The short answer
The added bleeding risk from Angelica sinensis with flurbiprofen is uncertain. Review the exact product, dose and your bleeding history with your prescriber.
What this answer covers
Oral Angelica sinensis with oral flurbiprofen tablets. Exact formulation, dose and duration matter; other NSAIDs and other supplement preparations are not interchangeable.
- Supplement or preparation
- Angelica sinensis
- Medication ingredient
- flurbiprofen
What the evidence shows
A small study tested Angelica sinensis alone and with aspirin over short treatment periods. Overall platelet and coagulation results did not show a clinically relevant added effect, and significant bleeding manifestations were not reported. The study does not establish safety with this different NSAID.
Consider this medicine’s own effects
Flurbiprofen tablets carry warnings about serious GI bleeding and ulcers, and the label calls for attention to other medicines affecting bleeding. This is a real drug-specific precaution, but it does not establish that every botanical adds to the risk. Evidence involving aspirin or a different route should not be treated as a trial of oral flurbiprofen.
Review the exact product
Check the botanical name, plant part, extract and other ingredients. The inspected abstract does not fully characterize every preparation. Results from a short study of one product cannot establish the effect of another dose or a multi-herb formula.
Know when to get help
oral flurbiprofen tablets can cause serious GI bleeding even without a supplement. Seek urgent care for vomiting blood or black, tarry stools, and report persistent stomach pain or unusual bleeding. Tell your prescriber about other pain medicines, aspirin and anticoagulants. A few hours of separation has not been shown to prevent an added bleeding effect.
Evidence and practical considerations
Side effects & toxicity
An increased bleeding or GI-injury rate specifically from Angelica sinensis with flurbiprofen has not been established.
- Exact scope
- Oral Angelica sinensis with oral flurbiprofen tablets. Exact formulation, dose and duration matter; other NSAIDs and other supplement preparations are not interchangeable. with Exact flurbiprofen RxCUI 4502 IN, confirmed by RxNorm. Oral racemic tablets; ophthalmic flurbiprofen sodium, lozenges and other routes are not covered.
- Medication form and route
- Oral
What remains uncertain
- Available supplement-only and other-drug studies do not establish exact-pair clinical harm or exclude rare events. No validated preventive spacing interval.
Factors that may matter: Exact preparation and dose; Fasting versus fed dosing; Bleeding and ulcer history; Other medicines.
Read the supporting source summaries
Source 1: Current prescribing information
dailymed.nlm.nih.gov · Source check Sep 10, 2026
Population: Prescription oral oral flurbiprofen tablets users; short human pharmacology studies where described.
Warns of serious GI bleeding, renal toxicity and hyperkalemia. Bleeding risk assessment includes other medicines affecting hemostasis. Food or antacids may alter absorption rate but not extent.
How this applies: Exact current product label. Exact flurbiprofen RxCUI 4502 IN, confirmed by RxNorm. Oral racemic tablets; ophthalmic flurbiprofen sodium, lozenges and other routes are not covered.
No exact botanical co-use risk estimate. Class safety text is not a measured incidence for each supplement; other routes and sodium ophthalmic products differ.
Source 2: Original clinical research
pubmed.ncbi.nlm.nih.gov · Source check Sep 10, 2026
Population: Approximately 25 healthy volunteers assigned per herb.
No clinically relevant overall platelet/coagulation change or added aspirin inhibition. No significant bleeding manifestations reported.
How this applies: Indirect for oral flurbiprofen tablets co-use; exact preparation and endpoint retained.
Abstract-only; small short study, preparation detail incomplete. Occasional individual platelet responses do not establish clinical bleeding; rare harm or different products not excluded.
Source 3: Medication terminology
rxnav.nlm.nih.gov · Source check Sep 10, 2026
Population: Terminology.
flurbiprofen is IN.
How this applies: Exact identity.
Not clinical evidence.
Research assessment: · Open full citations ↗
Review and change history
- Publication status
- Published research summary
- Clinical review
- Not yet recorded
| Date | Update |
|---|---|
| Article prepared | |
| Sources checked and article drafted. | |
| Research summary published |
Article revision: 5aba694ff0502efa
This guide brings together the evidence records used by our interaction checker. Each finding retains its own preparation limits, research date, and source summaries.
Full citations require verification. Reading this answer and the source summaries does not.
Taking other supplements or medications?
Use the checker to explore your other combinations. Ask a pharmacist to review the exact products, amounts and medical conditions in your complete list.
Open the interaction checkerInformation, not medical advice. Do not change prescribed treatment based on this guide.