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“ Warfarin reductase activity of both enzymes is not inhibited by pyrazole, sodium barbitone, or dicoumarol, but is strongly inhibited by quercetin , indomethacin, furosemide, and prostaglandin E2 (PGE2).”
Drug metabolism and disposition: the biological fate of chemicals • 1992 | View Paper
“ Quercetin metabolites are able to strongly displace warfarin from HSA suggesting that high quercetin doses can strongly interfere with warfarin therapy.”
“Guava leaves extract and quercetin resulted in significant increase in warfarin Cmax when compared to control (p < 0.01).”
“ResultsPreparations of pomegranate peel guava leaf extract, ellagic acid and quercetin in combination with warfarin were found to exert further significant increase on PT and INR values (p < 0.01) than when used alone (p < 0.05).”
“Significant reduction in CYP2C8, 2C9, and 3A4 was seen upon concomitant use of warfarin with ellagic acid, guava leaves and quercetin , unlike pomegranate that insignificantly affected CYP activities.”