Drug & supplement interaction

Cypress + Alectinib Hydrochloride

Alectinib Hydrochloride brand name: Alecensa.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated July 2026 · Pair last verified Sep 20, 2026

The bottom line No known interaction

We found no known interaction between Cypress and Alectinib Hydrochloride 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 Alectinib Hydrochloride 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

Cypress and Alectinib Hydrochloride

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 Alectinib Hydrochloride and Cypress 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.

Cypress safety at a glance

Cypress overall Use caution Often used externally or in aromatherapy; the essential oil should not be swallowed and human safety data are limited.

Pregnancy Avoid Not enough safety information, so it is best to avoid use during pregnancy.

Breastfeeding Avoid Not enough safety information, so it is best to avoid use while breastfeeding.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Alectinib Hydrochloride and Cypress? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Alectinib Hydrochloride

Interactions in our licensed database are recorded against drug classes, not just single drug names. Alectinib Hydrochloride is filed under 3 classifications — photosensitizing drugs, hepatotoxic drugs, oral drugs. Cypress has documented interactions with 1 drug class — the most serious being anticoagulant/antiplatelet drugs (moderate) — and none of Alectinib Hydrochloride’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

Cypress Does Interact With Other Medications

Cypress has 122 moderate known drug interactions in our database — Alectinib Hydrochloride isn’t one of them. If you take anything else, check it against the full list below.

Moderate 122 No known interaction 2,708 (incl. Alectinib Hydrochloride)

Taking anything else?

Check Another of Your Medications Against Cypress

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

What to actually watch for

No Interaction Found — But Data Suggests Cypress and Alectinib Hydrochloride May Share a Side Effect

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.

A skin rash reported in 3.5% of FDA reports for Alectinib Hydrochloride Additional detail
Cypress
“Airborne cypress pollen is a common cause of allergy-related respiratory and ocular symptoms in some people. A case of allergic contact dermatitis to the resin-impregnated leaves of a cypress tree has occurred in a patient with a history of cutaneous reactions to adhesive bandages, likely due to a cross-sensitivity with colophonium.”

Cypress · Natural Medicines adverse-effect record, reported in allergic rhinitis (hay fever).
5 sources cited

46912. Geller-Bernstein, C., Waisel, Y., and Lahoz, C. Environment and sensitization to cypress in Israel. Allerg.Immunol.(Paris) 2000;32(3):92-93.

46915. Papa, G., Romano, A., Quaratino, D., Di Fonso, M., Viola, M., Artesani, M. C., Sernia, S., Di Gioacchino, M., and Venuti, A. Prevalence of sensitization to Cupressus sempervirens: a 4-year retrospective study. Sci.Total Environ. 4-10-2001;270(1-3):83-87. PubMed

46925. Togawa, A., Panzani, R. C., Garza, M. A., Kishikawa, R., Goldblum, R. M., and Midoro-Horiuti, T. Identification of italian cypress (Cupressus sempervirens) pollen allergen Cup s 3 using homology and cross-reactivity. Ann.Allergy Asthma Immunol. 2006;97(3 PubMed

46930. De Luca, A., Graziani, E., Anticoli, S., Simeoni, S., Terzano, C., and Mannino, F. Respiratory allergy to Cupressus sempervirens in Rome. Allergol.Immunopathol.(Madr.) 1997;25(5):229-232.

106005. Samaran Q, Clark E, Dereure O, Raison-Peyron N. Allergic contact dermatitis to Cupressus sempervirens resin and cross-reaction with colophonium. Contact Dermatitis 2020;83(1):33-35.
Alectinib Hydrochloride

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

Effects for Alectinib Hydrochloride come from the ADVERSE REACTIONS section of its FDA label; effects for Cypress come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 7,249 voluntary FDA FAERS reports for Alectinib Hydrochloride 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.

How to take them

Some Alectinib Hydrochloride Products Have a Food Rule — Cypress Should Not Break It

At least one FDA label for a product containing Alectinib Hydrochloride says to take it with food. If you take Cypress on an empty stomach out of habit, keep them separate — and take Alectinib Hydrochloride 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 Alectinib Hydrochloride 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.

Administer ALECENSA with food.

From the Dosage and Administration section of the FDA label we read for Alectinib Hydrochloride — 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 Alectinib Hydrochloride

This page covers Cypress only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Alectinib Hydrochloride page lists 74 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 Alfalfa (moderate).

By severity: 4 major · 60 moderate · 10 minor.

From our pharmacist’s overview on the Alectinib Hydrochloride page

“Alectinib (Alecensa) treats ALK-positive lung cancer, and because your liver already has to tolerate this drug, check this page before adding any supplement, not after. Of the 74 ingredients on file, 38 can add stress to the liver, and three of the four major-rated entries (beer, wine, and Siberian cocklebur) are the clearest examples…”

Reviewed by 2 · Jul 18, 2026

Open the Alectinib Hydrochloride interaction page

One more smart check

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

We hold 13 real supplement products containing Cypress, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Cypress. Even though Cypress itself has no known interaction with Alectinib Hydrochloride, 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 Cypress and Alectinib Hydrochloride 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 Cypress

Steady interest

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

29 days ago today

Medication Alectinib Hydrochloride

Steady interest

#2,395 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 Cypress reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Cypress and Alectinib Hydrochloride 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 Dr. Brian Staiger, PharmD, BCPS.

Supplement

About Cypress

What is Cypress?

Circulation and varicose veins
Coughs and respiratory complaints
Excess sweating
Skin and minor wounds
Aromatherapy for relaxation

Cypress comes from the Mediterranean cypress tree and is most often used as an essential oil in aromatherapy or skin care, and traditionally for circulation and respiratory complaints. High-quality human evidence for these uses is very limited, so it should not replace proven treatments. The essential oil is for external use only and should be diluted, and you should talk with your pharmacist or doctor before using it.

Cupressus sempervirens · Cupressaceae · Cones (galbuli), leaves/needles, and essential oil · Essential oil, extracts, capsules, and dried plant material

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

Cypress: dosing

There is no standardized or well-established dose for cypress. Products vary widely in strength and form, so the right amount depends on how it is being used.For essential oil used on the skin, it should always be diluted in a carrier oil rather than applied straight. Do not take cypress essential oil by mouth.

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

Read the full Cypress monograph & all interactions

Medication

About Alectinib

What Is Alectinib Used For?

Brand name: Alecensa

Alecensa (alectinib) is used in adults with non-small cell lung cancer (NSCLC) whose tumors have a specific genetic change called ALK-positive (anaplastic lymphoma kinase-positive), confirmed by an FDA-approved test.

Alecensa is used in two situations: as adjuvant treatment — meaning after surgical removal of the tumor — in patients whose tumors were at least 4 cm or had spread to nearby lymph nodes; and as treatment for metastatic NSCLC, meaning cancer that has spread to other parts of the body.

Most-Reported Side Effects for Alectinib Hydrochloride

From FAERS, the FDA’s public side-effect reporting system (7,249 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 518 reports

Constipation 445 reports

Rash 257 reports

Dyspnea 234 reports

Disease progression 210 reports

See full Alectinib drug information

Keep checking

Other Drugs & Cypress

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

0Major

122Moderate

0Minor

2,707No known interaction

122 Moderate 2,707 No interaction

Moderate

122 interactions

Showing 60 of 122 moderate interactions — see all 122 on the Cypress page.

No interaction 2,707 drugs checked — show the list

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

Showing the 60 most looked-up of 2,707 medications checked with no known interaction — see the full Cypress list.

See the full Cypress interactions page

See every supplement checked against Alectinib Hydrochloride, ranked by severity

Evidence & sources

Cypress References

The 7 references that drive our Cypress 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.

Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
Geller-Bernstein, C., Waisel, Y., and Lahoz, C. Environment and sensitization to cypress in Israel. Allerg.Immunol.(Paris) 2000;32(3):92-93.
Papa, G., Romano, A., Quaratino, D., Di Fonso, M., Viola, M., Artesani, M. C., Sernia, S., Di Gioacchino, M., and Venuti, A. Prevalence of sensitization to Cupressus sempervirens: a 4-year retrospective study. Sci.Total Environ. 4-10-2001;270(1-3):83-87. PubMed
Togawa, A., Panzani, R. C., Garza, M. A., Kishikawa, R., Goldblum, R. M., and Midoro-Horiuti, T. Identification of italian cypress (Cupressus sempervirens) pollen allergen Cup s 3 using homology and cross-reactivity. Ann.Allergy Asthma Immunol. 2006;97(3 PubMed
De Luca, A., Graziani, E., Anticoli, S., Simeoni, S., Terzano, C., and Mannino, F. Respiratory allergy to Cupressus sempervirens in Rome. Allergol.Immunopathol.(Madr.) 1997;25(5):229-232.
Ulusal BG, Arikan S, Durusoy C. Anticoagulant effect of Cupressus sempervirens. Phytother Res. 2007 Nov;21(11):1116.
Samaran Q, Clark E, Dereure O, Raison-Peyron N. Allergic contact dermatitis to Cupressus sempervirens resin and cross-reaction with colophonium. Contact Dermatitis 2020;83(1):33-35.

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 Cypress and Alectinib Hydrochloride Together: Common Questions

Is it safe to take Cypress with Alectinib Hydrochloride?

We do not list a known interaction between Cypress and Alectinib Hydrochloride. 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 Cypress and Alectinib Hydrochloride have any of the same side effects?

Yes — our sources link each of them separately to one 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 Cypress and Alectinib Hydrochloride at the same time of day?

At least one FDA label for a product containing Alectinib Hydrochloride says to take it with food. If you take Cypress on an empty stomach out of habit, keep them separate and take Alectinib Hydrochloride with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Alectinib Hydrochloride products can differ — so check the directions on your own box. This is about absorption, not an interaction.

How was the Cypress and Alectinib Hydrochloride combination checked?

Interactions in our licensed database are recorded against drug classes. Alectinib Hydrochloride is filed under 3 classifications, and Cypress has documented interactions with 1 drug class — none of Alectinib Hydrochloride'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 Cypress interact with any other medications?

Yes. Cypress has 122 documented drug interactions in our database — Alectinib Hydrochloride 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 Alectinib Hydrochloride interact with any supplements?

Yes. Alectinib Hydrochloride has documented interactions with 74 supplements in our database — Cypress is not one of them. The Alectinib Hydrochloride 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

Cypress monograph Uses, safety profile, and every drug interaction in one place Alectinib drug information The full plain-English guide to this medication Alectinib Hydrochloride supplement interactions Every supplement checked against Alectinib Hydrochloride, 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 7 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Alectinib Hydrochloride and Cypress?

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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.