Drug & supplement interaction

Cordyceps + Eculizumab

Eculizumab brand name: Soliris.

Moderate Interaction
The bottom line Moderate

Cordyceps has a moderate interaction with Eculizumab. Theoretically, concurrent use of cordyceps might interfere with immunosuppressive therapy.

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

Cordyceps and Eculizumab

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

Moderate

IMMUNOSUPPRESSANTS

Why this applies to Eculizumab

Eculizumab falls under IMMUNOSUPPRESSANTS — the group Cordyceps interacts with.

Theoretically, concurrent use of cordyceps might interfere with immunosuppressive therapy.
Animal and in vitro research suggests that cordyceps stimulates the immune system. However, limited clinical research suggests that taking cordyceps may lower the necessary therapeutic dose of the immunosuppressant cyclosporine, which suggests that cordyceps may have an immunosuppressive effect.
Severity Moderate Likelihood Possible Evidence B

Interaction 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.

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

Here's the honest picture with cordyceps and Soliris (eculizumab). Eculizumab is a lab-made antibody that you receive as an infusion. It works by blocking part of your immune system called complement, and it isn't broken down by the liver enzymes that supplements usually tinker with. So cordyceps is very unlikely to change your eculizumab blood levels directly.

The bigger question is how cordyceps affects your immune system. Lab and animal studies hint it might stimulate immunity, which could theoretically work against the immune-calming purpose of your treatment. Other limited research suggests the opposite. Honestly, the evidence is thin and conflicting, so don't panic. Since eculizumab already raises your infection risk, please run cordyceps by your doctor or pharmacist before adding it.

References
  1. Zhu JS, Halpern GM, Jones K. The scientific rediscovery of an ancient Chinese herbal medicine: Cordyceps sinensis: part I. J Altern Complement Med 1998;4:289-303.
  2. Zhu JS, Halpern GM, Jones K. The scientific rediscovery of a precious ancient Chinese herbal regimen: Cordyceps sinensis: part II. J Altern Complement Med 1998;4:429-57.
  3. Chen YJ, Shiao MS, Lee SS, Wang SY. Effect of Cordyceps sinensis on the proliferation and differentiation of human leukemic U937 cells. Life Sci 1997;60:2349-59. PubMed
  4. Chen GZ, Chen GL, Sun T, et al. Effects of Cordyceps sinensis on murine T lymphocyte subsets. Chin Med J (English) 1991;104:4-8.
  5. Zhu XY, Yu HY. [Immunosuppressive effect of cultured Cordyceps sinensis on cellular immune response]. Chung Hsi I Chieh Ho Tsa Chih 1990;10:485-7, 454.
  6. Hong T, Zhang M, Fan J. Cordyceps sinensis (a traditional Chinese medicine) for kidney transplant recipients (Review). Cochrane Database Syst Rev. 2015;(10):CD009698. doi: 10.1002/14651858.CD009698.pub2.

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

Cordyceps Also Interacts With Other Medications

Cordyceps has 240 moderate, 8 minor known drug interactions in our database — the Eculizumab one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Cordyceps

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

Everything else you take

See Every Supplement That Interacts With Eculizumab

This page covers Cordyceps only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Eculizumab page lists 53 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Active Hexose Correlated Compound (ahcc) (moderate), Alfalfa (moderate), American Ginseng (moderate), Andrographis (moderate) and Ashwagandha (moderate).

By severity: 52 moderate · 1 minor.

From our pharmacist’s overview on the Eculizumab page

“People prescribed eculizumab (Soliris) are usually managing a rare blood or nerve condition, and many of them reach for supplements marketed as immune boosters, things like echinacea, ginseng, or medicinal mushrooms. That instinct is exactly what this list is about.”

Reviewed by 2 · Jul 18, 2026

Open the Eculizumab interaction page

One more smart check

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

We hold 2,140 real supplement products containing Cordyceps, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Cordyceps. Your product may carry other ingredients that interact with Eculizumab too, on top of Cordyceps — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Cordyceps and Eculizumab 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 Cordyceps
Top 10%

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

29 days ago today
Medication Eculizumab
Steady interest

#1,462 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 Cordyceps

What is Cordyceps?

Cordyceps
  • Fatigue and low energy
  • Athletic performance and stamina
  • Respiratory and lung support
  • Immune support
  • Kidney health support
  • General wellness/anti-aging

Cordyceps is a fungus used in traditional Chinese medicine for energy, exercise performance, and lung and immune support. Human research is limited and mostly low quality, so its benefits are not well proven. It appears generally well tolerated in the short term, but quality varies and it should be avoided in pregnancy and breastfeeding due to lack of safety data.

Read the full Cordyceps monograph & all interactions
Medication

About Eculizumab Injection

What Is Eculizumab Injection Used For?

Brand name: Soliris

Soliris (eculizumab) injection is approved to treat four serious conditions: paroxysmal nocturnal hemoglobinuria (PNH), a rare blood disorder that causes red blood cell destruction; atypical hemolytic uremic syndrome (aHUS), a condition that causes abnormal blood clotting in small blood vessels; generalized myasthenia gravis (gMG), a neuromuscular disease causing muscle weakness; and neuromyelitis optica spectrum disorder (NMOSD), an inflammatory disease affecting the optic nerves and spinal cord.

For gMG, Soliris is approved for adults and children 6 years and older who test positive for anti-acetylcholine receptor (AChR) antibodies. For NMOSD, Soliris is approved for adults who test positive for anti-aquaporin-4 (AQP4) antibodies. Soliris is not indicated for hemolytic uremic syndrome caused by Shiga toxin-producing E. coli (STEC-HUS).

See full Eculizumab Injection drug information
Keep checking

Other Drugs & Cordyceps

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

0Major
240Moderate
8Minor
2,581No known interaction
Moderate

240 interactions

Showing 60 of 240 moderate interactions — see all 240 on the Cordyceps page.

Minor

8 interactions

No interaction 2,581 drugs checked — show the list
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

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Pharmacist Counseling Corner

Taking Cordyceps and Eculizumab Together: Common Questions

Can you take Cordyceps with Eculizumab?
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 Cordyceps and Eculizumab 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 Eculizumab and Cordyceps?

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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.