Cinchona + Mefloquine
Mefloquine brand name: Lariam.
We found no known interaction between Cinchona and Mefloquine 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 Mefloquine 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.
Cinchona and Mefloquine
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 Mefloquine and Cinchona 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.
Cinchona safety at a glance
Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Why No Interaction Is Listed for Mefloquine
Interactions in our licensed database are recorded against drug classes, not just single drug names. Mefloquine is filed under 2 classifications — seizure threshold lowering drugs, oral drugs. Cinchona has documented interactions with 11 drug classes — the most serious being quinidine (major), quinine (major) and antacids (moderate) — and none of Mefloquine’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.
Cinchona Does Interact With Other Medications
Cinchona has 3 major, 473 moderate, 16 minor known drug interactions in our database — Mefloquine isn’t one of them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Cinchona
We haven’t checked that one against Cinchona yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Cinchona. Pick one to open its full report.
Cinchona in Pregnancy & Breastfeeding
When used orally. Cinchona is reported to have uterine stimulant and abortifacient activity, and to be fetotoxic and teratogenic, causing visual and auditory defects. Avoid using.
When used orally. The cinchona alkaloids quinine and quinidine are reported to be excreted in breast milk and may be toxic to infants.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center
Some Mefloquine Products Have a Food Rule — Cinchona Should Not Break It
At least one FDA label for a product containing Mefloquine says to take it on an empty stomach. Most supplements — Cinchona included — are taken with a meal, so the easy mistake is swallowing both together at breakfast. Where that rule applies, keep Mefloquine on its own and move Cinchona to a meal later in the day.
This may not be true of your version. Food instructions belong to the product, not the ingredient: two Mefloquine 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.
The drug should not be taken on an empty stomach and should be administered with at least 8 oz (240 mL) of water.
From the Dosage and Administration section of the FDA label we read for Mefloquine — 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.
What Mefloquine Is Prescribed For, and What Cinchona Has Been Studied For
These two come up together because they touch the same health topic — not because they do the same job. Mefloquine is a prescription medicine with approved uses on its FDA label. Cinchona is a supplement: what follows is what researchers have looked at it for, and how strong that evidence is.
Mefloquine is prescribed for: Mefloquine Hydrochloride tablets are used to treat mild to moderate malaria caused by P. falciparum (including strains resistant to chloroquine) or P. vivax. They are also used to prevent malaria caused by these two parasite species, including chloroquine-resistant strains of P.
Read the rest of what Mefloquine is prescribed for
falciparum, in people traveling to or living in areas where malaria is common. Important note: Mefloquine does not eliminate the liver-stage parasites of P. vivax, so patients treated for P. vivax malaria will need a follow-up medication (such as primaquine) to prevent the infection from coming back. For life-threatening or severe malaria, an intravenous antimalarial is used first; mefloquine may then be given to complete the course.
Cinchona has been studied for:
-
Malaria studied, not established Cinchona has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows
Cinchona for malaria
Although there has been interest in using oral cinchona for malaria, there is insufficient reliable information about the clinical effects of cinchona for this purpose.
Effectiveness ratings and the research summaries above are the verbatim record from the Natural Medicines database, which grades evidence from “Effective” down to “Insufficient Reliable Evidence To Rate”. A rating below the top of that scale means researchers have looked at it — not that it works, and never that it can stand in for a prescribed medicine. Do not stop or replace Mefloquine on your own; if you are taking Cinchona for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.
See Every Supplement That Interacts With Mefloquine
This page covers Cinchona only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Mefloquine page lists 23 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Biofeedback (moderate), Coffee Charcoal (moderate), Dendrobium (moderate) and European Mandrake (moderate).
By severity: 1 major · 13 moderate · 9 minor.
From our pharmacist’s overview on the Mefloquine page
“Mefloquine (Lariam) prevents and treats malaria and carries its own well-known warnings about seizures and psychiatric effects, so I take this interaction list more seriously than most. Six of the 23 supplements on file, including ginkgo and melatonin, may lower the seizure threshold, a poor match for a drug with mefloquine's neurologi…”
Reviewed by 2 · Jul 18, 2026
Taking Cinchona as Part of a Dietary Supplement Product? Check It for Interactions
We hold 12 real supplement products containing Cinchona, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Cinchona. Even though Cinchona itself has no known interaction with Mefloquine, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:
Where Cinchona and Mefloquine 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.
#556 of 1,452 supplements looked up here in the last 7 days
#2,419 of 2,830 medications looked up here in the last 7 days
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 Cinchona reference on this page ↓
- Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Cinchona and Mefloquine records this page draws on were last updated July 11, 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.
About Cinchona
What is Cinchona?
- Malaria (historical/traditional)
- Fever
- Leg cramps and restless legs
- Digestive upset and loss of appetite
- Bitter tonic
Cinchona bark is the natural source of quinine and has been used for centuries to treat malaria and fever, but the bark itself is not standardized and can be unpredictable and risky. Modern medicine uses purified, dose-controlled quinine instead, and the supplement form carries real dangers, including serious heart and blood problems. Talk to a pharmacist or doctor before using it, and avoid it during pregnancy.
Cinchona officinalis · Rubiaceae · Bark · Dried bark, tinctures, liquid extracts, capsules, teas, and as a bitter flavoring in tonic water
An interaction check asks whether these two react with each other — it does not ask whether Cinchona is a good idea for someone in your situation. Here is what our Cinchona record says about it on its own.
Cinchona: dosing
There is no well-established safe dose for cinchona bark as a supplement. The amount of quinine and other alkaloids can vary a lot from product to product, which makes safe dosing difficult.If you are considering a cinchona product, follow the directions on the label and do not exceed them.
From our Cinchona monograph — the full record covers uses, side effects and every documented interaction.
About Mefloquine
What Is Mefloquine Used For?
Brand name: Lariam
Mefloquine Hydrochloride tablets are used to treat mild to moderate acute malaria caused by Plasmodium falciparum (including strains resistant to chloroquine) and Plasmodium vivax. They are also used to prevent malaria infections, including chloroquine-resistant strains of P. falciparum, in people traveling to malaria-endemic areas.
Important note: mefloquine does not eliminate the liver stage of P. vivax, so patients treated for P. vivax malaria usually need an additional medication (such as primaquine) afterward to prevent relapse.
Other Drugs & Cinchona
Browse every other medication we’ve checked against Cinchona — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
3 interactions
473 interactions
- Diclofenac Sodium ›
- Ibuprofen ›
- Metronidazole ›
- Aspirin ›
- Naproxen ›
- Erythromycin ›
- Minocycline ›
- Propranolol ›
- Lidocaine ›
- Fentanyl ›
- Oxycodone ›
- Tacrolimus ›
- Calcium Carbonate ›
- Carbamazepine ›
- Dextromethorphan ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Formoterol ›
- Morphine Sulfate ›
- Procainamide ›
- Trimipramine ›
- Amphetamine ›
- Ketoprofen ›
- Lofepramine ›
- Nortriptyline ›
- Propoxyphene ›
- Sotalol ›
- Sumatriptan Succinate ›
- Aluminum Hydroxide ›
- Aripiprazole ›
- Azithromycin ›
- Bivalirudin ›
- Cyclobenzaprine ›
- Desipramine ›
- Digoxin ›
- Doxepin ›
- Duloxetine ›
- Erythromycin Ethylsuccinate ›
- Erythromycin Stearate ›
- Fluphenazine ›
- Levofloxacin ›
- Nicardipine ›
- Paroxetine ›
- Phenobarbital ›
- Timolol ›
- Tramadol ›
- Vortioxetine ›
- Warfarin Sodium ›
- Amiodarone ›
- Amphetamine Sulfate ›
- Aripiprazole Lauroxil ›
- Artemether ›
- Asenapine ›
- Bromfenac Sodium ›
- Carvedilol ›
- Chlorpromazine ›
- Chlorpropamide ›
- Clarithromycin ›
- Clomipramine ›
- Clozapine ›
Showing 60 of 473 moderate interactions — see all 473 on the Cinchona page.
16 interactions
- Ranitidine ›
- Famotidine ›
- Cimetidine ›
- Omeprazole ›
- Pantoprazole ›
- Nizatidine ›
- Rabeprazole Sodium ›
- Dexlansoprazole ›
- Esomeprazole ›
- Esomeprazole Magnesium ›
- Esomeprazole Strontium ›
- Lansoprazole ›
- Rabeprazole ›
- Ranitidine Bismuth Citrate ›
- Amoxicillin, Omeprazole Magnesium, Rifabutin ›
- Omeprazole, Sodium Bicarbonate ›
No interaction 2,337 drugs checked — show the list
We also checked Cinchona against these medications and found no known interaction in our sources. Open any page to confirm.
- Levothyroxine ›
- Amlodipine ›
- Methylphenidate ›
- Abemaciclib ›
- Ivermectin ›
- Testosterone ›
- Acetaminophen ›
- Losartan Potassium ›
- Rosuvastatin ›
- Escitalopram ›
- Atorvastatin ›
- Docusate ›
- Tirzepatide ›
- Tadalafil ›
- Valacyclovir ›
- Hydroxyurea ›
- Semaglutide ›
- Prednisone ›
- Metformin ›
- Isotretinoin ›
- Amoxicillin ›
- Methotrexate ›
- Lisinopril ›
- Amlodipine Besylate ›
- Bendamustine ›
- Bupropion ›
- Doxycycline ›
- Pregabalin ›
- Acyclovir ›
- Lamotrigine ›
- Gabapentin ›
- Levothyroxine, Liothyronine ›
- Clonazepam ›
- Letrozole ›
- Methylene Blue ›
- Citalopram ›
- Buspirone ›
- Ciprofloxacin ›
- Candesartan Cilexetil ›
- Amoxicillin, Clavulanate Potassium ›
- Diazepam ›
- Acetaminophen, Dextromethorphan, Doxylamine ›
- Dapsone ›
- Cyclopentolate ›
- Cephalexin ›
- Ezetimibe ›
- Atorvastatin Calcium ›
- Carbidopa, Levodopa ›
- Mannitol ›
- Thyroid Hormone ›
- Roxithromycin ›
- Levetiracetam ›
- Amlodipine Besylate, Benazepril ›
- Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide ›
- Phentermine, Topiramate ›
- Spironolactone ›
- Acetaminophen, Butalbital, Caffeine ›
- Amlodipine Besilate ›
- Levodopa ›
- Levothyroxine Sodium ›
Showing the 60 most looked-up of 2,337 medications checked with no known interaction — see the full Cinchona list.
Cinchona References
The 15 references that drive our Cinchona 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.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Wichtl MW. Herbal Drugs and Phytopharmaceuticals. Ed. N.M. Bisset. Stuttgart: Medpharm GmbH Scientific Publishers, 1994.
- Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Holt GA. Food & Possible Interactions with Drugs: Revised and Expanded Ed. Chicago, IL: Precept Press, 1998.
- Hardman JG, Limbird LL, Molinoff PB, eds. Goodman and Gillman's The Pharmacological Basis of Therapeutics, 9th ed. New York, NY: McGraw-Hill, 1996.
- Hansten PD, Horn JR. Drug Interactions Analysis and Management. Vancouver, WA: Applied Therapeutics Inc., 1997 and updates.
- Amabeoku GJ, Chikuni O, Akino C, Mutetwa S. Pharmacokinetic interaction of single doses of quinine and carbamazepine, phenobarbitone and phenytoin in healthy volunteers. East Afr Med J 1993;70:90-3.
- Shah BH, Nawaz Z, Virani SS, Ali IQ, Saeed SA, Gilani AH.The inhibitory effect of cinchonine on human platelet aggregation due to blockade of calcium influx. Biochem Pharmacol 1998;56:955-60. PubMed
- US Food and Drug Administration notice: Drug products containing quinine - enforcement action dates. Docket # 2006N-0476. Federal Register 2006 (December 15);71 (241): 75557-60.
- FDA Drug Safety Communication: New risk management plan and patient medication guide for Qualaquin (quinine sulfate). 07-08-2010. https://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm218202 (accessed 02/18/17).
- Dooms-Goossens A, Deveylder H, Duron C, et al. Airborne contact urticaria due to cinchona. Contact Dermatitis 1986;15(4):258. PubMed
- Bramer SL, Suri A. Inhibition of CYP2D6 by quinidine and its effects on the metabolism of cilostazol. Clin Pharmacokinet. 1999;37 Suppl 2:41-51. PubMed
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.
Taking Cinchona and Mefloquine Together: Common Questions
Is it safe to take Cinchona with Mefloquine?
Do Cinchona and Mefloquine have any of the same side effects?
Should I take Cinchona and Mefloquine at the same time of day?
Are Cinchona and Mefloquine used for the same thing?
How was the Cinchona and Mefloquine combination checked?
Does Cinchona interact with any other medications?
Does Mefloquine interact with any supplements?
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.