Drug & supplement interaction

Devil's Claw + Elagolix, Estradiol Norethindrone Acetate, Elagolix

Elagolix, Estradiol Norethindrone Acetate, Elagolix brand name: Oriahnn.

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

Elagolix, Estradiol Norethindrone Acetate, Elagolix falls into 2 drug categories that Devil's Claw can interact with; the most serious is rated moderate. Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.

Read the full interaction report
SeverityModerate
LikelihoodPossible
Interactions2
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Devil's Claw and Elagolix, Estradiol Norethindrone Acetate, Elagolix

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

Devil's Claw interacts with whole categories of medication. Elagolix, Estradiol Norethindrone Acetate, Elagolix falls into 2 of those categories, so it can interact with Devil's Claw in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).

Moderate

CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES

1 of 2

Why this applies to Elagolix, Estradiol Norethindrone Acetate, Elagolix

Elagolix, Estradiol Norethindrone Acetate, Elagolix falls under CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES — the group Devil's Claw interacts with.

Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
In vitro research shows that devil's claw might inhibit CYP3A4, although this has not been reported in humans.
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 gist with Oriahnn (elagolix, estradiol, and norethindrone) and devil's claw. The active hormones in this medicine are partly broken down by a liver enzyme called CYP3A4. In a test-tube setting, devil's claw appeared to slow that enzyme down a bit. If that happened in the body, levels of these drugs could creep up, which might mean more of their usual side effects, like hot flashes, headaches, nausea, mood changes, or spotting.

The key thing I want you to know is that this is only seen in lab research, not in real people, so it's theoretical and the practical risk is likely low. Still, since this is a complex hormone medicine, it's worth a quick chat with your pharmacist or doctor before adding devil's claw.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Unger M, Frank A. Simultaneous determination of the inhibitory potency of herbal extracts on the activity of six major cytochrome P450 enzymes using liquid chromatography/mass spectrometry and automated online extraction. Rapid Commun Mass Spectrom 2004;1 PubMed
Minor

P-GLYCOPROTEIN SUBSTRATES

2 of 2

Elagolix, Estradiol Norethindrone Acetate, Elagolix also falls under P-GLYCOPROTEIN SUBSTRATES.

Theoretically, devil's claw might increase levels of P-glycoprotein substrates.
In vitro research shows that devil's claw inhibits P-glycoprotein, which transports many drugs out of cells. This might increase intracellular levels of P-glycoprotein substrates, although it is unclear if this effect would be clinically important.
Severity Minor 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 gist with Oriahnn (elagolix, estradiol, and norethindrone) and devil's claw. One of these ingredients, elagolix, is moved around your body by a transporter called P-glycoprotein. In a lab dish, devil's claw seemed to slow that transporter down. In theory, that could let a bit more elagolix linger in your system, which might nudge up side effects like hot flashes, headaches, mood changes, or nausea.

I want to be honest though: this is only test-tube evidence, the interaction is rated minor, and we don't know if it actually matters in real people. So I wouldn't lose sleep over it. Still, since Oriahnn already has its own warnings, it's worth a quick chat with your pharmacist or doctor before adding devil's claw.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Romiti N, Tramonti G, Corti A, Chieli E. Effects of Devil's Claw (Harpagophytum procumbens) on the multidrug transporter ABCB1/P-glycoprotein. Phytomedicine 2009;16:1095-100. 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

Devil's Claw Also Interacts With Other Medications

Devil's Claw has 730 moderate, 73 minor known drug interactions in our database — the Elagolix, Estradiol Norethindrone Acetate, Elagolix one above is among them. If you take anything else, check it against the full list below.

Moderate 730 Minor 73 No known interaction 2,027 (incl. Elagolix, Estradiol Norethindrone Acetate, Elagolix)
Taking anything else?

Check Another of Your Medications Against Devil's Claw

Covers the 2,830 medications we’ve checked against Devil's Claw. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Elagolix, Estradiol Norethindrone Acetate, Elagolix

This page covers Devil's Claw only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Elagolix, Estradiol Norethindrone Acetate, Elagolix page lists 161 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 120 moderate · 38 minor.

From our pharmacist’s overview on the Elagolix, Estradiol Norethindrone Acetate, Elagolix page

“A woman managing heavy fibroid bleeding with Oriahnn (elagolix, estradiol, and norethindrone acetate) often reaches for supplements too, and here that deserves genuine care. Nearly all 161 entries change how much of the medication reaches her blood, mostly by speeding up or slowing down CYP3A4, the liver enzyme that processes it.”

Reviewed by 2 · Jul 18, 2026

Open the Elagolix, Estradiol Norethindrone Acetate, Elagolix interaction page

One more smart check

Taking Devil's Claw as Part of a Dietary Supplement Product? Check It for Interactions

We hold 585 real supplement products containing Devil's Claw, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Devil's Claw. Your product may carry other ingredients that interact with Elagolix, Estradiol Norethindrone Acetate, Elagolix too, on top of Devil's Claw — 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 Devil's Claw and Elagolix, Estradiol Norethindrone Acetate, Elagolix 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 Devil's Claw
Top 25%

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

29 days ago today
Medication Elagolix, Estradiol Norethindrone Acetate, Elagolix
Steady interest

#2,827 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 Devil's Claw

What is Devil's Claw?

Devil's Claw
  • Osteoarthritis pain
  • Lower back pain
  • Joint pain and stiffness
  • General inflammation
  • Digestive upset and loss of appetite

Devil's claw is a southern African plant used mainly for arthritis and back pain, and some studies suggest it may help ease these types of discomfort. The evidence is moderate at best, and product strength varies, so talk with your pharmacist or doctor before trying it, especially if you have a health condition or take medications.

Read the full Devil's Claw monograph & all interactions
Medication

About Elagolix, Estradiol, and Norethindrone

What Is Elagolix, Estradiol, and Norethindrone Used For?

Brand name: Oriahnn

Oriahnn is used to manage heavy menstrual bleeding linked to uterine leiomyomas — the medical name for fibroids, which are noncancerous growths in the uterus. It is approved for premenopausal women who experience abnormally heavy periods because of these fibroids.

Because the treatment can cause ongoing bone loss, it should be used for no more than 24 months. It is not a cure for fibroids — it manages symptoms while you are taking it.

See full Elagolix, Estradiol, and Norethindrone drug information
Keep checking

Other Drugs & Devil's Claw

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

0Major
730Moderate
73Minor
2,026No known interaction
730 Moderate 73 Minor 2,026 No interaction
Moderate

730 interactions

Showing 60 of 730 moderate interactions — see all 730 on the Devil's Claw page.

Minor

73 interactions

Showing 60 of 73 minor interactions — see all 73 on the Devil's Claw page.

No interaction 2,026 drugs checked — show the list

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

Showing the 60 most looked-up of 2,026 medications checked with no known interaction — see the full Devil's Claw list.

See the full Devil's Claw interactions page
See every supplement checked against Elagolix, Estradiol Norethindrone Acetate, Elagolix, 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
Devil's Claw monograph › Uses, safety, and every drug interaction in one place Elagolix, Estradiol Norethindrone Acetate, Elagolix supplement interactions › Every supplement checked against Elagolix, Estradiol Norethindrone Acetate, Elagolix, ranked by severity Elagolix, Estradiol, and Norethindrone drug information › The full plain-English guide to this medication 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 Devil's Claw and Elagolix, Estradiol Norethindrone Acetate, Elagolix Together: Common Questions

Can you take Devil's Claw with Elagolix, Estradiol Norethindrone Acetate, Elagolix?
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.
Why are there 2 interactions listed for Devil's Claw and Elagolix, Estradiol Norethindrone Acetate, Elagolix?
Elagolix, Estradiol Norethindrone Acetate, Elagolix belongs to more than one drug category, and Devil's Claw interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Devil's Claw and Elagolix, Estradiol Norethindrone Acetate, Elagolix 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 Elagolix, Estradiol Norethindrone Acetate, Elagolix and Devil's Claw?

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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.