Drug & supplement interaction

Cilantro + Ospemifene

Ospemifene brand name: Osphena.

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 Ospemifene 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 Ospemifene 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.

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Interaction report

Cilantro and Ospemifene

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 Ospemifene 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 Ospemifene and Cilantro? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Ospemifene

Interactions in our licensed database are recorded against drug classes, not just single drug names. Ospemifene is filed under 3 classifications — thyroid hormone, 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 Ospemifene’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 — Ospemifene 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. Ospemifene)
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 Ospemifene 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. 2 of them are 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.

    Ospemifene

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

  • Hives Worth acting on 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

    Ospemifene

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

  • Itching Additional detail

    Cilantro

    Recorded for Cilantro in the same Natural Medicines adverse-effect record shown under Hives above.

    Ospemifene

    Listed in the ADVERSE REACTIONS section of the FDA label for Ospemifene. 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.

    Ospemifene

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

Reported for Cilantro but not commonly for Ospemifene: low mood, stomach pain, dehydration and changes to your period.

Effects for Ospemifene come from the ADVERSE REACTIONS section of its FDA label; effects for Cilantro come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 2,601 voluntary FDA FAERS reports for Ospemifene that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. 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 Ospemifene Products Have a Food Rule — Cilantro Should Not Break It

At least one FDA label for a product containing Ospemifene says to take it with food. If you take Cilantro on an empty stomach out of habit, keep them separate — and take Ospemifene 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 Ospemifene 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.

One tablet taken orally once daily with food.

From the Dosage and Administration section of the FDA label we read for Ospemifene — 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 Ospemifene

This page covers Cilantro only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ospemifene page lists 155 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), Tiratricol (major) and Acacia Rigidula (moderate).

By severity: 4 major · 112 moderate · 39 minor.

From our pharmacist’s overview on the Ospemifene page

“Women prescribed ospemifene (Osphena) for painful intercourse after menopause are often the same women reaching for St. John's wort for mood or grapefruit juice at breakfast, and both sit among the four major-rated interactions on this page, so the list deserves genuine care.”

Reviewed by 2 · Jul 18, 2026

Open the Ospemifene interaction page

How much people look this up

Where Cilantro and Ospemifene 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

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

29 days ago today
Medication Ospemifene
Steady interest

#2,044 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 Ospemifene 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 Ospemifene

What Is Ospemifene Used For?

Brand name: Osphena

Osphena (ospemifene) is used to treat two specific symptoms of vulvar and vaginal atrophy — the thinning and drying of vaginal tissues that can happen after menopause. The first is moderate to severe dyspareunia (painful intercourse), and the second is moderate to severe vaginal dryness.

Both of these uses are for postmenopausal women only. Osphena is not used in children or in women who are pregnant or may become pregnant.

Most-Reported Side Effects for Ospemifene

From FAERS, the FDA’s public side-effect reporting system (2,601 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Hot flush 372 reports
Headache 209 reports
Muscle spasms 194 reports
Vaginal haemorrhage 150 reports
Vaginal discharge 134 reports
See full Ospemifene 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 Ospemifene, 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 Ospemifene Together: Common Questions

Is it safe to take Cilantro with Ospemifene?
We do not list a known interaction between Cilantro and Ospemifene. 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 Ospemifene have any of the same side effects?
Yes — our sources link each of them separately to 4 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 Ospemifene at the same time of day?
At least one FDA label for a product containing Ospemifene says to take it with food. If you take Cilantro on an empty stomach out of habit, keep them separate and take Ospemifene with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Ospemifene products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Cilantro and Ospemifene combination checked?
Interactions in our licensed database are recorded against drug classes. Ospemifene is filed under 3 classifications, and Cilantro has documented interactions with 2 drug classes — none of Ospemifene'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 — Ospemifene 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 Ospemifene interact with any supplements?
Yes. Ospemifene has documented interactions with 155 supplements in our database — Cilantro is not one of them. The Ospemifene 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 Ospemifene drug information The full plain-English guide to this medication Ospemifene supplement interactions Every supplement checked against Ospemifene, 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 Ospemifene and Cilantro?

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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.