GLP-1 interactions · Anticoagulants
GLP-1 medications with blood thinners
Most GLP-1 medications can be used with blood thinners, but 5 of 19 reviewed pairs carry a major or moderate interaction that needs monitoring or dose adjustment. The most common consideration is additive effect or altered absorption — always confirm your specific combination with your prescriber or pharmacist.
Reviewed pairs (19)
- Mounjaro + Warfarin (Coumadin)Vitamin K antagonist (anticoagulant)Moderate
- Ozempic + Warfarin (Coumadin)Vitamin K antagonist (anticoagulant)Moderate
- Rybelsus + Warfarin (Coumadin)Vitamin K antagonist (anticoagulant)Moderate
- Wegovy + Warfarin (Coumadin)Vitamin K antagonist (anticoagulant)Moderate
- Zepbound + Warfarin (Coumadin)Vitamin K antagonist (anticoagulant)Moderate
- Ozempic + Low-Dose AspirinAntiplatelet (cardiovascular)Minor
- Wegovy + Low-Dose AspirinAntiplatelet (cardiovascular)Minor
- Mounjaro + Apixaban (Eliquis)DOAC (anticoagulant)No known interaction
- Mounjaro + Rivaroxaban (Xarelto)DOAC (anticoagulant)No known interaction
- Ozempic + Apixaban (Eliquis)DOAC (anticoagulant)No known interaction
- Ozempic + Rivaroxaban (Xarelto)DOAC (anticoagulant)No known interaction
- Rybelsus + Apixaban (Eliquis)DOAC (anticoagulant)No known interaction
- Rybelsus + Rivaroxaban (Xarelto)DOAC (anticoagulant)No known interaction
- Saxenda + Apixaban (Eliquis)DOAC (anticoagulant)No known interaction
- Saxenda + Low-Dose AspirinAntiplatelet (cardiovascular)No known interaction
- Wegovy + Apixaban (Eliquis)DOAC (anticoagulant)No known interaction
- Wegovy + Rivaroxaban (Xarelto)DOAC (anticoagulant)No known interaction
- Zepbound + Apixaban (Eliquis)DOAC (anticoagulant)No known interaction
- Zepbound + Rivaroxaban (Xarelto)DOAC (anticoagulant)No known interaction
Common questions
Can you take GLP-1 medications with blood thinners?
Most GLP-1 medications can be used with blood thinners, but 5 of 19 reviewed pairs carry a major or moderate interaction that needs monitoring or dose adjustment. The most common consideration is additive effect or altered absorption — always confirm your specific combination with your prescriber or pharmacist.
Which GLP-1 + anticoagulants combinations need the most caution?
No major interactions are flagged in this class; 5 moderate pair(s) warrant monitoring. See the list below.
Educational summary of FDA prescribing information — not medical advice and not a complete interaction screen. Always confirm any medication combination with your prescriber or pharmacist.