Drug & supplement interaction

Asparagus Racemosus + Methazolamide

Methazolamide brand name: Neptazane.

Moderate Interaction
The bottom line Moderate

Asparagus Racemosus has a moderate interaction with Methazolamide. Theoretically, asparagus racemosus root might increase diuresis and electrolyte loss when used with diuretic drugs.

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

Asparagus Racemosus and Methazolamide

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

Moderate

DIURETIC DRUGS

Why this applies to Methazolamide

Methazolamide falls under DIURETIC DRUGS — the group Asparagus Racemosus interacts with.

Theoretically, asparagus racemosus root might increase diuresis and electrolyte loss when used with diuretic drugs.
Animal studies show that asparagus racemosus root has diuretic effects when used in high doses. This effect has not been reported in humans.
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 gist: methazolamide (Neptazane) is a carbonic anhydrase inhibitor that lowers eye pressure, and it also has a mild water-pill, or diuretic, effect that makes you pee more and lose some salts like potassium. In animal studies, high doses of shatavari root also acted as a diuretic. So in theory, putting the two together might add up and push fluid and electrolyte loss a bit further.

I want to be honest about how thin this evidence is. It comes from lab and animal work only, and this combined effect has not been seen in people. Culinary or modest amounts are very unlikely to matter; concentrated supplement doses are the bigger question. If you do use both, watch for signs like extra thirst, dizziness, muscle cramps, or tiredness, and check with your pharmacist or doctor before changing anything.

References
  1. Satish Kumar MC, Udupa AL, Sammodavardhana K, Rathnakar UP, Shvetha U, Kodancha GP. Acute toxicity and diuretic studies of the roots of Asparagus racemosus Willd in rats. West Indian Med J. 2010;59(1):3-6.

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

Asparagus Racemosus Also Interacts With Other Medications

Asparagus Racemosus has 75 moderate known drug interactions in our database — the Methazolamide 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 Asparagus Racemosus

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

Everything else you take

See Every Supplement That Interacts With Methazolamide

This page covers Asparagus Racemosus only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Methazolamide page lists 218 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), American Mistletoe (major), Lithium (major) and Oleander (major).

By severity: 7 major · 187 moderate · 24 minor.

From our pharmacist’s overview on the Methazolamide page

“Methazolamide (Neptazane) treats glaucoma by lowering pressure inside the eye, and because it also has mild water-pill effects it can nudge blood pressure and potassium on its own. That is exactly where most of the 218 supplements on this page press, and the list earns real caution.”

Reviewed by 2 · Jul 18, 2026

Open the Methazolamide interaction page

One more smart check

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

We hold 330 real supplement products containing Asparagus Racemosus, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Asparagus Racemosus. Your product may carry other ingredients that interact with Methazolamide too, on top of Asparagus Racemosus — 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 Asparagus Racemosus and Methazolamide 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 Asparagus Racemosus
Top half

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

29 days ago today
Medication Methazolamide
Top 25%

#676 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 Asparagus Racemosus

What is Asparagus Racemosus?

Asparagus Racemosus
  • Women's reproductive health
  • Promoting breast milk supply
  • Digestive complaints
  • General tonic and stress support
  • Menopausal symptoms

Asparagus racemosus, often called shatavari, is an Ayurvedic herb traditionally used to support women's health, digestion, and overall vitality. Human evidence for most of these uses is limited and preliminary, so benefits are not well proven. Talk with your pharmacist or doctor before using it, especially if you are pregnant, breastfeeding, or have hormone-sensitive conditions.

Read the full Asparagus Racemosus monograph & all interactions
Medication

About Methazolamide

What Is Methazolamide Used For?

Brand name: Neptazane

Methazolamide tablets are used to treat eye conditions where lowering intraocular pressure (pressure inside the eye) is expected to help. These include chronic open-angle glaucoma and secondary glaucoma.

Methazolamide tablets are also used before surgery in acute angle-closure glaucoma, when reducing eye pressure ahead of the procedure is needed. Note that long-term use in angle-closure glaucoma is not appropriate.

See full Methazolamide drug information
Keep checking

Other Drugs & Asparagus Racemosus

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

0Major
75Moderate
0Minor
2,754No known interaction
Moderate

75 interactions

Showing 60 of 75 moderate interactions — see all 75 on the Asparagus Racemosus page.

No interaction 2,754 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 Asparagus Racemosus and Methazolamide Together: Common Questions

Can you take Asparagus Racemosus with Methazolamide?
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 Asparagus Racemosus and Methazolamide 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

Still Have a Question About Methazolamide and Asparagus Racemosus?

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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.