Drug & supplement interaction

Calea Zacatechichi + Dapagliflozin Propanediol, Metformin

Dapagliflozin Propanediol, Metformin brand name: Xigduo XR.

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

Calea Zacatechichi has a minor interaction with Dapagliflozin Propanediol, Metformin. Theoretically, taking Calea zacatechichi with antidiabetes drugs might increase the risk of hypoglycemia.

Read the full interaction report
SeverityMinor
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
Know someone taking this? Share
Facebook Post Reddit Email
On this page
Interaction report

Calea Zacatechichi and Dapagliflozin Propanediol, Metformin

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

Minor

ANTIDIABETES DRUGS

Why this applies to Dapagliflozin Propanediol, Metformin

Dapagliflozin Propanediol, Metformin falls under ANTIDIABETES DRUGS — the group Calea Zacatechichi interacts with.

Theoretically, taking Calea zacatechichi with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research shows that Calea zacatechichi lowers blood glucose levels. Theoretically, combining Calea zacatechichi with antidiabetes drugs might result in additive effects.
Severity Minor Likelihood Possible Evidence D

Interaction 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.

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

Here's the short version: Xigduo XR combines dapagliflozin (which helps your kidneys flush out extra sugar) and metformin (which lowers how much sugar your liver makes). Both already work to bring your blood sugar down. In some animal studies, the dream herb Calea zacatechichi also seemed to lower blood sugar a bit. So the worry is simply an additive effect: taking them together could, in theory, push your numbers a little too low.

I want to be honest, though. This concern comes only from animal research, not solid human studies, so it's mostly theoretical and rated as minor. Still, if you take this herb, keep an eye out for shakiness, sweating, dizziness, or confusion, and check your sugar if you feel off. It's worth a quick chat with your pharmacist or doctor before mixing the two.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Roman, Ramos R., Alarcon-Aguilar, F., Lara-Lemus, A., and Flores-Saenz, J. L. Hypoglycemic effect of plants used in Mexico as antidiabetics. Arch.Med.Res 1992;23:59-64.

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

Calea Zacatechichi Also Interacts With Other Medications

Calea Zacatechichi has 333 minor known drug interactions in our database — the Dapagliflozin Propanediol, Metformin one above is one of them. If you take anything else, check it against the full list below.

Minor 333 No known interaction 2,497 (incl. Dapagliflozin Propanediol, Metformin)
Taking anything else?

Check Another of Your Medications Against Calea Zacatechichi

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

Everything else you take

See Every Supplement That Interacts With Dapagliflozin Propanediol, Metformin

This page covers Calea Zacatechichi only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Dapagliflozin Propanediol, Metformin page lists 257 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Siberian Cocklebur (major), Acai (moderate), African Wild Potato (moderate) and Agaricus Mushroom (moderate).

By severity: 2 major · 217 moderate · 38 minor.

From our pharmacist’s overview on the Dapagliflozin Propanediol, Metformin page

“Siberian cocklebur is the one supplement I would flat-out avoid with Xigduo XR (dapagliflozin plus metformin). It has caused severe and worsening low blood sugar in people, a dangerous match for two glucose-lowering medicines.”

Reviewed by 2 · Jul 18, 2026

Open the Dapagliflozin Propanediol, Metformin interaction page

One more smart check

Taking Calea Zacatechichi as Part of a Dietary Supplement Product? Check It for Interactions

We hold 21 real supplement products containing Calea Zacatechichi, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Calea Zacatechichi. Your product may carry other ingredients that interact with Dapagliflozin Propanediol, Metformin too, on top of Calea Zacatechichi — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Calea Zacatechichi and Dapagliflozin Propanediol, Metformin 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 Calea Zacatechichi
Steady interest

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

29 days ago today
Medication Dapagliflozin Propanediol, Metformin
Top 25%

#320 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 Calea Zacatechichi

What is Calea Zacatechichi?

  • Promoting vivid or lucid dreams
  • Sleep and relaxation
  • Digestive upset
  • Fever
  • Traditional ritual use

Calea zacatechichi, often called 'dream herb,' is a Mexican plant traditionally used to encourage vivid dreams and to treat digestive complaints and fever. Human research is very limited, so its benefits are not well proven, and its safety has not been carefully studied. It tastes very bitter, can cause nausea, and should be avoided during pregnancy and breastfeeding.

Read the full Calea Zacatechichi monograph & all interactions
Keep checking

Other Drugs & Calea Zacatechichi

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

0Major
0Moderate
333Minor
2,496No known interaction
333 Minor 2,496 No interaction
Minor

333 interactions

Showing 60 of 333 minor interactions — see all 333 on the Calea Zacatechichi page.

No interaction 2,496 drugs checked — show the list

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

Showing the 60 most looked-up of 2,496 medications checked with no known interaction — see the full Calea Zacatechichi list.

See the full Calea Zacatechichi interactions page
See every supplement checked against Dapagliflozin Propanediol, Metformin, 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
Calea Zacatechichi monograph › Uses, safety, and every drug interaction in one place Dapagliflozin Propanediol, Metformin supplement interactions › Every supplement checked against Dapagliflozin Propanediol, Metformin, 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 Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Calea Zacatechichi and Dapagliflozin Propanediol, Metformin Together: Common Questions

Can you take Calea Zacatechichi with Dapagliflozin Propanediol, Metformin?
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 Calea Zacatechichi and Dapagliflozin Propanediol, Metformin 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

Still Have a Question About Dapagliflozin Propanediol, Metformin and Calea Zacatechichi?

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.