Drug & supplement interaction

Cashew + Balsalazide Disodium

Balsalazide Disodium brand names: Colazal, Giazo.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Cashew and Balsalazide Disodium 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 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

Cashew and Balsalazide Disodium

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 Balsalazide Disodium and Cashew 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.

Cashew safety at a glance

Cashew overall Generally safe Cashews are safe as a food for most people, but those with tree nut allergies must avoid them.
Pregnancy Use caution Cashews are generally fine as a food in pregnancy, but concentrated supplements or extracts have not been well studied.
Breastfeeding Use caution Eating cashews as food is usually fine, but supplement-strength products lack safety data while breastfeeding.

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

Still wondering about combining Balsalazide Disodium and Cashew? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Balsalazide Disodium

Interactions in our licensed database are recorded against drug classes, not just single drug names. Balsalazide Disodium is filed under a single classification — oral drugs. Cashew has documented interactions with 1 drug class — the most serious being antidiabetes drugs (moderate) — and none of Balsalazide Disodium’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

Cashew Does Interact With Other Medications

Cashew has 86 moderate known drug interactions in our database — Balsalazide Disodium 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 Cashew

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

What to actually watch for

No Interaction Found — But Data Suggests Cashew and Balsalazide Disodium May Share Several of the Same Side Effects

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.

  • Bloating or gas / Constipation Additional detail

    Cashew

    “Orally, cashew nuts may cause constipation, bloating, weight gain, fatigue and feelings of malaise, or worsening joint pain in some patients, but these side effects are rare. Very large intakes of the cashew nut or pseudofruit have resulted in oxalate nephropathy in case reports.

    Orally and topically, cashew nut can cause allergic responses in some patients.”

    Cashew · Natural Medicines adverse-effect record, reported in constipation.

    6 sources cited
    1. 101085. Mah E, Schulz JA, Kaden VN, et al. Cashew consumption reduces total and LDL cholesterol: a randomized, crossover, controlled-feeding trial. Am J Clin Nutr. 2017;105(5):1070-1078. PubMed
    2. 101086. Bernardino M, Parmar MS. Oxalate nephropathy from cashew nut intake. CMAJ. 2017;189(10):E405-E408. PubMed
    3. 101087. Moyses-Neto M, Brito BRS, de Araújo Brito DJ, et al. Vitamin C-induced oxalate nephropathy in a renal transplant patient related to excessive ingestion of cashew pseudofruit (Anacardium occidentale L.): a case report. BMC Nephrol. 2018;19(1):265. PubMed
    4. 106926. Lee O, Park K, Sun K, O'Shea JP, Gordon S. Cashew-Induced Oxalate Nephropathy: A Rare Cause of Acute Renal Failure. Mil Med 2021;usab453. PubMed
    5. 40106. Quercia, O., Rafanelli, S., Marsigli, L., Foschi, F. G., and Stefanini, G. F. Unexpected anaphylaxis to cashew nut. Allergy 1999;54(8):895-897. PubMed
    6. 40109. Garcia, F., Moneo, I., Fernandez, B., Garcia-Menaya, J. M., Blanco, J., Juste, S., and Gonzalo. Allergy to Anacardiaceae: description of cashew and pistachio nut allergens. J.Investig.Allergol.Clin.Immunol. 2000;10(3):173-177.

    “Orally, adverse effects possibly or probably related to cashew nuts have included cases of constipation and bloating. However, these side effects are rare.”

    Cashew · Natural Medicines adverse-effect record, reported in constipation.

    1 source cited
    1. 101085. Mah E, Schulz JA, Kaden VN, et al. Cashew consumption reduces total and LDL cholesterol: a randomized, crossover, controlled-feeding trial. Am J Clin Nutr. 2017;105(5):1070-1078. PubMed

    Balsalazide Disodium

    Listed in the ADVERSE REACTIONS section of the FDA label for Balsalazide Disodium. Read the label on DailyMed ›

  • Joint pain reported in 5.9% of FDA reports for Balsalazide Disodium Additional detail

    Cashew

    “Orally, adverse effects possibly or probably related to cashew nuts have included cases of worsened arthritis and gout. However, these side effects are rare.”

    Cashew · Natural Medicines adverse-effect record, reported in gout.

    1 source cited
    1. 101085. Mah E, Schulz JA, Kaden VN, et al. Cashew consumption reduces total and LDL cholesterol: a randomized, crossover, controlled-feeding trial. Am J Clin Nutr. 2017;105(5):1070-1078. PubMed

    Balsalazide Disodium

    Listed in the ADVERSE REACTIONS section of the FDA label for Balsalazide Disodium, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

  • Muscle pain Additional detail

    Cashew

    “Orally, consumption of large amounts of cashew nuts (approximately 200 grams daily for over 6 months) is thought to be responsible for the development of eosinophilia-myalgia syndrome (EMS) in a 59-year-old adult who consumed large amounts of cashew for its supposed weight loss effects.”

    Cashew · Natural Medicines adverse-effect record, reported in myalgia.

    1 source cited
    1. 106927. Baresic M, Bosnic D, Bakula M, Zarkovic K. Eosinophilia-myalgia syndrome induced by excessive L-tryptophan intake from cashew nuts. Cent Eur J Med 2014;9(6):796-801. PubMed

    Balsalazide Disodium

    Listed in the ADVERSE REACTIONS section of the FDA label for Balsalazide Disodium. Read the label on DailyMed ›

  • Tiredness reported in 6.1% of FDA reports for Balsalazide Disodium Additional detail

    Cashew

    “Orally, adverse effects possibly or probably related to cashew nuts have included cases of fatigue and general malaise. However, these side effects are rare.”

    Cashew · Natural Medicines adverse-effect record, reported in fatigue.

    1 source cited
    1. 101085. Mah E, Schulz JA, Kaden VN, et al. Cashew consumption reduces total and LDL cholesterol: a randomized, crossover, controlled-feeding trial. Am J Clin Nutr. 2017;105(5):1070-1078. PubMed

    Balsalazide Disodium

    Listed in the ADVERSE REACTIONS section of the FDA label for Balsalazide Disodium, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

Reported for Cashew but not commonly for Balsalazide Disodium: shortness of breath, weight gain, weight loss and swelling.

Effects for Balsalazide Disodium come from the ADVERSE REACTIONS section of its FDA label; effects for Cashew come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 505 voluntary FDA FAERS reports for Balsalazide Disodium that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Everything else you take

See Every Supplement That Interacts With Balsalazide Disodium

This page covers Cashew only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Balsalazide Disodium page lists 17 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Coffee Charcoal (moderate), European Mandrake (moderate), Glucomannan (moderate) and Guar Gum (moderate).

By severity: 1 major · 7 moderate · 9 minor.

From our pharmacist’s overview on the Balsalazide Disodium page

“Balsalazide Disodium (Colazal, Giazo) only works if it reaches the colon intact, and the 17 supplement interactions on file all threaten that journey, so this list deserves real care. Every entry comes down to absorption of the oral dose.”

Reviewed by 2 · Jul 18, 2026

Open the Balsalazide Disodium interaction page

One more smart check

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

We hold 10 real supplement products containing Cashew, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Cashew. Even though Cashew itself has no known interaction with Balsalazide Disodium, 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 Cashew and Balsalazide Disodium 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 Cashew
Steady interest

#1,195 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Balsalazide Disodium
Top half

#1,284 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 Cashew reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Cashew and Balsalazide Disodium 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 Cashew

What is Cashew?

Cashew
  • Heart health support
  • Source of protein and minerals
  • Blood sugar support
  • Traditional digestive remedy
  • Skin and oral care (traditional)

Cashews are a nutritious tree nut that provides protein, healthy fats, fiber, and minerals like magnesium and copper. Eaten as part of a balanced diet, they may support heart health, but evidence for cashew supplements treating any specific disease is limited. People with tree nut allergies must avoid them entirely.

Anacardium occidentale · Anacardiaceae · Nut (seed), nut shell oil, leaves, and bark · Whole nuts, cashew butter, cashew milk, oil, and capsules or extracts

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

Cashew: dosing

There is no standardized medicinal dose for cashews. As a food, a typical serving is a small handful of nuts, similar to other nuts. They can be part of a balanced diet for most people.For cashew capsules, extracts, or oils, follow the directions on the product label, since amounts vary by product.

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

Read the full Cashew monograph & all interactions
Medication

About Balsalazide

What Is Balsalazide Used For?

Brand names: Colazal, Giazo

Balsalazide disodium capsules (sold as Balsalazide Disodium and Colazal) are used to treat mildly to moderately active ulcerative colitis — a condition where the lining of the colon becomes inflamed and causes symptoms like diarrhea, rectal bleeding, and abdominal pain. This use is approved for adults and for children ages 5 through 17.

The established treatment period is up to 8 weeks in children (ages 5–17) and up to 12 weeks in adults. Safety and effectiveness beyond those time frames have not been established in clinical trials.

Most-Reported Side Effects for Balsalazide Disodium

From FAERS, the FDA’s public side-effect reporting system (505 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Diarrhea 43 reports
Injection site pain 39 reports
Colitis ulcerative 32 reports
Fatigue 31 reports
Arthralgia 30 reports
See full Balsalazide drug information
Keep checking

Other Drugs & Cashew

Browse every other medication we’ve checked against Cashew — 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
Moderate

86 interactions

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

No interaction 2,743 drugs checked — show the list
Evidence & sources

Cashew References

The 25 references that drive our Cashew 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. Quercia, O., Rafanelli, S., Marsigli, L., Foschi, F. G., and Stefanini, G. F. Unexpected anaphylaxis to cashew nut. Allergy 1999;54(8):895-897. PubMed
  3. Garcia, F., Moneo, I., Fernandez, B., Garcia-Menaya, J. M., Blanco, J., Juste, S., and Gonzalo. Allergy to Anacardiaceae: description of cashew and pistachio nut allergens. J.Investig.Allergol.Clin.Immunol. 2000;10(3):173-177.
  4. Criado, R. F., Criado, P. R., Malaman, F., Ensina, L. F., Vasconcellos, C., Aun, W. T., Mello, J. F., and Pires, M. C. Nonoccupational allergic contact dermatitis to cashew nut simulating photosensitivity eczema. Am.J.Contact Dermat. 2002;13(2):85-86. DOI
  5. Nguyen, A. D. and Gern, J. E. Food allergy masquerading as foreign body obstruction. Ann.Allergy Asthma Immunol. 2003;90(2):271-272. PubMed
  6. Davoren, M. and Peake, J. Cashew nut allergy is associated with a high risk of anaphylaxis. Arch.Dis.Child 2005;90(10):1084-1085. PubMed
  7. Schutte, A. E., Van Rooyen, J. M., Huisman, H. W., Mukuddem-Petersen, J., Oosthuizen, W., Hanekom, S. M., and Jerling, J. C. Modulation of baroreflex sensitivity by walnuts versus cashew nuts in subjects with metabolic syndrome. Am.J Hypertens. 2006;19(6 PubMed
  8. Clark, A. T., Anagnostou, K., and Ewan, P. W. Cashew nut causes more severe reactions than peanut: case-matched comparison in 141 children. Allergy 2007;62(8):913-916. PubMed
  9. Behl, P. N. Dermatitis from cashew nuts. J.Am.Acad.Dermatol. 1985;12(1 Pt 1):117. PubMed
  10. Marks, J. G., Jr., DeMelfi, T., McCarthy, M. A., Witte, E. J., Castagnoli, N., Epstein, W. L., and Aber, R. C. Dermatitis from cashew nuts. J.Am.Acad.Dermatol. 1984;10(4):627-631. PubMed
  11. Rosen, T. and Fordice, D. B. Cashew nut dermatitis. South.Med.J. 1994;87(4):543-546. PubMed
  12. Hamilton, T. K. and Zug, K. A. Systemic contact dermatitis to raw cashew nuts in a pesto sauce. Am.J Contact Dermat. 1998;9(1):51-54. DOI
  13. Stock AK, Colzato L, Beste C. On the effects of tyrosine supplementation on interference control in a randomized, double-blind placebo-control trial. Eur Neuropsychopharmacol. 2018;28(8):933-944. PubMed
  14. Baer DJ, Novotny JA. Consumption of cashew nuts does not influence blood lipids or other markers of cardiovascular disease in humans: a randomized controlled trial. Am J Clin Nutr. 2019;109(2):269-275. PubMed
  15. Mohan V, Gayathri R, Jaacks LM, et al. Cashew nut consumption increases HDL cholesterol and reduces systolic blood pressure in Asian Indians with Type 2 diabetes: A 12-week randomized controlled trial. J Nutr. 2018;148(1):63-69. 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 Cashew and Balsalazide Disodium Together: Common Questions

Is it safe to take Cashew with Balsalazide Disodium?
We do not list a known interaction between Cashew and Balsalazide Disodium. 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 Cashew and Balsalazide Disodium have any of the same side effects?
Yes — our sources link each of them separately to 5 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.
How was the Cashew and Balsalazide Disodium combination checked?
Interactions in our licensed database are recorded against drug classes. Balsalazide Disodium is filed under 1 classification, and Cashew has documented interactions with 1 drug class — none of Balsalazide Disodium'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 Cashew interact with any other medications?
Yes. Cashew has 86 documented drug interactions in our database — Balsalazide Disodium 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 Balsalazide Disodium interact with any supplements?
Yes. Balsalazide Disodium has documented interactions with 17 supplements in our database — Cashew is not one of them. The Balsalazide Disodium 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 Balsalazide Disodium and Cashew?

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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.