Drug & supplement interaction

European Mandrake + Scopolamine

Scopolamine brand names: Scopace, Scopolamine Injection, Transderm Scop.

Moderate Interaction
Medically reviewed by · Updated September 2026
The bottom line Moderate

Scopolamine falls into 2 drug categories that European Mandrake can interact with; the most serious is rated moderate. Theoretically, concurrent use might increase absorption of some drugs because of inhibited gastrointestinal (GI) motility caused by European mandrake.

Read the full interaction report
SeverityModerate
LikelihoodProbable
Interactions2
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

European Mandrake and Scopolamine

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

European Mandrake interacts with whole categories of medication. Scopolamine falls into 2 of those categories, so it can interact with European Mandrake in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).

Moderate

ORAL DRUGS

1 of 2

Why this applies to Scopolamine

Scopolamine falls under ORAL DRUGS — the group European Mandrake interacts with.

Theoretically, concurrent use might increase absorption of some drugs because of inhibited gastrointestinal (GI) motility caused by European mandrake.
Severity Moderate Likelihood Probable Evidence D

Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the tricky part with this pairing: European mandrake contains the very same kind of chemicals (atropine, scopolamine, hyoscyamine) that are scopolamine. So you'd essentially be stacking two anticholinergic agents on top of each other. The concern on file is that mandrake slows down your gut, which could let an oral drug sit longer and be absorbed more fully, nudging its levels up.

With scopolamine specifically, that means a real risk of doubling up on the same effects: heavy dry mouth, blurry vision, a racing heart, constipation, trouble urinating, drowsiness, and confusion (especially in older folks). This is a theoretical, pharmacology-based concern, but mandrake itself is genuinely toxic. Please don't use it, and talk with your pharmacist or doctor about anything you're taking.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
Moderate

ANTICHOLINERGIC DRUGS

2 of 2

Scopolamine also falls under ANTICHOLINERGIC DRUGS.

Concurrent use may cause additive anticholinergic effects and adverse effects. Anticholinergic drugs include conventional medications containing tropane alkaloids such as atropine, as well as phenothiazines, amantadine, some antiparkinson drugs, glutethimide, meperidine, tricyclic antidepressants, antiarrhythmic agents, and antihistamines.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the simplest way to think about this one: scopolamine and European mandrake are basically working the same machinery. Scopolamine itself blocks acetylcholine, and mandrake contains scopolamine plus close cousins like atropine and hyoscyamine. So putting them together is like doubling up on the same drug. You would expect the anticholinergic effects to stack, meaning worse dry mouth, blurry vision, a racing heart, constipation, trouble urinating, drowsiness, and in larger amounts confusion or agitation.

This concern is based on how these chemicals behave (pharmacology), not on strong human studies. Even so, I'd take it seriously here, because mandrake is genuinely toxic and there's no safe dose. I would not combine them. Please run this by your pharmacist or doctor first.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

European Mandrake Also Interacts With Other Medications

European Mandrake has 2,041 moderate known drug interactions in our database — the Scopolamine one above is among them. If you take anything else, check it against the full list below.

Moderate 2,041 No known interaction 789 (incl. Scopolamine)
Taking anything else?

Check Another of Your Medications Against European Mandrake

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

Everything else you take

See Every Supplement That Interacts With Scopolamine

This page covers European Mandrake only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Scopolamine page lists 51 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), Henbane (major), Scopolia (major) and Angel's Trumpet (moderate).

By severity: 4 major · 34 moderate · 13 minor.

From our pharmacist’s overview on the Scopolamine page

“Scopolamine, the motion sickness medicine most people wear as the Transderm Scop patch, sits on the serious end of supplement interactions, so learn the four major entries first. Most of the 51 ingredients here, 30 of them, pile the same anticholinergic side effects on top of the drug: dry mouth, blurred vision, constipation, confusion.”

Reviewed by 2 · Jul 18, 2026

Open the Scopolamine interaction page

How much people look this up

Where European Mandrake and Scopolamine 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 Mandrake
Top 25%

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

29 days ago today
Medication Scopolamine
Steady interest

#2,336 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.

Supplement

About European Mandrake

What is European Mandrake?

European Mandrake
  • Insomnia (traditional)
  • Pain relief (historical)
  • Anxiety or depression (folk use)
  • Gout and aches (traditional)
  • Sedation or anesthesia (historical)

European mandrake is a highly toxic plant from the nightshade family that was used in ancient and medieval times as a sedative and pain reliever. It contains powerful poisons that can cause serious harm or death, and there is no proof it safely treats any condition. We strongly recommend you do not consume mandrake in any form.

Read the full European Mandrake monograph & all interactions
Medication

About Scopolamine Transdermal Patch

What Is Scopolamine Transdermal Patch Used For?

Brand names: Scopace, Scopolamine Injection, Transderm Scop

Scopolamine Transdermal System (also sold as Transderm Scōp) is approved for adults to prevent nausea and vomiting caused by motion sickness. You apply it before travel to help stop queasiness before it starts.

It is also used to prevent post-operative nausea and vomiting (PONV) — the nausea and vomiting that can follow surgery, anesthesia, or opioid pain medicines. Transderm Scōp is applied the evening before surgery (for surgeries other than cesarean section) and removed 24 hours after the procedure.

See full Scopolamine Transdermal Patch drug information
Keep checking

Other Drugs & European Mandrake

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

0Major
2,041Moderate
0Minor
788No known interaction
2,041 Moderate 788 No interaction
Moderate

2,041 interactions

Showing 60 of 2,041 moderate interactions — see all 2,041 on the European Mandrake page.

No interaction 788 drugs checked — show the list

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

Showing the 60 most looked-up of 788 medications checked with no known interaction — see the full European Mandrake list.

See the full European Mandrake interactions page
See every supplement checked against Scopolamine, ranked by severity
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
European Mandrake monograph › Uses, safety, and every drug interaction in one place Scopolamine supplement interactions › Every supplement checked against Scopolamine, ranked by severity Scopolamine Transdermal Patch drug information › The full plain-English guide to this medication Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking European Mandrake and Scopolamine Together: Common Questions

Can you take European Mandrake with Scopolamine?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
Why are there 2 interactions listed for European Mandrake and Scopolamine?
Scopolamine belongs to more than one drug category, and European Mandrake interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the European Mandrake and Scopolamine interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

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

Still Have a Question About Scopolamine and European Mandrake?

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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.