Adaptogen Basics: What They Are and Why They Matter

Adaptogens are herbs or natural compounds that help the body deal with stress. They don’t act like a drug that knocks you out; instead, they balance hormone levels and support immune function. Because they influence blood flow and inflammation, they can change how a patient scores on the CRUSADE Bleeding Score. If you’re a clinician or a patient looking at bleeding risk, knowing which adaptogens help or hurt is worth a few minutes of reading.

Popular adaptogens and their effect on bleeding risk

Rhodiola rosea, often found in energy‑boosting teas, can thin the blood a little by lowering platelet aggregation. That sounds good for heart health, but it may raise the bleeding score for someone already on aspirin. Ashwagandha (Withania somnifera) is another common adaptogen used for anxiety. Some studies show it can increase clotting time, so doctors should watch INR values when patients start this herb.

Two posts on this site talk about supplements that many people think are adaptogens. The Lukol article explains that this Himalaya blend contains several herbs, including licorice root, which can raise blood pressure and affect electrolytes. While not a classic adaptogen, its ingredients can interact with anticoagulants. The Chenopodium oil piece highlights a seed oil packed with omega‑3s. Omega‑3s are known to reduce platelet stickiness, which could push a CRUSADE score higher if the patient also uses warfarin.

Safety checklist for using adaptogens with blood‑thinners

Before adding any adaptogen, ask yourself these quick questions: Is the patient already on a blood‑thinner or antiplatelet drug? Have you checked recent lab values like hemoglobin and platelet count? Do you know the exact dosage and source of the herb?

If the answer to any question is “yes,” take these steps: 1) Document the supplement in the medication list. 2) Order a baseline CBC and INR (or the test your clinic uses). 3) Re‑assess the CRUSADE score after two weeks of use. 4) Adjust the anticoagulant dose only if the score moves into a higher risk category.

Remember, not all adaptogens are created equal. Standardized extracts give a predictable amount of active ingredients, while teas or raw powders can vary wildly. Stick to products that list the exact amount of the key compound and have third‑party testing.

Finally, keep communication open. Ask patients to report any new bruising, nosebleeds, or unusual fatigue right away. Those signs often appear before lab values change and can save a lot of trouble.

Adaptogens can be a helpful part of a stress‑management plan, but they need the same care you give any prescription drug. By checking the CRUSADE Bleeding Score, reviewing labs, and staying alert to side effects, you can enjoy the benefits of these herbs without raising bleeding risk.