Drug & supplement interaction

Damiana + Linagliptin, Metformin Hydrochloride

Linagliptin, Metformin Hydrochloride brand name: Jentadueto XR.

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

Damiana has a moderate interaction with Linagliptin, Metformin Hydrochloride. Theoretically, taking damiana with 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

Damiana and Linagliptin, Metformin Hydrochloride

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

Moderate

ANTIDIABETES DRUGS

Why this applies to Linagliptin, Metformin Hydrochloride

Linagliptin, Metformin Hydrochloride falls under ANTIDIABETES DRUGS — the group Damiana interacts with.

Theoretically, taking damiana with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research shows that taking damiana lowers blood glucose level.
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: your Jentadueto XR combo (linagliptin plus metformin) already works to bring your blood sugar down. Damiana, at least in animal studies, seems to nudge blood sugar a little lower on its own. Put the two together and there's a theoretical chance your sugar could dip too far, which we call hypoglycemia.

If that happened, you might feel shaky, sweaty, dizzy, irritable, or suddenly very hungry. I want to be honest, though: this is based on animal research and pharmacology reasoning, not solid human studies, so the real-world risk is likely small. The tiny amount in an occasional cup of tea is unlikely to cause trouble, but concentrated supplement doses are less predictable. Before adding damiana, please check with your pharmacist or doctor, and keep an eye on your blood sugar readings.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
  2. Alarcon-Aquilar FJ, Roman-Ramos R, Perez-Gutierrez S, et al. Study of the anti-hyperglycemic effect of plants used as antidiabetics. J Ethnopharmacol 1998;61:101-10. PubMed

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

Damiana Also Interacts With Other Medications

Damiana has 85 moderate known drug interactions in our database — the Linagliptin, Metformin Hydrochloride one above is one of them. If you take anything else, check it against the full list below.

Moderate 85 No known interaction 2,745 (incl. Linagliptin, Metformin Hydrochloride)
Taking anything else?

Check Another of Your Medications Against Damiana

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

Everything else you take

See Every Supplement That Interacts With Linagliptin, Metformin Hydrochloride

This page covers Damiana only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Linagliptin, Metformin Hydrochloride page lists 285 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Siberian Cocklebur (major), St. John's Wort (major), Acai (moderate) and Adrafinil (moderate).

By severity: 3 major · 242 moderate · 40 minor.

From our pharmacist’s overview on the Linagliptin, Metformin Hydrochloride page

“Someone taking Jentadueto XR (linagliptin and metformin) for type 2 diabetes is often the same person eyeing fenugreek, bitter melon, or gymnema, and that overlap is why this page deserves real caution. Of its 285 ingredients, 239 can lower blood sugar on their own, so stacking them on a drug already doing that job risks pushing glucos…”

Reviewed by 2 · Jul 18, 2026

Open the Linagliptin, Metformin Hydrochloride interaction page

One more smart check

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

We hold 881 real supplement products containing Damiana, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Damiana. Your product may carry other ingredients that interact with Linagliptin, Metformin Hydrochloride too, on top of Damiana — 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 Damiana and Linagliptin, Metformin 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 Damiana
Top 25%

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

29 days ago today
Medication Linagliptin, Metformin Hydrochloride
Top 10%

#199 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 Damiana

What is Damiana?

Damiana
  • Low libido / aphrodisiac
  • Anxiety and stress
  • Mood and mild low energy
  • Digestive upset
  • Headache and general tonic

Damiana is a traditional herb most famous as an aphrodisiac and mild mood-lifter, but solid human evidence for any of its uses is very limited. It is generally well tolerated in the small amounts found in teas, but quality studies are lacking, so talk with your pharmacist or doctor before using it—especially if you are pregnant, breastfeeding, or have a health condition.

Read the full Damiana monograph & all interactions
Keep checking

Other Drugs & Damiana

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

0Major
85Moderate
0Minor
2,744No known interaction
85 Moderate 2,744 No interaction
Moderate

85 interactions

Showing 60 of 85 moderate interactions — see all 85 on the Damiana page.

No interaction 2,744 drugs checked — show the list

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

Showing the 60 most looked-up of 2,744 medications checked with no known interaction — see the full Damiana list.

See the full Damiana interactions page
See every supplement checked against Linagliptin, Metformin Hydrochloride, 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
Damiana monograph › Uses, safety, and every drug interaction in one place Linagliptin, Metformin Hydrochloride supplement interactions › Every supplement checked against Linagliptin, Metformin 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 Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Damiana and Linagliptin, Metformin Hydrochloride Together: Common Questions

Can you take Damiana with Linagliptin, Metformin Hydrochloride?
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 Damiana and Linagliptin, Metformin Hydrochloride 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 Linagliptin, Metformin Hydrochloride and Damiana?

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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.