Drug & supplement interaction

Bugle + Palonosetron

Palonosetron brand name: Aloxi.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Bugle and Palonosetron 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

Bugle and Palonosetron

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 Palonosetron and Bugle 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 Bugle at all — not against Palonosetron, 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.

Bugle safety at a glance

Bugle overall Not established There is limited modern safety data on bugle in humans.
Pregnancy Avoid Avoid because safety during pregnancy has not been established.
Breastfeeding Avoid Avoid because there is no reliable safety information while breastfeeding.

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

Still wondering about combining Palonosetron and Bugle? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Palonosetron’s Own FDA Label Lists

This is not an interaction — none of it involves Bugle. These are the most notable effects listed in the ADVERSE REACTIONS section of Palonosetron’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.

  • Serotonin syndrome Worth acting on
  • Trouble passing urine Worth acting on
  • High potassium Worth acting on
  • Low potassium Worth acting on
  • A slow heartbeat Worth acting on
  • High blood sugar Worth acting on
  • Wheezing Worth acting on
  • An irregular heartbeat Worth acting on
  • A low platelet count Worth acting on
  • Raised blood pressure Worth acting on

Showing the 10 most notable of 40 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 Palonosetron. Read the label on DailyMed › Where a percentage is shown, it is the share of 6,376 voluntary FDA FAERS reports for Palonosetron that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Bugle’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Bugle side to compare — that is a limit of the record, not a statement that Bugle has no side effects.

Everything else you take

See Every Supplement That Interacts With Palonosetron

This page covers Bugle only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Palonosetron page lists 21 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Lithium (major), 5-htp (moderate), Acetyl-l-carnitine (moderate), Ayahuasca (moderate) and Black Cohosh (moderate).

By severity: 1 major · 18 moderate · 2 minor.

From our pharmacist’s overview on the Palonosetron page

“Palonosetron (Aloxi) prevents nausea and vomiting from chemotherapy, and it works through the serotonin system, which is exactly where every supplement on this list pushes. All 21 entries raise the same concern, adding to serotonin activity and increasing the chance of serotonin syndrome, a reaction that can bring agitation, rapid hear…”

Reviewed by 2 · Jul 18, 2026

Open the Palonosetron interaction page

How much people look this up

Where Bugle and Palonosetron 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 Bugle
Top half

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

29 days ago today
Medication Palonosetron
Steady interest

#1,427 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. Bugle is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Bugle reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Bugle and Palonosetron 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.
Data structure & sourcing designed and verified by .
Supplement

About Bugle

What is Bugle?

  • Minor wounds and bruises
  • Sore throat and mouth irritation
  • Mild cough
  • Digestive complaints
  • Bleeding (traditional use)

Bugle (Ajuga reptans) is a traditional European herb once used to help wounds, bruises, and mouth or throat irritation. There is very little modern scientific research to confirm any of these uses, so its benefits remain unproven. If you want to try it, talk to a pharmacist or doctor first, and avoid it during pregnancy and breastfeeding because safety data are lacking.

Ajuga reptans · Lamiaceae · Aerial parts (leaves and flowering tops) · Dried herb, tea, tincture, topical preparations

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

Bugle: dosing

There is no established or standardized dose for bugle. Traditional use varied, and modern products are not common or well regulated.If you choose to use a bugle product, follow the directions on the label and do not exceed them.

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

Read the full Bugle monograph & all interactions
Medication

About Palonosetron Injection

What Is Palonosetron Injection Used For?

Brand name: Aloxi

Palonosetron hydrochloride injection is used in adults to prevent nausea and vomiting caused by moderately or highly emetogenic (nausea-causing) cancer chemotherapy — including both the immediate reaction and the delayed reaction that can happen days later. It is also approved in adults to prevent postoperative nausea and vomiting (PONV) for up to 24 hours after surgery, given right before anesthesia is started.

In children aged 1 month to less than 17 years, it is used to prevent acute (immediate) nausea and vomiting from emetogenic cancer chemotherapy, including highly emetogenic regimens. Posfrea is the brand name under which this intravenous injection is available.

Most-Reported Side Effects for Palonosetron

From FAERS, the FDA’s public side-effect reporting system (6,376 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Nausea 720 reports
Diarrhea 454 reports
Vomiting 429 reports
Fatigue 420 reports
Neutropenia 408 reports
See full Palonosetron Injection drug information
Keep checking

Other Drugs & Bugle

Browse every other medication we’ve checked against Bugle — 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
No interaction 2,829 drugs checked — show the list
Evidence & sources

Bugle References

The 1 sources that drive our Bugle monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Bugle is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Using Dietary Supplements Wisely — NIH NCCIH Source

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 Bugle and Palonosetron Together: Common Questions

Is it safe to take Bugle with Palonosetron?
We do not list a known interaction between Bugle and Palonosetron. 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.
Does Palonosetron interact with any supplements?
Yes. Palonosetron has documented interactions with 21 supplements in our database — Bugle is not one of them. The Palonosetron 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 Palonosetron and Bugle?

Our pharmacists answer your medication & supplement questions — free.

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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.