Drug & supplement interaction

Chinese Mallow + Asfotase Alfa

Asfotase Alfa brand name: Strensiq.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Chinese Mallow and Asfotase Alfa 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.

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Interaction report

Chinese Mallow and Asfotase Alfa

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 Asfotase Alfa and Chinese Mallow 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.

Chinese Mallow safety at a glance

Chinese Mallow overall Use caution Generally regarded as food-like in small culinary amounts, but human safety data for concentrated supplements is limited.
Pregnancy Avoid Safety has not been established and some traditional sources suggest avoiding it; do not use without medical advice.
Breastfeeding Avoid There is not enough safety information, so it is best to avoid it while nursing.

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

Still wondering about combining Asfotase Alfa and Chinese Mallow? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
Keep it in perspective

Chinese Mallow Does Interact With Other Medications

Chinese Mallow has 86 moderate known drug interactions in our database — Asfotase Alfa 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 Chinese Mallow

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

What to actually watch for

What Asfotase Alfa’s Own FDA Label Lists

This is not an interaction — none of it involves Chinese Mallow. These are the most notable effects listed in the ADVERSE REACTIONS section of Asfotase Alfa’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. 5 of them are worth acting on rather than waiting out — marked below.

  • A severe allergic reaction Worth acting on
  • Hives Worth acting on
  • Liver problems Worth acting on
  • Bleeding or bruising Worth acting on
  • An allergic reaction Worth acting on
  • Mood changes or irritability
  • Chills
  • Flushing
  • Fever
  • Itching

Showing the 10 most notable of 15 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 Asfotase Alfa. Read the label on DailyMed › Where a percentage is shown, it is the share of 9,959 voluntary FDA FAERS reports for Asfotase Alfa that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Chinese Mallow’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Chinese Mallow side to compare — that is a limit of the record, not a statement that Chinese Mallow has no side effects.

How much people look this up

Where Chinese Mallow and Asfotase Alfa 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 Chinese Mallow
Steady interest

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

29 days ago today
Medication Asfotase Alfa
Top 25%

#309 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 Chinese Mallow reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Chinese Mallow and Asfotase Alfa 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 Chinese Mallow

What is Chinese Mallow?

  • Constipation
  • Digestive upset
  • Urinary problems
  • Cough and sore throat
  • Skin soothing (topical)

Chinese Mallow (Malva verticillata) is a leafy plant used in traditional Chinese and Asian medicine, mostly for constipation, urinary complaints, and as a soothing demulcent. Strong scientific evidence in humans is lacking, so its benefits are mostly based on traditional use and early research. Talk with your pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.

Malva verticillata · Malvaceae · Seeds, leaves, and flowers · Tea, dried herb, powders, capsules, and topical preparations

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

Chinese Mallow: dosing

There is no established standard dose for Chinese Mallow. Traditional preparations vary widely depending on the part used and the form, and reliable human dosing studies are lacking.If you choose to use it, follow the directions on the product label and do not exceed the suggested amount. Because product strength and quality can differ, it is a good idea to review the label with a pharmacist who can help you decide if it is appropriate for you.

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

Read the full Chinese Mallow monograph & all interactions
Medication

About Asfotase Alfa

What Is Asfotase Alfa Used For?

Brand name: Strensiq

Strensiq (asfotase alfa), given as a subcutaneous injection, is approved to treat perinatal/infantile-onset and juvenile-onset hypophosphatasia (HPP) — a rare genetic disorder in which the body lacks enough of an enzyme called TNSALP, leading to problems with bone mineralization, rickets, bone deformity, and muscle weakness.

HPP can present at birth or in childhood. Strensiq is the specific brand approved for these forms of the disease. Safety and effectiveness have been established in pediatric patients across both onset types.

Most-Reported Side Effects for Asfotase Alfa

From FAERS, the FDA’s public side-effect reporting system (9,959 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Injection site pain 1,327 reports
Fatigue 952 reports
Injection site erythema 869 reports
Injection site reaction 747 reports
Arthralgia 665 reports
See full Asfotase Alfa drug information
Keep checking

Other Drugs & Chinese Mallow

Browse every other medication we’ve checked against Chinese Mallow — 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 Chinese Mallow page.

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

Chinese Mallow References

The 2 references that drive our Chinese Mallow 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. Shimizu N, Tomoda M. Constituents of the seed of Malva verticillata. I. Structural features of the major neutral polysaccharide. Chem Pharm Bull (Tokyo) 1987;35:4981-4. PubMed
  2. Jeong YT, Song CH. Antidiabetic activities of extract from Malva verticillate seed via the activation of AMP-activated protein kinase. J Microbiol Biotechnol 2011;21(90):921-9. doi: 10.4014/jmb.1104.04015.

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 Chinese Mallow and Asfotase Alfa Together: Common Questions

Is it safe to take Chinese Mallow with Asfotase Alfa?
We do not list a known interaction between Chinese Mallow and Asfotase Alfa. 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.
Does Chinese Mallow interact with any other medications?
Yes. Chinese Mallow has 86 documented drug interactions in our database — Asfotase Alfa is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Asfotase Alfa and Chinese Mallow?

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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.