Drug & supplement interaction

Chaulmoogra + Dolutegravir, Rilpivirine

Dolutegravir, Rilpivirine brand name: Juluca.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Chaulmoogra and Dolutegravir, Rilpivirine 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 label for Dolutegravir, Rilpivirine states a food rule worth keeping to.

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Interaction report

Chaulmoogra and Dolutegravir, Rilpivirine

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 Dolutegravir, Rilpivirine and Chaulmoogra 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.

Worth understanding: our licensed dataset holds no drug-interaction record for Chaulmoogra at all — not against Dolutegravir, Rilpivirine, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

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.

Chaulmoogra safety at a glance

Chaulmoogra overall Use caution Largely outdated remedy with limited modern safety data and a history of irritation and side effects.
Pregnancy Avoid Not enough safety information; avoid during pregnancy.
Breastfeeding Avoid Not enough safety information; avoid while breastfeeding.

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

Still wondering about combining Dolutegravir, Rilpivirine and Chaulmoogra? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Chaulmoogra Itself Has Been Linked To

This is not an interaction — nothing below involves Dolutegravir, Rilpivirine. It is the side-effect record for Chaulmoogra on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Chaulmoogra, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

  • Kidney problems / Shortness of breath Worth acting on Additional detail

    “Orally, ingestion of the seed can cause cough, dyspnea, laryngospasms, nephrotoxicity, visual disorders, head and muscle pain, and central paralysis (18).

    Topically, use can cause skin irritation (18).”

    Chaulmoogra · Natural Medicines adverse-effect record, reported in cough.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  • Cough / Muscle pain Additional detail

    Recorded for Chaulmoogra in the same Natural Medicines adverse-effect record shown under Kidney problems / Shortness of breath above.

Everything above comes from the Natural Medicines adverse-effect record for Chaulmoogra — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Dolutegravir, Rilpivirine’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Dolutegravir, Rilpivirine column appears here.

How to take them

Some Dolutegravir, Rilpivirine Products Have a Food Rule — Chaulmoogra Should Not Break It

At least one FDA label for a product containing Dolutegravir, Rilpivirine says to take it with food. If you take Chaulmoogra on an empty stomach out of habit, keep them separate — and take Dolutegravir, Rilpivirine with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Dolutegravir, Rilpivirine products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

( 2.2 ) 2.1 Recommended Dosage The recommended dosage of JULUCA is one tablet taken orally once daily with a meal [see Clinical Pharmacology ( 12.3 )] .

From the Dosage and Administration section of the FDA label we read for Dolutegravir, Rilpivirine — where that label names a specific product, the instruction is that product's.

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Dolutegravir, Rilpivirine

This page covers Chaulmoogra only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Dolutegravir, Rilpivirine page lists 159 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), Arsenic (major), Calcium (major) and Cesium (major).

By severity: 9 major · 115 moderate · 35 minor.

From our pharmacist’s overview on the Dolutegravir, Rilpivirine page

“Juluca combines dolutegravir and rilpivirine into a single daily HIV pill, and staying suppressed depends on that pill working at full strength every day, which is why this list calls for real vigilance. Most of the 159 interacting supplements and herbs change how the body handles the medication, some raising its levels and others lowe…”

Reviewed by 2 · Jul 18, 2026

Open the Dolutegravir, Rilpivirine interaction page

How much people look this up

Where Chaulmoogra and Dolutegravir, Rilpivirine 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 Chaulmoogra
Steady interest

#1,277 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Dolutegravir, Rilpivirine
Steady interest

#1,935 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 Chaulmoogra reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Chaulmoogra and Dolutegravir, Rilpivirine 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 Chaulmoogra

What is Chaulmoogra?

  • Leprosy (historical)
  • Skin conditions and rashes
  • Wound and sore care
  • Eczema and psoriasis (traditional)
  • Rheumatic complaints (traditional)

Chaulmoogra oil is an old herbal remedy famous for being the main treatment for leprosy before modern antibiotics. Today it has been replaced by safer, more effective drugs, and there is little reliable modern evidence to support its use. If you are considering it, talk to a pharmacist or doctor first, and avoid it during pregnancy and breastfeeding.

Hydnocarpus kurzii · Achariaceae · Seed oil (chaulmoogra oil) and seeds · Seed oil, topical preparations, and historically injectable oil derivatives

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

Chaulmoogra: dosing

There is no established, standardized dose for chaulmoogra in modern use, and it is not a recommended treatment today. Historical doses varied widely and were used under medical supervision in an era before modern drugs.If you find a product that contains chaulmoogra, follow the directions on the label and do not use it internally.

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

Read the full Chaulmoogra monograph & all interactions
Keep checking

Other Drugs & Chaulmoogra

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

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Chaulmoogra References

The 1 references that drive our Chaulmoogra 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.

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 Chaulmoogra and Dolutegravir, Rilpivirine Together: Common Questions

Is it safe to take Chaulmoogra with Dolutegravir, Rilpivirine?
We do not list a known interaction between Chaulmoogra and Dolutegravir, Rilpivirine. 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.
Should I take Chaulmoogra and Dolutegravir, Rilpivirine at the same time of day?
At least one FDA label for a product containing Dolutegravir, Rilpivirine says to take it with food. If you take Chaulmoogra on an empty stomach out of habit, keep them separate and take Dolutegravir, Rilpivirine with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Dolutegravir, Rilpivirine products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Dolutegravir, Rilpivirine interact with any supplements?
Yes. Dolutegravir, Rilpivirine has documented interactions with 159 supplements in our database — Chaulmoogra is not one of them. The Dolutegravir, Rilpivirine 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 Dolutegravir, Rilpivirine and Chaulmoogra?

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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.