Drug & supplement interaction

Graviola + tislelizumab-jsgr

tislelizumab-jsgr brand name: Tevimbra.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Oct 4, 2026
The bottom line No known interaction

We found no known interaction between Graviola and tislelizumab-jsgr 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

Graviola and tislelizumab-jsgr

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 tislelizumab-jsgr and Graviola 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.

Graviola safety at a glance

Graviola overall Use caution Human safety data are limited, and lab studies raise concerns about possible nerve toxicity with long-term use.
Pregnancy Possibly Unsafe When used orally. Read the full pregnancy detail
Breastfeeding Possibly Unsafe When used orally. 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 tislelizumab-jsgr and Graviola? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for tislelizumab-jsgr

Interactions in our licensed database are recorded against drug classes, not just single drug names. tislelizumab-jsgr is filed under 2 classifications — nephrotoxic drugs, hepatotoxic drugs. Graviola has documented interactions with 1 drug class — the most serious being carbamazepine (tegretol) (moderate) — and none of tislelizumab-jsgr’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

Graviola Does Interact With Other Medications

Graviola has 1 moderate known drug interaction in our database — tislelizumab-jsgr isn’t one of them. If you take anything else, check it against the full list below.

Moderate 1 No known interaction 2,829 (incl. tislelizumab-jsgr)
Taking anything else?

Check Another of Your Medications Against Graviola

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

What to actually watch for

What Graviola Itself Has Been Linked To

This is not an interaction — nothing below involves tislelizumab-jsgr. It is the side-effect record for Graviola on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Graviola, this list is the first place to look.

  • Nausea Additional detail

    “In one clinical study, some patients reported nausea and burning pain in the epigastrium after taking graviola leaf extract 300 mg daily.”

    Graviola · Natural Medicines adverse-effect record, reported in myasthenia gravis.

    1 source cited
    1. 95045. Gavamukulya Y, Wamunyokoli F, El-Shemy HA. Annona muricata: Is the natural therapy to most disease conditions including cancer growing in our backyard? A systematic review of its research history and future prospects. Asian Pac J Trop Med. 2017;10(9):835- PubMed

Everything above comes from the Natural Medicines adverse-effect record for Graviola — expand a row for the licensed statement it rests on. We haven’t matched tislelizumab-jsgr to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for tislelizumab-jsgr.

Special populations

Graviola in Pregnancy & Breastfeeding

Pregnancy And Lactation Possibly Unsafe

When used orally.

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 tislelizumab-jsgr

This page covers Graviola only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the tislelizumab-jsgr page lists 42 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Asarabacca (major), Beer (major), Siberian Cocklebur (major), Wine (major) and Aristolochia (moderate).

By severity: 4 major · 37 moderate · 1 minor.

From our pharmacist’s overview on the tislelizumab-jsgr page

“Alcohol, even ordinary beer and wine, sits at the top of my concerns for anyone receiving tislelizumab-jsgr (Tevimbra), an immunotherapy for certain cancers of the esophagus and stomach. Drugs in this class can provoke immune attacks on the liver, and 38 of the 42 supplement ingredients on this page add liver stress of their own, so ne…”

Reviewed by 2 · Jul 18, 2026

Open the tislelizumab-jsgr interaction page

One more smart check

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

We hold 217 real supplement products containing Graviola, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Graviola. Even though Graviola itself has no known interaction with tislelizumab-jsgr, 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 Graviola and tislelizumab-jsgr 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 Graviola
Top half

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

29 days ago today
Medication tislelizumab-jsgr
Top half

#986 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 Graviola reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified October 4, 2026. The Graviola and tislelizumab-jsgr 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 Graviola

What is Graviola?

  • Cancer support (unproven)
  • Infections
  • Inflammation
  • High blood pressure
  • Digestive complaints
  • Diabetes

Graviola (soursop) is a tropical fruit tree whose leaves, fruit, and bark are used in traditional medicine, especially in parts of South America, Africa, and Asia. Despite popular online claims that it fights cancer, there is no reliable human evidence that it treats or cures any disease, and animal research raises concerns that it may harm nerve cells. Talk with your pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.

Annona muricata · Annonaceae · Leaves, fruit, bark, seeds, and roots · Tea, capsules, tinctures, fruit pulp, and juice

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

Graviola: dosing

There is no established or standardized safe dose of graviola. Products vary widely in strength and in which plant part they contain.If you choose to use a graviola product, follow the directions on the label, do not exceed the recommended amount, and avoid long-term daily use.

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

Read the full Graviola monograph & all interactions
Medication

About tislelizumab-jsgr

Most-Reported Side Effects for tislelizumab-jsgr

From FAERS, the FDA’s public side-effect reporting system (177 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Disease progression 64 reports
Malignant neoplasm progression 22 reports
Anemia 21 reports
Lymphadenopathy 19 reports
Thrombocytopenia 19 reports
Keep checking

Other Drugs & Graviola

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

0Major
1Moderate
0Minor
2,828No known interaction
1 Moderate 2,828 No interaction
Moderate

1 interaction

No interaction 2,828 drugs checked — show the list

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

Showing the 60 most looked-up of 2,828 medications checked with no known interaction — see the full Graviola list.

See the full Graviola interactions page
See every supplement checked against tislelizumab-jsgr, ranked by severity
Evidence & sources

Graviola References

The 4 references that drive our Graviola 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. Caparros-Lefebvre D, Elbaz A. Possible relation of atypical parkinsonism in the French West Indies with consumption of tropical plants: a case-control study. Caribbean Parkinsonism Study Group. Lancet 1999;354:281-6. PubMed
  2. Gavamukulya Y, Wamunyokoli F, El-Shemy HA. Annona muricata: Is the natural therapy to most disease conditions including cancer growing in our backyard? A systematic review of its research history and future prospects. Asian Pac J Trop Med. 2017;10(9):835- PubMed
  3. Abu Soukhon AA, Abu-Qatouseh L, Mansoor K, et al. Cytotoxicity Activity of Graviola Fruit Extract with Carbamazepine and Valproic Acid Show Antagonistic and Indifferent Effects. Asian Pac J Cancer Prev 2023;24(6):1869-1875. PubMed
  4. Cleret de Langavant L, Roze E, Petit A, et al. Annonaceae Consumption Worsens Disease Severity and Cognitive Deficits in Degenerative Parkinsonism. Mov Disord 2022;37(12):2355-2366. 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 Graviola and tislelizumab-jsgr Together: Common Questions

Is it safe to take Graviola with tislelizumab-jsgr?
We do not list a known interaction between Graviola and tislelizumab-jsgr. 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.
How was the Graviola and tislelizumab-jsgr combination checked?
Interactions in our licensed database are recorded against drug classes. tislelizumab-jsgr is filed under 2 classifications, and Graviola has documented interactions with 1 drug class — none of tislelizumab-jsgr'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 Graviola interact with any other medications?
Yes. Graviola has 1 documented drug interaction in our database — tislelizumab-jsgr 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 tislelizumab-jsgr interact with any supplements?
Yes. tislelizumab-jsgr has documented interactions with 42 supplements in our database — Graviola is not one of them. The tislelizumab-jsgr 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

Graviola monograph Uses, safety profile, and every drug interaction in one place tislelizumab-jsgr supplement interactions Every supplement checked against tislelizumab-jsgr, 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 4 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About tislelizumab-jsgr and Graviola?

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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.