Drug & supplement interaction

Vinpocetine + Tirofiban

Tirofiban brand name: Aggrastat.

Moderate Interaction
The bottom line Moderate

Vinpocetine has a moderate interaction with Tirofiban. Vinpocetine might increase the risk of bleeding when taken 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

Vinpocetine and Tirofiban

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

Moderate

ANTICOAGULANT/ANTIPLATELET DRUGS

Why this applies to Tirofiban

Tirofiban falls under ANTICOAGULANT/ANTIPLATELET DRUGS — the group Vinpocetine interacts with.

Vinpocetine might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Clinical research shows that vinpocetine decreases red blood cell aggregation, as well as plasma and whole blood viscosity. This effect has been seen with intravenous vinpocetine 1 mg/kg and oral vinpocetine 30 mg daily. Vinpocetine also seems to have antiplatelet effects.
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 Tirofiban (Aggrastat): it's a powerful IV antiplatelet drug given in the hospital, usually during heart procedures or for certain types of chest pain. Its whole job is to keep your platelets from clumping together so clots don't form. Vinpocetine appears to do something similar on a smaller scale. Research suggests it can make platelets a little less sticky and thin the blood slightly.

Stack those two together and you're essentially pushing in the same direction, which could raise your bleeding risk, things like easy bruising, oozing from IV sites, nosebleeds, or harder-to-stop bleeding. The evidence here is modest, but since Tirofiban is already a strong blood thinner used in a critical setting, this is worth flagging. Please tell your care team about any vinpocetine before a procedure rather than stopping anything on your own.

References
  1. Akopov SE, Gabrielian ES. Effects of aspirin, dipyridamole, nifedipine and cavinton which act on platelet aggregation induced by different aggregating agents alone and in combination. Eur J Clin Pharmacol 1992;42:257-9. PubMed
  2. Kidd PM. A review of nutrients and botanicals in the integrative management of cognitive dysfunction. Altern Med Rev 1999;4:144-61..
  3. Feher, G., Koltai, K., Kesmarky, G., Horvath, B., Toth, K., Komoly, S., and Szapary, L. Effect of parenteral or oral vinpocetine on the hemorheological parameters of patients with chronic cerebrovascular diseases. Phytomedicine. 2009;16(2-3):111-117. PubMed
  4. Kuzuya, F. Effects of vinpocetine on platelet aggregability and erythrocyte deformability. Ther Hung. 1985;33(1):22-34.
  5. Osawa, M. and Maruyama, S. Effects of TCV-3B (vinpocetine) on blood viscosity in ischemic cerebrovascular diseases. Ther.Hung. 1985;33(1):7-12.

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

Vinpocetine Also Interacts With Other Medications

Vinpocetine has 207 moderate known drug interactions in our database — the Tirofiban 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 Vinpocetine

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

Everything else you take

See Every Supplement That Interacts With Tirofiban

This page covers Vinpocetine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Tirofiban page lists 202 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Danshen (major), Piracetam (major), Aconite (moderate), Allspice (moderate) and Aloe (moderate).

By severity: 2 major · 183 moderate · 17 minor.

From our pharmacist’s overview on the Tirofiban page

“Danshen, an herb taken for heart and circulation problems, tops my concerns for anyone receiving tirofiban (Aggrastat). Tirofiban is an intravenous antiplatelet drug used during heart attacks and cardiac procedures to keep platelets from clumping, so a supplement that also thins the blood compounds the one danger that matters here, ser…”

Reviewed by 2 · Jul 18, 2026

Open the Tirofiban interaction page

One more smart check

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

We hold 630 real supplement products containing Vinpocetine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Vinpocetine. Your product may carry other ingredients that interact with Tirofiban too, on top of Vinpocetine — 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 Vinpocetine and Tirofiban 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 Vinpocetine
Top 25%

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

29 days ago today
Medication Tirofiban
Steady interest

#2,830 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 Vinpocetine

What is Vinpocetine?

Vinpocetine
  • Memory and cognitive support
  • Brain blood flow
  • Stroke recovery
  • Age-related memory decline
  • Tinnitus and hearing concerns

Vinpocetine is a lab-made compound based on a chemical from the periwinkle plant, and it is marketed mainly for memory and brain health. The evidence behind these uses is limited and not strong, and U.S. regulators have warned that it should be avoided by people who are pregnant or could become pregnant. Talk with your pharmacist or doctor before trying it.

Read the full Vinpocetine monograph & all interactions
Medication

About Tirofiban

What Is Tirofiban Used For?

Brand name: Aggrastat

Tirofiban hydrochloride injection — available as Aggrastat and under the generic names Tirofiban and Tirofiban Hydrochloride — is used intravenously in people with non-ST elevation acute coronary syndrome (NSTE-ACS), a type of unstable heart condition where blood flow to the heart is dangerously reduced.

The goal is to lower the combined risk of death, heart attack (myocardial infarction), or persistent ischemia (insufficient blood flow to the heart) that may require a repeat cardiac procedure.

See full Tirofiban drug information
Keep checking

Other Drugs & Vinpocetine

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

0Major
207Moderate
0Minor
2,622No known interaction
Moderate

207 interactions

Showing 60 of 207 moderate interactions — see all 207 on the Vinpocetine page.

No interaction 2,622 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 Vinpocetine and Tirofiban Together: Common Questions

Can you take Vinpocetine with Tirofiban?
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 Vinpocetine and Tirofiban 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.