✓ No active regulatory warningsFDA MedWatch, EMA EudraVigilance, WHO VigiBase, WADA Prohibited List · 2026-05-29
📰Read the full Dan Shen (Salvia) evidence review on GMJ News →Complete clinical article, references and updates on news.gmj.ge. This page is the structured safety summary.⚠ See overview for critical safety points [1]
ℹ️ Not obtained from food. Not applicable — this is not obtained from food in meaningful amounts; supplementation is the practical route.
🔬 Lab interpreter
ℹ️ No validated blood test. There is no established laboratory test to assess status or guide dosing for this ingredient. Clinical response and symptoms are the practical guide.
⚕ For professionals — confirm ranges against your local laboratory.
Clinical verdict
Dan Shen is TCM's premier cardiovascular herb with genuine pharmacological activity (tanshinones + salvianolic acids). The CRITICAL clinical fact: it dramatically potentiates warfarin — multiple case reports of life-threatening INR elevation. Any patient on anticoagulants MUST be asked about Dan Shen/Danshen use. T89 (Compound Danshen) is in FDA phase III trials for chronic stable angina [1].
1 How much do I need?
👤 Adults: Specific dosage data under clinical review
👴 Elderly: Specific dosage data under clinical review
🤰 Pregnancy: See guidance
Avoid — anticoagulant activity. Insufficient pregnancy data [1].
👦 Pediatric: See guidance
Not recommended without specialist guidance [1].
🏃 Athletes: Standard dose
⚖️ Obesity: Standard dose
Fat-soluble compounds may require dose adjustment in obesity.
🩺 Renal: Consult specialist
Dose adjustment may be needed in renal impairment.
🌱 Vegan: Standard dose
How to take
🍽 Timing: See overview [1].
💊 With food: See overview [1].
🚫 Avoid: See overview for contraindications [1].
2 Which form?
| Form | Bioavailability | Vegan | Cost |
|---|---|---|---|
| ['Various commercial forms', 'standard', 'See product labels [1].'] | Standard | Check label |
3 Common questions
Key clinical point ▼
Dan Shen is TCM's premier cardiovascular herb with genuine pharmacological activity (tanshinones + salvianolic acids). The CRITICAL clinical fact: it dramatically potentiates warfarin — multiple case reports of life-threatening INR elevation. Any patient on anticoagulants MUST be asked about Dan Shen/Danshen use. T89 (Compound Danshen) is in FDA phase III trials for chronic stable angina [1].
4 Clinical evidence
Strong
See overview [1]. HIGH
Moderate
See overview [1]. MODERATE
Insufficient
See overview [1]. LOW
5 Safety, toxicity & adverse events
Absolute contraindications
✕ Concurrent warfarin — markedly raises INR and bleeding risk (well documented)
Relative
⚠ Other anticoagulants/antiplatelets — bleeding risk
⚠ Antihypertensives — additive effect
⚠ Discontinue before surgery
⚠ Affects several CYP-metabolized drugs
🚩 Red flags
● See overview for safety alerts [1]
6 Interactions
Drug interactions
Warfarin Major
Mechanism: MAJOR: Dan Shen dramatically increases INR — multiple life-threatening bleeding case reports. Mechanism: CYP inhibition + direct anticoagulant activity of tanshinones [1].
7 Regulatory
United States (FDA): Dietary supplement / restricted [1].
8 Cite this page
Vancouver: Pkhakadze G. Dan Shen (Salvia) — safety profile [Internet]. Tbilisi: PHIG; 2026 [cited 2026 Aug 15]. Available from: https://supplement.ge/ingredients/dan-shen-salvia/
APA 7th: Pkhakadze, G. (2026). Dan Shen (Salvia) — Safety profile. Public Health Institute of Georgia. https://supplement.ge/ingredients/dan-shen-salvia/
📋 Editorial information
Author: Prof. G. Pkhakadze, MD, MPH, PhD
Institution: Public Health Institute of Georgia (PHIG)
Affiliation: David Tvildiani Medical University (DTMU)
First published: January 2026
Last reviewed: 2026-05-29
Next review: February 2027
References: 2 cited sources
COI: SupplementIndex receives no funding from supplement manufacturers. All content independently authored by PHIG.
Process: Systematic literature review
📄 License & reuse
Published under Creative Commons Attribution 4.0 International (CC BY 4.0). You may share and adapt for any purpose with attribution.
Pkhakadze G. "Dan Shen (Salvia) — Safety Profile." SupplementIndex, PHIG, 2026. https://supplement.ge/ingredients/dan-shen-salvia/ CC BY 4.0.
GP
Prof. G. Pkhakadze, MD, MPH, PhD
Professor of Public Health · Head of Department, DTMU
Editor-in-Chief, Georgian Medical Journal (ISSN 3088-4322)
Chair, Public Health Institute of Georgia · UEMS Public Health Section
Educational and public health purposes. CC BY 4.0. Consult your healthcare provider before starting any supplement. Corrections: info@accreditation.ge. Publisher: PHIG