Drug & supplement interaction

Bach Flower Remedies + Tofacitinib

Tofacitinib brand names: Xeljanz, Xeljanz XR.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Bach Flower Remedies and Tofacitinib 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

Bach Flower Remedies and Tofacitinib

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 Tofacitinib and Bach Flower Remedies 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.

Bach Flower Remedies safety at a glance

Bach Flower Remedi... overall Use caution Generally low-risk because they are highly diluted, but most products contain alcohol.
Pregnancy Likely Unsafe When used orally. These preparations contain alcohol, which is teratogenic and dangerous for fetal development. Alcohol is also secreted into breast milk and ca... Read the full pregnancy detail
Breastfeeding Likely Unsafe When used orally. These preparations contain alcohol, which is teratogenic and dangerous for fetal development. Alcohol is also secreted into breast milk and ca... Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Tofacitinib and Bach Flower Remedies? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Tofacitinib

Interactions in our licensed database are recorded against drug classes, not just single drug names. Tofacitinib is filed under 4 classifications — including cytochrome p450 2c19 (cyp2c19) substrates, immunosuppressants, cytochrome p450 3a4 (cyp3a4) substrates. Bach Flower Remedies has documented interactions with 2 drug classes — the most serious being disulfiram (antabuse) (major) and metronidazole (flagyl) (moderate) — and none of Tofacitinib’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

Bach Flower Remedies Does Interact With Other Medications

Bach Flower Remedies has 1 major, 3 moderate known drug interactions in our database — Tofacitinib isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Bach Flower Remedies

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

What to actually watch for

What Tofacitinib’s Own FDA Label Lists

This is not an interaction — none of it involves Bach Flower Remedies. These are the most notable effects listed in the ADVERSE REACTIONS section of Tofacitinib’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. 6 of them are worth acting on rather than waiting out — marked below.

  • Low blood sugar Worth acting on
  • Blood clots Worth acting on
  • A low white blood cell count Worth acting on
  • Liver problems Worth acting on
  • A higher chance of infection Worth acting on
  • An allergic reaction Worth acting on
  • Joint pain mentioned in 29.2% of FDA reports for Tofacitinib
  • Headache mentioned in 7.4% of FDA reports for Tofacitinib
  • Diarrhea
  • A skin rash

From the ADVERSE REACTIONS section of the FDA label for Tofacitinib. Read the label on DailyMed › Where a percentage is shown, it is the share of 186,746 voluntary FDA FAERS reports for Tofacitinib that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Bach Flower Remedies’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Bach Flower Remedies side to compare — that is a limit of the record, not a statement that Bach Flower Remedies has no side effects.

Special populations

Bach Flower Remedies in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Unsafe

When used orally. These preparations contain alcohol, which is teratogenic and dangerous for fetal development. Alcohol is also secreted into breast milk and can disrupt infant development.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With Tofacitinib

This page covers Bach Flower Remedies only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Tofacitinib page lists 184 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Active Hexose Correlated Compound (ahcc) (moderate).

By severity: 3 major · 143 moderate · 38 minor.

From our pharmacist’s overview on the Tofacitinib page

“Supplements deserve genuine care alongside tofacitinib (Xeljanz, Xeljanz XR), a medicine that deliberately dials down the immune system to control conditions like rheumatoid arthritis and ulcerative colitis. Most of the interactions on this page run through the liver enzymes that clear the drug, meaning an herb can push its blood level…”

Reviewed by 2 · Jul 18, 2026

Open the Tofacitinib interaction page

How much people look this up

Where Bach Flower Remedies and Tofacitinib 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 Bach Flower Remedies
Top half

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

29 days ago today
Medication Tofacitinib
Steady interest

#2,211 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 Bach Flower Remedies reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 27, 2026. The Bach Flower Remedies and Tofacitinib 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 .
Supplement

About Bach Flower Remedies

What is Bach Flower Remedies?

Bach Flower Remedies
  • Stress and anxiety
  • Emotional balance
  • Fear and worry
  • Low mood
  • Sleep difficulties
  • Coping during stressful events

Bach Flower Remedies are extremely diluted flower preparations promoted to support emotional well-being rather than treat physical illness. High-quality research has not shown they work better than a placebo, but they are generally considered low-risk. The main concern is their alcohol (brandy) content, especially for children, people avoiding alcohol, and during pregnancy or breastfeeding.

Flowers and plant material from various wildflower species · Liquid drops, sprays, and the well-known 'Rescue Remedy' blend

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

Bach Flower Remedies: dosing

There is no scientifically established or standardized dose for Bach Flower Remedies. Avoid taking large amounts, mainly to limit alcohol intake.

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

Read the full Bach Flower Remedies monograph & all interactions
Medication

About Tofacitinib

What Is Tofacitinib Used For?

Brand names: Xeljanz, Xeljanz XR

Tofacitinib is used in adults with moderately to severely active rheumatoid arthritis, active psoriatic arthritis, active ankylosing spondylitis, and moderately to severely active ulcerative colitis. In each case it is for people who did not respond well to, or could not tolerate, one or more TNF blockers.

Xeljanz and tofacitinib tablets and oral solution are also used in children 2 years and older with active psoriatic arthritis or active polyarticular course juvenile idiopathic arthritis (arthritis in multiple joints). Extended-release tablets are labeled for adults only.

Most-Reported Side Effects for Tofacitinib

From FAERS, the FDA’s public side-effect reporting system (186,746 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Arthralgia 20,097 reports
Rheumatoid arthritis 19,517 reports
Fatigue 17,161 reports
Joint swelling 14,867 reports
Headache 13,747 reports
See full Tofacitinib drug information
Keep checking

Other Drugs & Bach Flower Remedies

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

1Major
3Moderate
0Minor
2,825No known interaction
Major

1 interaction

Moderate

3 interactions

No interaction 2,825 drugs checked — show the list
Evidence & sources

Bach Flower Remedies References

The 3 references that drive our Bach Flower Remedies 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. Fraser AG. Pharmacokinetic interactions between alcohol and other drugs. Clin Pharmacokinet 1997;33:79-90. PubMed
  2. Dufour MC. If you drink alcoholic beverages do so in moderation: what does this mean? J Nutr 2001;131:552S-61S. PubMed
  3. Mennella J. Alcohol's effect on lactation. Alcohol Res Health 2001;25:230-4.

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 Bach Flower Remedies and Tofacitinib Together: Common Questions

Is it safe to take Bach Flower Remedies with Tofacitinib?
We do not list a known interaction between Bach Flower Remedies and Tofacitinib. 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 Bach Flower Remedies and Tofacitinib combination checked?
Interactions in our licensed database are recorded against drug classes. Tofacitinib is filed under 4 classifications, and Bach Flower Remedies has documented interactions with 2 drug classes — none of Tofacitinib'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 Bach Flower Remedies interact with any other medications?
Yes. Bach Flower Remedies has 4 documented drug interactions in our database — Tofacitinib 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 Tofacitinib interact with any supplements?
Yes. Tofacitinib has documented interactions with 184 supplements in our database — Bach Flower Remedies is not one of them. The Tofacitinib interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Tofacitinib and Bach Flower Remedies?

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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.