Drug & supplement interaction

Hibiscus Sabdariffa + Daprodustat

Daprodustat brand name: Jesduvroq.

Minor Interaction
The bottom line Minor

Hibiscus Sabdariffa has a minor interaction with Daprodustat. Theoretically, Hibiscus sabdariffa might reduce the metabolism of CYP2C8 substrates.

Read the full interaction report
SeverityMinor
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Hibiscus Sabdariffa and Daprodustat

Here is the interaction we found between these two, with the evidence behind it.

Minor

CYTOCHROME P450 2C8 (CYP2C8) SUBSTRATES

Why this applies to Daprodustat

Daprodustat falls under CYTOCHROME P450 2C8 (CYP2C8) SUBSTRATES — the group Hibiscus Sabdariffa interacts with.

Theoretically, Hibiscus sabdariffa might reduce the metabolism of CYP2C8 substrates.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP2C8. This interaction has not been reported in humans.
Severity Minor Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the gist: your body clears daprodustat (Jesduvroq) partly through a liver enzyme called CYP2C8. Hibiscus has shown in lab dish studies that it can slow that same enzyme down. If that happened in real life, daprodustat could hang around longer than intended, which in theory might nudge its effects up a bit. With this medication, that could mean your red blood cell levels climb more than expected, so it's something worth keeping an eye on.

That said, I want to keep this in perspective. This is graded as a minor, theoretical interaction seen only in test-tube research, never reported in actual patients. Occasional cups of tart hibiscus tea are unlikely to be a problem. If you're using concentrated hibiscus supplements, just give your pharmacist or doctor a heads up so they can keep tabs on your bloodwork.

References
  1. Johnson SS, Oyelola FT, Ari T, Juho H. In vitro inhibitory activities of the extract of Hibiscus sabdariffa L. (family Malvaceae) on selected cytochrome P450 isoforms. Afr J Tradit Complement Altern Med. 2013 Apr 12;10(3):533-40.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Hibiscus Sabdariffa Also Interacts With Other Medications

Hibiscus Sabdariffa has 2 major, 266 moderate, 818 minor known drug interactions in our database — the Daprodustat one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Hibiscus Sabdariffa

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

Everything else you take

See Every Supplement That Interacts With Daprodustat

This page covers Hibiscus Sabdariffa only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Daprodustat page lists 28 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), African Wild Potato (moderate), Breadfruit (moderate), Cannabidiol (cbd) (moderate) and Coffee Charcoal (moderate).

By severity: 1 major · 16 moderate · 11 minor.

From our pharmacist’s overview on the Daprodustat page

“People taking daprodustat (Jesduvroq) for anemia from chronic kidney disease are often the same people using fiber for constipation or CBD for sleep, and this interaction list deserves genuine care. Of the 28 supplement ingredients on file, eleven may block CYP2C8, the enzyme that clears daprodustat, which could raise its levels beyond…”

Reviewed by 2 · Jul 18, 2026

Open the Daprodustat interaction page

How much people look this up

Where Hibiscus Sabdariffa and Daprodustat 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 Hibiscus Sabdariffa
Top half

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

29 days ago today
Medication Daprodustat
Top half

#1,064 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.

Supplement

About Hibiscus Sabdariffa

What is Hibiscus Sabdariffa?

Hibiscus Sabdariffa
  • High blood pressure
  • Heart and cholesterol health
  • Digestive upset
  • Antioxidant support
  • Fever and general wellness

Hibiscus sabdariffa is a tart, cranberry-flavored plant most often consumed as a tea, and its best-studied use is for mildly lowering blood pressure. Evidence for other uses is limited, and while hibiscus tea is generally well tolerated in food amounts, concentrated supplements should be used cautiously and avoided in pregnancy. Talk to your pharmacist or doctor before using it for a medical condition.

Read the full Hibiscus Sabdariffa monograph & all interactions
Medication

About Daprodustat

What Is Daprodustat Used For?

Brand name: Jesduvroq

Jesduvroq (daprodustat) is approved to treat anemia due to chronic kidney disease (CKD) in adults who have been on dialysis for at least four months. It works by stimulating the body's own red blood cell production to reduce the need for blood transfusions.

Important limits: Jesduvroq is not a substitute for emergency blood transfusions, and it is not approved for people with CKD who are not on dialysis. It has also not been shown to improve quality of life, fatigue, or overall well-being.

See full Daprodustat drug information
Keep checking

Other Drugs & Hibiscus Sabdariffa

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

2Major
266Moderate
818Minor
1,743No known interaction
Major

2 interactions

Moderate

266 interactions

Showing 60 of 266 moderate interactions — see all 266 on the Hibiscus Sabdariffa page.

Minor

818 interactions

Showing 60 of 818 minor interactions — see all 818 on the Hibiscus Sabdariffa page.

No interaction 1,743 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Hibiscus Sabdariffa and Daprodustat Together: Common Questions

Can you take Hibiscus Sabdariffa with Daprodustat?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Hibiscus Sabdariffa and Daprodustat interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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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.