Drug & supplement interaction

Devil's Club + Tadalafil

Tadalafil brand names: Cialis, Tadliq.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Devil's Club and Tadalafil in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Devil's Club and Tadalafil

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Tadalafil and Devil's Club in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Devil's Club at all — not against Tadalafil, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Devil's Club safety at a glance

Devil's Club overall Use caution Limited human safety data exist, so use cautiously and under professional guidance.
Pregnancy Avoid Not enough safety information is available, so it is best avoided during pregnancy.
Breastfeeding Avoid Safety has not been studied in nursing mothers, so avoid use while breastfeeding.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Tadalafil and Devil's Club? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Devil's Club Itself Has Been Linked To

This is not an interaction — nothing below involves Tadalafil. It is the side-effect record for Devil's Club on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Devil's Club, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

  • An allergic reaction Worth acting on Additional detail

    “Orally, devil's club might cause diarrhea, nausea, vomiting, and lightheadedness. Topically, devil's club might cause allergic reactions.”

    Devil's Club · Natural Medicines adverse-effect record, reported in diarrhea.

    2 sources cited
    1. 95732. Thommasen HV, Wilson RA, McIlwain RG. Effect of Devil's Club Tea on Blood Glucose Levels in Diabetes Mellitus. Can Fam Physician. 1990;36:62-5.
    2. 47178. Turner NJ, Thompson LC Thompson MT York AZ. Thompson Ethnobotany: Knowledge and Usage of Plants by the Thompson Indians of British Columbia. 1990.
  • Dizziness Additional detail

    Recorded for Devil's Club in the same Natural Medicines adverse-effect record shown under An allergic reaction above.

  • Diarrhea / Vomiting / Nausea Additional detail

    “Orally, nausea and vomiting has been reported for an otherwise healthy patient who drank two 80-mL servings of devil's club 5 hours apart. The tea was prepared by boiling devil's club root, bark, and berries for 4-6 hours. Diarrhea and nausea have been reported in some individuals after chewing and swallowing the inner bark of 40 sticks of devil's club.”

    Devil's Club · Natural Medicines adverse-effect record, reported in diarrhea.

    1 source cited
    1. 95732. Thommasen HV, Wilson RA, McIlwain RG. Effect of Devil's Club Tea on Blood Glucose Levels in Diabetes Mellitus. Can Fam Physician. 1990;36:62-5.

Everything above comes from the Natural Medicines adverse-effect record for Devil's Club — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Tadalafil’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Tadalafil column appears here.

From our Q&A

Questions About Devil's Club or Tadalafil

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Devil's Club or Tadalafil, 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 Tadalafil

This page covers Devil's Club only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Tadalafil page lists 144 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Mistletoe (major), Grapefruit (major), Hawthorn (major) and St. John's Wort (major).

By severity: 5 major · 98 moderate · 41 minor.

From our pharmacist’s overview on the Tadalafil page

“Grapefruit juice is the first thing to know about if you take tadalafil (Cialis, Tadliq). It blocks CYP3A4, the enzyme that clears the drug, so blood levels climb and side effects like a steep drop in blood pressure become more likely.”

Reviewed by 2 · Jul 18, 2026

Open the Tadalafil interaction page

One more smart check

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

We hold 48 real supplement products containing Devil's Club, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Devil's Club. Even though Devil's Club itself has no known interaction with Tadalafil, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Devil's Club and Tadalafil 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 Club
Steady interest

#1,237 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Tadalafil
Top 1%

#16 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.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Devil's Club reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Devil's Club and Tadalafil records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Devil's Club

What is Devil's Club?

  • Blood sugar support
  • Respiratory and cold symptoms
  • Arthritis and joint pain
  • Digestive complaints
  • General tonic and wellness

Devil's Club is a thorny shrub from the Pacific Northwest of North America that has long been used in Indigenous traditional medicine, especially for blood sugar and respiratory complaints. Scientific evidence in humans is very limited, so its benefits are not proven. Talk to your pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.

Oplopanax horridus · Araliaceae · Root bark, stem bark, and inner bark · Tea or decoction, tincture, capsules, dried bark, topical salves

An interaction check asks whether these two react with each other — it does not ask whether Devil's Club is a good idea for someone in your situation. Here is what our Devil's Club record says about it on its own.

Devil's Club: dosing

There is no established standard dose for Devil's Club. The right amount has not been determined in clinical studies, and product strength can vary widely between brands and forms (tea, tincture, or capsule).If you choose to use it, follow the directions on the product label and do not exceed the suggested amount.

From our Devil's Club monograph — the full record covers uses, side effects and every documented interaction.

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

About Tadalafil

What Is Tadalafil Used For?

Brand names: Cialis, Tadliq

Tadalafil tablets (including Cialis and generic tadalafil) are used to treat erectile dysfunction (ED), the symptoms of benign prostatic hyperplasia (BPH — an enlarged prostate), or both conditions together. When used with the drug finasteride to start BPH treatment, this combination is recommended for up to 26 weeks.

Adcirca, Alyq (tablets), and Tadliq (oral suspension) are indicated specifically for pulmonary arterial hypertension (PAH — high blood pressure in the lungs), to improve the ability to exercise.

Most-Reported Side Effects for Tadalafil

From FAERS, the FDA’s public side-effect reporting system (99,210 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Dyspnea 11,917 reports
Headache 10,982 reports
Diarrhea 8,020 reports
Nausea 6,697 reports
Fatigue 6,080 reports
See full Tadalafil drug information
Keep checking

Other Drugs & Devil's Club

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

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Devil's Club References

The 2 references that drive our Devil's Club monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Turner NJ, Thompson LC Thompson MT York AZ. Thompson Ethnobotany: Knowledge and Usage of Plants by the Thompson Indians of British Columbia. 1990.
  2. Thommasen HV, Wilson RA, McIlwain RG. Effect of Devil's Club Tea on Blood Glucose Levels in Diabetes Mellitus. Can Fam Physician. 1990;36:62-5.

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Devil's Club and Tadalafil Together: Common Questions

Is it safe to take Devil's Club with Tadalafil?
We do not list a known interaction between Devil's Club and Tadalafil. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Tadalafil interact with any supplements?
Yes. Tadalafil has documented interactions with 144 supplements in our database — Devil's Club is not one of them. The Tadalafil interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Tadalafil and Devil's Club?

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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.