Reishi mushroom, also known as Ganoderma lucidum , is a type of edible medicinal fungi that is found throughout Asia. The fruiting body (above-ground part) and mycelium (filaments connecting a group of mushrooms) are used as medicine. Recent research has shown that it may also have antiplatelet activity that is similar to aspirin. Likewise simvastatin has been shown to inhibit platelet aggregation. In addition, montelukast has anecdotally related to one case of acquired thrombopathia and may interfere with platelet aggregation. In this paper, the authors reported a case of intraoperative hemorrhage with laparoscopic trocar placement and dissection in a patient concomitantly taking Ganoderma lucidum supplements, simvastatin and montelukast, all of which had a possible anticoagulant effect. The patient was a 64-year-old Vietnamese female. Patient had a past medical history of asthma, hypertension and dyslipidemia for which she took montelukast, albuterol, captopril and simvastatin
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