Suggested Dosing
Extract
1 ml PO TID, OR
Other Information
1-2 g steeped in boiling water TID
Menopausal symptoms: 4.5 g powder PO qD
3-4 g PO div TID with meals, OR
520-1560 mg PO TID, OR
Suggested Uses
Stimulate normal menstrual flow, prevent cramping
Anemia, constipation, dysmenorrhea, hypertension, psoriasis, rheumatism, skin depigmentation, ulcers
Efficacy
Controversial; apparently more effective in combination with other herbs
Interactions
Interaction Checker
No Results

Contraindicated
Serious - Use Alternative
Significant - Monitor Closely
Minor

Contraindicated (0)
Serious - Use Alternative (3)
- aminolevulinic acid oral
aminolevulinic acid oral, dong quai. Either increases toxicity of the other by pharmacodynamic synergism. Avoid or Use Alternate Drug. Avoid administering other phototoxic drugs with aminolevulinic acid oral for 24 hr during perioperative period.
- aminolevulinic acid topical
dong quai, aminolevulinic acid topical. Either increases toxicity of the other by pharmacodynamic synergism. Avoid or Use Alternate Drug. Each drug may increase the photosensitizing effect of the other.
- methyl aminolevulinate
dong quai, methyl aminolevulinate. Either increases toxicity of the other by pharmacodynamic synergism. Avoid or Use Alternate Drug. Each drug may increase the photosensitizing effect of the other.
Monitor Closely (68)
- aceclofenac
aceclofenac and dong quai both increase anticoagulation. Use Caution/Monitor.
- acemetacin
acemetacin and dong quai both increase anticoagulation. Use Caution/Monitor.
- agrimony
agrimony and dong quai both increase anticoagulation. Use Caution/Monitor.
- alfalfa
alfalfa and dong quai both increase anticoagulation. Use Caution/Monitor.
- alteplase
alteplase and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- American ginseng
American ginseng and dong quai both increase anticoagulation. Use Caution/Monitor.
- antithrombin alfa
antithrombin alfa and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- antithrombin III
antithrombin III and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- argatroban
argatroban and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- aspirin
aspirin and dong quai both increase anticoagulation. Use Caution/Monitor.
- aspirin rectal
aspirin rectal and dong quai both increase anticoagulation. Use Caution/Monitor.
- aspirin/citric acid/sodium bicarbonate
aspirin/citric acid/sodium bicarbonate and dong quai both increase anticoagulation. Use Caution/Monitor.
- bemiparin
bemiparin and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- bivalirudin
bivalirudin and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- celecoxib
celecoxib and dong quai both increase anticoagulation. Use Caution/Monitor.
- choline magnesium trisalicylate
choline magnesium trisalicylate and dong quai both increase anticoagulation. Use Caution/Monitor.
- cinnamon
cinnamon and dong quai both increase anticoagulation. Use Caution/Monitor.
- cordyceps
cordyceps and dong quai both increase anticoagulation. Use Caution/Monitor.
- dabigatran
dabigatran and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- dalteparin
dalteparin and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- diclofenac
diclofenac and dong quai both increase anticoagulation. Use Caution/Monitor.
- diflunisal
diflunisal and dong quai both increase anticoagulation. Use Caution/Monitor.
- enoxaparin
enoxaparin and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- epoprostenol
dong quai and epoprostenol both increase anticoagulation. Use Caution/Monitor.
- etodolac
etodolac and dong quai both increase anticoagulation. Use Caution/Monitor.
- fennel
dong quai and fennel both increase anticoagulation. Use Caution/Monitor.
- fenoprofen
fenoprofen and dong quai both increase anticoagulation. Use Caution/Monitor.
- feverfew
dong quai and feverfew both increase anticoagulation. Use Caution/Monitor.
- flurbiprofen
flurbiprofen and dong quai both increase anticoagulation. Use Caution/Monitor.
- fondaparinux
fondaparinux and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- forskolin
dong quai and forskolin both increase anticoagulation. Use Caution/Monitor.
- garlic
dong quai and garlic both increase anticoagulation. Use Caution/Monitor.
- ginger
dong quai and ginger both increase anticoagulation. Use Caution/Monitor.
- ginkgo biloba
dong quai and ginkgo biloba both increase anticoagulation. Use Caution/Monitor.
- heparin
heparin and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- horse chestnut seed
dong quai and horse chestnut seed both increase anticoagulation. Use Caution/Monitor.
- ibuprofen
ibuprofen and dong quai both increase anticoagulation. Use Caution/Monitor.
- ibuprofen IV
ibuprofen IV and dong quai both increase anticoagulation. Use Caution/Monitor.
- indomethacin
indomethacin and dong quai both increase anticoagulation. Use Caution/Monitor.
- ketoprofen
ketoprofen and dong quai both increase anticoagulation. Use Caution/Monitor.
- ketorolac
ketorolac and dong quai both increase anticoagulation. Use Caution/Monitor.
- ketorolac intranasal
ketorolac intranasal and dong quai both increase anticoagulation. Use Caution/Monitor.
- lornoxicam
lornoxicam and dong quai both increase anticoagulation. Use Caution/Monitor.
- meclofenamate
meclofenamate and dong quai both increase anticoagulation. Use Caution/Monitor.
- mefenamic acid
mefenamic acid and dong quai both increase anticoagulation. Use Caution/Monitor.
- meloxicam
meloxicam and dong quai both increase anticoagulation. Use Caution/Monitor.
- mistletoe
dong quai increases and mistletoe decreases anticoagulation. Effect of interaction is not clear, use caution. Use Caution/Monitor.
- nabumetone
nabumetone and dong quai both increase anticoagulation. Use Caution/Monitor.
- naproxen
naproxen and dong quai both increase anticoagulation. Use Caution/Monitor.
- nettle
dong quai increases and nettle decreases anticoagulation. Effect of interaction is not clear, use caution. Use Caution/Monitor.
- oxaprozin
oxaprozin and dong quai both increase anticoagulation. Use Caution/Monitor.
- panax ginseng
dong quai and panax ginseng both increase anticoagulation. Use Caution/Monitor.
- parecoxib
parecoxib and dong quai both increase anticoagulation. Use Caution/Monitor.
- pau d'arco
dong quai and pau d'arco both increase anticoagulation. Use Caution/Monitor.
- phenindione
phenindione and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- phytoestrogens
dong quai and phytoestrogens both increase anticoagulation. Use Caution/Monitor.
- piroxicam
piroxicam and dong quai both increase anticoagulation. Use Caution/Monitor.
- protamine
protamine and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- reishi
dong quai and reishi both increase anticoagulation. Use Caution/Monitor.
- reteplase
reteplase and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- salicylates (non-asa)
salicylates (non-asa) and dong quai both increase anticoagulation. Use Caution/Monitor.
- salsalate
salsalate and dong quai both increase anticoagulation. Use Caution/Monitor.
- Siberian ginseng
dong quai and Siberian ginseng both increase anticoagulation. Use Caution/Monitor.
- sulfasalazine
sulfasalazine and dong quai both increase anticoagulation. Use Caution/Monitor.
- sulindac
sulindac and dong quai both increase anticoagulation. Use Caution/Monitor.
- tenecteplase
tenecteplase and dong quai both increase anticoagulation. Modify Therapy/Monitor Closely.
- tolfenamic acid
tolfenamic acid and dong quai both increase anticoagulation. Use Caution/Monitor.
- tolmetin
tolmetin and dong quai both increase anticoagulation. Use Caution/Monitor.
Minor (4)
- anamu
anamu and dong quai both increase anticoagulation. Minor/Significance Unknown.
- danshen
danshen and dong quai both increase anticoagulation. Minor/Significance Unknown.
- devil's claw
devil's claw and dong quai both increase anticoagulation. Minor/Significance Unknown.
- green tea
green tea, dong quai. Other (see comment). Minor/Significance Unknown. Comment: Use caution when combining green tea with herbs that exhibit antiplatelet effects or anticoagulant activity.
Adverse Effects
Frequency Not Defined
Photodermatitis (especially A. archangelica)
Safrole, in essential oil, is carcinogen
Photosensitivity
Potential mutagen
Warnings
Contraindications
Breast cancer, endometriosis, hormone sensitive conditions, ovarian cancer, uterine cancer, uterine fibroids
Pregnancy & Lactation
Pregnancy Category: avoid use
Lactation: avoid use
Pregnancy Categories
A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.
B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk. C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done. D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk. X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist. NA: Information not available.Pharmacology
Metabolism: N/A
Excretion: N/A
Mechanism of Action
Phytoestrogen modulate endogenous estrogen effects; also contains coumarins