Drug & supplement interaction

Cubebs + Bismuth Subcarbonate, Calcium Carbonate, Opium

Bismuth Subcarbonate, Calcium Carbonate, Opium brand name: Diabismul.

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

Cubebs has a minor interaction with Bismuth Subcarbonate, Calcium Carbonate, Opium. Theoretically, due to reports that cubebs increases stomach acid, cubebs might decrease the effectiveness of antacids.

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

Cubebs and Bismuth Subcarbonate, Calcium Carbonate, Opium

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

Minor

ANTACIDS

Why this applies to Bismuth Subcarbonate, Calcium Carbonate, Opium

Bismuth Subcarbonate, Calcium Carbonate, Opium falls under ANTACIDS — the group Cubebs interacts with.

Theoretically, due to reports that cubebs increases stomach acid, cubebs might decrease the effectiveness of antacids.
Severity Minor 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 gist with this combo. Your medication contains calcium carbonate, an antacid that works by neutralizing stomach acid, plus bismuth and a small amount of opium to settle the gut and slow diarrhea. The concern with cubebs is simple: there are old reports suggesting cubebs may bump up stomach acid. If that's true, it could partly work against the acid-neutralizing job of the calcium carbonate, so you might get a little less heartburn or indigestion relief.

Honestly, this is a minor, theoretical worry based on weak, anecdotal evidence. A pinch of cubeb used as a kitchen spice almost certainly won't matter. Concentrated extracts or oils are a different story, so check with your pharmacist before using those regularly.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.

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

Cubebs Also Interacts With Other Medications

Cubebs has 643 moderate, 21 minor known drug interactions in our database — the Bismuth Subcarbonate, Calcium Carbonate, Opium one above is one of them. If you take anything else, check it against the full list below.

Moderate 643 Minor 21 No known interaction 2,166 (incl. Bismuth Subcarbonate, Calcium Carbonate, Opium)
Taking anything else?

Check Another of Your Medications Against Cubebs

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

Everything else you take

See Every Supplement That Interacts With Bismuth Subcarbonate, Calcium Carbonate, Opium

This page covers Cubebs only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Bismuth Subcarbonate, Calcium Carbonate, Opium page lists 30 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Cinchona (moderate), Coffee Charcoal (moderate), European Mandrake (moderate) and Glucomannan (moderate).

By severity: 1 major · 10 moderate · 19 minor.

From our pharmacist’s overview on the Bismuth Subcarbonate, Calcium Carbonate, Opium page

“Diabismul (bismuth subcarbonate, calcium carbonate, and opium) is an older antidiarrheal, and its supplement interactions deserve real attention, starting with activated charcoal, the single major-rated entry on this page. Charcoal binds a wide swath of medicines in the gut and can sharply cut how much your body absorbs.”

Reviewed by 2 · Jul 18, 2026

Open the Bismuth Subcarbonate, Calcium Carbonate, Opium interaction page

One more smart check

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

We hold 19 real supplement products containing Cubebs, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Cubebs. Your product may carry other ingredients that interact with Bismuth Subcarbonate, Calcium Carbonate, Opium too, on top of Cubebs — 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 Cubebs and Bismuth Subcarbonate, Calcium Carbonate, Opium 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 Cubebs
Top half

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

29 days ago today
Medication Bismuth Subcarbonate, Calcium Carbonate, Opium
Top half

#1,011 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 Cubebs

What is Cubebs?

Cubebs
  • Coughs and bronchitis
  • Indigestion and gas
  • Urinary tract complaints
  • Sore throat
  • Culinary spice

Cubebs are spicy, peppery berries from a vine in the pepper family that have long been used in traditional medicine for coughs, digestion, and urinary problems. Modern human studies are very limited, so its benefits are not well proven. Use it cautiously as a food spice, and talk to your pharmacist or doctor before using concentrated extracts or oils.

Read the full Cubebs monograph & all interactions
Keep checking

Other Drugs & Cubebs

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

0Major
643Moderate
21Minor
2,165No known interaction
643 Moderate 21 Minor 2,165 No interaction
Moderate

643 interactions

Showing 60 of 643 moderate interactions — see all 643 on the Cubebs page.

Minor

21 interactions

No interaction 2,165 drugs checked — show the list

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

Showing the 60 most looked-up of 2,165 medications checked with no known interaction — see the full Cubebs list.

See the full Cubebs interactions page
See every supplement checked against Bismuth Subcarbonate, Calcium Carbonate, Opium, 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
Cubebs monograph › Uses, safety, and every drug interaction in one place Bismuth Subcarbonate, Calcium Carbonate, Opium supplement interactions › Every supplement checked against Bismuth Subcarbonate, Calcium Carbonate, Opium, 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 Cubebs and Bismuth Subcarbonate, Calcium Carbonate, Opium Together: Common Questions

Can you take Cubebs with Bismuth Subcarbonate, Calcium Carbonate, Opium?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Cubebs and Bismuth Subcarbonate, Calcium Carbonate, Opium interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

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

Still Have a Question About Bismuth Subcarbonate, Calcium Carbonate, Opium and Cubebs?

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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.