Drug & supplement interaction

Avocado + Diroximel Fumarate

Diroximel Fumarate brand name: Vumerity.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Avocado and Diroximel Fumarate 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 Diroximel Fumarate states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Avocado and Diroximel Fumarate

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 Diroximel Fumarate and Avocado 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.

Avocado safety at a glance

Avocado overall Generally safe Avocado is widely eaten and considered safe as a food for most people.
Pregnancy Use caution Avocado as a food is fine, but concentrated supplements or extracts have not been well studied in pregnancy.
Breastfeeding Use caution Eating avocado is generally fine, but the safety of concentrated supplements while breastfeeding is unknown.

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

Still wondering about combining Diroximel Fumarate and Avocado? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Diroximel Fumarate

Interactions in our licensed database are recorded against drug classes, not just single drug names. Diroximel Fumarate is filed under 3 classifications — immunosuppressants, hepatotoxic drugs, oral drugs. Avocado has documented interactions with 1 drug class — the most serious being warfarin (coumadin) (moderate) — and none of Diroximel Fumarate’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

Avocado Does Interact With Other Medications

Avocado has 2 moderate known drug interactions in our database — Diroximel Fumarate isn’t one of them. If you take anything else, check it against the full list below.

Moderate 2 No known interaction 2,828 (incl. Diroximel Fumarate)
Taking anything else?

Check Another of Your Medications Against Avocado

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

What to actually watch for

No Interaction Found — But Data Suggests Avocado and Diroximel Fumarate May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do. One of them is worth acting on rather than waiting out — marked below.

  • A higher chance of infection Worth acting on Additional detail

    Avocado

    “Orally, avocado can cause acute food protein-induced enterocolitis syndrome (FPIES). This is a rare, delayed, non-IgE-mediated gastrointestinal food hypersensitivity reaction most often reported in infants and young children. Symptoms of FPIES include excessive vomiting within 1-4 hours of avocado consumption and diarrhea.”

    Avocado · Natural Medicines adverse-effect record, reported in diarrhea.

    2 sources cited
    1. 100938. Cherian S, Neupert K, Varshney P. Avocado as an emerging trigger for food protein-induced enterocolitis syndrome. Ann Allergy Asthma Immunol. 2018;121(3):369-71. PubMed
    2. 112436. Lichtenstein AH, Kris-Etherton PM, Petersen KS, et al. Effect of Incorporating 1 Avocado Per Day Versus Habitual Diet on Visceral Adiposity: A Randomized Trial. J Am Heart Assoc 2022;11(14):e025657.

    Diroximel Fumarate

    Listed in the ADVERSE REACTIONS section of the FDA label for Diroximel Fumarate. Read the label on DailyMed ›

  • Stomach upset Additional detail

    Avocado

    Recorded for Avocado in the same Natural Medicines adverse-effect record shown under A higher chance of infection above.

    Diroximel Fumarate

    Listed in the ADVERSE REACTIONS section of the FDA label for Diroximel Fumarate. Read the label on DailyMed ›

  • Diarrhea / Vomiting reported in 7.4% of FDA reports for Diroximel Fumarate Additional detail

    Avocado

    “Orally, avocado has been generally well tolerated in clinical research.

    Most Common Adverse Effects:

    Topically: A cream containing avocado oil in combination with vitamin B12 can cause itching.

    Serious Adverse Effects (Rare):

    Orally: Avocado may lead to allergic cross-sensitivity in latex sensitive patients.”

    Avocado · Natural Medicines adverse-effect record, reported in diarrhea.

    Diroximel Fumarate

    Listed in the ADVERSE REACTIONS section of the FDA label for Diroximel Fumarate, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

  • Itching Additional detail

    Avocado

    “Topically, a cream containing avocado oil in combination with vitamin B12 can cause itching when applied initially, but itching appears to diminish with continued use. Orally, avocado may cause skin rash.”

    Avocado · Natural Medicines adverse-effect record, reported in pruritus.

    2 sources cited
    1. 14909. Stucker M, Memmel U, Hoffmann M, et al. Vitamin B(12) cream containing avocado oil in the therapy of plaque psoriasis. Dermatology 2001;203:141-7.
    2. 112436. Lichtenstein AH, Kris-Etherton PM, Petersen KS, et al. Effect of Incorporating 1 Avocado Per Day Versus Habitual Diet on Visceral Adiposity: A Randomized Trial. J Am Heart Assoc 2022;11(14):e025657.

    Diroximel Fumarate

    Listed in the ADVERSE REACTIONS section of the FDA label for Diroximel Fumarate. Read the label on DailyMed ›

  • A skin rash Additional detail

    Avocado

    Recorded for Avocado in the same Natural Medicines adverse-effect record shown under Itching above.

    Diroximel Fumarate

    Listed in the ADVERSE REACTIONS section of the FDA label for Diroximel Fumarate. Read the label on DailyMed ›

Reported for Avocado but not commonly for Diroximel Fumarate: an allergic reaction and bloating or gas.

Effects for Diroximel Fumarate come from the ADVERSE REACTIONS section of its FDA label; effects for Avocado come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 11,848 voluntary FDA FAERS reports for Diroximel Fumarate that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

How to take them

Some Diroximel Fumarate Products Have a Food Rule — Avocado Should Not Break It

At least one FDA label for a product containing Diroximel Fumarate says to take it with food. If you take Avocado on an empty stomach out of habit, keep them separate — and take Diroximel Fumarate 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 Diroximel Fumarate 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.

If taken with food, avoid a high-fat, high-calorie meal/snack; the meal/snack should contain no more than 700 calories and no more than 30 g fat [see Warnings and Precautions ( 5.6 ) and Clinical Pharmacology ( 12.3 )] .

From the Dosage and Administration section of the FDA label we read for Diroximel Fumarate — 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 Diroximel Fumarate

This page covers Avocado only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Diroximel Fumarate page lists 106 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Siberian Cocklebur (major), Wine (major) and Active Hexose Correlated Compound (ahcc) (moderate).

By severity: 4 major · 92 moderate · 10 minor.

From our pharmacist’s overview on the Diroximel Fumarate page

“Diroximel fumarate (Vumerity) treats relapsing multiple sclerosis by quieting an overactive immune system, and I read its interaction list with real seriousness. Four of the 106 entries rate major, and none are exotic.”

Reviewed by 2 · Jul 18, 2026

Open the Diroximel Fumarate interaction page

One more smart check

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

We hold 68 real supplement products containing Avocado, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Avocado. Even though Avocado itself has no known interaction with Diroximel Fumarate, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Avocado and Diroximel Fumarate 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 Avocado
Top half

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

29 days ago today
Medication Diroximel Fumarate
Top 25%

#507 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 Avocado reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Avocado and Diroximel Fumarate 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 Avocado

What is Avocado?

Avocado
  • Heart and cholesterol health
  • Osteoarthritis (as ASU)
  • General nutrition and healthy fats
  • Skin and hair care
  • Blood sugar support

Avocado is a nutritious fruit rich in healthy monounsaturated fats, fiber, and potassium, and eating it as part of a balanced diet may support heart health. A specific extract called avocado/soybean unsaponifiables (ASU) has been studied for osteoarthritis, but evidence is mixed. As a food it is very safe for most people; talk to your pharmacist or doctor before using concentrated supplements.

Persea americana · Lauraceae · Fruit pulp, oil, seed, and leaves · Whole fruit, avocado oil, capsules (avocado/soybean unsaponifiables or ASU), powders

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

Avocado: dosing

There is no official standardized dose of avocado, since it is mainly eaten as a food. A common serving is part of a whole fruit, eaten as part of a balanced diet.For supplements such as ASU, the right amount depends on the specific product, so it is best to follow the directions on the label.

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

Read the full Avocado monograph & all interactions
Medication

About Diroximel Fumarate

What Is Diroximel Fumarate Used For?

Brand name: Vumerity

Vumerity (diroximel fumarate) is used to treat relapsing forms of multiple sclerosis (MS) in adults. This includes three specific types: clinically isolated syndrome (a first MS episode), relapsing-remitting MS (the most common pattern of flares and recovery), and active secondary progressive MS (a later stage where disability gradually worsens but relapses still occur).

Most-Reported Side Effects for Diroximel Fumarate

From FAERS, the FDA’s public side-effect reporting system (11,848 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Flushing 1,611 reports
Multiple sclerosis 1,099 reports
Multiple sclerosis relapse 973 reports
Diarrhea 873 reports
Fatigue 781 reports
See full Diroximel Fumarate drug information
Keep checking

Other Drugs & Avocado

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

0Major
2Moderate
0Minor
2,827No known interaction
2 Moderate 2,827 No interaction
Moderate

2 interactions

No interaction 2,827 drugs checked — show the list

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

Showing the 60 most looked-up of 2,827 medications checked with no known interaction — see the full Avocado list.

See the full Avocado interactions page
See every supplement checked against Diroximel Fumarate, ranked by severity
Evidence & sources

Avocado References

The 10 references that drive our Avocado 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. Blickstein D, Shaklai M, Inbal A. Warfarin antagonism by avocado. Lancet 1991;337:914-5. PubMed
  2. Blanco C, Diaz-Perales A, Collada C, et al. Class I chitinases as potential panallergens involved in the latex-fruit syndrome. J Allergy Clin Immunol 1999;103(3 Pt 1):507-13. PubMed
  3. Diaz-Perales A, Collada C, Blanco C, et al. Cross-reactions in the latex-fruit syndrome: A relevant role of chitinases but not of complex asparagine-linked glycans. J Allergy Clin Immunol 1999;104:681-7. PubMed
  4. Stucker M, Memmel U, Hoffmann M, et al. Vitamin B(12) cream containing avocado oil in the therapy of plaque psoriasis. Dermatology 2001;203:141-7.
  5. Ahlroth, M., Alenius, H., Turjanmaa, K., Makinen-Kiljunen, S., Reunala, T., and Palosuo, T. Cross-reacting allergens in natural rubber latex and avocado. J.Allergy Clin.Immunol. 1995;96(2):167-173. PubMed
  6. de Groot, A. C., van der Meeren, H. L., and Weyland, J. W. Contact allergy to avocado oil in a sunscreen. Contact Dermatitis 1987;16(2):108-109. PubMed
  7. Blanco, C., Carrillo, T., Castillo, R., Quiralte, J., and Cuevas, M. Avocado hypersensitivity. Allergy 1994;49(6):454-459. PubMed
  8. Crisi, G. and Belsito, D. V. Contact urticaria from latex in a patient with immediate hypersensitivity to banana, avocado and peach. Contact Dermatitis 1993;28(4):247-248.
  9. Cherian S, Neupert K, Varshney P. Avocado as an emerging trigger for food protein-induced enterocolitis syndrome. Ann Allergy Asthma Immunol. 2018;121(3):369-71. PubMed
  10. Lichtenstein AH, Kris-Etherton PM, Petersen KS, et al. Effect of Incorporating 1 Avocado Per Day Versus Habitual Diet on Visceral Adiposity: A Randomized Trial. J Am Heart Assoc 2022;11(14):e025657.

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 Avocado and Diroximel Fumarate Together: Common Questions

Is it safe to take Avocado with Diroximel Fumarate?
We do not list a known interaction between Avocado and Diroximel Fumarate. 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.
Do Avocado and Diroximel Fumarate have any of the same side effects?
Yes — our sources link each of them separately to 6 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Should I take Avocado and Diroximel Fumarate at the same time of day?
At least one FDA label for a product containing Diroximel Fumarate says to take it with food. If you take Avocado on an empty stomach out of habit, keep them separate and take Diroximel Fumarate with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Diroximel Fumarate products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Avocado and Diroximel Fumarate combination checked?
Interactions in our licensed database are recorded against drug classes. Diroximel Fumarate is filed under 3 classifications, and Avocado has documented interactions with 1 drug class — none of Diroximel Fumarate'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 Avocado interact with any other medications?
Yes. Avocado has 2 documented drug interactions in our database — Diroximel Fumarate 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 Diroximel Fumarate interact with any supplements?
Yes. Diroximel Fumarate has documented interactions with 106 supplements in our database — Avocado is not one of them. The Diroximel Fumarate 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

Avocado monograph Uses, safety profile, and every drug interaction in one place Diroximel Fumarate drug information The full plain-English guide to this medication Diroximel Fumarate supplement interactions Every supplement checked against Diroximel Fumarate, 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 10 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Diroximel Fumarate and Avocado?

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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.