Skin health and dryness
  • Dry eye symptoms
  • Digestive complaints
  • Heart and cholesterol support
  • General antioxidant and immune support

Sea buckthorn is a berry-bearing shrub rich in vitamins, carotenoids, and fatty acids that people use for skin, eye, digestive, and heart health. Early research is promising for a few uses like dry skin and dry eye, but most claims are not yet proven. It is generally well tolerated as a food, but talk to your pharmacist before using concentrated supplements.

Read the full Sea Buckthorn monograph & all interactions
Keep checking

Other Drugs & Sea Buckthorn

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

0Major
288Moderate
0Minor
2,541No known interaction
288 Moderate 2,541 No interaction
Moderate

288 interactions

Showing 60 of 288 moderate interactions — see all 288 on the Sea Buckthorn page.

No interaction 2,541 drugs checked — show the list

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

Showing the 60 most looked-up of 2,541 medications checked with no known interaction — see the full Sea Buckthorn list.

See the full Sea Buckthorn interactions page
See every supplement checked against anistreplase, APSAC, 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
Sea Buckthorn monograph › Uses, safety, and every drug interaction in one place anistreplase, APSAC supplement interactions › Every supplement checked against anistreplase, APSAC, 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 Sea Buckthorn and anistreplase, APSAC Together: Common Questions

Can you take Sea Buckthorn with anistreplase, APSAC?
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 Sea Buckthorn and anistreplase, APSAC 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 anistreplase, APSAC and Sea Buckthorn?

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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.