Drug & supplement interaction

Carqueja + Siponimod

Siponimod brand name: Mayzent.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Carqueja and Siponimod 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.

Know someone taking this? Share
Facebook Post Reddit Email
On this page
Interaction report

Carqueja and Siponimod

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 Siponimod and Carqueja 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.

Carqueja safety at a glance

Carqueja overall Use caution Limited human safety data; use cautiously and discuss with a healthcare professional.
Pregnancy Avoid Traditionally avoided and possibly linked to effects on the uterus; do not use.
Breastfeeding Avoid No reliable safety information during breastfeeding, so avoid it.

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

Still wondering about combining Siponimod and Carqueja? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Siponimod

Interactions in our licensed database are recorded against drug classes, not just single drug names. Siponimod is filed under 4 classifications — including cytochrome p450 2c9 (cyp2c9) substrates, immunosuppressants, cytochrome p450 3a4 (cyp3a4) substrates. Carqueja has documented interactions with 1 drug class — the most serious being antidiabetes drugs (moderate) — and none of Siponimod’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

Carqueja Does Interact With Other Medications

Carqueja has 86 moderate known drug interactions in our database — Siponimod isn’t one of them. If you take anything else, check it against the full list below.

Moderate 86 No known interaction 2,744 (incl. Siponimod)
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.

What to actually watch for

What Siponimod’s Own FDA Label Lists

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

  • Dependence or withdrawal symptoms Worth acting on
  • A slow heartbeat Worth acting on
  • Seizures Worth acting on
  • Raised blood pressure Worth acting on
  • A severe allergic reaction Worth acting on
  • Hives Worth acting on
  • A low white blood cell count Worth acting on
  • Liver problems Worth acting on
  • A higher chance of infection Worth acting on
  • An allergic reaction Worth acting on

Showing the 10 most notable of 20 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 Siponimod. Read the label on DailyMed › Carqueja’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Carqueja side to compare — that is a limit of the record, not a statement that Carqueja has no side effects.

Everything else you take

See Every Supplement That Interacts With Siponimod

This page covers Carqueja only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Siponimod page lists 190 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Active Hexose Correlated Compound (ahcc) (moderate).

By severity: 3 major · 147 moderate · 40 minor.

From our pharmacist’s overview on the Siponimod page

“Siponimod (Mayzent) treats secondary progressive multiple sclerosis, and because its blood level depends heavily on two liver enzymes, this is a supplement list to respect. Most of these entries can nudge siponimod levels up or down; the three rated major are grapefruit, which raises them, St.”

Reviewed by 2 · Jul 18, 2026

Open the Siponimod 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. Even though Carqueja itself has no known interaction with Siponimod, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Carqueja and Siponimod 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
Top half

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

29 days ago today
Medication Siponimod
Steady interest

#2,569 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 Carqueja reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Carqueja and Siponimod 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 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.

Baccharis trimera · Asteraceae · Aerial parts (stems and winged branches) · Tea (infusion or decoction), tincture, capsules, liquid extract

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

Carqueja: dosing

There is no well-established standardized dose for carqueja. Traditional use is most often as a tea made from the dried aerial parts, but the strength of teas, tinctures, and capsules varies widely between products.The safest approach is to follow the directions on the product label and not exceed the suggested amount.

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

Read the full Carqueja monograph & all interactions
Medication

About Siponimod

What Is Siponimod Used For?

Brand name: Mayzent

Mayzent (siponimod) is approved for adults with relapsing forms of multiple sclerosis (MS). This includes three specific types: clinically isolated syndrome (a first episode of MS-like symptoms), relapsing-remitting MS (periods of attacks followed by recovery), and active secondary progressive MS (a phase where the disease gradually worsens but still has active relapses).

It is taken by mouth once daily and is intended as a long-term treatment to reduce relapses and slow disease progression.

Most-Reported Side Effects for Siponimod

From FAERS, the FDA’s public side-effect reporting system (8,869 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 993 reports
Headache 890 reports
Dizziness 671 reports
Multiple sclerosis relapse 546 reports
Gait disturbance 537 reports
See full Siponimod 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
86Moderate
0Minor
2,743No known interaction
86 Moderate 2,743 No interaction
Moderate

86 interactions

Showing 60 of 86 moderate interactions — see all 86 on the Carqueja page.

No interaction 2,743 drugs checked — show the list

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

Showing the 60 most looked-up of 2,743 medications checked with no known interaction — see the full Carqueja list.

See the full Carqueja interactions page
See every supplement checked against Siponimod, ranked by severity
Evidence & sources

Carqueja References

The 2 references that drive our Carqueja 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. 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

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 Carqueja and Siponimod Together: Common Questions

Is it safe to take Carqueja with Siponimod?
We do not list a known interaction between Carqueja and Siponimod. 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.
How was the Carqueja and Siponimod combination checked?
Interactions in our licensed database are recorded against drug classes. Siponimod is filed under 4 classifications, and Carqueja has documented interactions with 1 drug class — none of Siponimod'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 Carqueja interact with any other medications?
Yes. Carqueja has 86 documented drug interactions in our database — Siponimod 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 Siponimod interact with any supplements?
Yes. Siponimod has documented interactions with 190 supplements in our database — Carqueja is not one of them. The Siponimod interaction page linked on this page lists every one, ranked by severity.

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

Where next

Keep Exploring

Carqueja monograph Uses, safety profile, and every drug interaction in one place Siponimod drug information The full plain-English guide to this medication Siponimod supplement interactions Every supplement checked against Siponimod, 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 References The 2 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Siponimod and Carqueja?

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.