Greater Celandine - Xadago (Safinamide Mesylate) Interaction
Herbal: Greater Celandine
Also Known As: Chelidonium majus, Bai Qu Cai, Celandine, Celidonia Mayor, Chelidonii Herba, Racine de Chélidoine, Rhizome de Chélidoine, Rhizome de la Grande Chélidoine, Schollkraut, Swallow Wort, Tetterwort, Verruguera
Drug: Safinamide Mesylate
Brand names:
Xadago
Medical Content Editor Dr. Brian Staiger, PharmD
Last updated
Jul 22, 2023
Interaction Details
Safinamide Mesylate is classified as belonging to the following category: Monoamine Oxidase Inhibitors (Maois)
Theoretically taking monoamine oxidase inhibitors (MAOIs) with greater celandine might increase the risk of serotonergic side effects including serotonin syndrome. In vitro research shows that chelerythrine, an isoquinoline alkaloid in greater celandine, strongly, selectively, and reversibly inhibits an isoform of recombinant human monoamine oxidase-A (MAO-A). It was also a weak but selective inhibitor of monoamine oxidase-B (MAO-B). Some MAOIs include phenelzine (Nardil), tranylcypromine (Parnate), and others.
Interaction Rating
Likelihood of Occurrence
PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
References
- Baek SC, Ryu HW, Kang MG, et al. Selective inhibition of monoamine oxidase A by chelerythrine, an isoquinoline alkaloid. Bioorg Med Chem Lett. 2018;28(14):2403-2407.
Greater Celandine Overview
Greater celandine, also known as Chelidonium majus, is a herbaceous plant native to Europe and Asia. It is a member of the poppy family (Papaveraceae) and is known for its bright yellow flowers and shiny, sap-filled leaves.
In traditional medicine, greater celandine is believed to have a number of medicinal properties. It is thought to have antibacterial, antiviral, and anti-inflammatory effects and has been used to treat a variety of conditions, including digestive problems, respiratory infections, and skin disorders.
Greater celandine is also believed to have pain-relieving and sedative effects and has been used to treat headaches, toothaches, and other types of pain. It is sometimes used as a natural treatment for anxiety and stress, as well. Greater celandine must be used cautiously as it may have toxic effects, mainly on the liver.
Safinamide Mesylate Overview
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Safinamide is used along with the combination of levodopa and carbidopa (Duopa, Rytary, Sinemet, others) to treat ''off'' episodes (times of difficulty moving, walking, and speaking that may happen as medication wears off or at random) in people with Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance). Safinamide is in a group of medications called monoamine oxidase type B (MAO-B) inhibitors. It works by increasing the amount of dopamine (a natural substance that is needed to control movement) in the brain.
Greater Celandine - More Interactions
Greater Celandine interacts with 589 drugs
Interaction Rating Key
These severity listings are for informational use only. Never start, stop or otherwise change your therapy before speaking with your provider.
| Major | The combined use of these agents is strongly discouraged as serious side effects or other negative outcomes could occur. |
| Moderate | Use cautiously under the care of a healthcare professional or avoid this combination. A significant interaction or negative outcome could occur. |
| Minor | Be aware that there is a chance of an interaction. Watch for warning signs of a potential interaction. |
| Unknown | No interactions have been reported or no interaction data is currently available. |
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Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Drug descriptions are provided by MedlinePlus.
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Dr. Brian Staiger, PharmD
In addition to being a clinical pharmacist specializing in pharmacotherapy, Dr. Brian Staiger is a registered herbalist through the American Herbalist Guild. He has combined his passion for pharmacy practice with the study of medical ethnobotany to improve patient care. Feel free to reach out about any of your herbal or medication questions!
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