Lumbrokinase

Commonly used for
Heart Health
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Lumbrokinase degrades fibrin directly and is proposed to be more fibrin-specific than older thrombolytic enzymes, giving it a theoretically lower systemic bleeding risk -- a meta-analysis of largely Chinese trials found improved functional stroke-recovery scores without a significant rise in GI bleeding, but the evidence quality is variable and shouldn't be overstated as a general-wellness anticoagulant substitute.
Form: Lumbrokinase (a fibrinolytic enzyme complex from earthworms), enteric-coated capsules
Typical dose studied: Varies by product/units -- trials use enteric-coated capsules dosed several times daily
Timing: Typically on an empty stomach, enteric-coated
Ships trigger-empty -- fibrinolytic activity means this should never be positioned as a casual wellness supplement; despite claimed fibrin-specificity, the bleeding-risk interaction with antithrombotic drugs is the dominant safety consideration.
? Emerging / limited evidence
Avoid with: Bleeding disorder / Coagulopathy; Chronic coronary disease / Coronary artery disease; Atrial fibrillation / Atrial flutter; Peripheral artery disease
Interacts with: Anticoagulants, antiplatelets, thrombolytics -- additive bleeding risk despite its claimed fibrin-specificity, the key interaction to flag
Already taking it? The largest evidence base is a meta-analysis of Chinese ischemic-stroke trials of variable quality -- reasonable to continue only under medical supervision given its fibrinolytic activity, and it should be stopped before any planned surgical procedure or period of active bleeding risk.
Wiyarta E et al. (2025). Therapeutic Potential of Lumbrokinase in Acute Ischemic Stroke: A Meta-Analysis of Efficacy and Safety. Therapeutics and Clinical Risk Management.
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