Drug & supplement interaction

Combretum Micranthum + Filgrastim

Filgrastim brand name: Neupogen.

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 Combretum Micranthum and Filgrastim 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 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.

Know someone taking this? Share
Facebook Post Reddit Email
On this page
Interaction report

Combretum Micranthum and Filgrastim

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 Filgrastim and Combretum Micranthum 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.

Combretum Micranthum safety at a glance

Combretum Micranth... overall Use caution Used widely as a traditional tea, but human safety data are very limited.
Pregnancy Avoid Not enough safety information, so it is best avoided during pregnancy.
Breastfeeding Avoid No reliable safety data while breastfeeding, so avoid use.

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

Still wondering about combining Filgrastim and Combretum Micranthum? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Filgrastim

Interactions in our licensed database are recorded against drug classes, not just single drug names. Filgrastim is filed under a single classification — oral drugs. Combretum Micranthum has documented interactions with 3 drug classes — the most serious being antidiabetes drugs (moderate), antihypertensive drugs (moderate) and diuretic drugs (moderate) — and none of Filgrastim’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

Combretum Micranthum Does Interact With Other Medications

Combretum Micranthum has 265 moderate known drug interactions in our database — Filgrastim isn’t one of them. If you take anything else, check it against the full list below.

Moderate 265 No known interaction 2,565 (incl. Filgrastim)
Taking anything else?

Check Another of Your Medications Against Combretum Micranthum

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

What to actually watch for

No Interaction Found — But Data Suggests Combretum Micranthum and Filgrastim May Share a Side Effect

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.

  • Trouble sleeping Additional detail

    Combretum Micranthum

    “Orally, nocturia resulting in insomnia has been reported rarely.”

    Combretum Micranthum · Natural Medicines adverse-effect record, reported in insomnia.

    1 source cited
    1. 106180. Bourqui A, Niang EAB, Graz B, et al. Hypertension treatment with Combretum micranthum or Hibiscus sabdariffa, as decoction or tablet: a randomized clinical trial. J Hum Hypertens 2020. PubMed

    Filgrastim

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

Reported for Combretum Micranthum but not commonly for Filgrastim: stomach pain and passing urine more often.

Effects for Filgrastim come from the ADVERSE REACTIONS section of its FDA label; effects for Combretum Micranthum come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 41,970 voluntary FDA FAERS reports for Filgrastim 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.

Everything else you take

See Every Supplement That Interacts With Filgrastim

This page covers Combretum Micranthum only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Filgrastim page lists 17 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), Glucomannan (moderate) and Guar Gum (moderate).

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

From our pharmacist’s overview on the Filgrastim page

“Filgrastim (Neupogen) is an injection that raises white blood cell counts, most often to protect people on chemotherapy from infection, and the 17 supplements on file with it deserve real attention rather than a shrug. Nearly all are fibers, gums, and mucilage-rich herbs that can blunt how medicines taken by mouth get absorbed.”

Reviewed by 2 · Jul 18, 2026

Open the Filgrastim interaction page

How much people look this up

Where Combretum Micranthum and Filgrastim 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 Combretum Micranthum
Steady interest

#1,011 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Filgrastim
Top half

#1,127 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 Combretum Micranthum reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Combretum Micranthum and Filgrastim 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 Combretum Micranthum

What is Combretum Micranthum?

Combretum Micranthum
  • Digestive upset
  • Liver and gallbladder support
  • Fever
  • Weight management
  • Mild urinary or fluid retention
  • Traditional opium withdrawal aid

Combretum micranthum (kinkeliba) is a West African shrub whose leaves are brewed into a traditional tea for digestion, liver complaints, and fever. Solid human studies are lacking, so its benefits remain unproven, and people who are pregnant, breastfeeding, or have liver or kidney problems should be cautious and talk to a healthcare professional first.

Combretum micranthum · Combretaceae · Leaves (mainly), and sometimes stems and roots · Tea (herbal infusion or decoction), dried leaf powder, capsules, liquid extracts

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

Combretum Micranthum: dosing

There is no established standardized dose for Combretum micranthum. Traditionally, a handful of dried leaves is steeped in hot water to make a tea, but the strength varies widely from one preparation to another.If you choose to use a commercial product, follow the directions on the label and do not exceed the recommended amount.

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

Read the full Combretum Micranthum monograph & all interactions
Medication

About Filgrastim Injection

What Is Filgrastim Injection Used For?

Brand name: Neupogen

Filgrastim injection (available as Neupogen, Nivestym, and Releuko) is used to lower the risk of serious infection in people whose white blood cell counts drop dangerously low. This can happen during chemotherapy for cancer, during treatment for acute myeloid leukemia (AML), or after bone marrow transplantation. It is also used to help move stem cells from the bone marrow into the bloodstream so they can be collected for transplantation.

In addition, filgrastim is used long-term to reduce infections in people with severe chronic neutropenia — including congenital neutropenia, cyclic neutropenia, and idiopathic neutropenia. Neupogen is also indicated to increase survival in patients acutely exposed to radiation doses that suppress the bone marrow (Hematopoietic Syndrome of Acute Radiation Syndrome).

Most-Reported Side Effects for Filgrastim

From FAERS, the FDA’s public side-effect reporting system (41,970 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Febrile neutropenia 4,555 reports
Neutropenia 3,641 reports
Fever 3,033 reports
Diarrhea 2,461 reports
Nausea 2,206 reports
See full Filgrastim Injection drug information
Keep checking

Other Drugs & Combretum Micranthum

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

0Major
265Moderate
0Minor
2,564No known interaction
265 Moderate 2,564 No interaction
Moderate

265 interactions

Showing 60 of 265 moderate interactions — see all 265 on the Combretum Micranthum page.

No interaction 2,564 drugs checked — show the list

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

Showing the 60 most looked-up of 2,564 medications checked with no known interaction — see the full Combretum Micranthum list.

See the full Combretum Micranthum interactions page
See every supplement checked against Filgrastim, ranked by severity
Evidence & sources

Combretum Micranthum References

The 4 references that drive our Combretum Micranthum 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. Bourqui A, Niang EAB, Graz B, et al. Hypertension treatment with Combretum micranthum or Hibiscus sabdariffa, as decoction or tablet: a randomized clinical trial. J Hum Hypertens 2020. PubMed
  2. Kpemissi M, Potârniche AV, Lawson-Evi P, et al. Nephroprotective effect of Combretum micranthum G. Don in nicotinamide-streptozotocin induced diabetic nephropathy in rats: In-vivo and in-silico experiments. J Ethnopharmacol 2020;261:113133. PubMed
  3. Chika A, Bello SO. Antihyperglycaemic activity of aqueous leaf extract of Combretum micranthum (Combretaceae) in normal and alloxan-induced diabetic rats. J Ethnopharmacol 2010;129(1):34-7. PubMed
  4. Seck SM, Doupa D, Dia DG, et al. Clinical efficacy of African traditional medicines in hypertension: A randomized controlled trial with Combretum micranthum and Hibiscus sabdariffa. J Hum Hypertens 2017;32(1):75-81. 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.

Pharmacist Counseling Corner

Taking Combretum Micranthum and Filgrastim Together: Common Questions

Is it safe to take Combretum Micranthum with Filgrastim?
We do not list a known interaction between Combretum Micranthum and Filgrastim. 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 Combretum Micranthum and Filgrastim have any of the same side effects?
Yes — our sources link each of them separately to one 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.
How was the Combretum Micranthum and Filgrastim combination checked?
Interactions in our licensed database are recorded against drug classes. Filgrastim is filed under 1 classification, and Combretum Micranthum has documented interactions with 3 drug classes — none of Filgrastim'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 Combretum Micranthum interact with any other medications?
Yes. Combretum Micranthum has 265 documented drug interactions in our database — Filgrastim 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 Filgrastim interact with any supplements?
Yes. Filgrastim has documented interactions with 17 supplements in our database — Combretum Micranthum is not one of them. The Filgrastim 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

Combretum Micranthum monograph Uses, safety profile, and every drug interaction in one place Filgrastim Injection drug information The full plain-English guide to this medication Filgrastim supplement interactions Every supplement checked against Filgrastim, 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 4 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Filgrastim and Combretum Micranthum?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.