Drug & supplement interaction

Agaricus Mushroom + Pretomanid

Pretomanid brand name: Pretomanid.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Agaricus Mushroom and Pretomanid 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. Additionally, although there is no interaction, the label for Pretomanid states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Agaricus Mushroom and Pretomanid

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 Pretomanid and Agaricus Mushroom 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.

Agaricus Mushroom safety at a glance

Agaricus Mushroom overall Use caution Generally tolerated as a food, but supplement safety and long-term effects are not well established.
Pregnancy Avoid Not enough safety data, so it is best to avoid supplement doses during pregnancy.
Breastfeeding Avoid Not enough safety data, so avoid supplement doses while breastfeeding.

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

Still wondering about combining Pretomanid and Agaricus Mushroom? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Pretomanid

Interactions in our licensed database are recorded against drug classes, not just single drug names. Pretomanid is filed under 5 classifications — including immunosuppressants, qt interval-prolonging drugs, antibiotic drugs. Agaricus Mushroom has documented interactions with 1 drug class — the most serious being antidiabetes drugs (moderate) — and none of Pretomanid’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

Agaricus Mushroom Does Interact With Other Medications

Agaricus Mushroom has 86 moderate known drug interactions in our database — Pretomanid 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 Agaricus Mushroom

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

What to actually watch for

No Interaction Found — But Data Suggests Agaricus Mushroom and Pretomanid May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do. One of them is worth acting on rather than waiting out — marked below.

  • Liver problems Worth acting on Additional detail

    Agaricus Mushroom

    “Three cases of severe hepatotoxicity have been reported in females with ovarian or breast cancer receiving chemotherapy who also took agaricus mushroom supplements. Two of the patients had increases in liver function tests a few days after starting agaricus mushroom, which then progressed rapidly to fatal, fulminant hepatitis. One of these patients was also an asymptomatic carrier of hepatitis B virus.”

    Agaricus Mushroom · Natural Medicines adverse-effect record, reported in breast cancer.

    1 source cited
    1. 16458. Mukai H, Watanabe T, Ando M, Katsumata N. An alternative medicine, Agaricus blazei, may have induced severe hepatic dysfunction in cancer patients. Jpn J Clin Oncol 2006;36:808-10. PubMed

    Pretomanid

    Listed in the ADVERSE REACTIONS section of the FDA label for Pretomanid. Read the label on DailyMed ›

  • Stomach upset / Nausea / Diarrhea reported in 6.2% of FDA reports for Pretomanid Additional detail

    Agaricus Mushroom

    “In one clinical trial, mild gastrointestinal side effects such as nausea, diarrhea, and abdominal discomfort were reported in 6 of 78 patients taking a specific agaricus powder product (Sen-Sei-Ro Powder Gold, Kyowa Wellness Co., Ltd.) 1.8-5.4 grams orally daily for 60 days.”

    Agaricus Mushroom · Natural Medicines adverse-effect record, reported in diarrhea.

    1 source cited
    1. 17185. Ohno S, Sumiyoshi Y, Hashine K, et al. Phase I clinical study of the dietary supplement, Agaricus blazei Murill, in cancer patients in remission. Evid Based Complement Alternat Med 2011, doi 10.1155/2011/192381.

    Pretomanid

    Listed in the ADVERSE REACTIONS section of the FDA label for Pretomanid, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

  • A skin rash Additional detail

    Agaricus Mushroom

    “An allergic reaction has been reported in a female who took a specific agaricus powder product (Sen-Sei-Ro Powder Gold, Kyowa Wellness Co., Ltd.) 1.8 grams daily by mouth for 2 months. The patient developed an urticarial papular rash which resolved when the product was discontinued. Allergic contact cheilitis was also reported in a patient taking a homemade agaricus mushroom extract orally.”

    Agaricus Mushroom · Natural Medicines adverse-effect record, reported in cheilitis.

    2 sources cited
    1. 17185. Ohno S, Sumiyoshi Y, Hashine K, et al. Phase I clinical study of the dietary supplement, Agaricus blazei Murill, in cancer patients in remission. Evid Based Complement Alternat Med 2011, doi 10.1155/2011/192381.
    2. 94720. Suehiro M, Katoh N, Kishimoto S. Chelitis due to Agaricus blazei Murill mushroom extract. Contact Dermatitis 2007;56(5):293-4.

    Pretomanid

    Listed in the ADVERSE REACTIONS section of the FDA label for Pretomanid. Read the label on DailyMed ›

Reported for Agaricus Mushroom but not commonly for Pretomanid: an allergic reaction.

Effects for Pretomanid come from the ADVERSE REACTIONS section of its FDA label; effects for Agaricus Mushroom come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 647 voluntary FDA FAERS reports for Pretomanid that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

How to take them

Some Pretomanid Products Have a Food Rule — Agaricus Mushroom Should Not Break It

At least one FDA label for a product containing Pretomanid says to take it with food. If you take Agaricus Mushroom on an empty stomach out of habit, keep them separate — and take Pretomanid with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Pretomanid products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

Recommended Dosage Pretomanid Tablets must be administered in combination with bedaquiline and linezolid with food [see Clinical Pharmacology (12.3) ] .

From the Dosage and Administration section of the FDA label we read for Pretomanid — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Pretomanid

This page covers Agaricus Mushroom only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Pretomanid page lists 143 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), Arsenic (major), Beer (major) and Cesium (major).

By severity: 10 major · 122 moderate · 11 minor.

From our pharmacist’s overview on the Pretomanid page

“Pretomanid is reserved for highly drug-resistant tuberculosis, and it can stress the liver and lengthen the heart's QT interval, so the supplements on this page deserve genuine care. Ten of the 143 ingredients on file carry a major rating, and nearly all of those either compound the liver risk (alcohol in beer or wine is the plainest e…”

Reviewed by 2 · Jul 18, 2026

Open the Pretomanid interaction page

One more smart check

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

We hold 671 real supplement products containing Agaricus Mushroom, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Agaricus Mushroom. Even though Agaricus Mushroom itself has no known interaction with Pretomanid, 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 Agaricus Mushroom and Pretomanid 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 Agaricus Mushroom
Top half

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

29 days ago today
Medication Pretomanid
Steady interest

#2,238 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 Agaricus Mushroom reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Agaricus Mushroom and Pretomanid records this page draws on were last updated July 11, 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 Agaricus Mushroom

What is Agaricus Mushroom?

  • Immune support
  • General wellness and antioxidant
  • Adjunct interest during cancer care
  • Blood sugar support
  • Cholesterol and heart health

Agaricus mushroom (often Agaricus blazei/subrufescens) is a culinary and medicinal mushroom studied mostly for possible immune and antioxidant effects. The human evidence is limited and not strong enough to recommend it for treating any disease. If you want to try it, talk with your pharmacist or doctor first, especially if you have a health condition or take other medicines.

Agaricus subrufescens · Agaricaceae · Fruiting body (mushroom), sometimes mycelium · Capsules, tablets, powders, dried mushroom, liquid extracts, teas

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

Agaricus Mushroom: dosing

There is no established standard dose for Agaricus mushroom supplements. Studies have used different products and amounts, so it is hard to recommend one specific dose.If you choose to use it, follow the directions on the product label and do not exceed the recommended amount. Choosing products from reputable companies that test for purity is wise, since supplements are not tightly regulated.

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

Read the full Agaricus Mushroom monograph & all interactions
Medication

About Pretomanid

What Is Pretomanid Used For?

Brand name: Pretomanid

Pretomanid Tablet is used only as part of a three-drug regimen — together with bedaquiline and linezolid — to treat adults with pulmonary (lung) tuberculosis that is resistant to multiple antibiotics, including isoniazid, rifamycins, a fluoroquinolone, and a second-line injectable TB drug. It is also used for adults whose TB is resistant to isoniazid and rifampin and who cannot tolerate or are not responding to standard TB therapy.

Pretomanid Tablets are not for drug-sensitive TB, latent (inactive) TB infection, TB outside the lungs, or TB that responds to standard treatment. They should only be used in combination with bedaquiline and linezolid — safety and effectiveness with other drug combinations have not been established.

See full Pretomanid drug information
Keep checking

Other Drugs & Agaricus Mushroom

Browse every other medication we’ve checked against Agaricus Mushroom — 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 Agaricus Mushroom page.

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

Agaricus Mushroom References

The 5 references that drive our Agaricus Mushroom 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. Hsu CH, Liao YL, Lin SC, et al. The mushroom Agaricus Blazei Murill in combination with metformin and gliclazide improves insulin resistance in type 2 diabetes: a randomized, double-blinded, and placebo-controlled clinical trial. J Altern Complement Med 2
  2. Mukai H, Watanabe T, Ando M, Katsumata N. An alternative medicine, Agaricus blazei, may have induced severe hepatic dysfunction in cancer patients. Jpn J Clin Oncol 2006;36:808-10. PubMed
  3. Ohno S, Sumiyoshi Y, Hashine K, et al. Phase I clinical study of the dietary supplement, Agaricus blazei Murill, in cancer patients in remission. Evid Based Complement Alternat Med 2011, doi 10.1155/2011/192381.
  4. Suehiro M, Katoh N, Kishimoto S. Chelitis due to Agaricus blazei Murill mushroom extract. Contact Dermatitis 2007;56(5):293-4.
  5. Iwai N, Okuda T, Sawada R, et al. Interstitial lung disease associated with Agaricus blazei Murill in a patient with pancreatic ductal adenocarcinoma receiving gemcitabine-based therapy. Case Rep Gastroenterol 2022;16(1):229-234.

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 Agaricus Mushroom and Pretomanid Together: Common Questions

Is it safe to take Agaricus Mushroom with Pretomanid?
We do not list a known interaction between Agaricus Mushroom and Pretomanid. 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.
Do Agaricus Mushroom and Pretomanid have any of the same side effects?
Yes — our sources link each of them separately to 5 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Should I take Agaricus Mushroom and Pretomanid at the same time of day?
At least one FDA label for a product containing Pretomanid says to take it with food. If you take Agaricus Mushroom on an empty stomach out of habit, keep them separate and take Pretomanid with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Pretomanid products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Agaricus Mushroom and Pretomanid combination checked?
Interactions in our licensed database are recorded against drug classes. Pretomanid is filed under 5 classifications, and Agaricus Mushroom has documented interactions with 1 drug class — none of Pretomanid'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 Agaricus Mushroom interact with any other medications?
Yes. Agaricus Mushroom has 86 documented drug interactions in our database — Pretomanid 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 Pretomanid interact with any supplements?
Yes. Pretomanid has documented interactions with 143 supplements in our database — Agaricus Mushroom is not one of them. The Pretomanid 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 Pretomanid and Agaricus Mushroom?

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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.