Drug & supplement interaction

Divi-divi + Everolimus

Everolimus brand names: Certican, Afinitor, Zortress, Afinitor Disperz.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Divi-divi and Everolimus 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

Divi-divi and Everolimus

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 Everolimus and Divi-divi 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 Divi-divi at all — not against Everolimus, 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.

Divi-divi safety at a glance

Divi-divi overall Not established There is little reliable human safety data for medicinal use of divi-divi.
Pregnancy Avoid Safety has not been established, so it is best avoided during pregnancy.
Breastfeeding Avoid No reliable safety data exists for nursing, so avoid use.

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

Still wondering about combining Everolimus and Divi-divi? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Everolimus’s Own FDA Label Lists

This is not an interaction — none of it involves Divi-divi. These are the most notable effects listed in the ADVERSE REACTIONS section of Everolimus’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 10 of them are worth acting on rather than waiting out — marked below.

  • Dehydration Worth acting on
  • High potassium Worth acting on
  • Low sodium Worth acting on
  • Low blood sugar Worth acting on
  • Low potassium Worth acting on
  • A heart attack Worth acting on
  • Blood clots Worth acting on
  • Heart failure Worth acting on
  • High blood sugar Worth acting on
  • Shortness of breath Worth acting on mentioned in 5.2% of FDA reports for Everolimus

Showing the 10 most notable of 50 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Everolimus. Read the label on DailyMed › Where a percentage is shown, it is the share of 50,590 voluntary FDA FAERS reports for Everolimus that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Divi-divi’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Divi-divi side to compare — that is a limit of the record, not a statement that Divi-divi has no side effects.

Everything else you take

See Every Supplement That Interacts With Everolimus

This page covers Divi-divi only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Everolimus page lists 156 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Asarabacca (major), Grapefruit (major), Siberian Cocklebur (major) and St. John's Wort (major).

By severity: 5 major · 112 moderate · 39 minor.

From our pharmacist’s overview on the Everolimus page

“Everolimus (Afinitor, Zortress, Certican) has to stay in a narrow blood-level window, whether you take it after an organ transplant or for cancer, so treat this supplement list with real caution. Most of its 156 interacting ingredients can push those levels up or down, mainly by changing how the CYP3A4 enzyme breaks the drug down.”

Reviewed by 2 · Jul 18, 2026

Open the Everolimus interaction page

One more smart check

Taking Divi-divi as Part of a Dietary Supplement Product? Check It for Interactions

We hold 20 real supplement products containing Divi-divi, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Divi-divi. Even though Divi-divi itself has no known interaction with Everolimus, 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 Divi-divi and Everolimus 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 Divi-divi
Steady interest

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

29 days ago today
Medication Everolimus
Top half

#1,103 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. Divi-divi is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Divi-divi reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Divi-divi and Everolimus records this page draws on were last updated June 22, 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 Divi-divi

What is Divi-divi?

  • Source of tannins for tanning leather
  • Traditional astringent for skin
  • Mouth and throat irritation (traditional gargles)
  • Wound and sore care (folk use)
  • Mild digestive complaints (folk use)

Divi-divi is a tropical tree whose tannin-rich seed pods have long been used in leather tanning and in traditional folk remedies, mostly as an astringent. There is very little modern human research to support any health benefit, so it should not be relied on to treat any medical condition. If you are considering it, talk with a pharmacist or doctor first.

Caesalpinia coriaria · Fabaceae · Seed pods (and sometimes bark) · Powdered pod extract, decoctions, and traditional topical preparations

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

Divi-divi: dosing

There is no established or standardized medicinal dose for divi-divi. Traditional preparations vary widely and are not measured in a consistent way.If you choose to use a product that contains divi-divi, follow the directions on the label and do not exceed the suggested amount.

From our Divi-divi monograph — the full record covers uses, side effects and every documented interaction.

Read the full Divi-divi monograph & all interactions
Medication

About Everolimus

What Is Everolimus Used For?

Brand names: Certican, Afinitor, Zortress, Afinitor Disperz

Everolimus is used to treat several serious conditions. In cancer, it is prescribed for advanced hormone receptor-positive, HER2-negative breast cancer (in postmenopausal women), certain neuroendocrine tumors of the pancreas, GI tract, or lung, and advanced renal cell carcinoma (kidney cancer) when other treatments have stopped working.

It is also used for people with tuberous sclerosis complex (TSC) — a genetic condition that causes benign tumors to grow throughout the body. In TSC, it treats kidney tumors called angiomyolipomas, brain tumors called SEGA, and seizures. In kidney transplant patients, it helps prevent the body from rejecting the new organ.

Most-Reported Side Effects for Everolimus

From FAERS, the FDA’s public side-effect reporting system (50,590 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Malignant neoplasm progression 4,681 reports
Diarrhea 4,073 reports
Fatigue 3,810 reports
Stomatitis 3,190 reports
Nausea 2,854 reports
See full Everolimus drug information
Keep checking

Other Drugs & Divi-divi

Browse every other medication we’ve checked against Divi-divi — 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
2,829 No interaction
No interaction 2,829 drugs checked — show the list

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

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Divi-divi list.

See the full Divi-divi interactions page
See every supplement checked against Everolimus, ranked by severity
Evidence & sources

Divi-divi References

The 1 sources that drive our Divi-divi monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Divi-divi is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Tannins — MedlinePlus / NIH Source

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 Divi-divi and Everolimus Together: Common Questions

Is it safe to take Divi-divi with Everolimus?
We do not list a known interaction between Divi-divi and Everolimus. 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 Everolimus interact with any supplements?
Yes. Everolimus has documented interactions with 156 supplements in our database — Divi-divi is not one of them. The Everolimus interaction page linked on this page lists every one, ranked by severity.

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

Where next

Keep Exploring

Divi-divi monograph Uses, safety profile, and every drug interaction in one place Everolimus drug information The full plain-English guide to this medication Everolimus supplement interactions Every supplement checked against Everolimus, 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 References The 1 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Everolimus and Divi-divi?

Our pharmacists answer your medication & supplement questions — free.

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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.