Drug & supplement interaction

Artemisia Herba-alba + Alogliptin

Alogliptin brand name: Nesina.

Moderate Interaction
The bottom line Moderate

Artemisia Herba-alba has a moderate interaction with Alogliptin. Theoretically, concomitant use with antidiabetes drugs might increase the risk of hypoglycemia.

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

Artemisia Herba-alba and Alogliptin

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

Moderate

ANTIDIABETES DRUGS

Why this applies to Alogliptin

Alogliptin falls under ANTIDIABETES DRUGS — the group Artemisia Herba-alba interacts with.

Theoretically, concomitant use with antidiabetes drugs might increase the risk of hypoglycemia.
Low quality research shows that Artemisia herba-alba lowers blood glucose.
Severity Moderate 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 simple version: Artemisia herba-alba may lower blood sugar on its own, and alogliptin (Nesina) is already working to bring your blood sugar down. Stack the two together and your numbers could dip lower than you want. This isn't about the herb changing how your body breaks down the medicine. It's just two blood-sugar-lowering effects adding up.

To be fair, this concern is mostly theoretical and comes from low-quality lab and animal studies, so the real-world risk is uncertain. Still, watch for signs of a low like shakiness, sweating, dizziness, or feeling foggy. Alogliptin by itself rarely causes lows, but pairing it with this herb tilts the odds. Please loop in your pharmacist or doctor before combining them.

References
  1. Marrif HI, Ali BH, Hassan KM. Some pharmacological studies on Artemisia herba-alba (Asso.) in rabbits and mice. J Ethnopharmacol 1995;49:51-5. PubMed
  2. al-Shamaony L, al-Khazraji SM, Twaij HA. Hypoglycaemic effect of Artemisia herba alba. II. Effect of a valuable extract on some blood parameters in diabetic animals. J Ethnopharmacol 1994;43:167-71. PubMed
  3. al-Khazraji SM, al-Shamaony LA, Twaij HA. Hypoglycaemic effect of Artemisia herba alba. I. Effect of different parts and influence of the solvent on hypoglycaemic activity. J Ethnopharmacol 1993;40:163-6. PubMed
  4. Twaij HA, Al-Badr AA. Hypoglycemic activity of Artemisia herba alba. J Ethnopharmacol 1988;24:123-6. PubMed

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

Artemisia Herba-alba Also Interacts With Other Medications

Artemisia Herba-alba has 85 moderate known drug interactions in our database — the Alogliptin one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Artemisia Herba-alba

Covers the 2,830 medications we’ve checked against Artemisia Herba-alba. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Alogliptin

This page covers Artemisia Herba-alba only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Alogliptin page lists 356 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 · 299 moderate · 51 minor.

Open the Alogliptin interaction page

How much people look this up

Where Artemisia Herba-alba and Alogliptin 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 Artemisia Herba-alba
Top half

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

29 days ago today
Medication Alogliptin
Top half

#1,037 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 Artemisia Herba-alba

What is Artemisia Herba-alba?

Artemisia Herba-alba
  • Diabetes and blood sugar
  • Digestive upset
  • Intestinal worms and parasites
  • Cough and respiratory complaints
  • Antimicrobial uses

Artemisia herba-alba is a desert shrub used in North African and Middle Eastern folk medicine, most often for digestion, diabetes, and parasites. Human evidence is very limited, and most findings come from lab or animal studies, so its benefits are unproven. Because it can affect blood sugar and contains potentially toxic compounds, talk with your pharmacist or doctor before using it.

Read the full Artemisia Herba-alba monograph & all interactions
Medication

About Alogliptin

What Is Alogliptin Used For?

Brand name: Nesina

Alogliptin tablets — sold under the brand names Alogliptin and Nesina — are used along with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.

Alogliptin is not used for type 1 diabetes or diabetic ketoacidosis, as it would not be effective in those situations.

See full Alogliptin drug information
Keep checking

Other Drugs & Artemisia Herba-alba

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

0Major
85Moderate
0Minor
2,744No known interaction
Moderate

85 interactions

Showing 60 of 85 moderate interactions — see all 85 on the Artemisia Herba-alba page.

No interaction 2,744 drugs checked — show the list
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

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Pharmacist Counseling Corner

Taking Artemisia Herba-alba and Alogliptin Together: Common Questions

Can you take Artemisia Herba-alba with Alogliptin?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Artemisia Herba-alba and Alogliptin interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

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

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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.