Drug & supplement interaction

Cordyceps + Tiagabine

Tiagabine brand name: Gabitril.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Cordyceps and Tiagabine 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 label for Tiagabine states a food rule worth keeping to, and 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

Cordyceps and Tiagabine

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 Tiagabine and Cordyceps 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.

Cordyceps safety at a glance

Cordyceps overall Use caution Generally well tolerated short-term, but evidence is limited and product quality varies widely.
Pregnancy Avoid Not enough safety data, so it is best avoided during pregnancy.
Breastfeeding Avoid Not enough safety data, 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 Tiagabine and Cordyceps? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Tiagabine

Interactions in our licensed database are recorded against drug classes, not just single drug names. Tiagabine is filed under 6 classifications — including anticonvulsants, cns depressants, seizure threshold lowering drugs. Cordyceps has documented interactions with 3 drug classes — the most serious being anticoagulant/antiplatelet drugs (moderate), immunosuppressants (moderate) and testosterone (minor) — and none of Tiagabine’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

Cordyceps Does Interact With Other Medications

Cordyceps has 241 moderate, 8 minor known drug interactions in our database — Tiagabine isn’t 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.

What to actually watch for

No Interaction Found — But Data Suggests Cordyceps and Tiagabine May Share Several of the Same Side Effects

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.

  • Dry mouth Additional detail

    Cordyceps

    “Orally, cordyceps has been associated with diarrhea, constipation, abdominal discomfort, dry mouth, and throat discomfort in clinical research. However, these events were uncommon, and in some cases symptoms could be reduced by taking cordyceps after eating.”

    Cordyceps · Natural Medicines adverse-effect record, reported in constipation.

    3 sources cited
    1. 92829. Zhang HW, Lin ZX, Tung YS, Kwan TH, Mok CK, Leung C, Chan LS. Cordyceps sinensis (a traditional Chinese medicine) for treating chronic kidney disease (Review). Cochrane Database Syst Rev. 2014;(12):CD008353. doi: 10.1002/14651858.CD008353.pub2. PubMed
    2. 105076. Bee Yean O, Zoriah A. Efficacy of Cordyceps sinensis as an adjunctive treatment in hemodialysis patients: a systematic review and Meta-analysis. J Tradit Chin Med. 2019;39(1):1-14.
    3. 109705. Yu X, Mao Y, Shergis JL, et al. Effectiveness and safety of oral Cordyceps sinensis on stable COPD of GOLD stages 2-3: Systematic review and meta-analysis. Evid Based Complement Alternat Med. 2019;2019:4903671.

    Tiagabine

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

  • Reduced appetite Additional detail

    Cordyceps

    “Two cases of lead poisoning, characterized by loss of appetite and other symptoms, have been reported for patients taking cordyceps powder. After discontinuing cordyceps supplementation, both patients were treated with chelating agents.”

    Cordyceps · Natural Medicines adverse-effect record, reported in poisoning.

    1 source cited
    1. 46135. Wu, T. N., Yang, K. C., Wang, C. M., Lai, J. S., Ko, K. N., Chang, P. Y., and Liou, S. H. Lead poisoning caused by contaminated Cordyceps, a Chinese herbal medicine: two case reports. Sci.Total Environ. 4-5-1996;182(1-3):193-195. PubMed

    Tiagabine

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

  • Stomach upset / Constipation / Diarrhea Additional detail

    Cordyceps

    “Orally, cordyceps seems to be generally well tolerated when used for up to 1 year.

    Most Common Adverse Effects:

    Orally: Abdominal discomfort, constipation, diarrhea.”

    Cordyceps · Natural Medicines adverse-effect record, reported in constipation.

    Tiagabine

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

Reported for Cordyceps but not commonly for Tiagabine: liver problems and yellowing of the skin or eyes.

Effects for Tiagabine come from the ADVERSE REACTIONS section of its FDA label; effects for Cordyceps 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.

How to take them

Some Tiagabine Products Have a Food Rule — Cordyceps Should Not Break It

At least one FDA label for a product containing Tiagabine says to take it with food. If you take Cordyceps on an empty stomach out of habit, keep them separate — and take Tiagabine with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Tiagabine products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

The following dosing recommendations apply to all patients taking tiagabine HCl: Tiagabine HCl is given orally and should be taken with food.

From the Dosage and Administration section of the FDA label we read for Tiagabine — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Tiagabine

This page covers Cordyceps only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Tiagabine page lists 214 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major) and Grapefruit (major).

By severity: 9 major · 157 moderate · 48 minor.

From our pharmacist’s overview on the Tiagabine page

“Anyone taking tiagabine (Gabitril) for seizures should treat its supplement interactions with real vigilance. The drug is cleared by the liver enzyme CYP3A4, so grapefruit can push its blood level up while St.”

Reviewed by 2 · Jul 18, 2026

Open the Tiagabine 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. Even though Cordyceps itself has no known interaction with Tiagabine, 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 Cordyceps and Tiagabine 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%

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

29 days ago today
Medication Tiagabine
Steady interest

#1,948 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 Cordyceps reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Cordyceps and Tiagabine 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 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.

Ophiocordyceps sinensis · Ophiocordycipitaceae · Whole fungus (fruiting body and mycelium), often grown in culture as the Cs-4 strain · Capsules, tablets, powders, extracts, teas, and tinctures

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

Cordyceps: dosing

There is no official or standardized dose for cordyceps. Doses used in studies have varied widely depending on the product, species, and extract type.The best approach is to follow the directions on the product label and not exceed the recommended amount.

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

Read the full Cordyceps monograph & all interactions
Medication

About Tiagabine

What Is Tiagabine Used For?

Brand name: Gabitril

Tiagabine hydrochloride tablets are approved as add-on (adjunctive) therapy for partial seizures in adults and adolescents aged 12 and older. It is not used alone — it is always added to an existing seizure medication regimen.

Both the film-coated and standard tablet forms of tiagabine hydrochloride carry this same indication. The safety and effectiveness of tiagabine have not been established for any other condition.

See full Tiagabine 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
241Moderate
8Minor
2,580No known interaction
Moderate

241 interactions

Showing 60 of 241 moderate interactions — see all 241 on the Cordyceps page.

Minor

8 interactions

No interaction 2,580 drugs checked — show the list
Evidence & sources

Cordyceps References

The 14 references that drive our Cordyceps 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. 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. Zhao Y. [Inhibitory effects of alcoholic extract of Cordyceps sinensis on abdominal aortic thrombus formation in rabbits]. Chung Hua I Hsueh Tsa Chih (Taipei) 1991;71:612-5, 42.
  5. 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.
  6. 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.
  7. Hsu, C. C., Huang, Y. L., Tsai, S. J., Sheu, C. C., and Huang, B. M. In vivo and in vitro stimulatory effects of Cordyceps sinensis on testosterone production in mouse Leydig cells. Life Sci 9-5-2003;73(16):2127-2136. PubMed
  8. Ikumoto, T., Sasaki, S., Namba, H., Toyama, R., Moritoki, H., and Mouri, T. [Physiologically active compounds in the extracts from tochukaso and cultured mycelia of Cordyceps and Isaria]. Yakugaku Zasshi 1991;111(9):504-509. PubMed
  9. Wu, T. N., Yang, K. C., Wang, C. M., Lai, J. S., Ko, K. N., Chang, P. Y., and Liou, S. H. Lead poisoning caused by contaminated Cordyceps, a Chinese herbal medicine: two case reports. Sci.Total Environ. 4-5-1996;182(1-3):193-195. PubMed
  10. 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.
  11. Zhang HW, Lin ZX, Tung YS, Kwan TH, Mok CK, Leung C, Chan LS. Cordyceps sinensis (a traditional Chinese medicine) for treating chronic kidney disease (Review). Cochrane Database Syst Rev. 2014;(12):CD008353. doi: 10.1002/14651858.CD008353.pub2. PubMed
  12. Bee Yean O, Zoriah A. Efficacy of Cordyceps sinensis as an adjunctive treatment in hemodialysis patients: a systematic review and Meta-analysis. J Tradit Chin Med. 2019;39(1):1-14.
  13. Thurian D, Montani M, Stickel F. Drug-induced, mixed-type hepatitis following ingestion of Cordyceps sinensis. Int J Clin Pharmacol Ther 2022;60(2):115-120. PubMed
  14. Yu X, Mao Y, Shergis JL, et al. Effectiveness and safety of oral Cordyceps sinensis on stable COPD of GOLD stages 2-3: Systematic review and meta-analysis. Evid Based Complement Alternat Med. 2019;2019:4903671.

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 Cordyceps and Tiagabine Together: Common Questions

Is it safe to take Cordyceps with Tiagabine?
We do not list a known interaction between Cordyceps and Tiagabine. 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 Cordyceps and Tiagabine have any of the same side effects?
Yes — our sources link each of them separately to 5 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.
Should I take Cordyceps and Tiagabine at the same time of day?
At least one FDA label for a product containing Tiagabine says to take it with food. If you take Cordyceps on an empty stomach out of habit, keep them separate and take Tiagabine with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Tiagabine products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Cordyceps and Tiagabine combination checked?
Interactions in our licensed database are recorded against drug classes. Tiagabine is filed under 6 classifications, and Cordyceps has documented interactions with 3 drug classes — none of Tiagabine'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 Cordyceps interact with any other medications?
Yes. Cordyceps has 249 documented drug interactions in our database — Tiagabine 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 Tiagabine interact with any supplements?
Yes. Tiagabine has documented interactions with 214 supplements in our database — Cordyceps is not one of them. The Tiagabine interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Tiagabine 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.