Black Alder + Diroximel Fumarate
Diroximel Fumarate brand name: Vumerity.
We found no known interaction between Black Alder 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.
Black Alder 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 Black Alder 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.
Black Alder safety at a glance
Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
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. Black Alder has documented interactions with 2 drug classes — the most serious being cisplatin (platinol-aq) (moderate) and doxorubicin (adriamycin, others) (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.
Black Alder Does Interact With Other Medications
Black Alder 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.
Check Another of Your Medications Against Black Alder
We haven’t checked that one against Black Alder yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Black Alder. Pick one to open its full report.
Some Diroximel Fumarate Products Have a Food Rule — Black Alder Should Not Break It
At least one FDA label for a product containing Diroximel Fumarate says to take it with food. If you take Black Alder 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.
See Every Supplement That Interacts With Diroximel Fumarate
This page covers Black Alder 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
Taking Black Alder as Part of a Dietary Supplement Product? Check It for Interactions
We hold 21 real supplement products containing Black Alder, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Black Alder. Even though Black Alder 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:
Where Black Alder 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.
#394 of 1,452 supplements looked up here in the last 7 days
#718 of 2,830 medications looked up here in the last 7 days
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 Black Alder reference on this page ↓
- Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Black Alder and Diroximel Fumarate 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.
About Black Alder
What is Black Alder?
- Sore throat and mouth inflammation
- Skin wounds and irritation (topical)
- Fever and general aches (traditional)
- Digestive complaints
- Astringent for minor bleeding
Black Alder is a European tree whose bark and leaves have a long history in folk medicine, mainly as an astringent gargle or wound wash. There is very little modern human research to confirm any of these uses, and it can cause stomach upset, so it should be used cautiously and avoided during pregnancy and breastfeeding.
Alnus glutinosa · Betulaceae · Bark, leaves, and sometimes the catkins · Dried bark or leaf for tea, decoctions, tinctures, and gargles or mouth rinses
An interaction check asks whether these two react with each other — it does not ask whether Black Alder is a good idea for someone in your situation. Here is what our Black Alder record says about it on its own.
Black Alder: dosing
There is no established, standardized dose for Black Alder. Traditional use involved making a tea or decoction from the dried bark or leaves, or using a diluted preparation as a gargle or skin wash.If you choose to use a product, follow the directions on the label and do not exceed the recommended amount.
From our Black Alder monograph — the full record covers uses, side effects and every documented interaction.
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.
Other Drugs & Black Alder
Browse every other medication we’ve checked against Black Alder — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
2 interactions
No interaction 2,827 drugs checked — show the list
We also checked Black Alder against these medications and found no known interaction in our sources. Open any page to confirm.
- Apixaban ›
- Levothyroxine ›
- Amlodipine ›
- Warfarin ›
- Methylphenidate ›
- Sertraline ›
- Losartan Potassium ›
- Testosterone ›
- Ivermectin ›
- Metoprolol ›
- Aspirin ›
- Acetaminophen ›
- Rivaroxaban ›
- Rosuvastatin ›
- Abemaciclib ›
- Escitalopram ›
- Clopidogrel ›
- Atorvastatin ›
- Tadalafil ›
- Docusate ›
- Tirzepatide ›
- Ibuprofen ›
- Hydroxyurea ›
- Methamphetamine ›
- Valacyclovir ›
- Warfarin Sodium ›
- Semaglutide ›
- Sumatriptan ›
- Prednisone ›
- Lisdexamfetamine ›
- Propranolol ›
- Metformin ›
- Amoxicillin ›
- Lisinopril ›
- Amitriptyline ›
- Bupropion ›
- Methotrexate ›
- Bendamustine ›
- Isotretinoin ›
- Amphetamine ›
- Amlodipine Besylate ›
- Acyclovir ›
- Doxycycline ›
- Fluoxetine ›
- Pregabalin ›
- Lamotrigine ›
- Azithromycin ›
- Gabapentin ›
- Acetaminophen, Codeine ›
- Dextroamphetamine ›
- Clonazepam ›
- Quetiapine ›
- Methylene Blue ›
- Omeprazole ›
- Letrozole ›
- Naproxen ›
- Duloxetine ›
- Buspirone ›
- Citalopram ›
- Ciprofloxacin ›
Showing the 60 most looked-up of 2,827 medications checked with no known interaction — see the full Black Alder list.
Black Alder References
The 1 references that drive our Black Alder 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.
- Dinic J, Novakovic M, Podolski-Renic A, et al. Antioxidative activity of diarylheptanoids from the bark of black alder (Alnus glutinosa) and their interaction with anticancer drugs. Planta Med 2014;80(13):1088-96. doi: 10.1055/s-0034-1382993. Epub 2014 Au PubMed
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.
Taking Black Alder and Diroximel Fumarate Together: Common Questions
Is it safe to take Black Alder with Diroximel Fumarate?
Should I take Black Alder and Diroximel Fumarate at the same time of day?
How was the Black Alder and Diroximel Fumarate combination checked?
Does Black Alder interact with any other medications?
Does Diroximel Fumarate interact with any supplements?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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.