Drug & supplement interaction

Bridelia + Voxelotor

Voxelotor brand name: Oxbryta.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Bridelia and Voxelotor 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.

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Interaction report

Bridelia and Voxelotor

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 Voxelotor and Bridelia 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.

Bridelia safety at a glance

Bridelia overall Not established Human safety data are very limited, so use cautiously and under professional guidance.
Pregnancy Likely Unsafe When used orally. There is concern that Bridelia might have labor-inducing effects. In animals, Bridelia atroviridis leaf extract induces uterine contractions i... Read the full pregnancy detail
Breastfeeding Avoid There is no reliable safety data during breastfeeding, so avoid it.

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 Voxelotor and Bridelia? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Voxelotor

Interactions in our licensed database are recorded against drug classes, not just single drug names. Voxelotor is filed under 3 classifications — cytochrome p450 3a4 (cyp3a4) inhibitors, cytochrome p450 3a4 (cyp3a4) substrates, oral drugs. Bridelia has documented interactions with 3 drug classes — the most serious being anticoagulant/antiplatelet drugs (moderate), antihypertensive drugs (moderate) and estrogens (moderate) — and none of Voxelotor’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

Bridelia Does Interact With Other Medications

Bridelia has 330 moderate known drug interactions in our database — Voxelotor 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 Bridelia

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

What to actually watch for

What Voxelotor’s Own FDA Label Lists

This is not an interaction — none of it involves Bridelia. These are the most notable effects listed in the ADVERSE REACTIONS section of Voxelotor’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. 2 of them are worth acting on rather than waiting out — marked below.

  • Hives Worth acting on
  • An allergic reaction Worth acting on
  • Diarrhea mentioned in 14.3% of FDA reports for Voxelotor
  • Stomach pain mentioned in 5.3% of FDA reports for Voxelotor
  • Fever
  • Headache mentioned in 7.6% of FDA reports for Voxelotor
  • Nausea mentioned in 9.0% of FDA reports for Voxelotor
  • A skin rash

From the ADVERSE REACTIONS section of the FDA label for Voxelotor. Read the label on DailyMed › Where a percentage is shown, it is the share of 22,291 voluntary FDA FAERS reports for Voxelotor that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Bridelia’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Bridelia side to compare — that is a limit of the record, not a statement that Bridelia has no side effects.

Special populations

Bridelia in Pregnancy & Breastfeeding

Pregnancy Likely Unsafe

When used orally. There is concern that Bridelia might have labor-inducing effects. In animals, Bridelia atroviridis leaf extract induces uterine contractions in a concentration-dependent manner.

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 Voxelotor

This page covers Bridelia only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Voxelotor page lists 143 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 Adrafinil (moderate).

By severity: 3 major · 100 moderate · 40 minor.

From our pharmacist’s overview on the Voxelotor page

“Anyone taking voxelotor (Oxbryta) for sickle cell disease should treat this list with real care, because the pattern behind it is unusually consistent. Almost every entry works through CYP3A4, the same liver enzyme that clears voxelotor, so these ingredients can push the drug's blood level higher or pull it lower, either adding side ef…”

Reviewed by 2 · Jul 18, 2026

Open the Voxelotor interaction page

How much people look this up

Where Bridelia and Voxelotor 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 Bridelia
Steady interest

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

29 days ago today
Medication Voxelotor
Steady interest

#2,678 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 Bridelia reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Bridelia and Voxelotor records this page draws on were last updated July 11, 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 Bridelia

What is Bridelia?

  • Blood sugar support
  • Digestive complaints and diarrhea
  • Wound care and skin conditions
  • Antimicrobial use
  • Mouth and gum care (traditional chewing stick)

Bridelia is a group of tropical plants, with Bridelia ferruginea widely used in traditional African medicine for diabetes, infections, and digestive problems. Scientific evidence is mostly limited to laboratory and animal studies, so its benefits and safety in people are not well established. Talk to a pharmacist or doctor before using it, especially if you take other medicines or have a health condition.

Bridelia ferruginea · Phyllanthaceae · Bark, leaves, stem, and roots · Bark or leaf decoction (tea), powder, traditional extracts, capsules

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

Bridelia: dosing

There is no established or standardized dose for Bridelia. Traditional preparations vary widely, and product strength is not consistent.If you choose to use a Bridelia product, follow the directions on the label and do not exceed the recommended amount.

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

Read the full Bridelia monograph & all interactions
Medication

About Voxelotor

What Is Voxelotor Used For?

Brand name: Oxbryta

Oxbryta (voxelotor) is approved to treat sickle cell disease (SCD) in adults and in children as young as 4 years old. It works by targeting the underlying problem in sickle cell disease — the abnormal hemoglobin that causes red blood cells to take on a rigid, sickle shape.

This approval was granted under the FDA's accelerated approval pathway, based on the drug's ability to raise hemoglobin levels. Continued approval may depend on results from confirmatory clinical trials showing broader clinical benefit.

Most-Reported Side Effects for Voxelotor

From FAERS, the FDA’s public side-effect reporting system (22,300 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Sickle cell anaemia with crisis 11,218 reports
Diarrhea 3,187 reports
Nausea 2,016 reports
Headache 1,691 reports
Abdominal pain upper 1,171 reports
See full Voxelotor drug information
Keep checking

Other Drugs & Bridelia

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

0Major
330Moderate
0Minor
2,499No known interaction
Moderate

330 interactions

Showing 60 of 330 moderate interactions — see all 330 on the Bridelia page.

No interaction 2,499 drugs checked — show the list
Evidence & sources

Bridelia References

The 4 references that drive our Bridelia 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. Corallo A, Foungbe S, Davy M, Cohen Y. Cardiovascular pharmacology of aqueous extract of the leaves of Bridelia atroviridis Muell. Arg. (Euphorbiaceae) in the rat. J Ethnopharmacol 1997;57(3):189-96. PubMed
  2. Njamen D, Magne Nde CB, Tanee Fomum Z, Vollmer G. Effects of the extracts of some tropical medicinal plants on estrogen inducible yeast and Ishikawa screens, and on ovariectomized Wistar rats. Pharmazie 2008;63(2):164-8. DOI
  3. Corallo A, Savineau JP, Tricoche R, Foungbe S. The uterotonic action of the aqueous extract of Bridelia atroviridis in the rat. Fundam Clin Pharmacol 1991;5(4):319-29. PubMed
  4. Olajide, O. A. Investigation of the effects of selected medicinal plants on experimental thrombosis. Phytother Res 1999;13(3):231-232. DOI

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 Bridelia and Voxelotor Together: Common Questions

Is it safe to take Bridelia with Voxelotor?
We do not list a known interaction between Bridelia and Voxelotor. 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 Bridelia and Voxelotor combination checked?
Interactions in our licensed database are recorded against drug classes. Voxelotor is filed under 3 classifications, and Bridelia has documented interactions with 3 drug classes — none of Voxelotor'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 Bridelia interact with any other medications?
Yes. Bridelia has 330 documented drug interactions in our database — Voxelotor 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 Voxelotor interact with any supplements?
Yes. Voxelotor has documented interactions with 143 supplements in our database — Bridelia is not one of them. The Voxelotor 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 Voxelotor and Bridelia?

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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.