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Boswellia serrata
Boswellia is a tree resin (frankincense) that has been used in Ayurvedic medicine for over 3,000 years for inflammatory and arthritic conditions. Its primary active compounds, boswellic acids, are unique 5-lipoxygenase inhibitors. Clinical trials support its use for osteoarthritis, inflammatory bowel disease, and asthma.
| Drug | Severity | Description |
|---|---|---|
| Ibuprofen and NSAIDs | mild | Boswellia may have additive anti-inflammatory effects with NSAIDs, potentially allowing NSAID dose reduction. |
| Warfarin (Coumadin) | moderate | Boswellia may have mild antiplatelet effects that increase bleeding risk with warfarin. |