Drug & supplement interaction

Heart's Ease + Cevimeline

Cevimeline brand name: Evoxac.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Heart's Ease and Cevimeline 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

Heart's Ease and Cevimeline

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 Cevimeline and Heart's Ease 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 Heart's Ease at all — not against Cevimeline, 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.

Heart's Ease safety at a glance

Heart's Ease overall Use caution Generally considered low-risk in traditional use, but high-quality safety data are limited.
Pregnancy Avoid Not enough safety information, so it is best avoided during pregnancy.
Breastfeeding Avoid Not enough safety information, so it is best avoided while breastfeeding.

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

Still wondering about combining Cevimeline and Heart's Ease? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Cevimeline’s Own FDA Label Lists

This is not an interaction — none of it involves Heart's Ease. These are the most notable effects listed in the ADVERSE REACTIONS section of Cevimeline’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. One of them is worth acting on rather than waiting out — marked below.

  • A higher chance of infection Worth acting on
  • Passing urine more often
  • Flushing
  • A stuffy or runny nose
  • Sore throat
  • Sweating
  • Joint pain mentioned in 4.4% of FDA reports for Cevimeline
  • Back pain
  • Cough
  • Anxiety or restlessness

Showing the 10 most notable of 20 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 Cevimeline. Read the label on DailyMed › Where a percentage is shown, it is the share of 2,695 voluntary FDA FAERS reports for Cevimeline that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Heart's Ease’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Heart's Ease side to compare — that is a limit of the record, not a statement that Heart's Ease has no side effects.

Everything else you take

See Every Supplement That Interacts With Cevimeline

This page covers Heart's Ease only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Cevimeline page lists 169 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), 1,3-dmaa (moderate) and Acacia Rigidula (moderate).

By severity: 3 major · 125 moderate · 41 minor.

From our pharmacist’s overview on the Cevimeline page

“Cevimeline (Evoxac) stimulates saliva flow for the dry mouth of Sjögren's syndrome, and because the liver clears it through the CYP3A4 and CYP2D6 enzyme pathways, this interaction list warrants real attention. Three of the 169 ingredients rate major, and they come first: grapefruit can raise cevimeline levels, St.”

Reviewed by 2 · Jul 18, 2026

Open the Cevimeline interaction page

One more smart check

Taking Heart's Ease as Part of a Dietary Supplement Product? Check It for Interactions

We hold 35 real supplement products containing Heart's Ease, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Heart's Ease. Even though Heart's Ease itself has no known interaction with Cevimeline, 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 Heart's Ease and Cevimeline 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 Heart's Ease
Steady interest

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

29 days ago today
Medication Cevimeline
Steady interest

#1,621 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 Heart's Ease reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Heart's Ease and Cevimeline 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 Heart's Ease

What is Heart's Ease?

  • Skin conditions like eczema and cradle cap
  • Mild respiratory complaints (cough)
  • Mild inflammation
  • Diuretic (increasing urine flow)
  • General 'blood cleansing' tonic

Heart's Ease (Viola tricolor) is a traditional European herb used mostly for skin problems and mild coughs. Modern human evidence for these uses is very limited, so it should be seen as a gentle traditional remedy rather than a proven treatment. Talk to your pharmacist or doctor before using it, especially if you are pregnant, breastfeeding, or giving it to a child.

Viola tricolor · Violaceae · Above-ground flowering parts (herb) · Tea, dried herb, tincture, topical preparations, capsules

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

Heart's Ease: dosing

There is no well-established, standardized dose for Heart's Ease. Traditional use varies widely depending on whether it is taken as a tea, tincture, or applied to the skin.The safest approach is to follow the directions on the product label and to start with the lowest suggested amount.

From our Heart's Ease monograph — the full record covers uses, side effects and every documented interaction.

Read the full Heart's Ease monograph & all interactions
Medication

About Cevimeline

What Is Cevimeline Used For?

Brand name: Evoxac

Cevimeline — available as cevimeline hydrochloride capsules and as the brand Evoxac — is used to relieve the symptoms of dry mouth in patients with Sjögren's Syndrome, an autoimmune condition that damages the glands that make saliva and tears.

Most-Reported Side Effects for Cevimeline

From FAERS, the FDA’s public side-effect reporting system (2,695 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Headache 176 reports
Nausea 166 reports
Diarrhea 164 reports
Fatigue 155 reports
Dyspnea 138 reports
See full Cevimeline drug information
Keep checking

Other Drugs & Heart's Ease

Browse every other medication we’ve checked against Heart's Ease — 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

Heart's Ease References

The 4 references that drive our Heart's Ease 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. Behmanesh Y, Abdollahi M. Hemolysis after consumption of Viola tricolor. WHO Drug Inf (Iran) 2002;16:15-16.
  3. Klovekorn, W., Tepe, A., and Danesch, U. A randomized, double-blind, vehicle-controlled, half-side comparison with a herbal ointment containing Mahonia aquifolium, Viola tricolor and Centella asiatica for the treatment of mild-to-moderate atopic dermatit
  4. Kirichenko TV, Sobenin IA, Markina YV, et al. Clinical effectiveness of a combination of black elder berries, violet herb, and calendula flowers in chronic obstructive pulmonary disease: the results of a double-blinded placebo-controlled study. Biology (B 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 Heart's Ease and Cevimeline Together: Common Questions

Is it safe to take Heart's Ease with Cevimeline?
We do not list a known interaction between Heart's Ease and Cevimeline. 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 Cevimeline interact with any supplements?
Yes. Cevimeline has documented interactions with 169 supplements in our database — Heart's Ease is not one of them. The Cevimeline 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 Cevimeline and Heart's Ease?

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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.