Drug & supplement interaction

Asian Water Plantain + Spinosad

Spinosad brand name: Natroba.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 27, 2026
The bottom line No known interaction

We found no known interaction between Asian Water Plantain and Spinosad 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.

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Interaction report

Asian Water Plantain and Spinosad

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 Spinosad and Asian Water Plantain 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.

Asian Water Plantain safety at a glance

Asian Water Planta... overall Use caution Human safety data are limited, and high or long-term use may stress the kidneys or liver.
Pregnancy Avoid Not enough safety information is available, so it is best avoided during pregnancy.
Breastfeeding Avoid There is no reliable safety data, so avoid use while breastfeeding.

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

Still wondering about combining Spinosad and Asian Water Plantain? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Spinosad

Interactions in our licensed database are recorded against drug classes, not just single drug names. Spinosad is filed under a single classification — topical drugs. Asian Water Plantain has documented interactions with 1 drug class — the most serious being nephrotoxic drugs (minor) — and none of Spinosad’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

Asian Water Plantain Does Interact With Other Medications

Asian Water Plantain has 355 minor known drug interactions in our database — Spinosad isn’t one of them. If you take anything else, check it against the full list below.

Minor 355 No known interaction 2,475 (incl. Spinosad)
Taking anything else?

Check Another of Your Medications Against Asian Water Plantain

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

What to actually watch for

What Asian Water Plantain Itself Has Been Linked To

This is not an interaction — nothing below involves Spinosad. It is the side-effect record for Asian Water Plantain on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Asian Water Plantain, this list is the first place to look. 2 entries are worth acting on rather than waiting out — marked below.

  • Kidney problems / Liver problems Worth acting on Additional detail

    “There is limited information available about the potential adverse effects of Asian water plantain. Orally, it has been used as a part of Traditional Chinese Medicine (TCM) with apparent safety; there have been no reported adverse effects in most patients. However, one case of hepatotoxicity and nephrotoxicity has been reported with the use of a combination TCM product containing Asian water plantain.”

    Asian Water Plantain · Natural Medicines adverse-effect record, reported in drug-induced kidney damage.

    1 source cited
    1. 99434. Yuen MF, Tam S, Fung J, Wong DK, Wong BC, Lai CL. Traditional Chinese medicine causing hepatotoxicity in patients with chronic hepatitis B infection: a 1-year prospective study. Aliment Pharmacol Ther. 2006 Oct 15;24(8):1179-86. PubMed

    “One case report of drug-induced systemic toxicity, including hepatotoxicity, has occurred in a 59-year-old man with chronic hepatitis B who had taken six doses of a combination product containing Asian water plantain 3 weeks prior to admission. He presented with gum bleed and petechiae, and his admission lab values indicated fulminant liver failure.”

    Asian Water Plantain · Natural Medicines adverse-effect record, reported in hepatitis.

    1 source cited
    1. 99434. Yuen MF, Tam S, Fung J, Wong DK, Wong BC, Lai CL. Traditional Chinese medicine causing hepatotoxicity in patients with chronic hepatitis B infection: a 1-year prospective study. Aliment Pharmacol Ther. 2006 Oct 15;24(8):1179-86. PubMed
  • Bleeding or bruising Worth acting on Additional detail

    Recorded for Asian Water Plantain in the same Natural Medicines adverse-effect record shown under Kidney problems / Liver problems above.

Everything above comes from the Natural Medicines adverse-effect record for Asian Water Plantain — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Spinosad’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Spinosad column appears here.

Everything else you take

See Every Supplement That Interacts With Spinosad

This page covers Asian Water Plantain only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Spinosad page lists 3 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Dimethylsulfoxide (dmso) (moderate), Turpentine Oil (moderate) and Alchemilla (minor).

By severity: 2 moderate · 1 minor.

From our pharmacist’s overview on the Spinosad page

“Spinosad (Natroba) is a lotion applied to the scalp to kill head lice, and because it works on the skin rather than inside the body, its interaction list is short. All three supplement ingredients on file, two moderate and one minor with nothing rated major, are things people also put on their skin.”

Reviewed by 2 · Jul 18, 2026

Open the Spinosad interaction page

How much people look this up

Where Asian Water Plantain and Spinosad 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 Asian Water Plantain
Top half

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

29 days ago today
Medication Spinosad
Steady interest

#1,442 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 Asian Water Plantain reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 27, 2026. The Asian Water Plantain and Spinosad 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 Asian Water Plantain

What is Asian Water Plantain?

Asian Water Plantain
  • Promoting urination (diuretic)
  • Fluid retention and swelling
  • Urinary discomfort
  • Cholesterol and heart health support
  • Kidney and bladder support

Asian water plantain (Ze Xie) is a rhizome long used in traditional Chinese medicine, mainly as a diuretic and for fluid retention. Modern evidence is mostly limited to laboratory and animal studies, so its benefits in people are not well proven, and quality human safety data are lacking. Talk with a pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.

Alisma plantago-aquatica · Alismataceae · Dried rhizome (root-like stem), known as Rhizoma Alismatis or Ze Xie · Dried sliced rhizome, powders, decoctions (teas), capsules, and as part of multi-herb traditional Chinese medicine formulas

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

Asian Water Plantain: dosing

There is no well-established standardized dose for Asian water plantain as a supplement. In traditional Chinese medicine, the dried rhizome is typically used as part of a multi-herb formula prepared by a trained practitioner, not taken alone.If you use a commercial product, follow the directions on the label and do not exceed the recommended amount. Do not use it as a substitute for prescribed diuretics or other proven treatments.

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

Read the full Asian Water Plantain monograph & all interactions
Medication

About Spinosad Topical

What Is Spinosad Topical Used For?

Brand name: Natroba

Spinosad Topical Suspension treats head lice infestations in adults and children 6 months of age and older. It also treats scabies infestations in adults and children 4 years of age and older.

For head lice, treatment is part of a broader lice management plan that includes washing clothing, bedding, and personal care items. For scabies, bedding, clothing, and towels used by anyone with scabies should also be washed in hot water or dry-cleaned.

Most-Reported Side Effects for Spinosad

From FAERS, the FDA’s public side-effect reporting system (45 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Pruritus 7 reports
Alopecia 5 reports
Rash 4 reports
Erythema 3 reports
Abdominal pain upper 2 reports
See full Spinosad Topical drug information
Keep checking

Other Drugs & Asian Water Plantain

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

0Major
0Moderate
355Minor
2,474No known interaction
355 Minor 2,474 No interaction
Minor

355 interactions

Showing 60 of 355 minor interactions — see all 355 on the Asian Water Plantain page.

No interaction 2,474 drugs checked — show the list

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

Showing the 60 most looked-up of 2,474 medications checked with no known interaction — see the full Asian Water Plantain list.

See the full Asian Water Plantain interactions page
See every supplement checked against Spinosad, ranked by severity
Evidence & sources

Asian Water Plantain References

The 1 references that drive our Asian Water Plantain 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. Yuen MF, Tam S, Fung J, Wong DK, Wong BC, Lai CL. Traditional Chinese medicine causing hepatotoxicity in patients with chronic hepatitis B infection: a 1-year prospective study. Aliment Pharmacol Ther. 2006 Oct 15;24(8):1179-86. PubMed

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 Asian Water Plantain and Spinosad Together: Common Questions

Is it safe to take Asian Water Plantain with Spinosad?
We do not list a known interaction between Asian Water Plantain and Spinosad. 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.
How was the Asian Water Plantain and Spinosad combination checked?
Interactions in our licensed database are recorded against drug classes. Spinosad is filed under 1 classification, and Asian Water Plantain has documented interactions with 1 drug class — none of Spinosad'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 Asian Water Plantain interact with any other medications?
Yes. Asian Water Plantain has 355 documented drug interactions in our database — Spinosad 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 Spinosad interact with any supplements?
Yes. Spinosad has documented interactions with 3 supplements in our database — Asian Water Plantain is not one of them. The Spinosad 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

Asian Water Plantain monograph Uses, safety profile, and every drug interaction in one place Spinosad Topical drug information The full plain-English guide to this medication Spinosad supplement interactions Every supplement checked against Spinosad, 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 Spinosad and Asian Water Plantain?

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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.