Drug & supplement interaction

Brickellia + Siponimod

Siponimod brand name: Mayzent.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated June 2026 · Pair last verified Sep 20, 2026

The bottom line No known interaction

We found no known interaction between Brickellia and Siponimod 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.

Know someone taking this? Share

Facebook Post Reddit Email

On this page

Interaction report

Brickellia and Siponimod

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 Siponimod and Brickellia 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.

Brickellia safety at a glance

Brickellia overall Not established Human safety data are very limited, so use cautiously and under professional guidance.

Pregnancy Avoid Not enough safety information exists, so it is best avoided during pregnancy.

Breastfeeding Avoid Safety while breastfeeding is unknown, so it is best avoided.

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

Still wondering about combining Siponimod and Brickellia? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Siponimod

Interactions in our licensed database are recorded against drug classes, not just single drug names. Siponimod is filed under 4 classifications — including cytochrome p450 2c9 (cyp2c9) substrates, immunosuppressants, cytochrome p450 3a4 (cyp3a4) substrates. Brickellia has documented interactions with 1 drug class — the most serious being antidiabetes drugs (moderate) — and none of Siponimod’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

Brickellia Does Interact With Other Medications

Brickellia has 86 moderate known drug interactions in our database — Siponimod isn’t one of them. If you take anything else, check it against the full list below.

Moderate 86 No known interaction 2,744 (incl. Siponimod)

Taking anything else?

Check Another of Your Medications Against Brickellia

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

What to actually watch for

What Siponimod’s Own FDA Label Lists

This is not an interaction — none of it involves Brickellia. These are the most notable effects listed in the ADVERSE REACTIONS section of Siponimod’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. 10 of them are worth acting on rather than waiting out — marked below.

Dependence or withdrawal symptoms Worth acting on
A slow heartbeat Worth acting on
Seizures Worth acting on
Raised blood pressure Worth acting on
A severe allergic reaction Worth acting on
Hives Worth acting on
A low white blood cell count Worth acting on
Liver problems Worth acting on
A higher chance of infection Worth acting on
An allergic reaction Worth acting on

Showing the 10 most notable of 20 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 Siponimod. Read the label on DailyMed › Brickellia’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Brickellia side to compare — that is a limit of the record, not a statement that Brickellia has no side effects.

Everything else you take

See Every Supplement That Interacts With Siponimod

This page covers Brickellia only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Siponimod page lists 190 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Active Hexose Correlated Compound (ahcc) (moderate).

By severity: 3 major · 147 moderate · 40 minor.

From our pharmacist’s overview on the Siponimod page

“Siponimod (Mayzent) treats secondary progressive multiple sclerosis, and because its blood level depends heavily on two liver enzymes, this is a supplement list to respect. Most of these entries can nudge siponimod levels up or down; the three rated major are grapefruit, which raises them, St.”

Reviewed by 2 · Jul 18, 2026

Open the Siponimod interaction page

How much people look this up

Where Brickellia and Siponimod 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 Brickellia

Top half

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

29 days ago today

Medication Siponimod

Steady interest

#2,569 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 Brickellia reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Brickellia and Siponimod 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 Dr. Brian Staiger, PharmD, BCPS.

Supplement

About Brickellia

What is Brickellia?

Blood sugar support (diabetes)
Digestive complaints
Gallbladder and bile flow
Colds and fever

Brickellia, often sold under names like 'prodigiosa' or as a Mexican folk remedy for diabetes, is a plant in the daisy family traditionally brewed as a tea. Scientific evidence in humans is very limited, so its effectiveness and long-term safety are not well established. Talk with your pharmacist or doctor before using it, especially if you take medicines for blood sugar.

Brickellia grandiflora · Asteraceae · Leaves and flowering tops · Tea (infusion), dried herb, tincture, capsules

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

Brickellia: dosing

There is no established standardized dose for Brickellia. Traditional use is usually as a tea made from the dried leaves and flowering tops, but the strength of homemade preparations varies widely.If you choose to use a commercial product, follow the directions on the label and do not exceed them.

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

Read the full Brickellia monograph & all interactions

Medication

About Siponimod

What Is Siponimod Used For?

Brand name: Mayzent

Mayzent (siponimod) is approved for adults with relapsing forms of multiple sclerosis (MS). This includes three specific types: clinically isolated syndrome (a first episode of MS-like symptoms), relapsing-remitting MS (periods of attacks followed by recovery), and active secondary progressive MS (a phase where the disease gradually worsens but still has active relapses).

It is taken by mouth once daily and is intended as a long-term treatment to reduce relapses and slow disease progression.

Most-Reported Side Effects for Siponimod

From FAERS, the FDA’s public side-effect reporting system (8,869 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 993 reports

Headache 890 reports

Dizziness 671 reports

Multiple sclerosis relapse 546 reports

Gait disturbance 537 reports

See full Siponimod drug information

Keep checking

Other Drugs & Brickellia

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

0Major

86Moderate

0Minor

2,743No known interaction

86 Moderate 2,743 No interaction

Moderate

86 interactions

Showing 60 of 86 moderate interactions — see all 86 on the Brickellia page.

No interaction 2,743 drugs checked — show the list

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

Showing the 60 most looked-up of 2,743 medications checked with no known interaction — see the full Brickellia list.

See the full Brickellia interactions page

See every supplement checked against Siponimod, ranked by severity

Evidence & sources

Brickellia References

The 5 references that drive our Brickellia 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.

Rosler KH, Goodwin RS, Mabry TJ, et al. Flavonoids with anti-cataract activity from Brickellia arguta. J Nat Prod 1984;47:316-9. PubMed
Andrade-Cetto A, Heinrich M. Mexican plants with hypoglycaemic effect used in the treatment of diabetes. J Ethnopharmacol 2005;99:325-48. PubMed
Perez RM, Cervantes H, Zavala MA, et al. Isolation and hypoglycemic activity of 5, 7,3'-trihydroxy-3,6,4'-trimethoxyflavone from Brickellia veronicaefolia. Phytomedicine 2000;7:25-9.
Escandón-Rivera S, González-Andrade M, Bye R, Linares E, Navarrete A, Mata R. α-glucosidase inhibitors from Brickellia cavanillesii. J Nat Prod. 2012;75(5):968-74.
Palacios-Espinosa F, Déciga-Campos M, Mata R. Antinociceptive, hypoglycemic and spasmolytic effects of Brickellia veronicifolia. J Ethnopharmacol. 2008;118(3):448-54. 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.

Pharmacist Counseling Corner

Taking Brickellia and Siponimod Together: Common Questions

Is it safe to take Brickellia with Siponimod?

We do not list a known interaction between Brickellia and Siponimod. 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.

How was the Brickellia and Siponimod combination checked?

Interactions in our licensed database are recorded against drug classes. Siponimod is filed under 4 classifications, and Brickellia has documented interactions with 1 drug class — none of Siponimod'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 Brickellia interact with any other medications?

Yes. Brickellia has 86 documented drug interactions in our database — Siponimod 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 Siponimod interact with any supplements?

Yes. Siponimod has documented interactions with 190 supplements in our database — Brickellia is not one of them. The Siponimod 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

Brickellia monograph Uses, safety profile, and every drug interaction in one place Siponimod drug information The full plain-English guide to this medication Siponimod supplement interactions Every supplement checked against Siponimod, 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 Siponimod and Brickellia?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.