Drug & supplement interaction

Combretum Micranthum + Treprostinil (IV)

Treprostinil (IV) brand name: Remodulin.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated July 2026 · Pair last verified Sep 13, 2026

The bottom line No known interaction

We found no known interaction between Combretum Micranthum and Treprostinil (IV) 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.

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Interaction report

Combretum Micranthum and Treprostinil (IV)

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 Treprostinil (IV) 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 Treprostinil (IV) and Combretum Micranthum? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Treprostinil (IV)

Interactions in our licensed database are recorded against drug classes, not just single drug names. Treprostinil (IV) is filed under 3 classifications — vasodilators, cytochrome p450 2c8 (cyp2c8) substrates, anticoagulant/antiplatelet 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 Treprostinil (IV)’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 — Treprostinil (IV) 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. Treprostinil (IV))

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 Treprostinil (IV) 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.

Stomach pain Additional detail
Combretum Micranthum
“Orally, abdominal pain has been reported.”

Combretum Micranthum · Natural Medicines adverse-effect record, reported in pain.
2 sources cited

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

106191. 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
Treprostinil (IV)

Listed in the ADVERSE REACTIONS section of the FDA label for Treprostinil (IV). Read the label on DailyMed ›

Reported for Combretum Micranthum but not commonly for Treprostinil (IV): trouble sleeping and passing urine more often.

Effects for Treprostinil (IV) come from the ADVERSE REACTIONS section of its FDA label; effects for Combretum Micranthum come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Overlapping uses

What Treprostinil (IV) Is Prescribed For, and What Combretum Micranthum Has Been Studied For

These two come up together because they touch the same health topic — not because they do the same job. Treprostinil (IV) is a prescription medicine with approved uses on its FDA label. Combretum Micranthum is a supplement: what follows is what researchers have looked at it for, and how strong that evidence is.

Treprostinil (IV) is prescribed for: Treprostinil injection is used to treat pulmonary arterial hypertension (PAH, WHO Group 1) — high blood pressure in the arteries that supply the lungs. It works to reduce the symptoms that make exercise difficult. Clinical studies included patients with moderate-to-severe PAH symptoms (NYHA Class II–IV) due to idiopathic or heritable PAH, PAH related to congenital heart defects, and PAH related to connective tissue diseases. It is also used for PAH patients who need to transition off epoprostenol — a related medication — to slow the worsening of their condition during that switch.

Read the rest of what Treprostinil (IV) is prescribed for

The risks and benefits of the transition should be carefully discussed with a specialist before starting.

Combretum Micranthum has been studied for:

Hypertension studied, not established Combretum Micranthum has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

Combretum Micranthum for hypertension

Small clinical studies suggest that oral Combretum micranthum leaf is beneficial in patients with hypertension.

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 Treprostinil (IV) on your own; if you are taking Combretum Micranthum for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

Everything else you take

See Every Supplement That Interacts With Treprostinil (IV)

This page covers Combretum Micranthum only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Treprostinil (IV) page lists 212 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: American Mistletoe (major), Danshen (major), Piracetam (major), Aconite (moderate) and African Wild Potato (moderate).

By severity: 3 major · 191 moderate · 18 minor.

From our pharmacist’s overview on the Treprostinil (IV) page

“Bleeding risk is the thread running through nearly every supplement flagged for treprostinil (Remodulin), the IV therapy for pulmonary arterial hypertension. The drug itself discourages platelets from clumping, so the overwhelming majority of these ingredients could push that tendency further, and I would not add anything from this pag…”

Reviewed by 2 · Jul 18, 2026

Open the Treprostinil (IV) interaction page

How much people look this up

Where Combretum Micranthum and Treprostinil (IV) 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

#1,431 of 1,452 supplements looked up here in the last 7 days

29 days ago today

Medication Treprostinil (IV)

Top 25%

#439 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 13, 2026. The Combretum Micranthum and Treprostinil (IV) 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 Dr. Brian Staiger, PharmD, BCPS.

Supplement

About Combretum Micranthum

What is 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 Treprostinil Injection

What Is Treprostinil Injection Used For?

Brand name: Remodulin

Treprostinil injection is used to treat pulmonary arterial hypertension (PAH, WHO Group 1) — high blood pressure in the arteries that supply the lungs. It works to reduce the symptoms that make exercise difficult. Clinical studies included patients with moderate-to-severe PAH symptoms (NYHA Class II–IV) due to idiopathic or heritable PAH, PAH related to congenital heart defects, and PAH related to connective tissue diseases.

It is also used for PAH patients who need to transition off epoprostenol — a related medication — to slow the worsening of their condition during that switch. The risks and benefits of the transition should be carefully discussed with a specialist before starting.

See full Treprostinil 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 Treprostinil (IV), 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.

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
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
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
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 Treprostinil (IV) Together: Common Questions

Is it safe to take Combretum Micranthum with Treprostinil (IV)?

We do not list a known interaction between Combretum Micranthum and Treprostinil (IV). 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 Treprostinil (IV) 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.

Are Combretum Micranthum and Treprostinil (IV) used for the same thing?

They overlap in purpose, which usually means the real question is whether you need both rather than whether they are safe together. This page lists the shared uses and how strong the evidence is for Combretum Micranthum in each. That is a conversation for your prescriber, especially if Treprostinil (IV) is being adjusted to a target.

How was the Combretum Micranthum and Treprostinil (IV) combination checked?

Interactions in our licensed database are recorded against drug classes. Treprostinil (IV) is filed under 3 classifications, and Combretum Micranthum has documented interactions with 3 drug classes — none of Treprostinil (IV)'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 — Treprostinil (IV) 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 Treprostinil (IV) interact with any supplements?

Yes. Treprostinil (IV) has documented interactions with 212 supplements in our database — Combretum Micranthum is not one of them. The Treprostinil (IV) 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 Treprostinil Injection drug information The full plain-English guide to this medication Treprostinil (IV) supplement interactions Every supplement checked against Treprostinil (IV), 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 Treprostinil (IV) and Combretum Micranthum?

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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.