Drug & supplement interaction

Elm Bark + Bicalutamide

Bicalutamide brand name: Casodex.

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 Elm Bark and Bicalutamide 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

Elm Bark and Bicalutamide

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 Bicalutamide and Elm Bark 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 Elm Bark at all — not against Bicalutamide, 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.

Elm Bark safety at a glance

Elm Bark overall Use caution Likely low-risk for short-term use in healthy adults, but human safety data are limited.
Pregnancy Avoid Not enough safety information, so it is best avoided during pregnancy.
Breastfeeding Avoid No reliable safety data while breastfeeding, so avoid use.

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

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

What Bicalutamide’s Own FDA Label Lists

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

  • Bone thinning Worth acting on
  • Pain or burning when passing urine Worth acting on
  • Dehydration Worth acting on
  • Trouble swallowing Worth acting on
  • Trouble passing urine Worth acting on
  • Heart failure Worth acting on
  • High blood sugar Worth acting on
  • Fainting Worth acting on
  • Wheezing Worth acting on
  • Confusion Worth acting on

Showing the 10 most notable of 57 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 Bicalutamide. Read the label on DailyMed › Where a percentage is shown, it is the share of 15,149 voluntary FDA FAERS reports for Bicalutamide that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Elm Bark’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Elm Bark side to compare — that is a limit of the record, not a statement that Elm Bark has no side effects.

Everything else you take

See Every Supplement That Interacts With Bicalutamide

This page covers Elm Bark only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Bicalutamide 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.

Open the Bicalutamide interaction page

How much people look this up

Where Elm Bark and Bicalutamide 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 Elm Bark
Steady interest

#1,366 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Bicalutamide
Top half

#960 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. Elm Bark 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 Elm Bark reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Elm Bark and Bicalutamide 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 Elm Bark

What is Elm Bark?

Elm Bark
  • Diarrhea
  • Gastritis and stomach upset
  • Mild inflammation
  • Skin irritation
  • Sore throat

Elm bark (from Ulmus minor) has a long history in traditional medicine for digestive complaints and minor inflammation, but high-quality human studies are lacking, so its true effectiveness is unknown. It is generally considered low-risk for short-term use in adults, but it should not be confused with slippery elm (Ulmus rubra). Talk to a pharmacist or doctor before using it, especially if you are pregnant, breastfeeding, or have a health condition.

Ulmus minor · Ulmaceae · Bark · Dried bark, powder, tea, tincture/liquid extract, capsules

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

Elm Bark: dosing

There is no well-established standard dose for elm bark. Because human studies are lacking, no reliable, evidence-based amount has been set.If you use a commercial product, follow the directions on the label and do not exceed the recommended amount. Use it for short periods only, and stop if you have any unwanted effects.

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

Read the full Elm Bark monograph & all interactions
Medication

About Bicalutamide

What Is Bicalutamide Used For?

Brand name: Casodex

Bicalutamide (50 mg daily) — available as the brand Casodex and as generic bicalutamide tablets — is used together with an LHRH analog (a hormone-lowering injection) to treat Stage D2 metastatic carcinoma of the prostate (advanced prostate cancer that has spread to other parts of the body). It is not used alone for this purpose.

Important: The 150 mg daily dose of bicalutamide is not approved for use alone or with any other treatment.

Most-Reported Side Effects for Bicalutamide

From FAERS, the FDA’s public side-effect reporting system (15,149 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 1,328 reports
Prostatic specific antigen increased 939 reports
Asthenia 809 reports
Hot flush 793 reports
Prostate cancer 754 reports
See full Bicalutamide drug information
Keep checking

Other Drugs & Elm Bark

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

See the full Elm Bark interactions page
See every supplement checked against Bicalutamide, ranked by severity
Evidence & sources

Elm Bark References

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

  1. Slippery Elm — MedlinePlus (NIH) Source
  2. Herbs at a Glance — NIH NCCIH 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 Elm Bark and Bicalutamide Together: Common Questions

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

Elm Bark monograph Uses, safety profile, and every drug interaction in one place Bicalutamide drug information The full plain-English guide to this medication Bicalutamide supplement interactions Every supplement checked against Bicalutamide, 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 Bicalutamide and Elm Bark?

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.