Drug & supplement interaction

Carqueja + Exenatide

Exenatide brand names: Byetta, Bydureon.

Moderate Interaction
The bottom line Moderate

Carqueja has a moderate interaction with Exenatide. Theoretically, carqueja might lower blood glucose levels and might have additive effects when used with antidiabetes drugs.

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

Carqueja and Exenatide

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

Moderate

ANTIDIABETES DRUGS

Why this applies to Exenatide

Exenatide falls under ANTIDIABETES DRUGS — the group Carqueja interacts with.

Theoretically, carqueja might lower blood glucose levels and might have additive effects when used with antidiabetes drugs. This might increase the risk of hypoglycemia in some patients. Monitor blood glucose levels closely. Some antidiabetes drugs include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, metformin (Glucophage), pioglitazone (Actos), rosiglitazone (Avandia), and others.
Severity Moderate 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 simple version: Exenatide (Byetta or Bydureon) already lowers your blood sugar by helping your pancreas release insulin when sugar is high, slowing your stomach, and curbing appetite. Carqueja, an herbal bitter, has shown in lab and animal studies that it may nudge blood sugar down too. So the worry is an additive effect, both pushing in the same direction and dropping your sugar a little too far.

I want to keep this in perspective. This is a theoretical concern based on test-tube and animal research, not strong human proof. Still, if you combine them, watch for signs of low blood sugar like shakiness, sweating, dizziness, or confusion. Check your levels more often and talk with your pharmacist or doctor before starting carqueja. Don't change your exenatide on your own.

References
  1. Coelho MG, Reis PA, Gava VB, et al. Anti-arthritic effect and subacute toxicological evaluation of Baccharis genistelloides aqueous extract. Toxicol Lett 2004;154:69-80. PubMed
  2. Oliveira AC, Endringer DC, Amorim LA, et al. Effect of the extracts and fractions of Baccharis trimera and Syzygium cumini on glycaemia of diabetic and non-diabetic mice. J Ethnopharmacol 2005;102:465-9. PubMed

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

Carqueja Also Interacts With Other Medications

Carqueja has 85 moderate known drug interactions in our database — the Exenatide one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Carqueja

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

Everything else you take

See Every Supplement That Interacts With Exenatide

This page covers Carqueja only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Exenatide page lists 239 supplements it has a documented interaction with, worst first, each one explained.

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

By severity: 1 major · 208 moderate · 30 minor.

From our pharmacist’s overview on the Exenatide page

“Because exenatide (Byetta, Bydureon) exists to lower blood sugar, nearly every supplement on this list pulls at that same lever, and I treat that as a genuine warning rather than a footnote. Most entries, including everyday items like fenugreek, bitter melon, flaxseed, and ginseng, can drop glucose further and raise the odds of hypogly…”

Reviewed by 2 · Jul 18, 2026

Open the Exenatide interaction page

One more smart check

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

We hold 3 real supplement products containing Carqueja, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Carqueja. Your product may carry other ingredients that interact with Exenatide too, on top of Carqueja — 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 Carqueja and Exenatide 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 Carqueja
Steady interest

#1,297 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Exenatide
Top half

#1,358 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 Carqueja

What is Carqueja?

  • Digestive upset and bloating
  • Liver and gallbladder support
  • Blood sugar control
  • Weight loss
  • Anti-inflammatory

Carqueja is a South American herb traditionally used as a bitter tea for digestion, liver complaints, and blood sugar. Human evidence is very limited, so its benefits are not well proven. Because safety data are thin, it should be avoided in pregnancy and breastfeeding and used cautiously by everyone else.

Read the full Carqueja monograph & all interactions
Medication

About Exenatide Injection

What Is Exenatide Injection Used For?

Brand names: Byetta, Bydureon

Exenatide injection is used as an addition to diet and exercise to improve blood sugar control in adults with type 2 diabetes. It is not a substitute for healthy lifestyle changes — it works best when combined with them.

It should not be used together with other exenatide-containing products. The brands Byetta, Bydureon, and BYDUREON BCise all contain exenatide and should never be combined with each other.

See full Exenatide Injection drug information
Keep checking

Other Drugs & Carqueja

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

0Major
85Moderate
0Minor
2,744No known interaction
Moderate

85 interactions

Showing 60 of 85 moderate interactions — see all 85 on the Carqueja page.

No interaction 2,744 drugs checked — show the list
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

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Pharmacist Counseling Corner

Taking Carqueja and Exenatide Together: Common Questions

Can you take Carqueja with Exenatide?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Carqueja and Exenatide interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

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

Still Have a Question About Exenatide and Carqueja?

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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.