Drug & supplement interaction

Datura Wrightii + Revefenacin

Revefenacin brand name: Yupelri.

Moderate Interaction
The bottom line Moderate

Datura Wrightii has a moderate interaction with Revefenacin. 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 Revefenacin

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

Moderate

ANTICHOLINERGIC DRUGS

Why this applies to Revefenacin

Revefenacin 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

Here's the simple version: your inhaler, Revefenacin (Yupelri), is itself an anticholinergic. It works by blocking acetylcholine in your airways to keep them open. Datura wrightii is loaded with tropane alkaloids like atropine and scopolamine, which block that same system all over the body. So you'd essentially be stacking two anticholinergics on top of each other.

When that happens, the typical anticholinergic side effects can pile up: dry mouth, blurry vision, fast heartbeat, constipation, trouble peeing, and in worse cases confusion or hallucinations. To be honest, this concern is based on how the chemistry lines up rather than hard clinical studies. The bigger point is that Datura wrightii is genuinely poisonous and not something I'd ever recommend taking. Please talk with your pharmacist or doctor before mixing anything new with your COPD treatment.

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 Revefenacin 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.

Everything else you take

See Every Supplement That Interacts With Revefenacin

This page covers Datura Wrightii only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Revefenacin page lists 46 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), Angel's Trumpet (moderate) and Bacopa (moderate).

By severity: 3 major · 32 moderate · 11 minor.

From our pharmacist’s overview on the Revefenacin page

“Revefenacin (Yupelri) is an inhaled anticholinergic that keeps airways open in COPD, and this list warrants genuine care rather than a quick skim. Of the 46 supplements on file, three carry a major rating, and most of the rest share revefenacin's drying, anticholinergic action, so combining them can stack up dry mouth, blurred vision,…”

Reviewed by 2 · Jul 18, 2026

Open the Revefenacin interaction page

How much people look this up

Where Datura Wrightii and Revefenacin 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
Top half

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

29 days ago today
Medication Revefenacin
Top half

#1,297 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 Revefenacin Oral Inhalation

What Is Revefenacin Oral Inhalation Used For?

Brand name: Yupelri

Yupelri (revefenacin) inhalation solution is approved for the maintenance treatment of COPD (chronic obstructive pulmonary disease) in adults. It is used every day to help keep airways open and make breathing easier over the long term.

Yupelri is not a rescue inhaler — it will not relieve a sudden COPD flare-up or acute breathing attack. A separate short-acting bronchodilator is needed for those situations.

See full Revefenacin Oral Inhalation 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 Revefenacin Together: Common Questions

Can you take Datura Wrightii with Revefenacin?
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 Revefenacin 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

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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.