Drug & supplement interaction

Ceylon Leadwort + Azacitidine

Azacitidine brand names: Vidaza, Onureg.

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 Ceylon Leadwort and Azacitidine 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

Ceylon Leadwort and Azacitidine

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 Azacitidine and Ceylon Leadwort 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.

Ceylon Leadwort safety at a glance

Ceylon Leadwort overall Use caution It contains plumbagin, which can irritate skin and the gut and may be toxic in higher doses.
Pregnancy Likely Unsafe When used orally or topically. Ceylon leadwort is traditionally used orally and intravaginally as an abortifacient or for permanent sterilization; avoid using. Read the full pregnancy detail
Breastfeeding Likely Unsafe When used orally or topically. Ceylon leadwort is traditionally used orally and intravaginally as an abortifacient or for permanent sterilization; avoid using. Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Azacitidine and Ceylon Leadwort? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Azacitidine

Interactions in our licensed database are recorded against drug classes, not just single drug names. Azacitidine is filed under a single classification — oral drugs. Ceylon Leadwort has documented interactions with 10 drug classes — the most serious being anticoagulant/antiplatelet drugs (moderate), antidiabetes drugs (moderate) and cytochrome p450 1a2 (cyp1a2) substrates (moderate) — and none of Azacitidine’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

Ceylon Leadwort Does Interact With Other Medications

Ceylon Leadwort has 1,097 moderate known drug interactions in our database — Azacitidine isn’t one of them. If you take anything else, check it against the full list below.

Moderate 1,097 No known interaction 1,733 (incl. Azacitidine)
Taking anything else?

Check Another of Your Medications Against Ceylon Leadwort

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

What to actually watch for

What Azacitidine’s Own FDA Label Lists

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

  • Low potassium Worth acting on
  • Chest pain Worth acting on
  • A low platelet count Worth acting on
  • Kidney problems Worth acting on
  • Anemia Worth acting on
  • Raised blood pressure Worth acting on
  • Shortness of breath Worth acting on
  • Hives Worth acting on
  • A low white blood cell count Worth acting on
  • Liver problems Worth acting on

Showing the 10 most notable of 35 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 Azacitidine. Read the label on DailyMed › Ceylon Leadwort’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Ceylon Leadwort side to compare — that is a limit of the record, not a statement that Ceylon Leadwort has no side effects.

Special populations

Ceylon Leadwort in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Unsafe

When used orally or topically. Ceylon leadwort is traditionally used orally and intravaginally as an abortifacient or for permanent sterilization; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With Azacitidine

This page covers Ceylon Leadwort only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Azacitidine 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 Azacitidine page

“Azacitidine treats myelodysplastic syndromes and certain leukemias, and if you take the oral form (Onureg), every one of the 17 supplements on this page can change how much of the medicine actually reaches your blood. With a cancer drug, an underdosed pill can mean less control of the disease, so treat this list with genuine care.”

Reviewed by 2 · Jul 18, 2026

Open the Azacitidine interaction page

One more smart check

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

We hold 96 real supplement products containing Ceylon Leadwort, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Ceylon Leadwort. Even though Ceylon Leadwort itself has no known interaction with Azacitidine, 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 Ceylon Leadwort and Azacitidine 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 Ceylon Leadwort
Top half

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

29 days ago today
Medication Azacitidine
Steady interest

#2,202 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 Ceylon Leadwort reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Ceylon Leadwort and Azacitidine 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 Ceylon Leadwort

What is Ceylon Leadwort?

  • Digestive complaints and poor appetite
  • Skin conditions and wounds (applied to the skin)
  • Joint pain and swelling
  • Traditional 'metabolism-boosting' tonics
  • Antimicrobial folk remedy

Ceylon Leadwort (Plumbago zeylanica) is a plant long used in Ayurvedic and other traditional medicine systems, mainly for digestion, skin problems, and pain. Solid human studies are lacking, and the plant contains plumbagin, a compound that can irritate skin and tissues and may be unsafe in larger amounts. Talk to a pharmacist or doctor before using it, and avoid it in pregnancy.

Plumbago zeylanica · Plumbaginaceae · Mainly the root and root bark; sometimes leaves · Dried root powder, decoctions, traditional pastes and oils, and capsules

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

Ceylon Leadwort: dosing

There is no well-established or standardized dose for Ceylon Leadwort. Traditional preparations vary widely, and the amount of plumbagin in a product can be hard to know.If you choose to use a commercial product, follow the directions on the label and do not exceed them. Because of safety concerns, it is best to start only after talking with a pharmacist or doctor. Do not use the raw plant on your skin or take homemade preparations without guidance.

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

Read the full Ceylon Leadwort monograph & all interactions
Medication

About Azacitidine

What Is Azacitidine Used For?

Brand names: Vidaza, Onureg

Azacitidine injection (brands: Vidaza and generic azacitidine for injection) treats adults with myelodysplastic syndromes (MDS) — a group of bone marrow conditions where blood cells don't develop normally. The specific MDS subtypes include refractory anemia, refractory anemia with ringed sideroblasts (when accompanied by low white or platelet counts, or transfusion dependence), refractory anemia with excess blasts, refractory anemia with excess blasts in transformation, and chronic myelomonocytic leukemia. Vidaza is also approved for infants and children aged 1 month and older with newly diagnosed juvenile myelomonocytic leukemia (JMML).

Onureg (the oral tablet form of azacitidine) is used for a different purpose: continued treatment of adults with acute myeloid leukemia (AML) who achieved their first remission after intensive chemotherapy but are not able to continue intensive curative therapy. Onureg is not interchangeable with the injectable forms.

See full Azacitidine drug information
Keep checking

Other Drugs & Ceylon Leadwort

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

0Major
1,097Moderate
0Minor
1,732No known interaction
1,097 Moderate 1,732 No interaction
Moderate

1,097 interactions

Showing 60 of 1,097 moderate interactions — see all 1,097 on the Ceylon Leadwort page.

No interaction 1,732 drugs checked — show the list

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

Showing the 60 most looked-up of 1,732 medications checked with no known interaction — see the full Ceylon Leadwort list.

See the full Ceylon Leadwort interactions page
See every supplement checked against Azacitidine, ranked by severity
Evidence & sources

Ceylon Leadwort References

The 10 references that drive our Ceylon Leadwort 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. Mandavkar, YD, Jalalpure, SS. A comprehensive review on Plumbago zeylanica Linn. African J. Pharmacy and Pharmacology. 2011;5(25):2738-2747. DOI
  2. Kumar SS, Shanmugasundaram KR. Amrita Bindu-an antioxidant inducer therapy in asthma children. J. Ethnopharmacol. 2004;90:105-114. PubMed
  3. Sandeep G, Dheeraj A, Sharma NK, Jhade D, Bharti A. Effect of plumbagin free alcohol extract of Plumbago zeylanica Linn. root on reproductive system of female Wistar rats. Asian Pac J Trop Med. 2011 Dec;4(12):978-84. PubMed
  4. Vijayakumar R, Senthilvelan M, Ravindran R, Devi RS. Plumbago zeylanica action on blood coagulation profile with and without blood volume reduction. Vascul Pharmacol. 2006 Aug;45(2):86-90. PubMed
  5. Olagunju JA, Jobi AA, Oyedapo OO. An investigation into the biochemical basis of the observed hyperglycaemia in rats treated with ethanol root extract of plumbago zeylanica. Phytother Res. 1999 Jun;13(4):346-8.
  6. Chen A, Zhou X, Tang S, Liu M, Wang X. Evaluation of the inhibition potential of plumbagin against cytochrome P450 using LC-MS/MS and cocktail approach. Sci Rep. 2016 Jun 22;6:28482. PubMed
  7. Sunil C, Duraipandiyan V, Agastian P, Ignacimuthu S. Antidiabetic effect of plumbagin isolated from Plumbago zeylanica L. root and its effect on GLUT4 translocation in streptozotocin-induced diabetic rats. Food Chem Toxicol. 2012 Dec;50(12):4356-63. PubMed
  8. Checker R, Sharma D, Sandur SK, Khanam S, Poduval TB. Anti-inflammatory effects of plumbagin are mediated by inhibition of NF-kappaB activation in lymphocytes. Int Immunopharmacol. 2009 Jul;9(7-8):949-58. PubMed
  9. Jia Y, Jing J, Bai Y, Li Z, Liu L, Luo J, Liu M, Chen H. Amelioration of experimental autoimmune encephalomyelitis by plumbagin through down-regulation of JAK-STAT and NF-?B signaling pathways. PLoS One. 2011;6(10):e27006. PubMed
  10. Poosarla A, D N R, Athota RR, Sunkara VG. Modulation of T cell proliferation and cytokine response by Plumbagin, extracted from Plumbago zeylanica in collagen induced arthritis. BMC Complement Altern Med. 2011 Nov 16;11:114. 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 Ceylon Leadwort and Azacitidine Together: Common Questions

Is it safe to take Ceylon Leadwort with Azacitidine?
We do not list a known interaction between Ceylon Leadwort and Azacitidine. 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 Ceylon Leadwort and Azacitidine combination checked?
Interactions in our licensed database are recorded against drug classes. Azacitidine is filed under 1 classification, and Ceylon Leadwort has documented interactions with 10 drug classes — none of Azacitidine'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 Ceylon Leadwort interact with any other medications?
Yes. Ceylon Leadwort has 1,097 documented drug interactions in our database — Azacitidine 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 Azacitidine interact with any supplements?
Yes. Azacitidine has documented interactions with 17 supplements in our database — Ceylon Leadwort is not one of them. The Azacitidine 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

Ceylon Leadwort monograph Uses, safety profile, and every drug interaction in one place Azacitidine drug information The full plain-English guide to this medication Azacitidine supplement interactions Every supplement checked against Azacitidine, 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 10 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Azacitidine and Ceylon Leadwort?

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.