Drug & supplement interaction

Bacopa + LetibotulinumtoxinA-wlbg

LetibotulinumtoxinA-wlbg brand name: Letybo.

Moderate Interaction
Medically reviewed by · Updated September 2026
The bottom line Moderate

Bacopa has a moderate interaction with LetibotulinumtoxinA-wlbg. Theoretically, concurrent use might decrease the effectiveness of both agents.

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

Bacopa and LetibotulinumtoxinA-wlbg

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

Moderate

ANTICHOLINERGIC DRUGS

Why this applies to LetibotulinumtoxinA-wlbg

LetibotulinumtoxinA-wlbg falls under ANTICHOLINERGIC DRUGS — the group Bacopa interacts with.

Theoretically, concurrent use might decrease the effectiveness of both agents.
Bacopa seems to inhibit acetylcholinesterase and might increase acetylcholine levels, which could counteract the effects of anticholinergic drugs. Similarly, anticholinergic drugs might counteract the cholinergic effects of bacopa.
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 honest picture with Letybo, which is a botulinum toxin injection used to smooth frown lines. It works by blocking the release of acetylcholine at the nerve endings, which relaxes the treated muscles. Bacopa is thought to nudge acetylcholine levels in the other direction by slowing the enzyme that breaks it down. So on paper, they push against each other, and you might wonder if bacopa could slightly blunt your results.

In real life, this concern is very theoretical and comes only from how these two work in the lab, not from actual cases. Botulinum toxin acts right where it's injected, so a swallowed herb is unlikely to matter much. Still, it's worth mentioning bacopa to whoever does your injections just so everyone's on the same page.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Morgan A, Stevens J. Does Bacopa monnieri improve memory performance in older persons? Results of a randomized, placebo-controlled, double-blind trial. J Altern Complement Med 2010;16:753-9.

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

Bacopa Also Interacts With Other Medications

Bacopa has 916 moderate, 13 minor known drug interactions in our database — the LetibotulinumtoxinA-wlbg one above is one of them. If you take anything else, check it against the full list below.

Moderate 916 Minor 13 No known interaction 1,901 (incl. LetibotulinumtoxinA-wlbg)
Taking anything else?

Check Another of Your Medications Against Bacopa

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

Everything else you take

See Every Supplement That Interacts With LetibotulinumtoxinA-wlbg

This page covers Bacopa only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the LetibotulinumtoxinA-wlbg page lists 33 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Henbane (major), Procaine (major), Scopolia (major), Angel's Trumpet (moderate) and Belladonna (moderate).

By severity: 3 major · 28 moderate · 2 minor.

From our pharmacist’s overview on the LetibotulinumtoxinA-wlbg page

“Letybo (letibotulinumtoxinA-wlbg) relaxes targeted muscles by blocking nerve signals, and a number of supplements push on that same system, so I would treat this list with real care rather than a quick skim. Three of the 33 ingredients carry a major rating (henbane, scopolia, and procaine), and those belong at the top of your reading.”

Reviewed by 2 · Jul 18, 2026

Open the LetibotulinumtoxinA-wlbg interaction page

One more smart check

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

We hold 1,420 real supplement products containing Bacopa, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Bacopa. Your product may carry other ingredients that interact with LetibotulinumtoxinA-wlbg too, on top of Bacopa — 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 Bacopa and LetibotulinumtoxinA-wlbg 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 Bacopa
Top 10%

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

29 days ago today
Medication LetibotulinumtoxinA-wlbg
Steady interest

#2,472 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 Bacopa

What is Bacopa?

Bacopa
  • Memory and cognitive support
  • Anxiety and stress
  • ADHD symptoms
  • Age-related memory decline
  • General brain health

Bacopa is an Ayurvedic herb most often used for memory and thinking. Some small studies suggest it may modestly help memory when taken regularly for several weeks, but the evidence is limited and quality varies. It is generally well tolerated but can cause stomach upset, and it should be avoided in pregnancy and breastfeeding due to a lack of safety data.

Read the full Bacopa monograph & all interactions
Keep checking

Other Drugs & Bacopa

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

0Major
916Moderate
13Minor
1,900No known interaction
916 Moderate 13 Minor 1,900 No interaction
Moderate

916 interactions

Showing 60 of 916 moderate interactions — see all 916 on the Bacopa page.

Minor

13 interactions

No interaction 1,900 drugs checked — show the list

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

Showing the 60 most looked-up of 1,900 medications checked with no known interaction — see the full Bacopa list.

See the full Bacopa interactions page
See every supplement checked against LetibotulinumtoxinA-wlbg, ranked by severity
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

Keep exploring
Bacopa monograph › Uses, safety, and every drug interaction in one place LetibotulinumtoxinA-wlbg supplement interactions › Every supplement checked against LetibotulinumtoxinA-wlbg, 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 Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Bacopa and LetibotulinumtoxinA-wlbg Together: Common Questions

Can you take Bacopa with LetibotulinumtoxinA-wlbg?
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 Bacopa and LetibotulinumtoxinA-wlbg 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 LetibotulinumtoxinA-wlbg and Bacopa?

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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.