Drug & supplement interaction

Akkermansia + Febuxostat

Febuxostat brand name: Uloric.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Akkermansia and Febuxostat 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
Facebook Post Reddit Email
On this page
Interaction report

Akkermansia and Febuxostat

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 Febuxostat and Akkermansia 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.

Worth understanding: our licensed dataset holds no drug-interaction record for Akkermansia at all — not against Febuxostat, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

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.

Akkermansia safety at a glance

Akkermansia overall Use caution Small human studies suggest short-term use is generally well tolerated, but long-term safety data are limited.
Pregnancy Avoid There is not enough safety information, so it is best to avoid during pregnancy.
Breastfeeding Avoid There is not enough safety information, so it is best to avoid while breastfeeding.

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

Still wondering about combining Febuxostat and Akkermansia? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Febuxostat’s Own FDA Label Lists

This is not an interaction — none of it involves Akkermansia. These are the most notable effects listed in the ADVERSE REACTIONS section of Febuxostat’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. 10 of them are worth acting on rather than waiting out — marked below.

  • Kidney stones Worth acting on
  • Hearing loss Worth acting on
  • A stroke or mini-stroke Worth acting on
  • Severe muscle breakdown Worth acting on
  • Dehydration Worth acting on
  • Bleeding in the gut Worth acting on
  • Unsteadiness Worth acting on
  • Low potassium Worth acting on
  • A slow heartbeat Worth acting on
  • Pancreatitis Worth acting on

Showing the 10 most notable of 72 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 Febuxostat. Read the label on DailyMed › Where a percentage is shown, it is the share of 16,669 voluntary FDA FAERS reports for Febuxostat that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Akkermansia’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Akkermansia side to compare — that is a limit of the record, not a statement that Akkermansia has no side effects.

Everything else you take

See Every Supplement That Interacts With Febuxostat

This page covers Akkermansia only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Febuxostat page lists 56 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Siberian Cocklebur (major), Wine (major) and Ashwagandha (moderate).

By severity: 4 major · 43 moderate · 9 minor.

From our pharmacist’s overview on the Febuxostat page

“Febuxostat (Uloric) lowers uric acid to prevent gout attacks, and because the drug itself can stress the liver, its list of 56 interacting supplements deserves real vigilance rather than a quick skim. Thirty-eight of those entries have their own record of liver harm, stacking pressure on the same organ, and two of the four major-rated…”

Reviewed by 2 · Jul 18, 2026

Open the Febuxostat interaction page

How much people look this up

Where Akkermansia and Febuxostat 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 Akkermansia
Top half

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

29 days ago today
Medication Febuxostat
Top half

#769 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. Akkermansia is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Akkermansia reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Akkermansia and Febuxostat records this page draws on were last updated July 10, 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 Akkermansia

What is Akkermansia?

  • Gut health support
  • Metabolic health and blood sugar
  • Weight management
  • Gut lining (barrier) support

Akkermansia muciniphila is a gut bacterium sold as a next-generation probiotic. Early research in animals and small human studies looks promising for metabolic and gut health, but the evidence is still limited and long-term safety is not fully known. Talk with your pharmacist or doctor before trying it, especially if you have a weakened immune system.

Akkermansia muciniphila · Akkermansiaceae · Whole bacterial cells (live or pasteurized) · Capsules, powders (probiotic supplements)

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

Akkermansia: dosing

There is no official, standardized dose for Akkermansia muciniphila. Doses are usually measured in colony-forming units (CFU) or by the amount of bacterial cells, and these vary from product to product.The best approach is to follow the directions on the product label and not take more than recommended. If you notice ongoing digestive problems, stop and get medical advice.

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

Read the full Akkermansia monograph & all interactions
Medication

About Febuxostat

What Is Febuxostat Used For?

Brand name: Uloric

Febuxostat (available as tablets and a dissolving oral film) is used to chronically manage hyperuricemia — high uric acid levels in the blood — in adults with gout. It is specifically for people who have not responded adequately to the highest tolerated dose of allopurinol, who cannot tolerate allopurinol, or for whom allopurinol is not appropriate.

Important limitation: febuxostat is not recommended for people who have high uric acid but no gout symptoms (asymptomatic hyperuricemia). It is also not recommended for patients whose high uric acid is caused by other conditions such as cancer treatment or Lesch-Nyhan syndrome.

Most-Reported Side Effects for Febuxostat

From FAERS, the FDA’s public side-effect reporting system (16,669 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Diarrhea 881 reports
Acute kidney injury 857 reports
Nausea 857 reports
Rash 800 reports
Gout 699 reports
See full Febuxostat drug information
Keep checking

Other Drugs & Akkermansia

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

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Akkermansia against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Akkermansia list.

See the full Akkermansia interactions page
See every supplement checked against Febuxostat, ranked by severity
Evidence & sources

Akkermansia References

The 2 sources that drive our Akkermansia monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Akkermansia is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Probiotics: What You Need To Know — NIH NCCIH Source
  2. Probiotics — MedlinePlus Source

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 Akkermansia and Febuxostat Together: Common Questions

Is it safe to take Akkermansia with Febuxostat?
We do not list a known interaction between Akkermansia and Febuxostat. 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.
Does Febuxostat interact with any supplements?
Yes. Febuxostat has documented interactions with 56 supplements in our database — Akkermansia is not one of them. The Febuxostat interaction page linked on this page lists every one, ranked by severity.

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

Where next

Keep Exploring

Akkermansia monograph Uses, safety profile, and every drug interaction in one place Febuxostat drug information The full plain-English guide to this medication Febuxostat supplement interactions Every supplement checked against Febuxostat, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 2 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Febuxostat and Akkermansia?

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.