Drug & supplement interaction

Fringetree + Anagrelide

Anagrelide brand name: Agrylin.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Fringetree and Anagrelide 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

Fringetree and Anagrelide

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 Anagrelide and Fringetree 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 Fringetree at all — not against Anagrelide, 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.

Fringetree safety at a glance

Fringetree overall Use caution Human safety data are very limited, so use cautiously and under professional guidance.
Pregnancy Avoid No reliable safety data exist, so it is best avoided during pregnancy.
Breastfeeding Avoid Lack of safety information means it should be avoided while breastfeeding.

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

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

What Anagrelide’s Own FDA Label Lists

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

  • A stroke or mini-stroke Worth acting on
  • Memory problems Worth acting on
  • Anemia Worth acting on mentioned in 10.2% of FDA reports for Anagrelide
  • A heart attack Worth acting on
  • Pancreatitis Worth acting on
  • Heart failure Worth acting on
  • Fainting Worth acting on
  • An irregular heartbeat Worth acting on
  • Confusion Worth acting on
  • Chest pain Worth acting on

Showing the 10 most notable of 47 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 Anagrelide. Read the label on DailyMed › Where a percentage is shown, it is the share of 2,283 voluntary FDA FAERS reports for Anagrelide that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Fringetree’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Fringetree side to compare — that is a limit of the record, not a statement that Fringetree has no side effects.

Everything else you take

See Every Supplement That Interacts With Anagrelide

This page covers Fringetree only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Anagrelide page lists 265 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Danshen (major), Piracetam (major), Aconite (moderate) and Adrafinil (moderate).

By severity: 3 major · 223 moderate · 39 minor.

From our pharmacist’s overview on the Anagrelide page

“Anagrelide (Agrylin) lowers platelet counts in people whose bone marrow makes too many, so bleeding risk is already the thing being managed, and most of this list pushes on exactly that. The bulk of these ingredients have some blood-thinning or antiplatelet activity of their own, from danshen and piracetam at the serious end down to fa…”

Reviewed by 2 · Jul 18, 2026

Open the Anagrelide interaction page

One more smart check

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

We hold 77 real supplement products containing Fringetree, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Fringetree. Even though Fringetree itself has no known interaction with Anagrelide, 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 Fringetree and Anagrelide 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 Fringetree
Steady interest

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

29 days ago today
Medication Anagrelide
Top half

#1,319 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. Fringetree 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 Fringetree reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Fringetree and Anagrelide 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 Fringetree

What is Fringetree?

  • Liver and gallbladder support
  • Digestive complaints
  • Jaundice
  • Gallstones
  • Bitter tonic

Fringetree is a North American shrub whose root and stem bark have long been used in traditional herbal medicine, mainly for liver, gallbladder, and digestive complaints. There is very little modern human research to confirm any of these uses, so its benefits remain unproven and its safety is not well established. Talk with a pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.

Chionanthus virginicus · Oleaceae · Dried root and stem bark · Tincture, liquid extract, capsules, dried bark for decoction

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

Fringetree: dosing

There is no established, standardized dose for fringetree. Traditional sources used the tincture or a decoction of the bark, but reliable modern dosing guidelines do not exist.If you choose to use a fringetree product, follow the directions on the product label and do not exceed them.

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

Read the full Fringetree monograph & all interactions
Medication

About Anagrelide

What Is Anagrelide Used For?

Brand name: Agrylin

Both Agrylin and generic anagrelide capsules are used to treat thrombocythemia secondary to myeloproliferative neoplasms — a condition where bone marrow disorders cause dangerously high platelet counts. The goal is to bring platelet counts down, lower the risk of dangerous blood clots (thrombosis), and ease related symptoms including bleeding and clotting events.

Most-Reported Side Effects for Anagrelide

From FAERS, the FDA’s public side-effect reporting system (2,283 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Platelet count increased 155 reports
Fatigue 148 reports
Headache 133 reports
Anemia 127 reports
Haemoglobin decreased 107 reports
See full Anagrelide drug information
Keep checking

Other Drugs & Fringetree

Browse every other medication we’ve checked against Fringetree — 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
No interaction 2,829 drugs checked — show the list
Evidence & sources

Fringetree References

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

  1. Herbs at a Glance — NIH NCCIH Source
  2. Herbs and 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 Fringetree and Anagrelide Together: Common Questions

Is it safe to take Fringetree with Anagrelide?
We do not list a known interaction between Fringetree and Anagrelide. 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 Anagrelide interact with any supplements?
Yes. Anagrelide has documented interactions with 265 supplements in our database — Fringetree is not one of them. The Anagrelide interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Anagrelide and Fringetree?

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.