Drug & supplement interaction

Banderol + Eltrombopag

Eltrombopag brand names: Promacta, Revolade, Alvaiz.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Banderol and Eltrombopag 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 Eltrombopag states a food rule worth keeping to.

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Interaction report

Banderol and Eltrombopag

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 Eltrombopag and Banderol 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.

Banderol safety at a glance

Banderol overall Use caution Human safety data are very limited, so use carefully and under professional guidance.
Pregnancy Avoid Not enough safety information; avoid during pregnancy.
Breastfeeding Avoid Not enough safety information; avoid while breastfeeding.

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

Pharmacist analysis

Due to the lack of scientific data, it is difficult to make definitive statements about potential drug interactions involving Banderol (Otoba parvifolia).

Although some preliminary studies done in a lab setting have noted some potential interactions (which can be found in our interaction checker), more are needed to better understand the safety of Banderol when combined with OTC (over-the-counter) or prescription drugs.

Still wondering about combining Eltrombopag and Banderol? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Eltrombopag

Interactions in our licensed database are recorded against drug classes, not just single drug names. Eltrombopag is filed under 2 classifications — hepatotoxic drugs, oral drugs. Banderol has documented interactions with 2 drug classes — the most serious being organic anion transporter 1 (oat1) substrates (moderate) and organic anion transporter 3 (oat3) substrates (moderate) — and none of Eltrombopag’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

Banderol Does Interact With Other Medications

Banderol has 177 moderate known drug interactions in our database — Eltrombopag 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 Banderol

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

What to actually watch for

What Eltrombopag’s Own FDA Label Lists

This is not an interaction — none of it involves Banderol. These are the most notable effects listed in the ADVERSE REACTIONS section of Eltrombopag’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. 7 of them are worth acting on rather than waiting out — marked below.

  • Yellowing of the skin or eyes Worth acting on
  • A low platelet count Worth acting on
  • Kidney problems Worth acting on
  • Anemia Worth acting on
  • Liver problems Worth acting on
  • Bleeding or bruising Worth acting on
  • A higher chance of infection Worth acting on
  • Pain in an arm or leg
  • Chills
  • Hair loss

Showing the 10 most notable of 30 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Eltrombopag. Read the label on DailyMed › Banderol’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Banderol side to compare — that is a limit of the record, not a statement that Banderol has no side effects.

How to take them

Some Eltrombopag Products Have a Food Rule — Banderol Should Not Break It

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

Do not split, chew, or crush tablets and mix with food or liquids.

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

This page covers Banderol only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Eltrombopag page lists 55 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 Ashwagandha (moderate).

By severity: 4 major · 42 moderate · 9 minor.

From our pharmacist’s overview on the Eltrombopag page

“Eltrombopag (Promacta, Revolade) boosts platelet production, and because the drug itself can stress the liver, this list warrants genuine care. Thirty-eight of the 55 supplements and herbs here can injure the liver on their own, so combining them stacks risk on an organ your doctor is already watching with blood tests.”

Reviewed by 2 · Jul 18, 2026

Open the Eltrombopag interaction page

How much people look this up

Where Banderol and Eltrombopag 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 Banderol
Top half

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

29 days ago today
Medication Eltrombopag
Steady interest

#1,930 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. Banderol is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Banderol reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Banderol and Eltrombopag records this page draws on were last updated June 20, 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 Banderol

What is Banderol?

Banderol
  • Lyme disease support
  • Antimicrobial
  • Antifungal
  • Immune support
  • Inflammation

Banderol is a Nutramedix-branded herbal extract made from the bark of the Amazonian tree Otoba parvifolia, most often promoted as part of alternative Lyme disease protocols. There is very little high-quality human research to support its use, so the evidence behind its benefits is weak and largely preliminary. Talk with your pharmacist or doctor before using it, and never use it to replace proven treatments.

Otoba parvifolia · Myristicaceae · Bark (extract) · Liquid tincture/drops, capsules

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

Banderol: dosing

There is no official, standardized dose for Banderol. It has not been studied enough in humans to set a proven safe and effective amount.If you choose to use it, follow the directions on the product label exactly, since the manufacturer's tincture is typically dosed as a small number of drops in water.

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

Read the full Banderol monograph & all interactions
Medication

About Eltrombopag

What Is Eltrombopag Used For?

Brand names: Promacta, Revolade, Alvaiz

Eltrombopag treats thrombocytopenia (low platelet counts) in several different conditions. It is used for adults and children (age 1 and older, depending on the product) with persistent or chronic immune thrombocytopenia (ITP) — a condition where the immune system destroys platelets — when other treatments like steroids or immunoglobulins haven't worked well enough. It is also used to raise platelet counts in adults with chronic hepatitis C whose low platelet count prevents them from starting or staying on interferon-based antiviral therapy.

Eltrombopag tablets (including Promacta) are also approved — alone or combined with immunosuppressive therapy — for adults and certain children (age 2 and older) with severe aplastic anemia, a serious bone marrow failure condition. Alvaiz (a specific brand) shares most of these uses but has product-specific dosing that is not interchangeable milligram-for-milligram with other eltrombopag products. The oral suspension formulation is approved for ITP and for refractory severe aplastic anemia, but is not approved for first-line severe aplastic anemia in combination with immunosuppressive therapy.

See full Eltrombopag drug information
Keep checking

Other Drugs & Banderol

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

0Major
177Moderate
0Minor
2,652No known interaction
Moderate

177 interactions

Showing 60 of 177 moderate interactions — see all 177 on the Banderol page.

No interaction 2,652 drugs checked — show the list
Evidence & sources

Banderol References

The 3 sources that drive our Banderol monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Banderol is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Lyme Disease and Alternative Treatments — NIH NCCIH Source
  2. Using Dietary Supplements Wisely — NIH NCCIH Source
  3. Herbal Supplements — MedlinePlus Source

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 Banderol and Eltrombopag Together: Common Questions

Is it safe to take Banderol with Eltrombopag?
We do not list a known interaction between Banderol and Eltrombopag. 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.
Should I take Banderol and Eltrombopag at the same time of day?
At least one FDA label for a product containing Eltrombopag says to take it with food. If you take Banderol on an empty stomach out of habit, keep them separate and take Eltrombopag with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Eltrombopag products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Banderol and Eltrombopag combination checked?
Interactions in our licensed database are recorded against drug classes. Eltrombopag is filed under 2 classifications, and Banderol has documented interactions with 2 drug classes — none of Eltrombopag'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 Banderol interact with any other medications?
Yes. Banderol has 177 documented drug interactions in our database — Eltrombopag 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 Eltrombopag interact with any supplements?
Yes. Eltrombopag has documented interactions with 55 supplements in our database — Banderol is not one of them. The Eltrombopag 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 Eltrombopag and Banderol?

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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.