Drug & supplement interaction

Deanol + Physostigmine

Physostigmine brand names: Eserine, Antilirium.

Minor Interaction
Medically reviewed by · Updated September 2026
The bottom line Minor

Deanol has a minor interaction with Physostigmine. Theoretically, deanol might increase the effects and adverse effects of cholinergic drugs.

Read the full interaction report
SeverityMinor
LikelihoodUnlikely
EvidenceD
What do Severity, Likelihood & Evidence mean?
Know someone taking this? Share
Facebook Post Reddit Email
On this page
Interaction report

Deanol and Physostigmine

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

Minor

CHOLINERGIC DRUGS

Why this applies to Physostigmine

Physostigmine falls under CHOLINERGIC DRUGS — the group Deanol interacts with.

Theoretically, deanol might increase the effects and adverse effects of cholinergic drugs.
Deanol is thought to increase acetylcholine levels.
Severity Minor Likelihood Unlikely Evidence D

Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans..

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

Here's the basic idea with these two. Physostigmine works by blocking the enzyme that breaks down acetylcholine, so more of that brain and body chemical sticks around. Deanol (DMAE) is marketed as something that may nudge acetylcholine levels up too. Put them together and, in theory, you could be pushing in the same direction, which might add to physostigmine's effects.

If that happened, you could see more of physostigmine's usual cholinergic effects, things like watery eyes, extra saliva or sweating, an upset stomach, or a slower heart rate. I want to be honest though: this is only a theoretical concern based on how each one works, not something proven in people, and it's rated minor and unlikely. Still, since physostigmine is a potent drug, it's worth a quick chat with your doctor or pharmacist before combining them.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Re O. 2-Dimethylaminoethanol (deanol): a brief review of its clinical efficacy and postulated mechanism of action. Curr Ther Res Clin Exp 1974;16:1238-42.

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

Deanol Also Interacts With Other Medications

Deanol has 218 minor known drug interactions in our database — the Physostigmine one above is one of them. If you take anything else, check it against the full list below.

Minor 218 No known interaction 2,612 (incl. Physostigmine)
Taking anything else?

Check Another of Your Medications Against Deanol

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

Everything else you take

See Every Supplement That Interacts With Physostigmine

This page covers Deanol only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Physostigmine page lists 39 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Arenaria Rubra (moderate), Bacopa (moderate), Bael (moderate) and Betel Nut (moderate).

By severity: 1 major · 28 moderate · 10 minor.

From our pharmacist’s overview on the Physostigmine page

“The single biggest supplement risk with physostigmine (Antilirium) is activated charcoal, the only entry of 39 rated major. Charcoal soaks up medications in the gut and can sharply cut how much physostigmine the body gets, a serious matter for a drug used to reverse dangerous anticholinergic poisoning, where a weakened dose can mean a…”

Reviewed by 2 · Jul 18, 2026

Open the Physostigmine interaction page

One more smart check

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

We hold 1,143 real supplement products containing Deanol, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Deanol. Your product may carry other ingredients that interact with Physostigmine too, on top of Deanol — 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 Deanol and Physostigmine 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 Deanol
Top 25%

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

29 days ago today
Medication Physostigmine
Steady interest

#1,855 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 Deanol

What is Deanol?

Deanol
  • Memory and focus
  • Mood and mental clarity
  • ADHD-type symptoms
  • Skin firmness (topical)
  • General brain health

Deanol (DMAE) is a compound related to choline that is marketed for memory, focus, and mood, but solid human evidence for most of these uses is limited or mixed. It can cause side effects in some people, and it should be avoided in pregnancy and breastfeeding because its safety is not established. Talk to your pharmacist or doctor before trying it.

Read the full Deanol monograph & all interactions
Keep checking

Other Drugs & Deanol

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

0Major
0Moderate
218Minor
2,611No known interaction
218 Minor 2,611 No interaction
Minor

218 interactions

Showing 60 of 218 minor interactions — see all 218 on the Deanol page.

No interaction 2,611 drugs checked — show the list

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

Showing the 60 most looked-up of 2,611 medications checked with no known interaction — see the full Deanol list.

See the full Deanol interactions page
See every supplement checked against Physostigmine, 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
Deanol monograph › Uses, safety, and every drug interaction in one place Physostigmine supplement interactions › Every supplement checked against Physostigmine, 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 Deanol and Physostigmine Together: Common Questions

Can you take Deanol with Physostigmine?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Deanol and Physostigmine interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Physostigmine and Deanol?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.