Drug & supplement interaction

Ecdysteroids + Azacitidine

Azacitidine brand names: Vidaza, Onureg.

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 Ecdysteroids and Azacitidine 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

Ecdysteroids and Azacitidine

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 Azacitidine and Ecdysteroids 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 Ecdysteroids at all — not against Azacitidine, 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.

Ecdysteroids safety at a glance

Ecdysteroids overall Use caution Short-term use appears generally well tolerated in small studies, but long-term safety is not well established.
Pregnancy Avoid There is not enough safety information, so avoid use during pregnancy.
Breastfeeding Avoid There is not enough safety information, so avoid use while breastfeeding.

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

Still wondering about combining Azacitidine and Ecdysteroids? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Azacitidine’s Own FDA Label Lists

This is not an interaction — none of it involves Ecdysteroids. These are the most notable effects listed in the ADVERSE REACTIONS section of Azacitidine’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.

  • Low potassium Worth acting on
  • Chest pain Worth acting on
  • A low platelet count Worth acting on
  • Kidney problems Worth acting on
  • Anemia Worth acting on
  • Raised blood pressure Worth acting on
  • Shortness of breath Worth acting on
  • Hives Worth acting on
  • A low white blood cell count Worth acting on
  • Liver problems Worth acting on

Showing the 10 most notable of 35 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 Azacitidine. Read the label on DailyMed › Ecdysteroids’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Ecdysteroids side to compare — that is a limit of the record, not a statement that Ecdysteroids has no side effects.

Everything else you take

See Every Supplement That Interacts With Azacitidine

This page covers Ecdysteroids only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Azacitidine page lists 17 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Coffee Charcoal (moderate), European Mandrake (moderate), Glucomannan (moderate) and Guar Gum (moderate).

By severity: 1 major · 7 moderate · 9 minor.

From our pharmacist’s overview on the Azacitidine page

“Azacitidine treats myelodysplastic syndromes and certain leukemias, and if you take the oral form (Onureg), every one of the 17 supplements on this page can change how much of the medicine actually reaches your blood. With a cancer drug, an underdosed pill can mean less control of the disease, so treat this list with genuine care.”

Reviewed by 2 · Jul 18, 2026

Open the Azacitidine interaction page

One more smart check

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

We hold 1 real supplement products containing Ecdysteroids, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Ecdysteroids. Even though Ecdysteroids itself has no known interaction with Azacitidine, 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 Ecdysteroids and Azacitidine 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 Ecdysteroids
Steady interest

#1,096 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Azacitidine
Steady interest

#1,597 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. Ecdysteroids 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 Ecdysteroids reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Ecdysteroids and Azacitidine 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 Ecdysteroids

What is Ecdysteroids?

  • Muscle building and strength
  • Athletic performance and recovery
  • General "adaptogen" or vitality support
  • Anti-aging and wellness

Ecdysteroids are plant- and insect-derived steroid-like compounds (most notably 20-hydroxyecdysone) marketed mainly to athletes for building muscle. Human evidence is very limited and far weaker than the marketing suggests, and long-term safety is not well studied. Talk to your pharmacist or doctor before using them, and avoid use during pregnancy and breastfeeding.

Roots and aerial parts of certain plants (such as Rhaponticum carthamoides and Spinacia oleracea); also found in some insects · Capsules, tablets, powders, and extracts (often standardized to 20-hydroxyecdysone)

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

Ecdysteroids: dosing

There is no well-established, standardized dose for ecdysteroids. Doses used in research vary, and many products are standardized to a percentage of 20-hydroxyecdysone, but ideal amounts in people are not proven.If you choose to use a product, follow the directions on the label and do not exceed them.

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

Read the full Ecdysteroids monograph & all interactions
Medication

About Azacitidine

What Is Azacitidine Used For?

Brand names: Vidaza, Onureg

Azacitidine injection (brands: Vidaza and generic azacitidine for injection) treats adults with myelodysplastic syndromes (MDS) — a group of bone marrow conditions where blood cells don't develop normally. The specific MDS subtypes include refractory anemia, refractory anemia with ringed sideroblasts (when accompanied by low white or platelet counts, or transfusion dependence), refractory anemia with excess blasts, refractory anemia with excess blasts in transformation, and chronic myelomonocytic leukemia. Vidaza is also approved for infants and children aged 1 month and older with newly diagnosed juvenile myelomonocytic leukemia (JMML).

Onureg (the oral tablet form of azacitidine) is used for a different purpose: continued treatment of adults with acute myeloid leukemia (AML) who achieved their first remission after intensive chemotherapy but are not able to continue intensive curative therapy. Onureg is not interchangeable with the injectable forms.

See full Azacitidine drug information
Keep checking

Other Drugs & Ecdysteroids

Browse every other medication we’ve checked against Ecdysteroids — 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 Ecdysteroids 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 Ecdysteroids list.

See the full Ecdysteroids interactions page
See every supplement checked against Azacitidine, ranked by severity
Evidence & sources

Ecdysteroids References

The 2 sources that drive our Ecdysteroids monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Ecdysteroids is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Dietary Supplements for Exercise and Athletic Performance — NIH Office of Dietary Supplements Source
  2. Dietary Supplements — MedlinePlus 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 Ecdysteroids and Azacitidine Together: Common Questions

Is it safe to take Ecdysteroids with Azacitidine?
We do not list a known interaction between Ecdysteroids and Azacitidine. 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 Azacitidine interact with any supplements?
Yes. Azacitidine has documented interactions with 17 supplements in our database — Ecdysteroids is not one of them. The Azacitidine 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

Ecdysteroids monograph Uses, safety profile, and every drug interaction in one place Azacitidine drug information The full plain-English guide to this medication Azacitidine supplement interactions Every supplement checked against Azacitidine, 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 2 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Azacitidine and Ecdysteroids?

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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.