Drug & supplement interaction

Hazelnut + Melphalan

Melphalan brand names: Alkeran, Hepzato.

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 Hazelnut and Melphalan 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 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.

Know someone taking this? Share
Facebook Post Reddit Email
On this page
Interaction report

Hazelnut and Melphalan

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 Melphalan and Hazelnut 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 Hazelnut at all — not against Melphalan, 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.

Hazelnut safety at a glance

Hazelnut overall Use caution Generally safe as a food for most people, but a common cause of serious tree nut allergy.
Pregnancy Likely Safe When used in amounts commonly found in foods. Read the full pregnancy detail
Breastfeeding Likely Safe When used in amounts commonly found in foods. 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 Melphalan and Hazelnut? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Hazelnut and Melphalan May Share a Side Effect

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. One of them is worth acting on rather than waiting out — marked below.

  • An allergic reaction Worth acting on Additional detail

    Hazelnut

    “Orally, hazelnut is well tolerated.

    Serious Adverse Effects (Rare):

    All routes of administration: Allergic reactions, including oral allergy syndrome and anaphylaxis.”

    Hazelnut · Natural Medicines adverse-effect record, reported in allergic rhinitis (hay fever).

    “Orally, hazelnut can cause an allergic reaction in sensitive individuals, with severity ranging from oral allergy syndrome to anaphylaxis. The prevalence of hazelnut sensitization varies by geographic location, with hazelnut allergy reported more often in areas with greater birch tree pollen exposure. Hazelnut allergy is more common in adults than children, but children are more likely to develop severe reactions.”

    Hazelnut · Natural Medicines adverse-effect record, reported in allergic rhinitis (hay fever).

    1 source cited
    1. 102032. Valcour A, Lidholm J, Borres MP, Hamilton RG. Sensitization profiles to hazelnut allergens across the United States. Ann Allergy Asthma Immunol 2019;122(1):111-6.e1. PubMed

    Melphalan

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

Reported for Hazelnut but not commonly for Melphalan: a severe allergic reaction and a skin rash.

Effects for Melphalan come from the ADVERSE REACTIONS section of its FDA label; effects for Hazelnut 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

Hazelnut in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Safe

When used in amounts commonly found in foods.

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 Melphalan

This page covers Hazelnut only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Melphalan page lists 25 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Acerola (moderate), Alpha-lipoic Acid (moderate), Coenzyme Q10 (moderate) and Coffee Charcoal (moderate).

By severity: 1 major · 14 moderate · 10 minor.

From our pharmacist’s overview on the Melphalan page

“Melphalan is chemotherapy, most often given for multiple myeloma, and anything that weakens it can cost real ground against the cancer, so treat this list with genuine care. The one major entry is activated charcoal, which soaks up drugs in the gut and can lower melphalan exposure even when the drug is given by IV.”

Reviewed by 2 · Jul 18, 2026

Open the Melphalan interaction page

One more smart check

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

We hold 5 real supplement products containing Hazelnut, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Hazelnut. Even though Hazelnut itself has no known interaction with Melphalan, 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 Hazelnut and Melphalan 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 Hazelnut
Steady interest

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

29 days ago today
Medication Melphalan
Top half

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

What is Hazelnut?

  • Heart and cholesterol health
  • Source of healthy fats and protein
  • Antioxidant support
  • Blood sugar support
  • General nutrition and snacking

Hazelnuts are a nutritious tree nut rich in healthy fats, fiber, vitamin E, and antioxidants, and eating them as part of a balanced diet may support heart health. They are mainly a food rather than a treatment, and the biggest safety concern is that they are a common cause of serious nut allergy.

Corylus avellana · Betulaceae · Nut (kernel), nut oil, and sometimes leaves · Whole nuts, hazelnut oil, hazelnut flour/meal, nut butter, and skin or leaf extracts in some supplements

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

Hazelnut: dosing

There is no official medical dose for hazelnuts. As a food, a small handful (about an ounce) is a common serving size in studies of nuts and heart health.For any hazelnut supplement, oil, or extract, there is no standardized dose.

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

Read the full Hazelnut monograph & all interactions
Medication

About Melphalan

What Is Melphalan Used For?

Brand names: Alkeran, Hepzato

Melphalan is used to treat multiple myeloma, a cancer of plasma cells in the bone marrow. Different products are approved for different roles in that treatment.

Evomela (intravenous injection) is used as a high-dose conditioning treatment — meaning it prepares the body before a stem cell transplant. Ivra (intravenous injection) is used for palliative treatment of multiple myeloma in patients for whom oral therapy is not appropriate. Oral melphalan (Alkeran tablet) is also used for palliative treatment of multiple myeloma.

See full Melphalan drug information
Keep checking

Other Drugs & Hazelnut

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

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

Hazelnut References

The 2 references that drive our Hazelnut 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. Peroni DG, Dall'Agnola A, Piacentini GL, Boner AL. Worsening of atopic dermatitis by hazelnut essence contained in hydroxyzine syrup. Acta Paediatr 2007;96(11):1710. PubMed
  2. Valcour A, Lidholm J, Borres MP, Hamilton RG. Sensitization profiles to hazelnut allergens across the United States. Ann Allergy Asthma Immunol 2019;122(1):111-6.e1. 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 Hazelnut and Melphalan Together: Common Questions

Is it safe to take Hazelnut with Melphalan?
We do not list a known interaction between Hazelnut and Melphalan. 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 Hazelnut and Melphalan have any of the same side effects?
Yes — our sources link each of them separately to one 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.
Does Melphalan interact with any supplements?
Yes. Melphalan has documented interactions with 25 supplements in our database — Hazelnut is not one of them. The Melphalan 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

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

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.