Drug & supplement interaction

Cowhage + Gliclazide

Gliclazide brand name: Diamicron.

Moderate Interaction
Medically reviewed by · Updated September 2026
The bottom line Moderate

Cowhage has a moderate interaction with Gliclazide. Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.

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

Cowhage and Gliclazide

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

Moderate

ANTIDIABETES DRUGS

Why this applies to Gliclazide

Gliclazide falls under ANTIDIABETES DRUGS — the group Cowhage interacts with.

Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Animal research shows that cowhage might have hypoglycemic effects.
Severity Moderate Likelihood Possible Evidence D

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 simple version: gliclazide is a medication that lowers your blood sugar by getting your body to release more insulin. Cowhage may have a mild blood-sugar-lowering effect of its own, so putting the two together could, in theory, push your sugar down a little too far. That's called hypoglycemia, and with gliclazide it can show up as shakiness, sweating, a racing heart, confusion, or feeling lightheaded.

I want to be honest about the strength of this concern. The only evidence here comes from animal studies, not people, so it's more of a theoretical caution than a proven problem. Still, if you're considering cowhage, please check with your pharmacist or doctor first, and keep an eye on your blood sugar readings.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Akhtar MS, Qureshi AQ, Iqbal J. Antidiabetic evaluation of Mucuna pruriens, Linn seeds. J Pak Med Assoc 1990;40:147-50.

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

Cowhage Also Interacts With Other Medications

Cowhage has 17 major, 175 moderate known drug interactions in our database — the Gliclazide one above is one of them. If you take anything else, check it against the full list below.

Major 17 Moderate 175 No known interaction 2,638 (incl. Gliclazide)
Taking anything else?

Check Another of Your Medications Against Cowhage

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

Everything else you take

See Every Supplement That Interacts With Gliclazide

This page covers Cowhage only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Gliclazide page lists 334 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Siberian Cocklebur (major), Wine (major) and Acai (moderate).

By severity: 4 major · 283 moderate · 47 minor.

From our pharmacist’s overview on the Gliclazide page

“Gliclazide (Diamicron) lowers blood sugar on its own, so a supplement list this long deserves real respect. Most of the entries are herbs and nutrients that also drop glucose, fenugreek, bitter melon, and ginseng among them, and stacking them on top can tip you into hypoglycemia, meaning blood sugar low enough to cause shakiness, sweat…”

Reviewed by 2 · Jul 18, 2026

Open the Gliclazide interaction page

One more smart check

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

We hold 1,218 real supplement products containing Cowhage, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Cowhage. Your product may carry other ingredients that interact with Gliclazide too, on top of Cowhage — 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 Cowhage and Gliclazide 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 Cowhage
Top 10%

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

29 days ago today
Medication Gliclazide
Steady interest

#1,632 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 Cowhage

What is Cowhage?

  • Parkinson's disease symptoms
  • Male fertility and libido
  • Mood and stress support
  • Traditional aphrodisiac
  • General energy and vitality

Cowhage (Mucuna pruriens) is a tropical legume best known as a natural source of L-dopa, the compound the body turns into dopamine. It is most studied for Parkinson's disease symptoms and male fertility, but evidence is still limited and the L-dopa content makes it potentially powerful and risky—talk to your doctor or pharmacist before using it.

Read the full Cowhage monograph & all interactions
Keep checking

Other Drugs & Cowhage

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

17Major
175Moderate
0Minor
2,637No known interaction
17 Major 175 Moderate 2,637 No interaction
Major

17 interactions

Moderate

175 interactions

Showing 60 of 175 moderate interactions — see all 175 on the Cowhage page.

No interaction 2,637 drugs checked — show the list

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

Showing the 60 most looked-up of 2,637 medications checked with no known interaction — see the full Cowhage list.

See the full Cowhage interactions page
See every supplement checked against Gliclazide, ranked by severity
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

Keep exploring
Cowhage monograph › Uses, safety, and every drug interaction in one place Gliclazide supplement interactions › Every supplement checked against Gliclazide, 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 Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Cowhage and Gliclazide Together: Common Questions

Can you take Cowhage with Gliclazide?
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 Cowhage and Gliclazide 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 Gliclazide and Cowhage?

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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.