Drug & supplement interaction

Datura Wrightii + Loperamide

Loperamide brand names: Imodium, Loperamide.

Moderate Interaction
The bottom line Moderate

Datura Wrightii has a moderate interaction with Loperamide. Datura wrightii contains atropine and scopolamine, as well as other tropane alkaloids with anticholinergic activity.

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

Datura Wrightii and Loperamide

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

Moderate

ANTICHOLINERGIC DRUGS

Why this applies to Loperamide

Loperamide falls under ANTICHOLINERGIC DRUGS — the group Datura Wrightii interacts with.

Datura wrightii contains atropine and scopolamine, as well as other tropane alkaloids with anticholinergic activity. Concomitant use of Datura wrightii with anticholinergic drugs might increase anticholinergic effects and adverse effects. Some anticholinergic drugs include amantadine, atropine, belladonna alkaloids, phenothiazines, scopolamine, and tricyclic antidepressants.
Severity Moderate Likelihood Probable Evidence D

Interaction 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..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

First, the big picture: Datura wrightii is genuinely poisonous and should not be used as a supplement. But here's how it could play out specifically with loperamide (Imodium). Loperamide already slows down your gut to firm up diarrhea, and one way it does that is by quieting some of the same nerve signals that Datura's tropane alkaloids (atropine, scopolamine) block.

Stacked together, those anticholinergic effects can pile up. You might see a very sluggish, constipated gut, plus dry mouth, blurry vision, a racing heart, trouble urinating, and confusion. To be fair, this is a theoretical concern based on how these compounds work, not on solid human studies. Still, please skip the Datura entirely, and check with your pharmacist or doctor before combining loperamide with anything new.

References
  1. Adams, JD Jr, Garcia C. Spirit, Mind and Body in Chumash Healing. Evid Based Complement Alternat Med 2005;2(4):459-463. PubMed
  2. Evans WC, Woolley JG. The alkaloids of Datura meteloides D.C. J Chem Soc Perkin 1. 1965;4936-4939.

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

Datura Wrightii Also Interacts With Other Medications

Datura Wrightii has 225 moderate known drug interactions in our database — the Loperamide one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Datura Wrightii

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

From our Q&A

Questions About Datura Wrightii or Loperamide

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Datura Wrightii or Loperamide, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Loperamide

This page covers Datura Wrightii only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Loperamide page lists 82 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Henbane (major), Scopolia (major), St. John's Wort (major) and Angel's Trumpet (moderate).

By severity: 4 major · 59 moderate · 19 minor.

From our pharmacist’s overview on the Loperamide page

“Loperamide (Imodium) works safely in part because a gut transporter, P-glycoprotein, keeps most of each dose out of the bloodstream, and the biggest group on this list, 37 ingredients, acts on that transporter. St.”

Reviewed by 2 · Jul 18, 2026

Open the Loperamide interaction page

How much people look this up

Where Datura Wrightii and Loperamide 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 Datura Wrightii
Steady interest

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

29 days ago today
Medication Loperamide
Top 25%

#486 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 Datura Wrightii

What is Datura Wrightii?

  • Traditional ritual and ceremonial use
  • Pain relief (traditional/topical)
  • Asthma and breathing complaints (historical)
  • Hallucinogenic/psychoactive effects
  • Skin and wound applications (folk use)

Datura wrightii (sacred datura or jimsonweed relative) is a highly poisonous desert plant that has been used in some traditional and ceremonial settings. It is not a safe dietary supplement — even small amounts can cause severe poisoning, hallucinations, and death. We strongly advise against using it.

Read the full Datura Wrightii monograph & all interactions
Medication

About Loperamide

What Is Loperamide Used For?

Brand names: Imodium, Loperamide

Loperamide controls the symptoms of diarrhea, including traveler's diarrhea, in adults and children 2 years and older. It is available as tablets, capsules, oral solution, and oral suspension across many brand names.

Loperamide Hydrochloride and Loperamide HCl capsules are also approved for chronic diarrhea in adults associated with inflammatory bowel disease, and for reducing the volume of discharge from an ileostomy (a surgical opening in the abdomen that drains waste).

See full Loperamide drug information
Keep checking

Other Drugs & Datura Wrightii

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

0Major
225Moderate
0Minor
2,604No known interaction
Moderate

225 interactions

Showing 60 of 225 moderate interactions — see all 225 on the Datura Wrightii page.

No interaction 2,604 drugs checked — show the list
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

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Pharmacist Counseling Corner

Taking Datura Wrightii and Loperamide Together: Common Questions

Can you take Datura Wrightii with Loperamide?
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 Datura Wrightii and Loperamide 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 Loperamide and Datura Wrightii?

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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.