Drug & supplement interaction

Arrach + Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate

Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate brand name: Xywav.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated June 2026 · Pair last verified Sep 13, 2026

The bottom line No known interaction

We found no known interaction between Arrach and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate 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 Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate states a food rule worth keeping to.

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Interaction report

Arrach and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate

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 Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate and Arrach 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.

Arrach safety at a glance

Arrach overall Not established There is very little modern safety data on Arrach, so use cannot be considered proven safe.

Pregnancy Avoid Traditionally linked to menstrual effects, so it should be avoided during pregnancy.

Breastfeeding Avoid No safety information is available, so avoid use while breastfeeding.

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

Still wondering about combining Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate and Arrach? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate

Interactions in our licensed database are recorded against drug classes, not just single drug names. Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate is filed under 2 classifications — seizure threshold lowering drugs, oral drugs. Arrach has documented interactions with 1 drug class — the most serious being photosensitizing drugs (moderate) — and none of Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate’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

Arrach Does Interact With Other Medications

Arrach has 335 moderate known drug interactions in our database — Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate isn’t one of them. If you take anything else, check it against the full list below.

Moderate 335 No known interaction 2,495 (incl. Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate)

Taking anything else?

Check Another of Your Medications Against Arrach

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

What to actually watch for

What Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate’s Own FDA Label Lists

This is not an interaction — none of it involves Arrach. These are the most notable effects listed in the ADVERSE REACTIONS section of Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate’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. 8 of them are worth acting on rather than waiting out — marked below.

Thoughts of self-harm Worth acting on
Memory problems Worth acting on
Unsteadiness Worth acting on
Hallucinations Worth acting on
Confusion Worth acting on
Low mood Worth acting on
Raised blood pressure Worth acting on
An allergic reaction Worth acting on
Trouble concentrating
Vivid dreams or nightmares

Showing the 10 most notable of 32 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 Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate. Read the label on DailyMed › Arrach’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Arrach side to compare — that is a limit of the record, not a statement that Arrach has no side effects.

How to take them

Some Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate Products Have a Food Rule — Arrach Should Not Break It

At least one FDA label for a product containing Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate says to take it with food. If you take Arrach on an empty stomach out of habit, keep them separate — and take Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate 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 Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate 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.

Important Administration Information • Administer XYWAV at least 2 hours after eating ( 2.4 ).

From the Dosage and Administration section of the FDA label we read for Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate — 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 Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate

This page covers Arrach only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate page lists 23 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Biofeedback (moderate), Coffee Charcoal (moderate), Dendrobium (moderate) and European Mandrake (moderate).

By severity: 1 major · 13 moderate · 9 minor.

From our pharmacist’s overview on the Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate page

“Xywav combines calcium, magnesium, potassium, and sodium oxybates to treat cataplexy and daytime sleepiness in narcolepsy, and because each nightly dose is measured and timed with real precision, this list deserves genuine attention rather than a quick skim. The one major entry, activated charcoal, can bind the drug in the gut and shar…”

Reviewed by 2 · Jul 18, 2026

Open the Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate interaction page

How much people look this up

Where Arrach and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate 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 Arrach

Steady interest

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

29 days ago today

Medication Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate

Top half

#1,113 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 Arrach reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Arrach and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate records this page draws on were last updated June 22, 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 Dr. Brian Staiger, PharmD, BCPS.

Supplement

About Arrach

What is Arrach?

Painful menstruation
Nervous complaints
Digestive upset
Wound care
Insect repellent

Arrach (Chenopodium vulvaria) is a strong-smelling European herb that has been used in traditional folk medicine, mainly for menstrual and nervous complaints. There is very little modern scientific evidence to show that it works or is safe, so it is not recommended, especially during pregnancy or breastfeeding. Talk to your pharmacist or doctor before using any herbal product.

Chenopodium vulvaria · Amaranthaceae · Leaves and aerial (above-ground) parts · Dried herb, tea/infusion, and topical preparations

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

Arrach: dosing

There is no established or standardized dose for Arrach. It is not a common commercial supplement, and reliable dosing information from modern sources does not exist.If you ever come across a product containing Arrach, follow the directions on the label and do not exceed them.

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

Read the full Arrach monograph & all interactions

Medication

About Calcium, Magnesium, Potassium, and Sodium Oxybate

What Is Calcium, Magnesium, Potassium, and Sodium Oxybate Used For?

Brand name: Xywav

Xywav (calcium, magnesium, potassium, and sodium oxybate) is approved to treat two symptoms of narcolepsy — cataplexy (sudden muscle weakness triggered by emotion) and excessive daytime sleepiness (EDS) — in patients 7 years of age and older.

Xywav is also approved to treat idiopathic hypersomnia (IH) — a sleep disorder that causes excessive sleepiness even after long periods of sleep — in adults.

See full Calcium, Magnesium, Potassium, and Sodium Oxybate drug information

Keep checking

Other Drugs & Arrach

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

0Major

335Moderate

0Minor

2,494No known interaction

335 Moderate 2,494 No interaction

Moderate

335 interactions

Showing 60 of 335 moderate interactions — see all 335 on the Arrach page.

No interaction 2,494 drugs checked — show the list

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

Showing the 60 most looked-up of 2,494 medications checked with no known interaction — see the full Arrach list.

See the full Arrach interactions page

See every supplement checked against Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate, ranked by severity

Evidence & sources

Arrach References

The 1 references that drive our Arrach 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.

Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.

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 Arrach and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate Together: Common Questions

Is it safe to take Arrach with Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate?

We do not list a known interaction between Arrach and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate. 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.

Should I take Arrach and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate at the same time of day?

At least one FDA label for a product containing Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate says to take it with food. If you take Arrach on an empty stomach out of habit, keep them separate and take Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate products can differ — so check the directions on your own box. This is about absorption, not an interaction.

How was the Arrach and Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate combination checked?

Interactions in our licensed database are recorded against drug classes. Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate is filed under 2 classifications, and Arrach has documented interactions with 1 drug class — none of Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate'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 Arrach interact with any other medications?

Yes. Arrach has 335 documented drug interactions in our database — Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate 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 Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate interact with any supplements?

Yes. Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate has documented interactions with 23 supplements in our database — Arrach is not one of them. The Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate 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

Arrach monograph Uses, safety profile, and every drug interaction in one place Calcium, Magnesium, Potassium, and Sodium Oxybate drug information The full plain-English guide to this medication Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate supplement interactions Every supplement checked against Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate, 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 1 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate and Arrach?

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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.