Drug & supplement interaction

Clay + Pyrimethamine, Sulfadoxine

Pyrimethamine, Sulfadoxine brand name: Fansidar.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Clay and Pyrimethamine, Sulfadoxine 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

Clay and Pyrimethamine, Sulfadoxine

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 Pyrimethamine, Sulfadoxine and Clay 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.

Clay safety at a glance

Clay overall Use caution Topical use is generally low-risk, but oral clay can be contaminated with heavy metals.
Pregnancy Possibly Unsafe When used orally, long-term. Clay ingestion during pregnancy appears to be associated with an increased incidence of pre-eclampsia, hypertension, and/or edema.... Read the full pregnancy detail
Breastfeeding Avoid Not enough safety data; avoid taking clay by mouth while breastfeeding.

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.

Still wondering about combining Pyrimethamine, Sulfadoxine and Clay? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Pyrimethamine, Sulfadoxine

Interactions in our licensed database are recorded against drug classes, not just single drug names. Pyrimethamine, Sulfadoxine is filed under 2 classifications — including oral drugs. Clay has documented interactions with 2 drug classes — the most serious being cimetidine (tagamet) (moderate) and quinine (moderate) — and none of Pyrimethamine, Sulfadoxine’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

Clay Does Interact With Other Medications

Clay has 3 moderate known drug interactions in our database — Pyrimethamine, Sulfadoxine isn’t one of them. If you take anything else, check it against the full list below.

Moderate 3 No known interaction 2,827 (incl. Pyrimethamine, Sulfadoxine)
Taking anything else?

Check Another of Your Medications Against Clay

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

What to actually watch for

What Clay Itself Has Been Linked To

This is not an interaction — nothing below involves Pyrimethamine, Sulfadoxine. It is the side-effect record for Clay on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Clay, this list is the first place to look. 4 entries are worth acting on rather than waiting out — marked below.

  • A bowel blockage Worth acting on Additional detail

    “Orally, the most commonly reported adverse effects in clinical trials is constipation. Vomiting and diarrhea have been reported rarely. Long-term ingestion of clay may induce constipation, diarrhea, heartburn, flatulence, loss of appetite, and vomiting after meals. Clay ingestion has also been associated with intestinal obstruction and necrotizing enteritis, leading to bowel perforation.”

    Clay · Natural Medicines adverse-effect record, reported in constipation.

    6 sources cited
    1. 98646. Pérez-Gaxiola G, Cuello-García CA, Florez ID, Pérez-Pico VM. Smectite for acute infectious diarrhoea in children. Cochrane Database Syst Rev. 2018;4:CD011526. PubMed
    2. 101813. Lai BY, Liang N, Cao HJ, et al. Pediatric Tui Na for acute diarrhea in children under 5 years old: A systematic review and meta-analysis of randomized clinical trials. Complement Ther Med. 2018;41:10-22. PubMed
    3. 98649. Mitchell NJ, Kumi J, Aleser M, et al. Short-term safety and efficacy of calcium montmorillonite clay (UPSN) in children. Am J Trop Med Hyg. 2014;91(4):777-85. PubMed
    4. 26611. Carpenter WM. Observations on Cachexia Africana, on habits and effects of dirt eating in negro race. New Orleans Med Surg J 1844;1:146-68.
    5. 26616. Andrews PL, Horn CC. Signals for nausea and emesis: Implications for models of upper gastrointestinal diseases. Auton Neurosci 2006;125(1-2):100-15. PubMed
    6. 26617. Wang JS, Luo H, Billam M, et al. Short-term safety evaluation of processed calcium montmorillonite clay (NovaSil) in humans. Food Addit Contam 2005;22(3):270-9. PubMed
  • Severe muscle breakdown Worth acting on Additional detail

    “Clay possesses potassium-binding capacity, and chronic clay ingestion has been associated with severe hypokalemia. A case report describes a 60-year-old female who habitually ingested clay (geophagia) and presented with severe hypokalemia, moderate hypophosphatemia, flaccid paralysis, muscle weakness, and rhabdomyolysis with a very high creatine kinase level.”

    Clay · Natural Medicines adverse-effect record, reported in hypokalemia.

    5 sources cited
    1. 26604. Gonzalez JJ, Owens W, Ungaro PC, et al. Clay ingestion: a rare cause of hypokalemia. Ann Intern Med 1982;97(1):65-6. PubMed
    2. 26605. Mengel CE, Carter WA, Horton ES. Geophagia with iron deficiency and hypokalemia. Cachexia Africana. Arch Intern Med 1964;114:470-4. PubMed
    3. 26606. Severance HW Jr, Holt T, Patrone NA, Chapman L. Profound muscle weakness and hypokalemia due to clay ingestion. South Med J 1988;81(2):272-4. PubMed
    4. 26623. Bennett A, Stryjewski G. Severe hypokalemia caused by oral and rectal administration of bentonite in a pediatric patient. Pediatr Emerg Care 2006;22(7):500-2. PubMed
    5. 107378. Schmidt C, Oxley Oxland J, Freercks R. A rare case of hypokalaemia and hypophosphataemia secondary to geophagia. BMJ Case Rep. 2021 May 12;14(5):e239322. PubMed
  • Muscle weakness / Low potassium Worth acting on Additional detail

    “Orally, clay seems to be well tolerated when used short-term. Adverse effects are generally mild and include constipation, vomiting, and diarrhea. Long-term ingestion of clay has been associated with more serious adverse effects.”

    Clay · Natural Medicines adverse-effect record, reported in anemia.

    6 sources cited
    1. 26617. Wang JS, Luo H, Billam M, et al. Short-term safety evaluation of processed calcium montmorillonite clay (NovaSil) in humans. Food Addit Contam 2005;22(3):270-9. PubMed
    2. 98648. Kee BK, Morris JS, Slack RS, et al. A phase II, randomized, double blind trial of calcium aluminosilicate clay versus placebo for the prevention of diarrhea in patients with metastatic colorectal cancer treated with irinotecan. Support Care Cancer. 2015;2 PubMed
    3. 98652. Lin JX, Fan ZY, Lin Q, et al. A comparison of dioctahedral smectite and iodine glycerin cream with topical mouth rinse in treatment of chemotherapy induced oral mucositis: a pilot study. Eur J Oncol Nurs. 2015;19(2):136-41. PubMed
    4. 98646. Pérez-Gaxiola G, Cuello-García CA, Florez ID, Pérez-Pico VM. Smectite for acute infectious diarrhoea in children. Cochrane Database Syst Rev. 2018;4:CD011526. PubMed
    5. 98649. Mitchell NJ, Kumi J, Aleser M, et al. Short-term safety and efficacy of calcium montmorillonite clay (UPSN) in children. Am J Trop Med Hyg. 2014;91(4):777-85. PubMed
    6. 101813. Lai BY, Liang N, Cao HJ, et al. Pediatric Tui Na for acute diarrhea in children under 5 years old: A systematic review and meta-analysis of randomized clinical trials. Complement Ther Med. 2018;41:10-22. PubMed
  • Anemia Worth acting on Additional detail

    “Orally, habitual clay intake may lead to iron malabsorption and severe iron deficiency, and has been associated with anemia.”

    Clay · Natural Medicines adverse-effect record, reported in anemia.

    5 sources cited
    1. 26605. Mengel CE, Carter WA, Horton ES. Geophagia with iron deficiency and hypokalemia. Cachexia Africana. Arch Intern Med 1964;114:470-4. PubMed
    2. 26607. Minnich V, Okcuoglu A, Tarcon Y, et al. Pica in Turkey. II. Effect of clay upon iron absorption. Am J Clin Nutr 1968;21(1):78-86.
    3. 26611. Carpenter WM. Observations on Cachexia Africana, on habits and effects of dirt eating in negro race. New Orleans Med Surg J 1844;1:146-68.
    4. 26614. Blum M, Orton C, Rose L. The effect of starch ingestion on excessive iron association, abstracted. Ann Intern Med 1968;68:1165.
    5. 26622. Prasad AS, Halsted JA, Nadimi M. Syndrome of iron deficiency anemia, hepatospelenomegaly, hypogonadism, dwarfism and geophagia. Am J Med 1961;31:532-46.
  • Heartburn / Bloating or gas / Reduced appetite / Constipation Additional detail

    Recorded for Clay in the same Natural Medicines adverse-effect record shown under Muscle weakness / Low potassium above.

  • A fast or pounding heartbeat Additional detail

    “Orally, habitual clay intake has been associated with heart lesions, cardiomyopathy, and painful heart palpitations.”

    Clay · Natural Medicines adverse-effect record, reported in cardiomyopathy.

    1 source cited
    1. 26611. Carpenter WM. Observations on Cachexia Africana, on habits and effects of dirt eating in negro race. New Orleans Med Surg J 1844;1:146-68.

Showing the 10 most notable of 13 recorded effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

Everything above comes from the Natural Medicines adverse-effect record for Clay — expand a row for the licensed statement it rests on. We haven’t matched Pyrimethamine, Sulfadoxine to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for Pyrimethamine, Sulfadoxine.

Special populations

Clay in Pregnancy & Breastfeeding

Pregnancy Possibly Unsafe

When used orally, long-term. Clay ingestion during pregnancy appears to be associated with an increased incidence of pre-eclampsia, hypertension, and/or edema. There is insufficient reliable information available about the safety of ingesting clay short-term during pregnancy.

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

Everything else you take

See Every Supplement That Interacts With Pyrimethamine, Sulfadoxine

This page covers Clay only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Pyrimethamine, Sulfadoxine page lists 18 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Coffee Charcoal (moderate), European Mandrake (moderate), Folic Acid (moderate) and Glucomannan (moderate).

By severity: 1 major · 8 moderate · 9 minor.

From our pharmacist’s overview on the Pyrimethamine, Sulfadoxine page

“Someone taking Fansidar (pyrimethamine and sulfadoxine) for malaria is often also nursing an unsettled stomach, and activated charcoal, a common travel remedy for exactly that, is the one major-rated interaction here. Charcoal binds many medicines and can drag their blood levels down, and an underdosed antimalarial is a treatment that…”

Reviewed by 2 · Jul 18, 2026

Open the Pyrimethamine, Sulfadoxine interaction page

One more smart check

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

We hold 17 real supplement products containing Clay, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Clay. Even though Clay itself has no known interaction with Pyrimethamine, Sulfadoxine, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Clay and Pyrimethamine, Sulfadoxine 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 Clay
Steady interest

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

29 days ago today
Medication Pyrimethamine, Sulfadoxine
Steady interest

#2,243 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 Clay reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Clay and Pyrimethamine, Sulfadoxine 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.
Data structure & sourcing designed and verified by .
Supplement

About Clay

What is Clay?

  • Detox and digestive complaints
  • Skin care (masks, acne, irritation)
  • Diarrhea and upset stomach
  • Drawing out toxins or impurities
  • Wound and rash poultices

Clay is a fine, mineral-rich earth (such as bentonite or kaolin) used on the skin and sometimes taken by mouth for digestive and 'detox' purposes. Topical use for masks and minor skin issues is popular and generally low-risk, but swallowing clay carries real safety concerns, including possible contamination with lead and other heavy metals. Talk to a pharmacist or doctor before taking clay internally.

Mineral-rich clay (bentonite, kaolin, French green clay, and similar) · Powder, capsules, masks, poultices, suspensions/drinks

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

Clay: dosing

There is no well-established, standardized dose for clay, and no recommended safe amount for eating it. Because of contamination and absorption concerns, taking clay internally is generally not recommended without medical guidance.If you use a topical product, follow the label directions for how long to leave a mask on and how often to use it. Choose products that are independently tested for heavy metals.

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

Read the full Clay monograph & all interactions
Keep checking

Other Drugs & Clay

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

0Major
3Moderate
0Minor
2,826No known interaction
3 Moderate 2,826 No interaction
Moderate

3 interactions

No interaction 2,826 drugs checked — show the list

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

Showing the 60 most looked-up of 2,826 medications checked with no known interaction — see the full Clay list.

See the full Clay interactions page
See every supplement checked against Pyrimethamine, Sulfadoxine, ranked by severity
Evidence & sources

Clay References

The 31 references that drive our Clay 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. Gonzalez JJ, Owens W, Ungaro PC, et al. Clay ingestion: a rare cause of hypokalemia. Ann Intern Med 1982;97(1):65-6. PubMed
  2. Mengel CE, Carter WA, Horton ES. Geophagia with iron deficiency and hypokalemia. Cachexia Africana. Arch Intern Med 1964;114:470-4. PubMed
  3. Severance HW Jr, Holt T, Patrone NA, Chapman L. Profound muscle weakness and hypokalemia due to clay ingestion. South Med J 1988;81(2):272-4. PubMed
  4. Minnich V, Okcuoglu A, Tarcon Y, et al. Pica in Turkey. II. Effect of clay upon iron absorption. Am J Clin Nutr 1968;21(1):78-86.
  5. O'Rourke DE, Quinn JG, Nicholson JO, Gibson HH. Geophagia during pregnancy. Obstet Gynecol 1967;29(4):581-4.
  6. Edwards CE, McDonald S, Mitchell JK, et al. Effect of clay and cornstarch intake on women and their infants. J Amer Diet Assoc 1964;44:109-15. DOI
  7. Carpenter WM. Observations on Cachexia Africana, on habits and effects of dirt eating in negro race. New Orleans Med Surg J 1844;1:146-68.
  8. Ducrotte P, Dapoigny M, Bonaz B, Siproudhis L. Symptomatic efficacy of beidellitic montmorillonite in irritable bowel syndrome: a randomized, controlled trial. Aliment Pharmacol Ther 2005;21(4):435-44. PubMed
  9. Chang FY, Lu CL, Chen CY, Luo JC. Efficacy of dioctahedral smectite in treating patients of diarrhea-predominant irritable bowel syndrome. J Gastroenterol Hepatol 2007;22(12):2266-72. PubMed
  10. Blum M, Orton C, Rose L. The effect of starch ingestion on excessive iron association, abstracted. Ann Intern Med 1968;68:1165.
  11. Ukaonu C, Hill DA, Christensen F. Hypokalemic myopathy in pregnancy caused by clay ingestion. Obstet Gynecol 2003;102(5 Pt 2):1169-71. DOI
  12. Andrews PL, Horn CC. Signals for nausea and emesis: Implications for models of upper gastrointestinal diseases. Auton Neurosci 2006;125(1-2):100-15. PubMed
  13. Wang JS, Luo H, Billam M, et al. Short-term safety evaluation of processed calcium montmorillonite clay (NovaSil) in humans. Food Addit Contam 2005;22(3):270-9. PubMed
  14. Bateson EM, Lebroy T. Clay eating by Aboriginals of the Northern Territory. Med J Aust 1978;1 Suppl 1:1-3. PubMed
  15. Delaitre B, Lemaigre G, Acar JF, et al. [Necrotizing enteritis and geophagia]. Nouv Presse Med 1976;5(28):1743-6.

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 Clay and Pyrimethamine, Sulfadoxine Together: Common Questions

Is it safe to take Clay with Pyrimethamine, Sulfadoxine?
We do not list a known interaction between Clay and Pyrimethamine, Sulfadoxine. 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.
How was the Clay and Pyrimethamine, Sulfadoxine combination checked?
Interactions in our licensed database are recorded against drug classes. Pyrimethamine, Sulfadoxine is filed under 2 classifications, and Clay has documented interactions with 2 drug classes — none of Pyrimethamine, Sulfadoxine'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 Clay interact with any other medications?
Yes. Clay has 3 documented drug interactions in our database — Pyrimethamine, Sulfadoxine 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 Pyrimethamine, Sulfadoxine interact with any supplements?
Yes. Pyrimethamine, Sulfadoxine has documented interactions with 18 supplements in our database — Clay is not one of them. The Pyrimethamine, Sulfadoxine 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

Clay monograph Uses, safety profile, and every drug interaction in one place Pyrimethamine, Sulfadoxine supplement interactions Every supplement checked against Pyrimethamine, Sulfadoxine, 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 31 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Pyrimethamine, Sulfadoxine and Clay?

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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.