Plavix (Clopidogrel) With Olive Oil Dosing Question
In our latest question and answer, the pharmacist discusses safe olive oil intake with clopidogrel.
What is the dosage of extra virgin olive oil to take with clopidogrel during the day?
Jul 01, 2025- Olive oil consumed in typical dietary amounts of 1-4 tablespoons daily is considered safe to take alongside clopidogrel and is unlikely to interact meaningfully with the medication.
- While olive oil studies suggest cardiovascular benefits, there is no official medicinal dose of olive oil specifically recommended to be taken with clopidogrel, so you should discuss any plans for higher supplemental doses with your doctor first.
Answer
Hello, and thanks for reaching out to us! We appreciate your question and are happy to provide some guidance here.
There is no officially recommended or established dosage of extra virgin olive oil (also known as EVOO) specifically intended to be taken with clopidogrel (brand name Plavix). Still, several studies can help us frame reasonable daily intake ranges for you.
Olive Oil Dosing and Cardiovascular Health
Extra virgin olive oil is rich in monounsaturated fatty acids, especially oleic acid, and contains phenolic compounds such as hydroxytyrosol and oleocanthal, which have antioxidant and anti-inflammatory properties. These beneficial compounds are thought to contribute to olive oil's overall cardiovascular benefits.
Meta-analyses (studies that combine and analyze data from multiple individual studies) indicate that higher dietary intake of olive oil (generally about 20–54 grams daily, which is about 1.5 to 4 tablespoons) is associated with about a 16% lower risk of cardiovascular events and reduced overall mortality compared to lower intakes.
Based on the strong positive data, the FDA actually allows a qualified health claim for oils with at least 70% oleic acid (like most olive oils), noting that replacing saturated fats with about 23 grams (about 2 tablespoons) daily may help lower the risk of coronary heart disease.
Considerations When Taking Clopidogrel (Plavix)
Since you mentioned clopidogrel in your question to us, I assume you are managing a cardiovascular condition, such as a previous heart attack or stroke, since it is an antiplatelet medication. Based on this, it's worth noting that laboratory (in vitro) studies have suggested olive oil might have mild antiplatelet effects. However, these effects are not thought to be clinically significant at typical dietary intake levels and would generally be considered safe alongside standard antiplatelet therapy like clopidogrel.
If you plan to consume olive oil in typical dietary amounts, which is around 1–4 tablespoons daily, this is unlikely to interact meaningfully with clopidogrel.
However, if you are considering substantially higher supplemental doses specifically for potential cardiovascular benefits, you should discuss this with your doctor first, just to be safe.
Summary
To summarize what I've written above, while there isn't a defined medicinal "dose" of olive oil specifically intended to enhance or supplement the effects of clopidogrel, evidence supports general cardiovascular health benefits from consuming approximately 1.5 to 4 tablespoons (20–54 grams) of extra virgin olive oil daily.
Additional cardiovascular benefits may be seen if olive oil replaces dietary sources of saturated fats, such as butter or margarine.
As always, I recommend speaking with your healthcare provider before making significant dietary changes, especially if you're taking prescription medications that require close monitoring. Thanks again for contacting us!
References & sources
- Inhibition of platelet aggregation and eicosanoid production by phenolic components of olive oil — PubMed
- Effects of a fish oil supplement on serum lipids, blood pressure, bleeding time, haemostatic and rheological variables. A double blind randomised controlled trial in healthy volunteers — PubMed
- Effect of n-3 fatty acids from fish oil on hemostasis, blood pressure, and lipid profile of dialysis patients — PubMed
- Plavix Prescribing Information — AccessFDA
Glossary — Terms in This Answer
- Monounsaturated fatty acids
- A type of healthy fat found in foods like olive oil that may help reduce cholesterol levels.
- Oleic acid
- A specific monounsaturated fat that is the main component of olive oil.
- Phenolic compounds
- Natural plant substances found in olive oil that have protective and healing properties.
- Antioxidant
- A substance that protects cells from damage caused by harmful molecules in the body.
- Anti-inflammatory
- Something that reduces swelling and irritation in the body.
- Meta-analyses
- A study that combines data from multiple other studies to find overall patterns and conclusions.
- Antiplatelet medication
- A drug that prevents blood cells called platelets from clumping together to form dangerous clots.
- In vitro
- Scientific tests performed in a laboratory dish or test tube rather than in a living organism.