Interaction Details

There were no interactions found between Natalizumab and Peppermint. This does not mean the potential for an interaction does not exist, however. There is often a lack of studies and data surrounding traditional medicine, especially concerning drug interactions, so it is important to always consult your provider before making any changes to your medication regimen.


Still looking for more information about combining Natalizumab and Peppermint? Ask Dr. Brian Staiger about it by contacting him directly.

Pharmacist Analysis

Peppermint and peppermint oil have a number of theoretical interactions due to several lab and animal studies suggesting it can inhibit a variety of CYP metabolizing enzymes in the liver, including:

  • CYP2C9
  • CYP3A4
  • CYP2C19
  • CYP1A2

However, many of these interactions have not been seen in humans, and the likelihood of them being clinically significant is low. They are nevertheless important to be aware of.

There is no known interaction between peppermint and the drug in question here. They are considered safe to combine.

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Peppermint Overview

Peppermint Peppermint is a perennial herb that is native to Europe and Asia. It is a member of the mint family (Lamiaceae) and is known for its fragrant, minty aroma and distinctive, spear-shaped leaves. Peppermint is commonly used in cooking and aromatherapy, as well as in a variety of personal care products. It has a refreshing, cool, and slightly sweet flavor. In traditional medicine, peppermint is believed to have a number of health benefits. It is thought to have anti-inflammatory and pain-relieving effects, and it is sometimes used to treat a variety of conditions, including digestive problems, respiratory infections, and skin disorders. Peppermint is also commonly used as a natural treatment for colds and flu due to its expectorant properties. Some peppermint supplements are marketed specifically towards those suffering from IBS (irritable bowel syndrome) as evidence shows it can help reduce symptoms in some individuals.
See More Information Regarding Peppermint

Natalizumab Overview

  • Natalizumab is used to prevent episodes of symptoms and slow the worsening of disability in adults who have relapsing forms of multiple sclerosis (MS; a disease in which the nerves do not function properly and people may experience weakness, numbness, loss of muscle coordination, and problems with vision, speech, and bladder control), including:

    • clinically isolated syndrome (CIS; first nerve symptom episode that lasts at least 24 hours),

    • relapsing-remitting disease (course of disease where symptoms flare up from time to time),

    • active secondary progressive disease (later stage of disease with continuous worsening of symptoms.)

  • Natalizumab is also used to treat and prevent episodes of symptoms in adults who have Crohn's disease (a condition in which the body attacks the lining of the digestive tract, causing pain, diarrhea, weight loss, and fever) who have not been helped by other medications or who cannot take other medications. Natalizumab is in a class of medications called monoclonal antibodies. It works by stopping certain cells of the immune system from reaching the brain and spinal cord or digestive tract and causing damage.

See More Information Regarding Natalizumab Injection

Peppermint - More Interactions

Peppermint interacts with 772 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.

Ask A Pharmacist About Your Herbal Questions!

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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