Drug & supplement interaction

Calabar Bean + Prabotulinumtoxina-Xvfs

Prabotulinumtoxina-Xvfs brand name: Jeuveau.

Minor Interaction
Medically reviewed by · Updated September 2026
The bottom line Minor

Calabar Bean has a minor interaction with Prabotulinumtoxina-Xvfs. Theoretically, taking calabar bean might reduce the effects of anticholinergic drugs.

Read the full interaction report
SeverityMinor
LikelihoodUnlikely
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Calabar Bean and Prabotulinumtoxina-Xvfs

Here is the interaction we found between these two, with the evidence behind it.

Minor

ANTICHOLINERGIC DRUGS

Why this applies to Prabotulinumtoxina-Xvfs

Prabotulinumtoxina-Xvfs falls under ANTICHOLINERGIC DRUGS — the group Calabar Bean interacts with.

Theoretically, taking calabar bean might reduce the effects of anticholinergic drugs.
Physostigmine, a constituent of calabar bean, reverses the effects of belladonna and other drugs with anticholinergic activity.
Severity Minor Likelihood Unlikely Evidence D

Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the gist with Jeuveau (prabotulinumtoxinA): it works by quieting the nerve signal that tells your forehead muscles to contract, which is what softens those frown lines. It does this by blocking the release of a messenger called acetylcholine at the muscle.

Calabar bean does the opposite. Its active ingredient, physostigmine, makes acetylcholine pile up. In theory, that extra signaling could push against what Jeuveau is doing and weaken or shorten your cosmetic results. I want to be honest though: this is a theoretical concern based on how these things work, not something well documented with Jeuveau, and it's rated minor and unlikely. Far more important, Calabar bean is genuinely poisonous and not safe to take. Please skip it and check with your provider.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Calabar Bean Also Interacts With Other Medications

Calabar Bean has 194 minor known drug interactions in our database — the Prabotulinumtoxina-Xvfs one above is one of them. If you take anything else, check it against the full list below.

Minor 194 No known interaction 2,636 (incl. Prabotulinumtoxina-Xvfs)
Taking anything else?

Check Another of Your Medications Against Calabar Bean

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

Everything else you take

See Every Supplement That Interacts With Prabotulinumtoxina-Xvfs

This page covers Calabar Bean only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Prabotulinumtoxina-Xvfs page lists 30 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Henbane (major), Scopolia (major), Angel's Trumpet (moderate), Bacopa (moderate) and Belladonna (moderate).

By severity: 2 major · 26 moderate · 2 minor.

Open the Prabotulinumtoxina-Xvfs interaction page

How much people look this up

Where Calabar Bean and Prabotulinumtoxina-Xvfs 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 Calabar Bean
Steady interest

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

29 days ago today
Medication Prabotulinumtoxina-Xvfs
Top 10%

#272 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.

Supplement

About Calabar Bean

What is Calabar Bean?

Calabar Bean
  • Source of physostigmine (a prescription drug ingredient)
  • Historically used in 'trial by ordeal' rituals
  • Traditional pain relief and anti-inflammatory uses
  • Historically used for eye conditions (glaucoma)
  • Historically used as a poison

Calabar bean is a highly poisonous West African seed that contains physostigmine, a powerful cholinesterase inhibitor. It is not a safe dietary supplement, and eating the bean can cause serious poisoning or death. Only the purified, regulated drug physostigmine has a legitimate medical use, and that must be prescribed and monitored by a doctor.

Read the full Calabar Bean monograph & all interactions
Medication

About PrabotulinumtoxinA-xvfs Injection

What Is PrabotulinumtoxinA-xvfs Injection Used For?

Brand name: Jeuveau

  • PrabotulinumtoxinA-xvfs injection is used to temporarily smooth frown lines (wrinkles between the eyebrows) in adults. It is in a class of medications called neurotoxins. It works by blocking the nerve signals that cause uncontrollable tightening and movement of the muscles.

See full PrabotulinumtoxinA-xvfs Injection drug information
Keep checking

Other Drugs & Calabar Bean

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

0Major
0Moderate
194Minor
2,635No known interaction
194 Minor 2,635 No interaction
Minor

194 interactions

Showing 60 of 194 minor interactions — see all 194 on the Calabar Bean page.

No interaction 2,635 drugs checked — show the list

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

Showing the 60 most looked-up of 2,635 medications checked with no known interaction — see the full Calabar Bean list.

See the full Calabar Bean interactions page
See every supplement checked against Prabotulinumtoxina-Xvfs, ranked by severity
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
Calabar Bean monograph › Uses, safety, and every drug interaction in one place Prabotulinumtoxina-Xvfs supplement interactions › Every supplement checked against Prabotulinumtoxina-Xvfs, ranked by severity PrabotulinumtoxinA-xvfs Injection drug information › The full plain-English guide to this medication Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Calabar Bean and Prabotulinumtoxina-Xvfs Together: Common Questions

Can you take Calabar Bean with Prabotulinumtoxina-Xvfs?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Calabar Bean and Prabotulinumtoxina-Xvfs interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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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.