Drug & supplement interaction

Cyclamen + Idelalisib

Idelalisib brand name: Zydelig.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Cyclamen and Idelalisib 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 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

Cyclamen and Idelalisib

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 Idelalisib and Cyclamen 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 Cyclamen at all — not against Idelalisib, 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.

Cyclamen safety at a glance

Cyclamen overall Use caution The raw plant, especially the tuber, is toxic and should not be consumed; only specific prepared products may be appropriate.
Pregnancy Likely Unsafe When used orally; avoid using. Read the full pregnancy detail
Breastfeeding Likely Unsafe When used orally; avoid using. Read the full breastfeeding detail

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 Idelalisib and Cyclamen? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Cyclamen and Idelalisib 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.

  • Diarrhea / Stomach pain / Vomiting / Nausea reported in 11.0% of FDA reports for Idelalisib Additional detail

    Cyclamen

    “Orally, cyclamen has been reported to cause stomach pain, nausea, vomiting, and diarrhea at doses as low as 300 mg (18). Higher doses can cause poisoning, with symptoms including spasm and asphyxiation (18,553).

    Intranasally, cyclamen seems to be generally well tolerated. Side effects reported in clinical trials include nasal irritation, sneezing, and rhinorrhea.”

    Cyclamen · Natural Medicines adverse-effect record, reported in diarrhea.

    4 sources cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
    2. 553. Jaspersen-Schib R, Theus L, Guirguis-Oeschger M, et al. [Serious plant poisonings in Switzerland 1966-1994. Case analysis from the Swiss Toxicology Information Center]. Schweiz Med Wochenschr 1996;126:1085-98.
    3. 98456. Pfaar O, Mullol J, Anders C, Hörmann K, Klimek L. Cyclamen europaeum nasal spray, a novel phytotherapeutic product for the management of acute rhinosinusitis: a randomized double-blind, placebo-controlled trial. Rhinology 2012;50(1):37-44. doi: 10.4193/Rh DOI
    4. 98457. Ponikau JU, Hamilos DL, Barreto A, et al. An exploratory trial of Cyclamen europaeum extract for acute rhinosinusitis. Laryngoscope 2012;122(9):1887-92. doi: 10.1002/lary.23366.

    “Orally, cyclamen at doses of 300 mg or higher can cause stomach pain, nausea, vomiting, and diarrhea (18).”

    Cyclamen · Natural Medicines adverse-effect record, reported in diarrhea.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

    Idelalisib

    Listed in the ADVERSE REACTIONS section of the FDA label for Idelalisib, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

Effects for Idelalisib come from the ADVERSE REACTIONS section of its FDA label; effects for Cyclamen come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 7,040 voluntary FDA FAERS reports for Idelalisib that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Cyclamen in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Unsafe

When used orally; avoid using.

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 Idelalisib

This page covers Cyclamen only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Idelalisib page lists 143 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 100 moderate · 40 minor.

From our pharmacist’s overview on the Idelalisib page

“Idelalisib (Zydelig) treats certain blood cancers, work that leaves little room for error, so start with the three major-rated entries on this page. Grapefruit raises idelalisib levels and the risk of side effects with them, St.”

Reviewed by 2 · Jul 18, 2026

Open the Idelalisib interaction page

How much people look this up

Where Cyclamen and Idelalisib 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 Cyclamen
Steady interest

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

29 days ago today
Medication Idelalisib
Steady interest

#2,296 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 Cyclamen reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Cyclamen and Idelalisib 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 Cyclamen

What is Cyclamen?

  • Sinus congestion (sinusitis)
  • Headache and migraine (traditional/homeopathic)
  • Menstrual complaints (traditional use)
  • Digestive complaints (traditional use)

Cyclamen is an ornamental plant whose tuber contains potentially toxic compounds called saponins. It has been studied mostly as a nasal preparation for sinus congestion, but evidence is limited and the raw plant can be poisonous, so it should not be used without professional guidance.

Cyclamen europaeum · Primulaceae · Tuber (root); sometimes leaves and flowers · Homeopathic preparations, nasal sprays/extracts (in some regions), and rarely tinctures

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

Cyclamen: dosing

There is no well-established, standardized dose of cyclamen for general use. Because the plant is toxic, dosing should never be guessed or self-made.If you use a commercial product, such as a nasal preparation or homeopathic remedy, follow the directions on the label exactly and do not exceed the recommended amount.

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

Read the full Cyclamen monograph & all interactions
Medication

About Idelalisib

What Is Idelalisib Used For?

Brand name: Zydelig

Zydelig (idelalisib) is approved to treat relapsed chronic lymphocytic leukemia (CLL) — a cancer of the blood and bone marrow — when used together with rituximab. It is specifically for patients who have already received treatment and for whom rituximab alone would be appropriate due to other health conditions.

Zydelig is not approved or recommended as a first-line (initial) treatment for CLL or any other cancer, including small lymphocytic lymphoma (SLL) or follicular lymphoma (FL). It is also not approved in combination with bendamustine and rituximab, or with rituximab alone, for FL, SLL, or other slow-growing non-Hodgkin lymphomas.

Most-Reported Side Effects for Idelalisib

From FAERS, the FDA’s public side-effect reporting system (7,040 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Disease progression 1,225 reports
Diarrhea 771 reports
Pneumonia 437 reports
Fever 375 reports
Fatigue 301 reports
See full Idelalisib drug information
Keep checking

Other Drugs & Cyclamen

Browse every other medication we’ve checked against Cyclamen — 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
No interaction 2,829 drugs checked — show the list
Evidence & sources

Cyclamen References

The 4 references that drive our Cyclamen 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. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  2. Jaspersen-Schib R, Theus L, Guirguis-Oeschger M, et al. [Serious plant poisonings in Switzerland 1966-1994. Case analysis from the Swiss Toxicology Information Center]. Schweiz Med Wochenschr 1996;126:1085-98.
  3. Pfaar O, Mullol J, Anders C, Hörmann K, Klimek L. Cyclamen europaeum nasal spray, a novel phytotherapeutic product for the management of acute rhinosinusitis: a randomized double-blind, placebo-controlled trial. Rhinology 2012;50(1):37-44. doi: 10.4193/Rh DOI
  4. Ponikau JU, Hamilos DL, Barreto A, et al. An exploratory trial of Cyclamen europaeum extract for acute rhinosinusitis. Laryngoscope 2012;122(9):1887-92. doi: 10.1002/lary.23366.

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 Cyclamen and Idelalisib Together: Common Questions

Is it safe to take Cyclamen with Idelalisib?
We do not list a known interaction between Cyclamen and Idelalisib. 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 Cyclamen and Idelalisib have any of the same side effects?
Yes — our sources link each of them separately to 4 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.
Does Idelalisib interact with any supplements?
Yes. Idelalisib has documented interactions with 143 supplements in our database — Cyclamen is not one of them. The Idelalisib 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 Idelalisib and Cyclamen?

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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.