Drug & supplement interaction

Aletris + Esomeprazole Magnesium

Esomeprazole Magnesium brand name: Nexium 24hr.

Minor Interaction
Medically reviewed by · Updated September 2026
The bottom line Minor

Aletris has a minor interaction with Esomeprazole Magnesium. Theoretically, due to reports that aletris increases stomach acid, aletris might decrease the effectiveness of PPIs.

Read the full interaction report
SeverityMinor
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Aletris and Esomeprazole Magnesium

Here is the interaction we found between these two, with the evidence behind it.

Minor

PROTON PUMP INHIBITORS (PPIs)

Why this applies to Esomeprazole Magnesium

Esomeprazole Magnesium falls under PROTON PUMP INHIBITORS (PPIs) — the group Aletris interacts with.

Theoretically, due to reports that aletris increases stomach acid, aletris might decrease the effectiveness of PPIs. PPIs include omeprazole (Prilosec), lansoprazole (Prevacid), rabeprazole (Aciphex), pantoprazole (Protonix), and esomeprazole (Nexium).
Severity Minor Likelihood Possible Evidence D

Interaction 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.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the gist with Nexium (esomeprazole): this medicine works by quieting down the acid pumps in your stomach lining, which is how it eases heartburn and lets the esophagus heal. The concern with aletris is that some old reports suggest the herb may stir up more stomach acid. If that's true, it could work against what esomeprazole is trying to do and leave you with more heartburn or reflux symptoms breaking through.

That said, I want to be honest about how thin this evidence is. It's labeled a minor interaction based only on anecdotal reports, not solid studies, so it may not amount to much in real life. If you notice your heartburn creeping back while using both, check in with your pharmacist or doctor before changing anything.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • 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.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Aletris Also Interacts With Other Medications

Aletris has 41 moderate, 35 minor known drug interactions in our database — the Esomeprazole Magnesium one above is one of them. If you take anything else, check it against the full list below.

Moderate 41 Minor 35 No known interaction 2,754 (incl. Esomeprazole Magnesium)
Taking anything else?

Check Another of Your Medications Against Aletris

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

Everything else you take

See Every Supplement That Interacts With Esomeprazole Magnesium

This page covers Aletris only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Esomeprazole Magnesium page lists 154 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Adrafinil (moderate).

Open the Esomeprazole Magnesium interaction page

One more smart check

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

We hold 2 real supplement products containing Aletris, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Aletris. Your product may carry other ingredients that interact with Esomeprazole Magnesium too, on top of Aletris — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Aletris and Esomeprazole Magnesium 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 Aletris
Top half

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

29 days ago today
Medication Esomeprazole Magnesium
Steady interest

#1,761 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.

Supplement

About Aletris

What is Aletris?

Aletris
  • Menstrual complaints
  • Digestive upset and colic
  • Loss of appetite
  • Female reproductive tonic
  • Rheumatic discomfort

Aletris (true unicorn root or colic root) is a North American herb traditionally used for menstrual problems and digestive complaints, but there is little to no modern human research to show it works. Because safety is poorly studied, it should be avoided during pregnancy and breastfeeding, and anyone considering it should first talk with a pharmacist or doctor.

Read the full Aletris monograph & all interactions
Keep checking

Other Drugs & Aletris

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

0Major
41Moderate
35Minor
2,753No known interaction
41 Moderate 35 Minor 2,753 No interaction
Moderate

41 interactions

Minor

35 interactions

No interaction 2,753 drugs checked — show the list

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

Showing the 60 most looked-up of 2,753 medications checked with no known interaction — see the full Aletris list.

See the full Aletris interactions page
See every supplement checked against Esomeprazole Magnesium, ranked by severity
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

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

Keep exploring
Aletris monograph › Uses, safety, and every drug interaction in one place Esomeprazole Magnesium supplement interactions › Every supplement checked against Esomeprazole Magnesium, 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 Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Aletris and Esomeprazole Magnesium Together: Common Questions

Can you take Aletris with Esomeprazole Magnesium?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Aletris and Esomeprazole Magnesium interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

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

Still Have a Question About Esomeprazole Magnesium and Aletris?

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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.