Drug & supplement interaction

Calumba + Linagliptin, Metformin Hydrochloride

Linagliptin, Metformin Hydrochloride brand name: Jentadueto XR.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Calumba and Linagliptin, Metformin Hydrochloride 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. Additionally, although there is no interaction, the label for Linagliptin, Metformin Hydrochloride states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Calumba and Linagliptin, Metformin Hydrochloride

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 Linagliptin, Metformin Hydrochloride and Calumba 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.

Calumba safety at a glance

Calumba overall Use caution Little modern safety data exists, so use it cautiously and ideally under professional guidance.
Pregnancy Avoid Safety is unknown, so it is best avoided during pregnancy.
Breastfeeding Avoid There is not enough information to consider it safe while breastfeeding.

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

Still wondering about combining Linagliptin, Metformin Hydrochloride and Calumba? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Linagliptin, Metformin Hydrochloride

Interactions in our licensed database are recorded against drug classes, not just single drug names. Linagliptin, Metformin Hydrochloride is filed under 6 classifications — including organic cation transporter 2 (oct2) substrates, antidiabetes drugs, cytochrome p450 3a4 (cyp3a4) inhibitors. Calumba has documented interactions with 3 drug classes — the most serious being antacids (minor), h2-blockers (minor) and proton pump inhibitors (ppis) (minor) — and none of Linagliptin, Metformin Hydrochloride’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

Calumba Does Interact With Other Medications

Calumba has 36 minor known drug interactions in our database — Linagliptin, Metformin Hydrochloride 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 Calumba

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

What to actually watch for

No Interaction Found — But Data Suggests Calumba and Linagliptin, Metformin Hydrochloride May Share a Side Effect

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Vomiting Additional detail

    Calumba

    “Orally, large doses of calumba may cause vomiting and epigastric pain (18).”

    Calumba · Natural Medicines adverse-effect record, reported in nausea and vomiting.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

    Linagliptin, Metformin Hydrochloride

    Listed in the ADVERSE REACTIONS section of the FDA label for Linagliptin, Metformin Hydrochloride. Read the label on DailyMed ›

Effects for Linagliptin, Metformin Hydrochloride come from the ADVERSE REACTIONS section of its FDA label; effects for Calumba come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

How to take them

Some Linagliptin, Metformin Hydrochloride Products Have a Food Rule — Calumba Should Not Break It

At least one FDA label for a product containing Linagliptin, Metformin Hydrochloride says to take it with food. If you take Calumba on an empty stomach out of habit, keep them separate — and take Linagliptin, Metformin Hydrochloride with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Linagliptin, Metformin Hydrochloride products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

2 DOSAGE AND ADMINISTRATION Individualize the starting dosage of JENTADUETO XR based on the patient's current regimen ( 2.1 ) The maximum recommended dosage is 5 mg linagliptin/2,000 mg metformin HCl once daily ( 2.1 ) Take orally once daily with a meal, with gradual dose escalation to reduce the gastrointestinal effects due to metformin ( 2.1 ) Swallow whole; do not split, crush, dissolve, or che

From the Dosage and Administration section of the FDA label we read for Linagliptin, Metformin Hydrochloride — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Linagliptin, Metformin Hydrochloride

This page covers Calumba only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Linagliptin, Metformin Hydrochloride page lists 285 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Siberian Cocklebur (major), St. John's Wort (major), Acai (moderate) and Adrafinil (moderate).

By severity: 3 major · 242 moderate · 40 minor.

From our pharmacist’s overview on the Linagliptin, Metformin Hydrochloride page

“Someone taking Jentadueto XR (linagliptin and metformin) for type 2 diabetes is often the same person eyeing fenugreek, bitter melon, or gymnema, and that overlap is why this page deserves real caution. Of its 285 ingredients, 239 can lower blood sugar on their own, so stacking them on a drug already doing that job risks pushing glucos…”

Reviewed by 2 · Jul 18, 2026

Open the Linagliptin, Metformin Hydrochloride interaction page

How much people look this up

Where Calumba and Linagliptin, Metformin Hydrochloride 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 Calumba
Steady interest

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

29 days ago today
Medication Linagliptin, Metformin Hydrochloride
Top 10%

#216 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 Calumba reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Calumba and Linagliptin, Metformin Hydrochloride records this page draws on were last updated July 10, 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 Calumba

What is Calumba?

  • Poor appetite
  • Digestive upset and indigestion
  • Nausea
  • Diarrhea
  • As a bitter tonic

Calumba is the dried root of an African climbing plant that has long been used as a bitter tonic to stimulate appetite and ease digestive complaints. Modern scientific evidence for these uses is very limited, and its safety has not been well studied, so it should be used cautiously and avoided during pregnancy and breastfeeding.

Jateorhiza palmata · Menispermaceae · Dried root · Dried root, powder, tincture, liquid extract, capsules

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

Calumba: dosing

There is no well-established standardized dose for Calumba. Traditional sources used the dried root, powder, tinctures, or liquid extracts, but reliable modern dosing guidelines do not exist.If you choose to use a Calumba product, follow the directions on the label and do not exceed them.

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

Read the full Calumba monograph & all interactions
Keep checking

Other Drugs & Calumba

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

0Major
0Moderate
36Minor
2,793No known interaction
Minor

36 interactions

No interaction 2,793 drugs checked — show the list
Evidence & sources

Calumba References

The 2 references that drive our Calumba 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. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  2. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.

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 Calumba and Linagliptin, Metformin Hydrochloride Together: Common Questions

Is it safe to take Calumba with Linagliptin, Metformin Hydrochloride?
We do not list a known interaction between Calumba and Linagliptin, Metformin Hydrochloride. 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.
Do Calumba and Linagliptin, Metformin Hydrochloride have any of the same side effects?
Yes — our sources link each of them separately to one of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Should I take Calumba and Linagliptin, Metformin Hydrochloride at the same time of day?
At least one FDA label for a product containing Linagliptin, Metformin Hydrochloride says to take it with food. If you take Calumba on an empty stomach out of habit, keep them separate and take Linagliptin, Metformin Hydrochloride with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Linagliptin, Metformin Hydrochloride products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Calumba and Linagliptin, Metformin Hydrochloride combination checked?
Interactions in our licensed database are recorded against drug classes. Linagliptin, Metformin Hydrochloride is filed under 6 classifications, and Calumba has documented interactions with 3 drug classes — none of Linagliptin, Metformin Hydrochloride'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 Calumba interact with any other medications?
Yes. Calumba has 36 documented drug interactions in our database — Linagliptin, Metformin Hydrochloride 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 Linagliptin, Metformin Hydrochloride interact with any supplements?
Yes. Linagliptin, Metformin Hydrochloride has documented interactions with 285 supplements in our database — Calumba is not one of them. The Linagliptin, Metformin Hydrochloride 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 Linagliptin, Metformin Hydrochloride and Calumba?

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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.