Drug & supplement interaction

Gelsemium + Alectinib Hydrochloride

Alectinib Hydrochloride brand name: Alecensa.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Gelsemium and Alectinib Hydrochloride 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 label for Alectinib Hydrochloride states a food rule worth keeping to, and 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

Gelsemium and Alectinib Hydrochloride

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 Alectinib Hydrochloride and Gelsemium 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 Gelsemium at all — not against Alectinib Hydrochloride, 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.

Gelsemium safety at a glance

Gelsemium overall Avoid The crude plant is highly toxic and even small amounts can be life-threatening.
Pregnancy Unsafe When used orally due to toxicity. Read the full pregnancy detail
Breastfeeding Unsafe When used orally due to toxicity. 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 Alectinib Hydrochloride and Gelsemium? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Gelsemium and Alectinib Hydrochloride 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. 3 of them are worth acting on rather than waiting out — marked below.

  • Muscle weakness / A slow heartbeat / Shortness of breath Worth acting on reported in 3.2% of FDA reports for Alectinib Hydrochloride Additional detail

    Gelsemium

    “Orally, gelsemium can cause headache, drooping of the eyelid, double vision, difficulty swallowing, dizziness, muscle weakness or rigidity, seizures, dyspnea, and bradycardia. Death due to failure of respiratory muscles can occur (18).”

    Gelsemium · Natural Medicines adverse-effect record, reported in cluster headache.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

    Alectinib Hydrochloride

    Listed in the ADVERSE REACTIONS section of the FDA label for Alectinib Hydrochloride, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

  • Headache Additional detail

    Gelsemium

    Recorded for Gelsemium in the same Natural Medicines adverse-effect record shown under Muscle weakness / A slow heartbeat / Shortness of breath above.

    Alectinib Hydrochloride

    Listed in the ADVERSE REACTIONS section of the FDA label for Alectinib Hydrochloride. Read the label on DailyMed ›

Reported for Gelsemium but not commonly for Alectinib Hydrochloride: trouble swallowing, dizziness and seizures.

Effects for Alectinib Hydrochloride come from the ADVERSE REACTIONS section of its FDA label; effects for Gelsemium come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 7,249 voluntary FDA FAERS reports for Alectinib Hydrochloride 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

Gelsemium in Pregnancy & Breastfeeding

Pregnancy And Lactation Unsafe

When used orally due to toxicity.

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

How to take them

Some Alectinib Hydrochloride Products Have a Food Rule — Gelsemium Should Not Break It

At least one FDA label for a product containing Alectinib Hydrochloride says to take it with food. If you take Gelsemium on an empty stomach out of habit, keep them separate — and take Alectinib Hydrochloride with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Alectinib Hydrochloride products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

Administer ALECENSA with food.

From the Dosage and Administration section of the FDA label we read for Alectinib Hydrochloride — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Alectinib Hydrochloride

This page covers Gelsemium only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Alectinib Hydrochloride page lists 74 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Siberian Cocklebur (major), Wine (major) and Alfalfa (moderate).

By severity: 4 major · 60 moderate · 10 minor.

From our pharmacist’s overview on the Alectinib Hydrochloride page

“Alectinib (Alecensa) treats ALK-positive lung cancer, and because your liver already has to tolerate this drug, check this page before adding any supplement, not after. Of the 74 ingredients on file, 38 can add stress to the liver, and three of the four major-rated entries (beer, wine, and Siberian cocklebur) are the clearest examples…”

Reviewed by 2 · Jul 18, 2026

Open the Alectinib Hydrochloride interaction page

One more smart check

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

We hold 2 real supplement products containing Gelsemium, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Gelsemium. Even though Gelsemium itself has no known interaction with Alectinib Hydrochloride, 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 Gelsemium and Alectinib Hydrochloride 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 Gelsemium
Steady interest

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

29 days ago today
Medication Alectinib Hydrochloride
Steady interest

#2,395 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 Gelsemium reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Gelsemium and Alectinib Hydrochloride 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 Gelsemium

What is Gelsemium?

  • Anxiety and nervousness
  • Headache and migraine
  • Flu-like symptoms
  • Nerve pain (neuralgia)
  • Stage fright

Gelsemium is a highly toxic flowering plant most often sold today in very dilute homeopathic forms for anxiety, headaches, and flu-like symptoms. There is little reliable scientific evidence that it works, and the raw plant is dangerously poisonous, so it should never be used in crude or concentrated form. Always talk to a pharmacist or doctor before trying it.

Gelsemium sempervirens · Gelsemiaceae · Root and rhizome (also used in homeopathic preparations) · Homeopathic pellets and liquid dilutions, tinctures

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

Gelsemium: dosing

There is no established safe dose for the Gelsemium plant, and the crude herb should not be taken because of its toxicity. Homeopathic products use standardized dilution scales rather than measured milligram amounts of plant.If you choose to use a homeopathic Gelsemium product, follow the directions on the label exactly and do not exceed them.

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

Read the full Gelsemium monograph & all interactions
Medication

About Alectinib

What Is Alectinib Used For?

Brand name: Alecensa

Alecensa (alectinib) is used in adults with non-small cell lung cancer (NSCLC) whose tumors have a specific genetic change called ALK-positive (anaplastic lymphoma kinase-positive), confirmed by an FDA-approved test.

Alecensa is used in two situations: as adjuvant treatment — meaning after surgical removal of the tumor — in patients whose tumors were at least 4 cm or had spread to nearby lymph nodes; and as treatment for metastatic NSCLC, meaning cancer that has spread to other parts of the body.

Most-Reported Side Effects for Alectinib Hydrochloride

From FAERS, the FDA’s public side-effect reporting system (7,249 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 518 reports
Constipation 445 reports
Rash 257 reports
Dyspnea 234 reports
Disease progression 210 reports
See full Alectinib drug information
Keep checking

Other Drugs & Gelsemium

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

See the full Gelsemium interactions page
See every supplement checked against Alectinib Hydrochloride, ranked by severity
Evidence & sources

Gelsemium References

The 2 references that drive our Gelsemium 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. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

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 Gelsemium and Alectinib Hydrochloride Together: Common Questions

Is it safe to take Gelsemium with Alectinib Hydrochloride?
We do not list a known interaction between Gelsemium and Alectinib Hydrochloride. 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 Gelsemium and Alectinib Hydrochloride have any of the same side effects?
Yes — our sources link each of them separately to 4 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.
Should I take Gelsemium and Alectinib Hydrochloride at the same time of day?
At least one FDA label for a product containing Alectinib Hydrochloride says to take it with food. If you take Gelsemium on an empty stomach out of habit, keep them separate and take Alectinib Hydrochloride with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Alectinib Hydrochloride products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Alectinib Hydrochloride interact with any supplements?
Yes. Alectinib Hydrochloride has documented interactions with 74 supplements in our database — Gelsemium is not one of them. The Alectinib Hydrochloride 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

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

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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.