Drug & supplement interaction

Cotton + Safinamide Mesylate

Safinamide Mesylate brand name: Xadago.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Cotton and Safinamide Mesylate 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

Cotton and Safinamide Mesylate

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 Safinamide Mesylate and Cotton 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 Cotton at all — not against Safinamide Mesylate, 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.

Cotton safety at a glance

Cotton overall Use caution Cottonseed and root contain gossypol, which can be toxic in higher amounts; medicinal use is not well studied.
Pregnancy Likely Unsafe When used orally because it is a possible abortifacient and uterine stimulant. Read the full pregnancy detail
Breastfeeding Avoid Safety is unknown and gossypol may pass risks to the infant, so avoid while breastfeeding.

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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

What Safinamide Mesylate’s Own FDA Label Lists

This is not an interaction — none of it involves Cotton. These are the most notable effects listed in the ADVERSE REACTIONS section of Safinamide Mesylate’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. 6 of them are worth acting on rather than waiting out — marked below.

  • Hallucinations Worth acting on mentioned in 11.5% of FDA reports for Safinamide Mesylate
  • Serotonin syndrome Worth acting on
  • Confusion Worth acting on
  • Raised blood pressure Worth acting on
  • Shortness of breath Worth acting on
  • An allergic reaction Worth acting on
  • Cough
  • Low blood pressure
  • Anxiety or restlessness
  • Trouble sleeping

Showing the 10 most notable of 15 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 Safinamide Mesylate. Read the label on DailyMed › Where a percentage is shown, it is the share of 1,257 voluntary FDA FAERS reports for Safinamide Mesylate that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Cotton’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Cotton side to compare — that is a limit of the record, not a statement that Cotton has no side effects.

Special populations

Cotton in Pregnancy & Breastfeeding

Pregnancy Likely Unsafe

When used orally because it is a possible abortifacient and uterine stimulant.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With Safinamide Mesylate

This page covers Cotton only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Safinamide Mesylate page lists 81 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Bitter Orange (major), Brewer's Yeast (major) and Cowhage (major).

By severity: 14 major · 56 moderate · 11 minor.

Open the Safinamide Mesylate interaction page

One more smart check

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

We hold 8 real supplement products containing Cotton, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Cotton. Even though Cotton itself has no known interaction with Safinamide Mesylate, 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 Cotton and Safinamide Mesylate 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 Cotton
Steady interest

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

29 days ago today
Medication Safinamide Mesylate
Top half

#722 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 Cotton reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Cotton and Safinamide Mesylate records this page draws on were last updated July 11, 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 Cotton

What is Cotton?

  • Menstrual cramps and bringing on menses
  • Cooking oil (cottonseed oil)
  • Traditional use as a contraceptive (gossypol)
  • Breast milk flow (traditional)
  • Skin and wound care (folk use)

Cotton is best known as a fiber and food-oil crop, but its root bark and seed have a long history in folk medicine for menstrual and reproductive complaints. Its seed pigment, gossypol, was studied as a male contraceptive but proved too toxic, and there is no good evidence that cotton supplements are safe or effective for any health condition. Talk to a pharmacist or doctor before using any cotton-derived product medicinally.

Gossypium hirsutum · Malvaceae · Root bark, seed, and seed oil (cottonseed oil) · Cottonseed oil, root bark extract/tincture, capsules

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

Cotton: dosing

There is no established safe or effective dose for cotton as a dietary supplement. Do not try to make your own preparations from cotton plant material.

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

Read the full Cotton monograph & all interactions
Medication

About Safinamide

What Is Safinamide Used For?

Brand name: Xadago

Xadago (safinamide) is used as an add-on treatment for adults with Parkinson's disease who are already taking levodopa/carbidopa and experiencing 'off' episodes — times when the medication wears off and Parkinson's symptoms return before the next dose is due.

Xadago is not used alone; it works only in combination with levodopa/carbidopa.

See full Safinamide drug information
Keep checking

Other Drugs & Cotton

Browse every other medication we’ve checked against Cotton — 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 Cotton 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 Cotton list.

See the full Cotton interactions page
See every supplement checked against Safinamide Mesylate, ranked by severity
Evidence & sources

Cotton References

The 2 references that drive our Cotton 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. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  2. Ankrah, N. A., Nyarko, A. K., Addo, P. G., Ofosuhene, M., Dzokoto, C., Marley, E., Addae, M. M., and Ekuban, F. A. Evaluation of efficacy and safety of a herbal medicine used for the treatment of malaria. Phytother.Res 2003;17(6):697-701. 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 Cotton and Safinamide Mesylate Together: Common Questions

Is it safe to take Cotton with Safinamide Mesylate?
We do not list a known interaction between Cotton and Safinamide Mesylate. 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 Safinamide Mesylate interact with any supplements?
Yes. Safinamide Mesylate has documented interactions with 81 supplements in our database — Cotton is not one of them. The Safinamide Mesylate 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

Cotton monograph Uses, safety profile, and every drug interaction in one place Safinamide drug information The full plain-English guide to this medication Safinamide Mesylate supplement interactions Every supplement checked against Safinamide Mesylate, 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 2 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Safinamide Mesylate and Cotton?

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.