Drug & supplement interaction

Black Bryony + Brexpiprazole

Brexpiprazole brand name: Rexulti.

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 Black Bryony and Brexpiprazole 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 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

Black Bryony and Brexpiprazole

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 Brexpiprazole and Black Bryony 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.

Worth understanding: our licensed dataset holds no drug-interaction record for Black Bryony at all — not against Brexpiprazole, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

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 Bryony safety at a glance

Black Bryony overall Avoid The plant contains irritant and toxic compounds and can cause poisoning, so it is generally best avoided.
Pregnancy Unsafe When used orally. All parts of the black bryony plant are considered poisonous. Read the full pregnancy detail
Breastfeeding Unsafe When used orally. All parts of the black bryony plant are considered poisonous. 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 Brexpiprazole and Black Bryony? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Black Bryony and Brexpiprazole 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.

  • Seizures Worth acting on Additional detail

    Black Bryony

    “Orally, all parts of the black bryony plant are considered poisonous due to its saponin content. Black bryony has been reported to cause severe gastrointestinal irritation, vomiting, diarrhea, seizures, respiratory failure, and kidney failure (18). Topically, black bryony has been reported to cause contact dermatitis.”

    Black Bryony · Natural Medicines adverse-effect record, reported in dermatitis.

    4 sources cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
    2. 3829. Schmidt RJ, Moult SP. The dermatitic properties of black bryony (Tamus communis L.). Contact Dermatitis 1983;9:390-6.
    3. 35781. Kashchenko, V. B. and Kozhukhar', G. S. [Toxidermia caused by Tamus communis]. Vestn.Dermatol.Venerol. 1986;(5):50-51.
    4. 35782. Miliavskii, A. I. [Contact dermatitis caused by black bryony]. Vestn.Dermatol.Venerol. 1979;(7):49-50.

    “Orally, black bryony has been reported to cause seizures (18).”

    Black Bryony · Natural Medicines adverse-effect record, reported in epilepsy.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

    Brexpiprazole

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

  • Diarrhea Additional detail

    Black Bryony

    “Orally, black bryony has been reported to cause severe mouth, pharyngeal, and gastrointestinal irritation. It has also been reported to cause vomiting and diarrhea (18).”

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

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

    Brexpiprazole

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

Reported for Black Bryony but not commonly for Brexpiprazole: kidney problems, a skin rash, vomiting and swelling.

Effects for Brexpiprazole come from the ADVERSE REACTIONS section of its FDA label; effects for Black Bryony come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 16,505 voluntary FDA FAERS reports for Brexpiprazole 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.

Special populations

Black Bryony in Pregnancy & Breastfeeding

Pregnancy And Lactation Unsafe

When used orally. All parts of the black bryony plant are considered poisonous.

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 Brexpiprazole

This page covers Black Bryony only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Brexpiprazole page lists 177 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), Indian Snakeroot (major), Lithium (major) and Rauvolfia Vomitoria (major).

By severity: 6 major · 130 moderate · 41 minor.

From our pharmacist’s overview on the Brexpiprazole page

“Brexpiprazole (Rexulti) treats schizophrenia and is added to antidepressants for depression, and its supplement list warrants real care before you add anything to it. The bulk of the 177 entries change how your liver clears the drug, so grapefruit can push levels up while St.”

Reviewed by 2 · Jul 18, 2026

Open the Brexpiprazole interaction page

How much people look this up

Where Black Bryony and Brexpiprazole 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 Black Bryony
Steady interest

#1,283 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Brexpiprazole
Steady interest

#1,435 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 Black Bryony reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Black Bryony and Brexpiprazole 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 Black Bryony

What is Black Bryony?

Black Bryony
  • Bruises and sprains (applied to the skin)
  • Joint and muscle pain
  • Chilblains
  • Rheumatic complaints
  • Skin and folk "healing" remedies

Black Bryony is a toxic climbing plant whose root has been used in folk medicine, mostly applied to the skin for bruises and aches. There is little to no reliable scientific evidence that it works, and it can cause serious poisoning if swallowed or severe irritation on the skin. Because of these real risks, it is best avoided, especially without guidance from a healthcare professional.

Dioscorea communis · Dioscoreaceae · Root (tuber); occasionally berries and aerial parts (all considered toxic) · Traditional poultices and ointments for external use; rarely sold as a modern supplement

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

Black Bryony: dosing

There is no established safe dose for Black Bryony. It has not been studied well enough to recommend any amount, and because it is toxic, no standard dose exists for taking it by mouth.If you ever encounter a product that contains it, do not assume it is safe. Given the risks, the safest approach is not to use it at all.

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

Read the full Black Bryony monograph & all interactions
Medication

About Brexpiprazole

What Is Brexpiprazole Used For?

Brand name: Rexulti

Brexpiprazole tablets are approved for two uses in adults: as an add-on (adjunctive) treatment alongside antidepressants for major depressive disorder (MDD), and as a treatment for schizophrenia. These uses apply to both the generic brexpiprazole tablets and Rexulti.

Rexulti has one additional approved use: treating agitation associated with dementia due to Alzheimer's disease in adults. Rexulti is also approved for schizophrenia in adolescents ages 13 and older. Note that Rexulti is not approved for dementia-related psychosis without agitation from Alzheimer's disease, and it is not meant to be used on an as-needed basis for Alzheimer's-related agitation.

Most-Reported Side Effects for Brexpiprazole

From FAERS, the FDA’s public side-effect reporting system (16,505 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Weight increased 1,702 reports
Akathisia 869 reports
Tremor 654 reports
Anxiety 612 reports
Tardive dyskinesia 599 reports
See full Brexpiprazole drug information
Keep checking

Other Drugs & Black Bryony

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

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

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

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Black Bryony list.

See the full Black Bryony interactions page
See every supplement checked against Brexpiprazole, ranked by severity
Evidence & sources

Black Bryony References

The 4 references that drive our Black Bryony 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. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  2. Schmidt RJ, Moult SP. The dermatitic properties of black bryony (Tamus communis L.). Contact Dermatitis 1983;9:390-6.
  3. Kashchenko, V. B. and Kozhukhar', G. S. [Toxidermia caused by Tamus communis]. Vestn.Dermatol.Venerol. 1986;(5):50-51.
  4. Miliavskii, A. I. [Contact dermatitis caused by black bryony]. Vestn.Dermatol.Venerol. 1979;(7):49-50.

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 Black Bryony and Brexpiprazole Together: Common Questions

Is it safe to take Black Bryony with Brexpiprazole?
We do not list a known interaction between Black Bryony and Brexpiprazole. 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 Black Bryony and Brexpiprazole have any of the same side effects?
Yes — our sources link each of them separately to 2 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.
Does Brexpiprazole interact with any supplements?
Yes. Brexpiprazole has documented interactions with 177 supplements in our database — Black Bryony is not one of them. The Brexpiprazole 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

Black Bryony monograph Uses, safety profile, and every drug interaction in one place Brexpiprazole drug information The full plain-English guide to this medication Brexpiprazole supplement interactions Every supplement checked against Brexpiprazole, 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 4 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Brexpiprazole and Black Bryony?

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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.