Drug & supplement interaction

Columbine + Idelalisib

Idelalisib brand name: Zydelig.

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

We found no known interaction between Columbine and Idelalisib 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

Columbine and Idelalisib

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 Idelalisib and Columbine 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.

Worth understanding: our licensed dataset holds no drug-interaction record for Columbine at all — not against Idelalisib, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

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.

Columbine safety at a glance

Columbine overall Avoid Parts of the plant—especially seeds and roots—can be toxic, and safe use is not established.
Pregnancy Avoid Not enough safety data and potential toxicity make use during pregnancy unsafe.
Breastfeeding Avoid Safety has not been studied, so it is best avoided while breastfeeding.

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

Still wondering about combining Idelalisib and Columbine? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Idelalisib’s Own FDA Label Lists

This is not an interaction — none of it involves Columbine. These are the most notable effects listed in the ADVERSE REACTIONS section of Idelalisib’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 8 of them are worth acting on rather than waiting out — marked below.

  • Dehydration Worth acting on mentioned in 3.5% of FDA reports for Idelalisib
  • A severe skin reaction Worth acting on
  • A low platelet count Worth acting on
  • Anemia Worth acting on
  • A low white blood cell count Worth acting on
  • A higher chance of infection Worth acting on mentioned in 6.2% of FDA reports for Idelalisib
  • Liver problems Worth acting on
  • An allergic reaction Worth acting on
  • Heartburn
  • Chills

Showing the 10 most notable of 22 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Idelalisib. Read the label on DailyMed › Where a percentage is shown, it is the share of 7,040 voluntary FDA FAERS reports for Idelalisib that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Columbine’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Columbine side to compare — that is a limit of the record, not a statement that Columbine has no side effects.

Everything else you take

See Every Supplement That Interacts With Idelalisib

This page covers Columbine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Idelalisib page lists 143 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 · 100 moderate · 40 minor.

From our pharmacist’s overview on the Idelalisib page

“Idelalisib (Zydelig) treats certain blood cancers, work that leaves little room for error, so start with the three major-rated entries on this page. Grapefruit raises idelalisib levels and the risk of side effects with them, St.”

Reviewed by 2 · Jul 18, 2026

Open the Idelalisib interaction page

One more smart check

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

We hold 6 real supplement products containing Columbine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Columbine. Even though Columbine itself has no known interaction with Idelalisib, 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 Columbine and Idelalisib 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 Columbine
Steady interest

#1,049 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Idelalisib
Steady interest

#2,226 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. Columbine is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Columbine reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Columbine and Idelalisib records this page draws on were last updated June 22, 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 Columbine

What is Columbine?

  • Skin sores and rashes (traditional)
  • Sore throat and mouth irritation (traditional)
  • Minor wounds (traditional, topical)
  • General folk remedy

Columbine is a flowering plant once used in traditional folk medicine, but there is very little modern scientific evidence that it works for any health condition. It belongs to the buttercup family, which contains potentially toxic compounds, so it is not recommended as a supplement and the seeds and roots in particular can be poisonous. If you are considering any herbal product, talk with your pharmacist or doctor first.

Aquilegia vulgaris · Ranunculaceae · Flowers, leaves, and root (used historically) · Rarely used today; historically prepared as teas, poultices, or tinctures

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

Columbine: dosing

There is no established or recommended dose for columbine. It is not a standard supplement, and safe amounts have not been determined through scientific study.Because of its potential toxicity, we do not recommend taking columbine. If you come across a product that contains it, follow the product label only after checking with a pharmacist or doctor, and do not exceed any directions given.

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

Read the full Columbine monograph & all interactions
Medication

About Idelalisib

What Is Idelalisib Used For?

Brand name: Zydelig

Zydelig (idelalisib) is approved to treat relapsed chronic lymphocytic leukemia (CLL) — a cancer of the blood and bone marrow — when used together with rituximab. It is specifically for patients who have already received treatment and for whom rituximab alone would be appropriate due to other health conditions.

Zydelig is not approved or recommended as a first-line (initial) treatment for CLL or any other cancer, including small lymphocytic lymphoma (SLL) or follicular lymphoma (FL). It is also not approved in combination with bendamustine and rituximab, or with rituximab alone, for FL, SLL, or other slow-growing non-Hodgkin lymphomas.

Most-Reported Side Effects for Idelalisib

From FAERS, the FDA’s public side-effect reporting system (7,040 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Disease progression 1,225 reports
Diarrhea 771 reports
Pneumonia 437 reports
Fever 375 reports
Fatigue 301 reports
See full Idelalisib drug information
Keep checking

Other Drugs & Columbine

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

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

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

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Columbine list.

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

Columbine References

The 1 sources that drive our Columbine monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Columbine is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Poisonous Plants — MedlinePlus Source

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 Columbine and Idelalisib Together: Common Questions

Is it safe to take Columbine with Idelalisib?
We do not list a known interaction between Columbine and Idelalisib. 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.
Does Idelalisib interact with any supplements?
Yes. Idelalisib has documented interactions with 143 supplements in our database — Columbine is not one of them. The Idelalisib 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

Columbine monograph Uses, safety profile, and every drug interaction in one place Idelalisib drug information The full plain-English guide to this medication Idelalisib supplement interactions Every supplement checked against Idelalisib, 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 1 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Idelalisib and Columbine?

Our pharmacists answer your medication & supplement questions — free.

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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.