Drug & supplement interaction

Coffee Charcoal + Posaconazole

Posaconazole brand name: Noxafil.

Moderate Interaction
Medically reviewed by · Updated September 2026
The bottom line Moderate

Coffee Charcoal has a moderate interaction with Posaconazole. Coffee charcoal can reduce the absorption of orally administered drugs and should be separated from oral drug administration by at least two hours.

Read the full interaction report
SeverityModerate
LikelihoodProbable
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Coffee Charcoal and Posaconazole

Here is the interaction we found between these two, with the evidence behind it.

Moderate

ORAL DRUGS

Why this applies to Posaconazole

Posaconazole falls under ORAL DRUGS — the group Coffee Charcoal interacts with.

Coffee charcoal can reduce the absorption of orally administered drugs and should be separated from oral drug administration by at least two hours.
Severity Moderate Likelihood Probable Evidence D

Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the thing about coffee charcoal: like other charcoal-type products, it has a porous surface that can grab onto medications sitting in your gut. If you swallow it around the same time as your posaconazole (Noxafil), it may soak up some of the drug before your body absorbs it. That means less posaconazole gets into your bloodstream.

Why that matters here: posaconazole works to prevent or treat serious fungal infections, and it only does its job if blood levels stay high enough. Losing even a portion to charcoal could let an infection slip through. This concern is theoretical, based on how charcoal behaves, but it's easy to sidestep. Separating the two by at least two hours usually helps. Please run the timing by your pharmacist or doctor first.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Coffee Charcoal Also Interacts With Other Medications

Coffee Charcoal has 2,021 moderate known drug interactions in our database — the Posaconazole one above is one of them. If you take anything else, check it against the full list below.

Moderate 2,021 No known interaction 809 (incl. Posaconazole)
Taking anything else?

Check Another of Your Medications Against Coffee Charcoal

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

From our Q&A

Questions About Coffee Charcoal or Posaconazole

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Coffee Charcoal or Posaconazole, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Posaconazole

This page covers Coffee Charcoal only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Posaconazole page lists 17 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), European Mandrake (moderate), Glucomannan (moderate), Guar Gum (moderate) and Gum Arabic (moderate).

By severity: 1 major · 7 moderate · 9 minor.

From our pharmacist’s overview on the Posaconazole page

“All 17 supplements on this posaconazole (Noxafil) list interact the same basic way: they can change how much of the antifungal actually reaches your blood. Posaconazole prevents and treats dangerous fungal infections, often in people with weakened immune systems, so this is a list to take genuine care with.”

Reviewed by 2 · Jul 18, 2026

Open the Posaconazole interaction page

How much people look this up

Where Coffee Charcoal and Posaconazole 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 Coffee Charcoal
Top half

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

29 days ago today
Medication Posaconazole
Steady interest

#1,426 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.

Supplement

About Coffee Charcoal

What is Coffee Charcoal?

  • Diarrhea
  • Inflammatory bowel conditions
  • Irritable bowel syndrome (IBS)
  • Mild digestive upset
  • Wound and skin care (topical, traditional)

Coffee charcoal is made by roasting green coffee beans until they turn black, creating a charcoal-like material used traditionally for diarrhea and digestive complaints. Scientific evidence supporting its benefits is very limited, and it should not replace proven treatments. Talk with your pharmacist or doctor before using it, especially if you have a chronic gut condition.

Read the full Coffee Charcoal monograph & all interactions
Medication

About Posaconazole

What Is Posaconazole Used For?

Brand name: Noxafil

Posaconazole is used to treat invasive aspergillosis (a serious mold infection that can spread through the body) in adults and certain pediatric patients, depending on the formulation and weight. It is also used to treat oropharyngeal candidiasis (OPC) — a yeast infection of the mouth and throat, including cases that have not responded to itraconazole and/or fluconazole — and this use is specific to the oral suspension in patients aged 13 and older.

Posaconazole is also used for prophylaxis (prevention) of invasive Aspergillus and Candida infections in people at high risk because their immune systems are severely compromised — such as stem cell transplant recipients with graft-versus-host disease (GVHD) or people with blood cancers who have low white blood cell counts from chemotherapy. The specific formulation approved for prevention varies by age and weight.

See full Posaconazole drug information
Keep checking

Other Drugs & Coffee Charcoal

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

0Major
2,021Moderate
0Minor
808No known interaction
2,021 Moderate 808 No interaction
Moderate

2,021 interactions

Showing 60 of 2,021 moderate interactions — see all 2,021 on the Coffee Charcoal page.

No interaction 808 drugs checked — show the list

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

Showing the 60 most looked-up of 808 medications checked with no known interaction — see the full Coffee Charcoal list.

See the full Coffee Charcoal interactions page
See every supplement checked against Posaconazole, ranked by severity
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
Coffee Charcoal monograph › Uses, safety, and every drug interaction in one place Posaconazole supplement interactions › Every supplement checked against Posaconazole, ranked by severity Posaconazole drug information › The full plain-English guide to this medication Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Coffee Charcoal and Posaconazole Together: Common Questions

Can you take Coffee Charcoal with Posaconazole?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Coffee Charcoal and Posaconazole interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

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

Still Have a Question About Posaconazole and Coffee Charcoal?

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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.