Drug & supplement interaction

Cilantro + Alpelisib

Alpelisib brand name: Piqray.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Cilantro and Alpelisib 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 Alpelisib states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

Know someone taking this? Share
Facebook Post Reddit Email
On this page
Interaction report

Cilantro and Alpelisib

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 Alpelisib and Cilantro 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.

Cilantro safety at a glance

Cilantro overall Generally safe Cilantro is generally safe when eaten as a food, but concentrated supplements are less studied.
Pregnancy Use caution Food amounts are likely fine, but medicinal or supplement doses lack safety data and should be avoided.
Breastfeeding Use caution Food amounts are likely fine, but there is not enough information on concentrated supplements.

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

Still wondering about combining Alpelisib and Cilantro? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Alpelisib

Interactions in our licensed database are recorded against drug classes, not just single drug names. Alpelisib is filed under 3 classifications — cytochrome p450 2c9 (cyp2c9) inducers, cytochrome p450 3a4 (cyp3a4) substrates, oral drugs. Cilantro has documented interactions with 2 drug classes — the most serious being anticoagulant/antiplatelet drugs (moderate) and photosensitizing drugs (moderate) — and none of Alpelisib’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

Cilantro Does Interact With Other Medications

Cilantro has 434 moderate known drug interactions in our database — Alpelisib isn’t one of them. If you take anything else, check it against the full list below.

Moderate 434 No known interaction 2,396 (incl. Alpelisib)
Taking anything else?

Check Another of Your Medications Against Cilantro

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

What to actually watch for

No Interaction Found — But Data Suggests Cilantro and Alpelisib May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do. One of them is worth acting on rather than waiting out — marked below.

  • A severe allergic reaction Worth acting on Additional detail

    Cilantro

    “Topically, cilantro has been reported to cause contact dermatitis. In sensitive individuals, it has also been reported to cause anaphylaxis.”

    Cilantro · Natural Medicines adverse-effect record, reported in dermatitis.

    2 sources cited
    1. 46230. Zuskin, E., Kanceljak, B., Skuric, Z., Pokrajac, D., Schachter, E. N., Witek, T. J., and Maayani, S. Immunological and respiratory findings in spice-factory workers. Environ.Res 1988;47(1):95-108. PubMed
    2. 92663. Unkle DW, Ricketti AJ, Ricketti PA, Cleri DJ, Vernaleo JR. C. Ann Allergy Asthma Immunol. 2012;109(6):471-2.

    “Cilantro can cause anaphylaxis in some patients. One case report describes a 52 year-old man who experienced diffuse urticaria following a single ingestion of cilantro, followed by severe angioedema of the face, urticaria, and laryngeal edema following a second ingestion of cilantro. Treatment consisted of treatment with intravenous methylprednisolone, diphenhydramine, and famotidine.”

    Cilantro · Natural Medicines adverse-effect record, reported in pregnancy-related edema.

    1 source cited
    1. 92663. Unkle DW, Ricketti AJ, Ricketti PA, Cleri DJ, Vernaleo JR. C. Ann Allergy Asthma Immunol. 2012;109(6):471-2.

    Alpelisib

    Listed in the ADVERSE REACTIONS section of the FDA label for Alpelisib. Read the label on DailyMed ›

  • Itching Additional detail

    Cilantro

    “Topically, cilantro may cause contact dermatitis, with symptoms including hives or itching.”

    Cilantro · Natural Medicines adverse-effect record, reported in dermatitis.

    1 source cited
    1. 46230. Zuskin, E., Kanceljak, B., Skuric, Z., Pokrajac, D., Schachter, E. N., Witek, T. J., and Maayani, S. Immunological and respiratory findings in spice-factory workers. Environ.Res 1988;47(1):95-108. PubMed

    Alpelisib

    Listed in the ADVERSE REACTIONS section of the FDA label for Alpelisib. Read the label on DailyMed ›

  • Swelling Additional detail

    Cilantro

    Recorded for Cilantro in the same Natural Medicines adverse-effect record shown under A severe allergic reaction above.

    Alpelisib

    Listed in the ADVERSE REACTIONS section of the FDA label for Alpelisib. Read the label on DailyMed ›

  • Stomach pain / Diarrhea Additional detail

    Cilantro

    “Orally, cilantro extract has been associated with a case of endocrine toxicity. A case report describes severe diarrhea, stomach pain, skin darkness, depressed mood, amenorrhea, and dehydration following consumption of 200 mL of a 10% cilantro extract for 7 days.”

    Cilantro · Natural Medicines adverse-effect record, reported in amenorrhea.

    1 source cited
    1. 10635. Zabihi E, Abdollahi M. Endocrinotoxicity induced by Coriandrum sativa: a case report. WHO Drug Information. 2001;16:15.

    Alpelisib

    Listed in the ADVERSE REACTIONS section of the FDA label for Alpelisib. Read the label on DailyMed ›

  • A skin rash Additional detail

    Cilantro

    Recorded for Cilantro in the same Natural Medicines adverse-effect record shown under A severe allergic reaction above.

    Alpelisib

    Listed in the ADVERSE REACTIONS section of the FDA label for Alpelisib. Read the label on DailyMed ›

Reported for Cilantro but not commonly for Alpelisib: low mood, dehydration, changes to your period and hives.

Effects for Alpelisib come from the ADVERSE REACTIONS section of its FDA label; effects for Cilantro come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

How to take them

Some Alpelisib Products Have a Food Rule — Cilantro Should Not Break It

At least one FDA label for a product containing Alpelisib says to take it with food. If you take Cilantro on an empty stomach out of habit, keep them separate — and take Alpelisib 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 Alpelisib 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 DOSAGE AND ADMINISTRATION Recommended Dose: Pediatric patients (2 to less than 18 years of age): 50 mg taken orally once daily with food.

From the Dosage and Administration section of the FDA label we read for Alpelisib — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

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 Alpelisib

This page covers Cilantro only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Alpelisib page lists 139 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 96 moderate · 40 minor.

From our pharmacist’s overview on the Alpelisib page

“Alpelisib (Piqray) treats PIK3CA-mutated breast cancer, and a drug doing that job leaves little room for supplements that shift its blood level. Yet that is what most of this list does: 121 of the 139 ingredients on file can raise or lower alpelisib through CYP3A4, the liver enzyme that clears it.”

Reviewed by 2 · Jul 18, 2026

Open the Alpelisib interaction page

How much people look this up

Where Cilantro and Alpelisib 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 Cilantro
Steady interest

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

29 days ago today
Medication Alpelisib
Steady interest

#2,073 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 Cilantro reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Cilantro and Alpelisib 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 Cilantro

What is Cilantro?

  • Digestive upset and bloating
  • Antimicrobial support
  • Antioxidant support
  • Heavy metal 'detox' (chelation) claims
  • Culinary flavoring

Cilantro is the leafy part of the Coriandrum sativum plant and is widely eaten as a food, where it is considered safe for most people. While it has antioxidant and antimicrobial properties in lab studies, strong human evidence for any specific health benefit is lacking, and popular 'detox' claims are not well supported. Talk with your pharmacist or doctor before using concentrated cilantro supplements or essential oil.

Coriandrum sativum · Apiaceae · Leaves, stems, seeds (coriander), and essential oil · Fresh herb, dried herb, seeds, capsules, extracts, essential oil, tea

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

Cilantro: dosing

There is no standardized medicinal dose for cilantro. As a food, it is simply used to taste in cooking, which is considered safe for most people.For supplements such as capsules, extracts, or teas, follow the directions on the product label, since strengths vary widely between products. Essential oil is highly concentrated and should not be taken by mouth unless directed by a qualified professional.

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

Read the full Cilantro monograph & all interactions
Medication

About Alpelisib

What Is Alpelisib Used For?

Brand name: Piqray

Alpelisib is approved for two distinct uses, each tied to a specific brand. Piqray is used in combination with another drug called fulvestrant to treat adults with hormone receptor (HR)-positive, HER2-negative, advanced or metastatic breast cancer whose tumors carry a PIK3CA mutation — and only after the cancer has progressed on or after a hormone-based treatment. A companion diagnostic test is required before starting Piqray.

Vijoice is used to treat adults and children 2 years of age and older who have severe manifestations of PIK3CA-Related Overgrowth Spectrum (PROS) — a rare condition where PIK3CA gene mutations cause abnormal tissue, vascular, and bone overgrowth — and who need systemic (whole-body) therapy. Vijoice's approval for PROS was granted under the FDA's accelerated approval pathway based on response data, and continued approval may depend on confirmatory trials.

See full Alpelisib drug information
Keep checking

Other Drugs & Cilantro

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

0Major
434Moderate
0Minor
2,395No known interaction
434 Moderate 2,395 No interaction
Moderate

434 interactions

Showing 60 of 434 moderate interactions — see all 434 on the Cilantro page.

No interaction 2,395 drugs checked — show the list

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

Showing the 60 most looked-up of 2,395 medications checked with no known interaction — see the full Cilantro list.

See the full Cilantro interactions page
See every supplement checked against Alpelisib, ranked by severity
Evidence & sources

Cilantro References

The 5 references that drive our Cilantro 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. Zabihi E, Abdollahi M. Endocrinotoxicity induced by Coriandrum sativa: a case report. WHO Drug Information. 2001;16:15.
  2. Suneetha WJ, Krishnakantha TP. Antiplatelet activity of coriander and curry leaf spices. Pharm Biol. 2005;43(3):230-3. DOI
  3. Ashwood-Smith, M. J., Warrington, P. J., Jenkins, M., Ceska, O., and Romaniuk, P. J. Photobiological properties of a novel, naturally occurring furoisocoumarin, coriandrin. Photochem.Photobiol. 1989;50(6):745-751. PubMed
  4. Zuskin, E., Kanceljak, B., Skuric, Z., Pokrajac, D., Schachter, E. N., Witek, T. J., and Maayani, S. Immunological and respiratory findings in spice-factory workers. Environ.Res 1988;47(1):95-108. PubMed
  5. Unkle DW, Ricketti AJ, Ricketti PA, Cleri DJ, Vernaleo JR. C. Ann Allergy Asthma Immunol. 2012;109(6):471-2.

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 Cilantro and Alpelisib Together: Common Questions

Is it safe to take Cilantro with Alpelisib?
We do not list a known interaction between Cilantro and Alpelisib. 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.
Do Cilantro and Alpelisib have any of the same side effects?
Yes — our sources link each of them separately to 6 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Should I take Cilantro and Alpelisib at the same time of day?
At least one FDA label for a product containing Alpelisib says to take it with food. If you take Cilantro on an empty stomach out of habit, keep them separate and take Alpelisib with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Alpelisib products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Cilantro and Alpelisib combination checked?
Interactions in our licensed database are recorded against drug classes. Alpelisib is filed under 3 classifications, and Cilantro has documented interactions with 2 drug classes — none of Alpelisib'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 Cilantro interact with any other medications?
Yes. Cilantro has 434 documented drug interactions in our database — Alpelisib 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 Alpelisib interact with any supplements?
Yes. Alpelisib has documented interactions with 139 supplements in our database — Cilantro is not one of them. The Alpelisib 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

Cilantro monograph Uses, safety profile, and every drug interaction in one place Alpelisib drug information The full plain-English guide to this medication Alpelisib supplement interactions Every supplement checked against Alpelisib, 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 5 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Alpelisib and Cilantro?

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.