Drug & supplement interaction

Chaga + Ustekinumab

Ustekinumab brand name: Stelara.

Moderate Interaction
The bottom line Moderate

Chaga has a moderate interaction with Ustekinumab. Theoretically, chaga might interfere with immunosuppressive therapy.

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

Chaga and Ustekinumab

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

Moderate

IMMUNOSUPPRESSANTS

Why this applies to Ustekinumab

Ustekinumab falls under IMMUNOSUPPRESSANTS — the group Chaga interacts with.

Theoretically, chaga might interfere with immunosuppressive therapy.
In vitro research suggests that certain constituents of chaga stimulate immune function. This has not been reported in humans.
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 basic idea with Stelara (ustekinumab): it works by calming down an overactive immune system, which is what eases your psoriasis, psoriatic arthritis, or Crohn's symptoms. Chaga seems to do the opposite in lab studies, where some of its compounds appear to rev up immune activity. So in theory, the two could work against each other, and you might not get the full benefit from your injections.

I want to be honest about how soft this concern is, though. This comes only from test-tube research, and nothing like it has actually been seen in people taking these medicines. It's worth a quick chat with your doctor or pharmacist before adding chaga, but please don't stop your Stelara or panic over it.

References
  1. Kim YO, Han SB, Lee HW, et al. Immuno-stimulating effect of the endo-polysaccharide produced by submerged culture of Inonotus obliquus. Life Sci 2005;77(19):2438-56. 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

Chaga Also Interacts With Other Medications

Chaga has 326 moderate known drug interactions in our database — the Ustekinumab 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 Chaga

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

Everything else you take

See Every Supplement That Interacts With Ustekinumab

This page covers Chaga only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ustekinumab page lists 53 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Active Hexose Correlated Compound (ahcc) (moderate), Alfalfa (moderate), American Ginseng (moderate), Andrographis (moderate) and Ashwagandha (moderate).

By severity: 52 moderate · 1 minor.

From our pharmacist’s overview on the Ustekinumab page

“Nothing on this page should scare anyone off ustekinumab (Stelara), but the pattern is worth knowing. Stelara treats psoriasis, psoriatic arthritis, and Crohn's disease by quieting part of the immune system, and all 53 supplements here are flagged for the same reason.”

Reviewed by 2 · Jul 18, 2026

Open the Ustekinumab interaction page

One more smart check

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

We hold 889 real supplement products containing Chaga, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Chaga. Your product may carry other ingredients that interact with Ustekinumab too, on top of Chaga — 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 Chaga and Ustekinumab 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 Chaga
Top 25%

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

29 days ago today
Medication Ustekinumab
Steady interest

#2,092 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 Chaga

What is Chaga?

  • Immune support
  • Antioxidant support
  • General wellness/tonic
  • Blood sugar support
  • Inflammation

Chaga is a fungus that grows mostly on birch trees and is used as a tea or supplement, mainly for immune and antioxidant support. Human evidence for its benefits is very limited, and it may raise some safety concerns such as effects on blood sugar, bleeding, and kidney stones. Talk with your pharmacist or doctor before using it, especially if you have a health condition or take other medicines.

Read the full Chaga monograph & all interactions
Medication

About Ustekinumab Injection

What Is Ustekinumab Injection Used For?

Brand name: Stelara

Ustekinumab injection treats four immune-related conditions. It is approved for moderate to severe plaque psoriasis and active psoriatic arthritis in adults and children 6 years of age and older. It also treats moderately to severely active Crohn's disease in adults and children 2 years of age and older.

For moderately to severely active ulcerative colitis, ustekinumab injection is approved for adult patients only. A prescriber will determine which condition is being treated and choose the appropriate product, route, and dosing schedule.

See full Ustekinumab Injection drug information
Keep checking

Other Drugs & Chaga

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

0Major
326Moderate
0Minor
2,503No known interaction
Moderate

326 interactions

Showing 60 of 326 moderate interactions — see all 326 on the Chaga page.

No interaction 2,503 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 Chaga and Ustekinumab Together: Common Questions

Can you take Chaga with Ustekinumab?
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 Chaga and Ustekinumab 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 Ustekinumab and Chaga?

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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.