What medications interact with Hericium erinaceus (Lion's Mane)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: March 31, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

Lion's mane mushroom may interact with several medications, particularly blood thinners like warfarin, as it contains compounds that might enhance their anticoagulant effects and potentially increase bleeding risk, as seen in a study on drug-drug interactions with warfarin 1. When considering the potential interactions between lion's mane and other medications, it's essential to prioritize the patient's safety and well-being. The evidence suggests that lion's mane may interact with various medications, including:

  • Blood thinners like warfarin, clopidogrel, and aspirin, which may increase the risk of bleeding
  • Antidiabetic medications such as metformin, insulin, and sulfonylureas, which may lead to hypoglycemia
  • Immunossuppressants like cyclosporine, tacrolimus, or corticosteroids, which may counteract the effects of lion's mane
  • Antidepressants, particularly SSRIs like fluoxetine or sertraline, due to its potential effects on neurotransmitters These interactions occur because lion's mane contains bioactive compounds including hericenones and erinacines that affect various physiological processes, including blood clotting, glucose metabolism, and neurological function 2. It's crucial to consult with a healthcare provider before adding lion's mane supplements to a regimen, especially for patients taking medications, to ensure safety and appropriate dosing. A study on medication adherence highlights the importance of patient-provider interaction in ensuring safe and effective medication use 3. Additionally, a review of systematic reviews on the safe prescription of non-steroidal anti-inflammatory drugs (NSAIDs) emphasizes the need for caution when prescribing medications, considering the patient's situation and potential risks 4. A study on medication appropriateness in vulnerable older adults also underscores the importance of careful consideration when prescribing multiple medications, as polypharmacy can be associated with adverse outcomes 5. In summary, it is essential to exercise caution when taking lion's mane alongside other medications, and patients should consult with their healthcare provider to ensure safe and effective use.

Related Questions

What medication adjustments are recommended for this patient with a history of aortic stenosis, atrial fibrillation, and recent bleeding episode while on warfarin?
What is the workup for a 54-year-old male experiencing recurrent headaches (HAs), dry cough, and severe neck and rear headaches during climax, with a history of hypertension (HTN) and tinnitus, currently taking lisinopril (Lisinopril)-hydrochlorothiazide (HCTZ), and previously taking amlodipine (Amlodipine) and losartan (Losartan)-amlodipine, with an upcoming magnetic resonance imaging (MRI) of the brain?
What is the best course of action for a 56-year-old female with a history of anxiety, gout, and depression, currently taking Duloxetine, Bupropion, Gabapentin, Cymbalta (Duloxetine), and Buspar (Buspirone), who reports a slight increase in anxiety due to life situations and requests a dose increase of Buspar?
What is the most appropriate medication adjustment for a 60-year-old woman with insomnia, taking acetaminophen, furosemide, and ineffective melatonin, following a left knee replacement for severe primary osteoarthritis?
What alternative treatment options are available for persistent stomach pain and impaired renal function despite current medication regimen including Simethicone (Gas-X Extra Strength), Acetaminophen (Tylenol), and Dicyclomine Hcl (Bentyl)?
What is microfracture surgery for the knee?
What are the potential interactions between ticagrelor (Brilinta) and dietary supplements?
What are the causes of elevated lipase (enzyme) levels other than pancreatitis?
What is the effect of Concerta (methylphenidate)?
Which medical specialty should evaluate splenic granulomas?
How often does a percutaneous endoscopic gastrostomy (PEG) tube need to be changed or replaced?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.