Drug & supplement interaction

European Buckthorn + Dextroamphetamine (patch)

Dextroamphetamine (patch) brand name: Xelstrym.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between European Buckthorn and Dextroamphetamine (patch) 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. Additionally, although there is no interaction, the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

European Buckthorn and Dextroamphetamine (patch)

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 Dextroamphetamine (patch) and European Buckthorn 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.

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.

European Buckthorn safety at a glance

European Buckthorn overall Use caution It is a harsh stimulant laxative and raw berries can be toxic, so use only with professional guidance.
Pregnancy Likely Unsafe When used orally; avoid using. Read the full pregnancy detail
Breastfeeding Likely Unsafe When used orally; avoid using. Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Dextroamphetamine (patch) and European Buckthorn? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Dextroamphetamine (patch)

Interactions in our licensed database are recorded against drug classes, not just single drug names. Dextroamphetamine (patch) is filed under 6 classifications — including amphetamines, stimulant drugs, serotonergic drugs. European Buckthorn has documented interactions with 4 drug classes — the most serious being digoxin (lanoxin) (major), diuretic drugs (moderate) and stimulant laxatives (moderate) — and none of Dextroamphetamine (patch)’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

European Buckthorn Does Interact With Other Medications

European Buckthorn has 1 major, 98 moderate known drug interactions in our database — Dextroamphetamine (patch) isn’t one of them. If you take anything else, check it against the full list below.

Major 1 Moderate 98 No known interaction 2,731 (incl. Dextroamphetamine (patch))
Taking anything else?

Check Another of Your Medications Against European Buckthorn

Covers the 2,830 medications we’ve checked against European Buckthorn. Pick one to open its full report.

What to actually watch for

No Interaction Found — But Data Suggests European Buckthorn and Dextroamphetamine (patch) May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Stomach pain / Diarrhea Additional detail

    European Buckthorn

    “Orally, European buckthorn seems to be well tolerated, short term. It can cause abdominal pain, cramps, or watery diarrhea (12). Chronic use or abuse of the berry can lead to potassium depletion, albuminuria, and hematuria. Potassium depletion can lead to disturbed heart function and muscle weakness (2).”

    European Buckthorn · Natural Medicines adverse-effect record, reported in albuminuria.

    3 sources cited
    1. 12. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
    2. 2. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
    3. 6138. Nusko G, Schneider B, Schneider I, et al. Anthranoid laxative use is not a risk factor for colorectal neoplasia: results of a prospective case control study. Gut 2000;46:651-5. PubMed

    “Orally, European buckthorn can cause abdominal pain, cramps, or watery diarrhea (12). Chronic use can cause pseudomelanosis coli (pigment spots in intestinal mucosa) which is harmless, usually reverses with discontinuation (2), and is not associated with an increased risk of developing colorectal adenoma or carcinoma.”

    European Buckthorn · Natural Medicines adverse-effect record, reported in colorectal adenoma.

    3 sources cited
    1. 12. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
    2. 2. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
    3. 6138. Nusko G, Schneider B, Schneider I, et al. Anthranoid laxative use is not a risk factor for colorectal neoplasia: results of a prospective case control study. Gut 2000;46:651-5. PubMed

    Dextroamphetamine (patch)

    Listed in the ADVERSE REACTIONS section of the FDA label for Dextroamphetamine (patch). Read the label on DailyMed ›

Reported for European Buckthorn but not commonly for Dextroamphetamine (patch): low potassium and muscle weakness.

Effects for Dextroamphetamine (patch) come from the ADVERSE REACTIONS section of its FDA label; effects for European Buckthorn come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 47,738 voluntary FDA FAERS reports for Dextroamphetamine (patch) that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

European Buckthorn in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Unsafe

When used orally; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With Dextroamphetamine (patch)

This page covers European Buckthorn only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Dextroamphetamine (patch) page lists 112 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Ephedra (major), Lithium (major), Peyote (major), Rauvolfia Vomitoria (major) and Sida Cordifolia (major).

By severity: 5 major · 93 moderate · 14 minor.

From our pharmacist’s overview on the Dextroamphetamine (patch) page

“Ephedra sits at the very top of the concerns for anyone using the dextroamphetamine patch (Xelstrym). The herb is a stimulant in its own right, and stacking two stimulants can push blood pressure and heart strain into dangerous territory.”

Reviewed by 2 · Jul 18, 2026

Open the Dextroamphetamine (patch) interaction page

One more smart check

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

We hold 20 real supplement products containing European Buckthorn, each one broken down to its full ingredient list — and combination products often carry several ingredients besides European Buckthorn. Even though European Buckthorn itself has no known interaction with Dextroamphetamine (patch), 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 European Buckthorn and Dextroamphetamine (patch) 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 European Buckthorn
Top half

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

29 days ago today
Medication Dextroamphetamine (patch)
Top 25%

#416 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 European Buckthorn reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The European Buckthorn and Dextroamphetamine (patch) 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 European Buckthorn

What is European Buckthorn?

  • Constipation
  • Occasional laxative use
  • Digestive complaints
  • Traditional 'detox' remedies

European Buckthorn is a shrub whose bark and berries contain compounds that act as a strong, irritant-type laxative. Because it can cause cramping, fluid and electrolyte loss, and the berries can be toxic if eaten raw, it is rarely recommended today and safer constipation options are usually preferred. Talk to a pharmacist or doctor before using it.

Rhamnus cathartica · Rhamnaceae · Bark and berries (fruit) · Dried bark, tinctures, teas, and liquid extracts (rarely sold as a modern standardized supplement)

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

European Buckthorn: dosing

There is no well-established, standardized dose for European Buckthorn supplements, and the strength of homemade preparations can vary widely. This is one reason it is hard to use safely.If a product is used at all, it should be a properly labeled commercial preparation, taken exactly as directed and only for short-term use.

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

Read the full European Buckthorn monograph & all interactions
Keep checking

Other Drugs & European Buckthorn

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

1Major
98Moderate
0Minor
2,730No known interaction
1 Major 98 Moderate 2,730 No interaction
Major

1 interaction

Moderate

98 interactions

Showing 60 of 98 moderate interactions — see all 98 on the European Buckthorn page.

No interaction 2,730 drugs checked — show the list

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

Showing the 60 most looked-up of 2,730 medications checked with no known interaction — see the full European Buckthorn list.

See the full European Buckthorn interactions page
See every supplement checked against Dextroamphetamine (patch), ranked by severity
Evidence & sources

European Buckthorn References

The 7 references that drive our European Buckthorn 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. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
  2. Tyler VE. Herbs of Choice. Binghamton, NY: Pharmaceutical Products Press, 1994.
  3. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
  4. Schulz V, Hansel R, Tyler VE. Rational Phytotherapy: A Physician's Guide to Herbal Medicine. Terry C. Telger, transl. 3rd ed. Berlin, GER: Springer, 1998.
  5. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  6. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
  7. Nusko G, Schneider B, Schneider I, et al. Anthranoid laxative use is not a risk factor for colorectal neoplasia: results of a prospective case control study. Gut 2000;46:651-5. PubMed

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 European Buckthorn and Dextroamphetamine (patch) Together: Common Questions

Is it safe to take European Buckthorn with Dextroamphetamine (patch)?
We do not list a known interaction between European Buckthorn and Dextroamphetamine (patch). 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.
Do European Buckthorn and Dextroamphetamine (patch) have any of the same side effects?
Yes — our sources link each of them separately to 2 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
How was the European Buckthorn and Dextroamphetamine (patch) combination checked?
Interactions in our licensed database are recorded against drug classes. Dextroamphetamine (patch) is filed under 6 classifications, and European Buckthorn has documented interactions with 4 drug classes — none of Dextroamphetamine (patch)'s classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does European Buckthorn interact with any other medications?
Yes. European Buckthorn has 99 documented drug interactions in our database — Dextroamphetamine (patch) is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Dextroamphetamine (patch) interact with any supplements?
Yes. Dextroamphetamine (patch) has documented interactions with 112 supplements in our database — European Buckthorn is not one of them. The Dextroamphetamine (patch) 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

European Buckthorn monograph Uses, safety profile, and every drug interaction in one place Dextroamphetamine (patch) supplement interactions Every supplement checked against Dextroamphetamine (patch), 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 7 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

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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.