Drug & supplement interaction

Guggul + Venlafaxine

Venlafaxine brand names: Effexor XR, Effexor.

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 Guggul and Venlafaxine 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 Venlafaxine 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

Guggul and Venlafaxine

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 Venlafaxine and Guggul 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.

Guggul safety at a glance

Guggul overall Use caution May cause digestive upset and skin reactions; use under guidance of a healthcare provider.
Pregnancy Likely Unsafe When used orally; avoid using. Guggul gum resin appears to stimulate menstrual flow and the uterus. Read the full pregnancy detail
Breastfeeding Avoid Not enough safety information, so it is best avoided while breastfeeding.

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 Venlafaxine and Guggul? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Venlafaxine

Interactions in our licensed database are recorded against drug classes, not just single drug names. Venlafaxine is filed under 8 classifications — including antidepressant drugs, qt interval-prolonging drugs, serotonergic drugs. Guggul has documented interactions with 9 drug classes — the most serious being anticoagulant/antiplatelet drugs (moderate), contraceptive drugs (moderate) and cytochrome p450 3a4 (cyp3a4) substrates (moderate) — and none of Venlafaxine’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

Guggul Does Interact With Other Medications

Guggul has 757 moderate known drug interactions in our database — Venlafaxine isn’t one of them. If you take anything else, check it against the full list below.

Moderate 757 No known interaction 2,073 (incl. Venlafaxine)
Taking anything else?

Check Another of Your Medications Against Guggul

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

What to actually watch for

No Interaction Found — But Data Suggests Guggul and Venlafaxine 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. 2 of them are worth acting on rather than waiting out — marked below.

  • Severe muscle breakdown Worth acting on Additional detail

    Guggul

    “There is one case of rhabdomyolysis reported in a patient who took guggul 300 mg three times daily. The patient developed hemoglobinuria within 2 weeks of starting guggul in addition to increased alanine aminotransferase (ALT), aspartate aminotransferase (AST), lactate dehydrogenase, creatine kinase, and myoglobinemia. The patient did not have any muscular symptoms.”

    Guggul · Natural Medicines adverse-effect record, reported in muscle breakdown.

    1 source cited
    1. 13029. Bianchi A, Cantu P, Firenzuoli F, et al. Rhabdomyolysis caused by Commiphora mukul, a natural lipid-lowering agent. Ann Pharmacother 2004;38:1222-5.

    Venlafaxine

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

  • An allergic reaction Worth acting on Additional detail

    Guggul

    “Orally, guggul can cause hypersensitivity reactions including rash and pruritus. Guggul can also cause nonallergic adverse skin reactions. The risk of skin reactions appears to be dose-dependent. In one study, the incidence of skin reactions was 3% with a dosage of 1000 mg three times daily, compared with 15% with a dosage of 2000 mg three times daily.”

    Guggul · Natural Medicines adverse-effect record, reported in dermatitis.

    6 sources cited
    1. 10371. Szapary PO, Wolfe ML, Bloedon LT, et al. Guggulipid for treatment of hypercholesterolemia: a randomized controlled trial. JAMA 2003;290:765-72.
    2. 54457. Gelfand, J. M., Crawford, G. H., Brod, B. A., and Szazpary, P. O. Adverse cutaneous reactions to guggulipid. J.Am.Acad.Dermatol. 2005;52(3 Pt 1):533-534. PubMed
    3. 13662. Gelfand JM, Crawford GH, Brod BA, Szazpary PO. Adverse cutaneous reactions to guggulipid. J Am Acad Dermatol 2005;52:533-4 PubMed
    4. 54464. Kolonte, A., Guillot, B., and Raison-Peyron, N. Allergic contact dermatitis to guggul extract contained in an anticellulite gel-cream. Contact Dermatitis 2006;54(4):226-227. PubMed
    5. 54467. Salavert, M., Amarger, S., Le Bouedec, M. C., Roger, H., Souteyrand, P., and D'incan, M. Allergic contact dermatitis to guggul in a slimming cream. Contact Dermatitis 2007;56(5):286-287. PubMed
    6. 105751. Mehdi Z, Fatemeh P, Roja R, et al. Efficacy and safety of Hemoheal cream in patients with hemorrhoids: a randomized double-blind placebo controlled clinical trial. J Tradit Chin Med 2021;41(2):301-307.

    “Orally, guggul can cause hypersensitivity reactions including rash and pruritus. In a small clinical study, two adults with hyperlipidemia developed a hypersensitivity rash, one with facial edema, within minutes of oral administration of a methanolic extract of guggul, together with Terminalia extract.”

    Guggul · Natural Medicines adverse-effect record, reported in dermatitis.

    5 sources cited
    1. 10371. Szapary PO, Wolfe ML, Bloedon LT, et al. Guggulipid for treatment of hypercholesterolemia: a randomized controlled trial. JAMA 2003;290:765-72.
    2. 54457. Gelfand, J. M., Crawford, G. H., Brod, B. A., and Szazpary, P. O. Adverse cutaneous reactions to guggulipid. J.Am.Acad.Dermatol. 2005;52(3 Pt 1):533-534. PubMed
    3. 105741. Donato F, Raffetti E, Toninelli G, Festa A, Scarcella C, Castellano M; TRIGU Project Working Group. Guggulu and Triphala for the Treatment of Hypercholesterolaemia: A Placebo-Controlled, Double-Blind, Randomised Trial. Complement Med Res 2021;28(3):216-22 PubMed
    4. 54464. Kolonte, A., Guillot, B., and Raison-Peyron, N. Allergic contact dermatitis to guggul extract contained in an anticellulite gel-cream. Contact Dermatitis 2006;54(4):226-227. PubMed
    5. 54467. Salavert, M., Amarger, S., Le Bouedec, M. C., Roger, H., Souteyrand, P., and D'incan, M. Allergic contact dermatitis to guggul in a slimming cream. Contact Dermatitis 2007;56(5):286-287. PubMed

    Venlafaxine

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

  • Itching Additional detail

    Guggul

    Recorded for Guggul in the same Natural Medicines adverse-effect record shown under An allergic reaction above.

    Venlafaxine

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

  • Diarrhea / Vomiting / Nausea Additional detail

    Guggul

    “Orally, guggul can cause nausea, vomiting, loose stools, diarrhea, belching, bloating, hiccups, and mild gastrointestinal discomfort.”

    Guggul · Natural Medicines adverse-effect record, reported in diarrhea.

    6 sources cited
    1. 3267. Singh RB, Niaz MA, Ghosh S. Hypolipidemic and antioxidant effects of Commiphora mukul as an adjunct to dietary therapy in patients with hypercholesterolemia. Cardiovasc Drugs Ther 1994;8:659-64. PubMed
    2. 8155. Agarwal RC, Singh SP, Saran RK, et al. Clinical trial of gugulipid – a new hypolipidemic agent of plant origin in primary hyperlipidemia. Ind J Med Res 1986;84:626-34.
    3. 8158. Malhotra SC, Ahuja MM, Sundaram KR. Long term clinical studies on the hypolipidaemic effect of Commiphora mukul (Guggulu) and clofibrate. Indian J Med Res 1977;65:390-5.
    4. 10371. Szapary PO, Wolfe ML, Bloedon LT, et al. Guggulipid for treatment of hypercholesterolemia: a randomized controlled trial. JAMA 2003;290:765-72.
    5. 52033. Nohr, L. A., Rasmussen, L. B., and Straand, J. Resin from the mukul myrrh tree, guggul, can it be used for treating hypercholesterolemia? A randomized, controlled study. Complement Ther.Med. 2009;17(1):16-22. PubMed
    6. 54492. Malhotra SC, Ahuja MM. Comparative hypolipidaemic effectiveness of gum guggulu (Commiphora mukul) fraction 'A', ethyl-P-chlorophenoxyisobutyrate and Ciba-13437-Su. Indian J Med Res 1971;59:1621-1632.

    Venlafaxine

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

  • A skin rash / Headache Additional detail

    Guggul

    Recorded for Guggul in the same Natural Medicines adverse-effect record shown under Severe muscle breakdown above.

    Venlafaxine

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

Reported for Guggul but not commonly for Venlafaxine: stomach upset, bloating or gas and swelling.

Effects for Venlafaxine come from the ADVERSE REACTIONS section of its FDA label; effects for Guggul come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Guggul in Pregnancy & Breastfeeding

Pregnancy Likely Unsafe

When used orally; avoid using. Guggul gum resin appears to stimulate menstrual flow and the uterus.

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 Venlafaxine Products Have a Food Rule — Guggul Should Not Break It

At least one FDA label for a product containing Venlafaxine says to take it with food. If you take Guggul on an empty stomach out of habit, keep them separate — and take Venlafaxine 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 Venlafaxine 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.

Take once daily with food.

From the Dosage and Administration section of the FDA label we read for Venlafaxine — 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.

From our Q&A

Questions About Guggul or Venlafaxine

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Guggul or Venlafaxine, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Venlafaxine

This page covers Guggul only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Venlafaxine page lists 110 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), Arsenic (major), Cesium (major) and Ephedra (major).

By severity: 8 major · 82 moderate · 20 minor.

From our pharmacist’s overview on the Venlafaxine page

“Venlafaxine (Effexor, Effexor XR) is an antidepressant that raises serotonin, which is exactly where part of the danger on this page sits, and its 110 interactions deserve genuine respect. Eight carry a major rating, most tied to heart rhythm: several ingredients, grapefruit among them, can stretch the QT interval and add to a strain v…”

Reviewed by 2 · Jul 18, 2026

Open the Venlafaxine interaction page

One more smart check

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

We hold 955 real supplement products containing Guggul, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Guggul. Even though Guggul itself has no known interaction with Venlafaxine, 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 Guggul and Venlafaxine 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 Guggul
Top 25%

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

29 days ago today
Medication Venlafaxine
Top 5%

#107 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 Guggul reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Guggul and Venlafaxine records this page draws on were last updated July 11, 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 Guggul

What is Guggul?

Guggul
  • High cholesterol
  • Joint pain and arthritis
  • Weight management
  • Acne
  • Skin conditions

Guggul is a gum resin from the Commiphora wightii tree, long used in Ayurvedic medicine for cholesterol, joint, and skin problems. Modern studies are mixed and often low-quality, and it can cause stomach upset and skin rashes. Talk to your pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.

Commiphora wightii · Burseraceae · Gum resin (oleoresin) from the stem · Capsules, tablets, standardized extracts (guggulipid), powders

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

Guggul: dosing

There is no single established, proven dose for guggul. Products vary widely in strength, and many are standardized to a percentage of guggulsterones. Do not assume that taking more will work better, since higher amounts may increase the chance of side effects.

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

Read the full Guggul monograph & all interactions
Medication

About Venlafaxine

What Is Venlafaxine Used For?

Brand names: Effexor XR, Effexor

Venlafaxine is used to treat major depressive disorder (MDD) across all available formulations. Extended-release capsules (including Effexor XR) are also approved for generalized anxiety disorder (GAD), social anxiety disorder (SAD), and panic disorder (PD).

Extended-release tablets are approved for major depressive disorder and social anxiety disorder. Immediate-release venlafaxine tablets are indicated for major depressive disorder only.

See full Venlafaxine drug information
Keep checking

Other Drugs & Guggul

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

0Major
757Moderate
0Minor
2,072No known interaction
757 Moderate 2,072 No interaction
Moderate

757 interactions

Showing 60 of 757 moderate interactions — see all 757 on the Guggul page.

No interaction 2,072 drugs checked — show the list

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

Showing the 60 most looked-up of 2,072 medications checked with no known interaction — see the full Guggul list.

See the full Guggul interactions page
See every supplement checked against Venlafaxine, ranked by severity
Evidence & sources

Guggul References

The 21 references that drive our Guggul 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. 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. Dalvi SS, Nayak VK, Pohujani SM, et al. Effect of gugulipid on bioavailability of diltiazem and propranolol. J Assoc Phys India 1994;42:454-5.
  3. Singh RB, Niaz MA, Ghosh S. Hypolipidemic and antioxidant effects of Commiphora mukul as an adjunct to dietary therapy in patients with hypercholesterolemia. Cardiovasc Drugs Ther 1994;8:659-64. PubMed
  4. Tripathi YB, Tripathi P, Malhotra OP, Tripathi SN. Thyroid stimulatory action of (Z)-guggulsterone: mechanism of action. Planta Med 1988;54:271-7.
  5. Agarwal RC, Singh SP, Saran RK, et al. Clinical trial of gugulipid – a new hypolipidemic agent of plant origin in primary hyperlipidemia. Ind J Med Res 1986;84:626-34.
  6. Malhotra SC, Ahuja MM, Sundaram KR. Long term clinical studies on the hypolipidaemic effect of Commiphora mukul (Guggulu) and clofibrate. Indian J Med Res 1977;65:390-5.
  7. Mester L, Mester M, Nityanand S. Inhibition of platelet aggregation by "guggulu" steroids. Planta Med 1979;37:367-9. PubMed
  8. Szapary PO, Wolfe ML, Bloedon LT, et al. Guggulipid for treatment of hypercholesterolemia: a randomized controlled trial. JAMA 2003;290:765-72.
  9. Brobst DE, Ding X, Creech KL, et al. Guggulsterone activates multiple nuclear receptors and induces CYP3A gene expression through the pregnane X receptor. J Pharmacol Exp Ther 2004;310:528-35. PubMed
  10. Bianchi A, Cantu P, Firenzuoli F, et al. Rhabdomyolysis caused by Commiphora mukul, a natural lipid-lowering agent. Ann Pharmacother 2004;38:1222-5.
  11. Gelfand JM, Crawford GH, Brod BA, Szazpary PO. Adverse cutaneous reactions to guggulipid. J Am Acad Dermatol 2005;52:533-4 PubMed
  12. Nohr, L. A., Rasmussen, L. B., and Straand, J. Resin from the mukul myrrh tree, guggul, can it be used for treating hypercholesterolemia? A randomized, controlled study. Complement Ther.Med. 2009;17(1):16-22. PubMed
  13. Gelfand, J. M., Crawford, G. H., Brod, B. A., and Szazpary, P. O. Adverse cutaneous reactions to guggulipid. J.Am.Acad.Dermatol. 2005;52(3 Pt 1):533-534. PubMed
  14. Kolonte, A., Guillot, B., and Raison-Peyron, N. Allergic contact dermatitis to guggul extract contained in an anticellulite gel-cream. Contact Dermatitis 2006;54(4):226-227. PubMed
  15. Salavert, M., Amarger, S., Le Bouedec, M. C., Roger, H., Souteyrand, P., and D'incan, M. Allergic contact dermatitis to guggul in a slimming cream. Contact Dermatitis 2007;56(5):286-287. 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 Guggul and Venlafaxine Together: Common Questions

Is it safe to take Guggul with Venlafaxine?
We do not list a known interaction between Guggul and Venlafaxine. 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 Guggul and Venlafaxine have any of the same side effects?
Yes — our sources link each of them separately to 8 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 Guggul and Venlafaxine at the same time of day?
At least one FDA label for a product containing Venlafaxine says to take it with food. If you take Guggul on an empty stomach out of habit, keep them separate and take Venlafaxine with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Venlafaxine products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Guggul and Venlafaxine combination checked?
Interactions in our licensed database are recorded against drug classes. Venlafaxine is filed under 8 classifications, and Guggul has documented interactions with 9 drug classes — none of Venlafaxine'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 Guggul interact with any other medications?
Yes. Guggul has 757 documented drug interactions in our database — Venlafaxine 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 Venlafaxine interact with any supplements?
Yes. Venlafaxine has documented interactions with 110 supplements in our database — Guggul is not one of them. The Venlafaxine 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

Guggul monograph Uses, safety profile, and every drug interaction in one place Venlafaxine drug information The full plain-English guide to this medication Venlafaxine supplement interactions Every supplement checked against Venlafaxine, 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 21 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Venlafaxine and Guggul?

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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.