Drug & supplement interaction

Indian Long Pepper + Deferiprone

Deferiprone brand name: Ferriprox.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Indian Long Pepper and Deferiprone 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 Deferiprone states a food rule worth keeping to.

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Interaction report

Indian Long Pepper and Deferiprone

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 Deferiprone and Indian Long Pepper 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.

Indian Long Pepper safety at a glance

Indian Long Pepper overall Use caution Likely fine as a food spice, but concentrated supplements lack strong safety data and piperine can affect how other substances are absorbed.
Pregnancy Avoid Medicinal amounts are not well studied and traditionally discouraged, so avoid supplement doses during pregnancy.
Breastfeeding Avoid There is not enough safety information, so avoid medicinal amounts while breastfeeding.

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

Still wondering about combining Deferiprone and Indian Long Pepper? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Deferiprone

Interactions in our licensed database are recorded against drug classes, not just single drug names. Deferiprone is filed under a single classification — oral drugs. Indian Long Pepper has documented interactions with 14 drug classes — the most serious being anticoagulant/antiplatelet drugs (moderate), antidiabetes drugs (moderate) and cyclosporine (neoral, sandimmune) (moderate) — and none of Deferiprone’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

Indian Long Pepper Does Interact With Other Medications

Indian Long Pepper has 893 moderate, 3 minor known drug interactions in our database — Deferiprone isn’t one of them. If you take anything else, check it against the full list below.

Moderate 893 Minor 3 No known interaction 1,934 (incl. Deferiprone)
Taking anything else?

Check Another of Your Medications Against Indian Long Pepper

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

What to actually watch for

What Deferiprone’s Own FDA Label Lists

This is not an interaction — none of it involves Indian Long Pepper. These are the most notable effects listed in the ADVERSE REACTIONS section of Deferiprone’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. 3 of them are worth acting on rather than waiting out — marked below.

  • Anemia Worth acting on mentioned in 6.4% of FDA reports for Deferiprone
  • A low white blood cell count Worth acting on mentioned in 5.3% of FDA reports for Deferiprone
  • Liver problems Worth acting on
  • Increased appetite
  • Weight gain
  • Pain in an arm or leg
  • Sore throat
  • Back pain
  • Cough
  • Joint pain

Showing the 10 most notable of 18 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 Deferiprone. Read the label on DailyMed › Where a percentage is shown, it is the share of 3,004 voluntary FDA FAERS reports for Deferiprone that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Indian Long Pepper’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Indian Long Pepper side to compare — that is a limit of the record, not a statement that Indian Long Pepper has no side effects.

How to take them

Some Deferiprone Products Have a Food Rule — Indian Long Pepper Should Not Break It

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

Recommended Dosage for 1,000 mg FERRIPROX T ablets ( twice a day) for Adult and Pediatric Patients with Transfusional Iron Overload due to Thalassemia Syndromes, Sickle Cell Disease or Other Anemias Starting Dos ag e for T wice a Day Tablets The recommended starting oral dosage of FERRIPROX Tablets (twice a day) is 75 mg/kg/day (actual body weight) in two divided doses per day (taken approxima

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

Everything else you take

See Every Supplement That Interacts With Deferiprone

This page covers Indian Long Pepper only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Deferiprone page lists 17 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Coffee Charcoal (moderate), European Mandrake (moderate), Glucomannan (moderate) and Guar Gum (moderate).

By severity: 1 major · 7 moderate · 9 minor.

From our pharmacist’s overview on the Deferiprone page

“Deferiprone (Ferriprox) pulls excess iron out of the body in conditions like thalassemia, and that job depends on the pill actually being absorbed. Every one of the 17 supplements flagged against it threatens that step, which is why this list warrants real vigilance rather than a shrug.”

Reviewed by 2 · Jul 18, 2026

Open the Deferiprone interaction page

One more smart check

Taking Indian Long Pepper as Part of a Dietary Supplement Product? Check It for Interactions

We hold 597 real supplement products containing Indian Long Pepper, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Indian Long Pepper. Even though Indian Long Pepper itself has no known interaction with Deferiprone, 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 Indian Long Pepper and Deferiprone 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 Indian Long Pepper
Top 25%

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

29 days ago today
Medication Deferiprone
Top half

#903 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 Indian Long Pepper reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Indian Long Pepper and Deferiprone records this page draws on were last updated June 22, 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 Indian Long Pepper

What is Indian Long Pepper?

Indian Long Pepper
  • Digestive upset
  • Respiratory and cough complaints
  • Boosting absorption of other supplements
  • Pain and inflammation
  • General wellness in Ayurveda

Indian long pepper (pippali) is a spice long used in Ayurvedic medicine and is best known for its piperine content, which may increase how well the body absorbs certain other substances. Modern human research on its health benefits is limited, so use it cautiously and let your pharmacist or doctor know if you take it regularly.

Piper longum · Piperaceae · Dried fruit (and sometimes the root) · Dried fruit (spice), powder, capsules, extracts, and traditional Ayurvedic formulas

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

Indian Long Pepper: dosing

There is no well-established standard dose of Indian long pepper for any health condition. Traditional Ayurvedic use and modern supplement products vary widely.The safest approach is to follow the directions on the product label and not exceed them.

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

Read the full Indian Long Pepper monograph & all interactions
Medication

About Deferiprone

What Is Deferiprone Used For?

Brand name: Ferriprox

Deferiprone is used to remove excess iron that builds up in the body from repeated blood transfusions — a condition called transfusional iron overload. Too much iron in the body can damage organs over time, so deferiprone works to capture and remove it.

Ferriprox oral solution is approved for adults and children 3 years and older with thalassemia syndromes, sickle cell disease, or other anemias. Ferriprox tablets are approved for adults and children 8 years and older with the same conditions. Deferiprone tablets (generic) are approved for adult patients with thalassemia syndromes when their current iron-removal treatment is not working well enough.

Most-Reported Side Effects for Deferiprone

From FAERS, the FDA’s public side-effect reporting system (3,004 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Sickle cell anaemia with crisis 191 reports
Agranulocytosis 158 reports
Nausea 158 reports
Fatigue 138 reports
Ill-defined disorder 135 reports
See full Deferiprone drug information
Keep checking

Other Drugs & Indian Long Pepper

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

0Major
893Moderate
3Minor
1,933No known interaction
893 Moderate 3 Minor 1,933 No interaction
Moderate

893 interactions

Showing 60 of 893 moderate interactions — see all 893 on the Indian Long Pepper page.

Minor

3 interactions

No interaction 1,933 drugs checked — show the list

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

Showing the 60 most looked-up of 1,933 medications checked with no known interaction — see the full Indian Long Pepper list.

See the full Indian Long Pepper interactions page
See every supplement checked against Deferiprone, ranked by severity
Evidence & sources

Indian Long Pepper References

The 12 references that drive our Indian Long Pepper 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. Bano G, Amla V, Raina RK, et al. The effect of piperine on pharmacokinetics of phenytoin in healthy volunteers. Planta Med 1987;53:568-9. PubMed
  2. Bano G, et al. Effect of piperine on bioavailability and pharmacokinetics of propranolol and theophylline in healthy volunteers. Eur J Clin Pharmacol 1991;41;615-7. PubMed
  3. Bhardwaj RK, Glaeser H, Becquemont L, et al. Piperine, a major constituent of black pepper, inhibits human P-glycoprotein and CYP3A4. J Pharmacol Exp Ther 2002;302:645-50. PubMed
  4. Pattanaik S, Hota D, Prabhakar S, et al. Pharmacokinetic interaction of a single dose of piperine with steady-state carbamazepine in epilepsy patients. Phytother Res 2009;23:1281-6.
  5. Kasibhatta, R. and Naidu, M. U. Influence of piperine on the pharmacokinetics of nevirapine under fasting conditions: a randomised, crossover, placebo-controlled study. Drugs R.D. 2007;8(6):383-391. PubMed
  6. Mujumdar, A. M., Dhuley, J. N., Deshmukh, V. K., Raman, P. H., Thorat, S. L., and Naik, S. R. Effect of piperine on pentobarbitone induced hypnosis in rats. Indian J Exp.Biol. 1990;28(5):486-487.
  7. Panda, S. and Kar, A. Piperine lowers the serum concentrations of thyroid hormones, glucose and hepatic 5'D activity in adult male mice. Horm.Metab Res. 2003;35(9):523-526. PubMed
  8. Hiwale, A. R., Dhuley, J. N., and Naik, S. R. Effect of co-administration of piperine on pharmacokinetics of beta-lactam antibiotics in rats. Indian J Exp.Biol. 2002;40(3):277-281.
  9. Han, Y., Chin Tan, T. M., and Lim, L. Y. In vitro and in vivo evaluation of the effects of piperine on P-gp function and expression. Toxicol.Appl.Pharmacol. 8-1-2008;230(3):283-289. PubMed
  10. Sharma, P., Varma, M. V., Chawla, H. P., and Panchagnula, R. In situ and in vivo efficacy of peroral absorption enhancers in rats and correlation to in vitro mechanistic studies. Farmaco 2005;60(11-12):874-883. PubMed
  11. Zutshi, R. K., Singh, R., Zutshi, U., Johri, R. K., and Atal, C. K. Influence of piperine on rifampicin blood levels in patients of pulmonary tuberculosis. J Assoc.Physicians India 1985;33(3):223-224.
  12. Yadav V, Krishnan A, Vohora D. A systematic review on Piper longum L.: Bridging traditional knowledge and pharmacological evidence for future translational research. J Ethnopharmacol. 2020;247:112255. 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 Indian Long Pepper and Deferiprone Together: Common Questions

Is it safe to take Indian Long Pepper with Deferiprone?
We do not list a known interaction between Indian Long Pepper and Deferiprone. 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.
Should I take Indian Long Pepper and Deferiprone at the same time of day?
At least one FDA label for a product containing Deferiprone says to take it with food. If you take Indian Long Pepper on an empty stomach out of habit, keep them separate and take Deferiprone with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Deferiprone products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Indian Long Pepper and Deferiprone combination checked?
Interactions in our licensed database are recorded against drug classes. Deferiprone is filed under 1 classification, and Indian Long Pepper has documented interactions with 14 drug classes — none of Deferiprone'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 Indian Long Pepper interact with any other medications?
Yes. Indian Long Pepper has 896 documented drug interactions in our database — Deferiprone 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 Deferiprone interact with any supplements?
Yes. Deferiprone has documented interactions with 17 supplements in our database — Indian Long Pepper is not one of them. The Deferiprone 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

Indian Long Pepper monograph Uses, safety profile, and every drug interaction in one place Deferiprone drug information The full plain-English guide to this medication Deferiprone supplement interactions Every supplement checked against Deferiprone, 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 12 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

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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.