Drug & supplement interaction

Black Mulberry + Alectinib Hydrochloride

Alectinib Hydrochloride brand name: Alecensa.

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 Mulberry and Alectinib Hydrochloride 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 Alectinib Hydrochloride states a food rule worth keeping to, and 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 Mulberry and Alectinib Hydrochloride

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 Alectinib Hydrochloride and Black Mulberry 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 Mulberry safety at a glance

Black Mulberry overall Use caution The fruit is safe as food, but concentrated supplement doses are less studied.
Pregnancy Use caution Eating the fruit as food is likely fine, but avoid concentrated extracts unless your doctor approves.
Breastfeeding Use caution Fruit as food is likely fine, but there is little safety data on supplement doses.

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

Still wondering about combining Alectinib Hydrochloride and Black Mulberry? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Alectinib Hydrochloride

Interactions in our licensed database are recorded against drug classes, not just single drug names. Alectinib Hydrochloride is filed under 3 classifications — photosensitizing drugs, hepatotoxic drugs, oral drugs. Black Mulberry has documented interactions with 2 drug classes — the most serious being antidiabetes drugs (moderate) and midazolam (versed) (moderate) — and none of Alectinib Hydrochloride’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

Black Mulberry Does Interact With Other Medications

Black Mulberry has 87 moderate known drug interactions in our database — Alectinib Hydrochloride isn’t one of them. If you take anything else, check it against the full list below.

Moderate 87 No known interaction 2,743 (incl. Alectinib Hydrochloride)
Taking anything else?

Check Another of Your Medications Against Black Mulberry

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

What to actually watch for

No Interaction Found — But Data Suggests Black Mulberry and Alectinib Hydrochloride May Share a Side Effect

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.

  • A skin rash reported in 3.5% of FDA reports for Alectinib Hydrochloride Additional detail

    Black Mulberry

    “Topically, black mulberry leaf may cause contact dermatitis. A case of lichenoid contact dermatitis was reported in a 68-year-old male who came into contact with black mulberry leaves while picking black mulberries.”

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

    1 source cited
    1. 105799. Navarro-Triviño FJ, Jadczak P, Llamas-Molina JM, Ruiz-Villaverde R. Lichenoid contact dermatitis caused by Morus nigra L. Contact Dermatitis 2021;84(6):484-486.

    Alectinib Hydrochloride

    Listed in the ADVERSE REACTIONS section of the FDA label for Alectinib Hydrochloride, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

Effects for Alectinib Hydrochloride come from the ADVERSE REACTIONS section of its FDA label; effects for Black Mulberry come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 7,249 voluntary FDA FAERS reports for Alectinib Hydrochloride 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.

How to take them

Some Alectinib Hydrochloride Products Have a Food Rule — Black Mulberry Should Not Break It

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

Administer ALECENSA with food.

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

This page covers Black Mulberry only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Alectinib Hydrochloride page lists 74 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 Alfalfa (moderate).

By severity: 4 major · 60 moderate · 10 minor.

From our pharmacist’s overview on the Alectinib Hydrochloride page

“Alectinib (Alecensa) treats ALK-positive lung cancer, and because your liver already has to tolerate this drug, check this page before adding any supplement, not after. Of the 74 ingredients on file, 38 can add stress to the liver, and three of the four major-rated entries (beer, wine, and Siberian cocklebur) are the clearest examples…”

Reviewed by 2 · Jul 18, 2026

Open the Alectinib Hydrochloride interaction page

How much people look this up

Where Black Mulberry and Alectinib Hydrochloride 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 Mulberry
Steady interest

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

29 days ago today
Medication Alectinib Hydrochloride
Steady interest

#1,690 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 Mulberry reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Black Mulberry and Alectinib Hydrochloride 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 Mulberry

What is Black Mulberry?

Black Mulberry
  • General antioxidant support
  • Blood sugar support
  • Cholesterol and heart health
  • Digestive health
  • Cold and sore throat remedies (traditional)

Black mulberry is a nutritious fruit rich in antioxidants and vitamins, and it is generally safe to enjoy as a food. Some early research on its leaf and fruit extracts hints at benefits for blood sugar and cholesterol, but the evidence is still limited. Talk with your pharmacist or doctor before using concentrated extracts, especially if you have a health condition.

Morus nigra · Moraceae · Fruit (berries), leaves, and sometimes root bark · Fresh or dried fruit, juice, jam, tea, powder, and capsules or extracts

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

Black Mulberry: dosing

There is no official standardized dose for black mulberry supplements. The amount in products varies widely depending on whether the fruit, leaf, or an extract is used.If you use a commercial product, follow the directions on the label and do not take more than recommended. Eating the fresh or dried fruit as part of a normal diet does not require special dosing.

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

Read the full Black Mulberry monograph & all interactions
Medication

About Alectinib

What Is Alectinib Used For?

Brand name: Alecensa

Alecensa (alectinib) is used in adults with non-small cell lung cancer (NSCLC) whose tumors have a specific genetic change called ALK-positive (anaplastic lymphoma kinase-positive), confirmed by an FDA-approved test.

Alecensa is used in two situations: as adjuvant treatment — meaning after surgical removal of the tumor — in patients whose tumors were at least 4 cm or had spread to nearby lymph nodes; and as treatment for metastatic NSCLC, meaning cancer that has spread to other parts of the body.

Most-Reported Side Effects for Alectinib Hydrochloride

From FAERS, the FDA’s public side-effect reporting system (7,249 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 518 reports
Constipation 445 reports
Rash 257 reports
Dyspnea 234 reports
Disease progression 210 reports
See full Alectinib drug information
Keep checking

Other Drugs & Black Mulberry

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

0Major
87Moderate
0Minor
2,742No known interaction
87 Moderate 2,742 No interaction
Moderate

87 interactions

Showing 60 of 87 moderate interactions — see all 87 on the Black Mulberry page.

No interaction 2,742 drugs checked — show the list

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

Showing the 60 most looked-up of 2,742 medications checked with no known interaction — see the full Black Mulberry list.

See the full Black Mulberry interactions page
See every supplement checked against Alectinib Hydrochloride, ranked by severity
Evidence & sources

Black Mulberry References

The 5 references that drive our Black Mulberry 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. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
  2. Kim, H., Yoon, Y. J., Shon, J. H., Cha, I. J., Shin, J. G., and Liu, K. H. Inhibitory effects of fruit juices on CYP3A activity. Drug Metab Dispos. 2006;34(4):521-523. PubMed
  3. Xu LJ, Yu MH, Huang CY, et al. Isoprenylated flavonoids from Morus nigra and their PPAR ? agonistic activities. Fitoterapia 2018;127:109-14. PubMed
  4. Momeni H, Salehi A, Absalan A, Akbari M. Hydro-alcoholic extract of Morus nigra reduces fasting blood glucose and HbA1c% in diabetic patients, probably via competitive and allosteric interaction with alpha-glucosidase enzyme; a clinical trial and in silic
  5. Navarro-Triviño FJ, Jadczak P, Llamas-Molina JM, Ruiz-Villaverde R. Lichenoid contact dermatitis caused by Morus nigra L. Contact Dermatitis 2021;84(6):484-486.

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 Mulberry and Alectinib Hydrochloride Together: Common Questions

Is it safe to take Black Mulberry with Alectinib Hydrochloride?
We do not list a known interaction between Black Mulberry and Alectinib Hydrochloride. 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 Mulberry and Alectinib Hydrochloride have any of the same side effects?
Yes — our sources link each of them separately to one 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.
Should I take Black Mulberry and Alectinib Hydrochloride at the same time of day?
At least one FDA label for a product containing Alectinib Hydrochloride says to take it with food. If you take Black Mulberry on an empty stomach out of habit, keep them separate and take Alectinib Hydrochloride with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Alectinib Hydrochloride products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Black Mulberry and Alectinib Hydrochloride combination checked?
Interactions in our licensed database are recorded against drug classes. Alectinib Hydrochloride is filed under 3 classifications, and Black Mulberry has documented interactions with 2 drug classes — none of Alectinib Hydrochloride'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 Black Mulberry interact with any other medications?
Yes. Black Mulberry has 87 documented drug interactions in our database — Alectinib Hydrochloride 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 Alectinib Hydrochloride interact with any supplements?
Yes. Alectinib Hydrochloride has documented interactions with 74 supplements in our database — Black Mulberry is not one of them. The Alectinib Hydrochloride 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 Mulberry monograph Uses, safety profile, and every drug interaction in one place Alectinib drug information The full plain-English guide to this medication Alectinib Hydrochloride supplement interactions Every supplement checked against Alectinib Hydrochloride, 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 5 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Alectinib Hydrochloride and Black Mulberry?

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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.