Drug & supplement interaction

Chicory + Metformin, Rosiglitazone

Metformin, Rosiglitazone brand name: Avandamet.

Moderate Interaction
The bottom line Moderate

Chicory has a moderate interaction with Metformin, Rosiglitazone. Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.

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

Chicory and Metformin, Rosiglitazone

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

Moderate

ANTIDIABETES DRUGS

Why this applies to Metformin, Rosiglitazone

Metformin, Rosiglitazone falls under ANTIDIABETES DRUGS — the group Chicory interacts with.

Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal and in vitro research shows that chicory extracts have antidiabetic effects.
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

Avandamet pairs two diabetes medicines, metformin and rosiglitazone, that both work to lower your blood sugar. The concern here is simple addition: lab and animal studies hint that chicory may have its own mild blood-sugar-lowering effect. If that holds true in people, stacking it on top of your medication could nudge your sugar a little lower than expected.

I want to be honest, though, this is a theoretical interaction based on test-tube and animal work, not solid human studies. A cup of chicory coffee now and then is unlikely to cause trouble. Concentrated inulin supplements are more of a question mark. Just watch for shakiness, sweating, or dizziness, keep checking your readings, and mention any chicory supplement to your pharmacist or doctor.

References
  1. Street RA, Sidana J, Prinsloo G. Cichorium intybus: traditional uses, phytochemistry, pharmacology, and toxicology. Evid Based Complement Alternat Med 2013;2013:579319.
  2. Devi Kt R, Sivalingam N. Cichorium intybus attenuates Streptozotocin-induced pancreatic ß-cell damage by inhibiting NF-?B activation and oxidative stress. J Appl Biomed 2020;18(2-3):70-9. 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

Chicory Also Interacts With Other Medications

Chicory has 85 moderate known drug interactions in our database — the Metformin, Rosiglitazone 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 Chicory

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

Everything else you take

See Every Supplement That Interacts With Metformin, Rosiglitazone

This page covers Chicory only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Metformin, Rosiglitazone page lists 315 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Siberian Cocklebur (major), Wine (major) and Acai (moderate).

By severity: 4 major · 268 moderate · 43 minor.

From our pharmacist’s overview on the Metformin, Rosiglitazone page

“Avandamet pairs metformin with rosiglitazone to manage type 2 diabetes, and its supplement list calls for genuine care rather than a quick skim. Start with the four major-rated entries: alcohol and the herb Siberian cocklebur can each stress the liver, a serious concern with rosiglitazone on board, while activated charcoal can soak up…”

Reviewed by 2 · Jul 18, 2026

Open the Metformin, Rosiglitazone interaction page

One more smart check

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

We hold 458 real supplement products containing Chicory, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Chicory. Your product may carry other ingredients that interact with Metformin, Rosiglitazone too, on top of Chicory — 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 Chicory and Metformin, Rosiglitazone 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 Chicory
Top half

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

29 days ago today
Medication Metformin, Rosiglitazone
Steady interest

#1,748 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 Chicory

What is Chicory?

Chicory
  • Constipation and digestive health
  • Source of prebiotic fiber (inulin)
  • Coffee substitute
  • Liver and gallbladder support
  • Appetite and blood sugar (traditional)

Chicory is best known as a caffeine-free coffee substitute and as a source of inulin, a soluble prebiotic fiber that may support digestion and regularity. Strong human evidence for most other traditional uses (like liver, gallbladder, or skin conditions) is limited. It is generally well tolerated, but the inulin can cause gas and bloating, and people allergic to ragweed or related plants should be cautious.

Read the full Chicory monograph & all interactions
Keep checking

Other Drugs & Chicory

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

0Major
85Moderate
0Minor
2,744No known interaction
Moderate

85 interactions

Showing 60 of 85 moderate interactions — see all 85 on the Chicory page.

No interaction 2,744 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 Chicory and Metformin, Rosiglitazone Together: Common Questions

Can you take Chicory with Metformin, Rosiglitazone?
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 Chicory and Metformin, Rosiglitazone 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

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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.