Drug & supplement interaction

Acai + Nirogacestat

Nirogacestat brand name: Ogsiveo.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Acai and Nirogacestat in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

Know someone taking this? Share
Interaction report

Acai and Nirogacestat

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Nirogacestat and Acai in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Acai safety at a glance

Acai overall Use caution Acai is generally well tolerated as a food, but supplement quality and high-dose effects are not well studied.
Pregnancy Use caution Acai as a food is likely fine, but concentrated supplements have not been studied in pregnancy, so it is best to use caution.
Breastfeeding Use caution There is not enough safety information on acai supplements during breastfeeding, so caution is advised.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Nirogacestat and Acai? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Nirogacestat

Interactions in our licensed database are recorded against drug classes, not just single drug names. Nirogacestat is filed under 3 classifications — hepatotoxic drugs, cytochrome p450 3a4 (cyp3a4) substrates, oral drugs. Acai has documented interactions with 1 drug class — the most serious being antidiabetes drugs (moderate) — and none of Nirogacestat’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Acai Does Interact With Other Medications

Acai has 86 moderate known drug interactions in our database — Nirogacestat isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Acai

Covers the 2,830 medications we’ve checked against Acai. Pick one to open its full report.

What to actually watch for

What Nirogacestat’s Own FDA Label Lists

This is not an interaction — none of it involves Acai. These are the most notable effects listed in the ADVERSE REACTIONS section of Nirogacestat’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 4 of them are worth acting on rather than waiting out — marked below.

  • Shortness of breath Worth acting on
  • Liver problems Worth acting on
  • Bleeding or bruising Worth acting on
  • A higher chance of infection Worth acting on
  • Mouth irritation or sores mentioned in 7.2% of FDA reports for Nirogacestat
  • Dry eyes
  • Changes to your period
  • Diarrhea mentioned in 37.1% of FDA reports for Nirogacestat
  • Tiredness mentioned in 19.4% of FDA reports for Nirogacestat
  • Hair loss

Showing the 10 most notable of 15 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Nirogacestat. Read the label on DailyMed › Where a percentage is shown, it is the share of 789 voluntary FDA FAERS reports for Nirogacestat that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Acai’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Acai side to compare — that is a limit of the record, not a statement that Acai has no side effects.

Everything else you take

See Every Supplement That Interacts With Nirogacestat

This page covers Acai only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Nirogacestat page lists 168 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Grapefruit (major), Siberian Cocklebur (major) and St. John's Wort (major).

By severity: 6 major · 124 moderate · 38 minor.

From our pharmacist’s overview on the Nirogacestat page

“Anyone on nirogacestat (Ogsiveo) for desmoid tumors is usually in it for the long haul, and supplements have a way of creeping in over months of treatment. This list warrants genuine caution.”

Reviewed by 2 · Jul 18, 2026

Open the Nirogacestat interaction page

One more smart check

Taking Acai as Part of a Dietary Supplement Product? Check It for Interactions

We hold 3,313 real supplement products containing Acai, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Acai. Even though Acai itself has no known interaction with Nirogacestat, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Acai and Nirogacestat Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Acai
Top 10%

#104 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Nirogacestat
Steady interest

#2,057 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Acai reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Acai and Nirogacestat records this page draws on were last updated July 3, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Acai

What is Acai?

Acai
  • Antioxidant support
  • Weight loss
  • Energy and vitality
  • Heart health
  • General wellness ('superfood')

Acai is a nutritious Amazonian berry rich in antioxidants and healthy fats, and it is fine to enjoy as a food. However, strong human evidence is lacking for the bold health claims often attached to acai supplements, including weight loss and disease prevention.

Euterpe oleracea · Arecaceae · Fruit (berry) and its pulp · Juice, frozen pulp, smoothie packs, powder, capsules, tablets

An interaction check asks whether these two react with each other — it does not ask whether Acai is a good idea for someone in your situation. Here is what our Acai record says about it on its own.

Acai: dosing

There is no officially established or standardized dose for acai. Amounts used in studies and products vary widely depending on the form (juice, pulp, powder, or capsule).The best approach is to follow the directions on the product label and not exceed the recommended amount.

From our Acai monograph — the full record covers uses, side effects and every documented interaction.

Read the full Acai monograph & all interactions
Medication

About Nirogacestat

What Is Nirogacestat Used For?

Brand name: Ogsiveo

Ogsiveo (nirogacestat) is approved for adults with desmoid tumors that are actively progressing and require systemic treatment. Desmoid tumors are rare, locally aggressive tumors that can grow in soft tissue.

This indication applies to the oral tablet form of Ogsiveo. It is not approved for children, as safety and effectiveness have not been established in pediatric patients.

See full Nirogacestat drug information
Keep checking

Other Drugs & Acai

Browse every other medication we’ve checked against Acai — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
86Moderate
0Minor
2,743No known interaction
Moderate

86 interactions

Showing 60 of 86 moderate interactions — see all 86 on the Acai page.

No interaction 2,743 drugs checked — show the list
Evidence & sources

Acai References

The 2 references that drive our Acai monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Udani JK, Singh BB, Singh VJ, Barrett ML. Effects of acai (Euterpe oleracea Mart.) berry preparation on metabolic parameters in a healthy overweight population: a pilot study. Nutr J 2011;10:45.
  2. de Liz S, Cardoso AL, Copetti CLK, et al. Açaí (Euterpe oleracea Mart.) and juçara (Euterpe edulis Mart.) juices improved HDL-c levels and antioxidant defense of healthy adults in a 4-week randomized cross-over study. Clin Nutr. 2020;39(12):3629-3636. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Acai and Nirogacestat Together: Common Questions

Is it safe to take Acai with Nirogacestat?
We do not list a known interaction between Acai and Nirogacestat. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
How was the Acai and Nirogacestat combination checked?
Interactions in our licensed database are recorded against drug classes. Nirogacestat is filed under 3 classifications, and Acai has documented interactions with 1 drug class — none of Nirogacestat's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Acai interact with any other medications?
Yes. Acai has 86 documented drug interactions in our database — Nirogacestat is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Nirogacestat interact with any supplements?
Yes. Nirogacestat has documented interactions with 168 supplements in our database — Acai is not one of them. The Nirogacestat interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Nirogacestat and Acai?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.