Drug & supplement interaction

Jaborandi + Mepolizumab

Mepolizumab brand name: Nucala.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Jaborandi and Mepolizumab 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.

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Interaction report

Jaborandi and Mepolizumab

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 Mepolizumab and Jaborandi 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 Jaborandi at all — not against Mepolizumab, 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.

Jaborandi safety at a glance

Jaborandi overall Use caution The plant contains powerful alkaloids that can be toxic in uncontrolled doses, so the raw herb should not be self-administered.
Pregnancy Unsafe When used orally or topically because it has teratogenic and uterine stimulant effects and contains pilocarpine. Read the full pregnancy detail
Breastfeeding Unsafe When used orally or topically because it contains pilocarpine. 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 Mepolizumab and Jaborandi? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Jaborandi and Mepolizumab 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.

  • Wheezing Worth acting on reported in 40.3% of FDA reports for Mepolizumab Additional detail

    Jaborandi

    “Orally, jaborandi can cause toxicity. Symptoms of jaborandi poisoning include bradycardia, bronchospasm, colic, cardiac collapse and possible arrest, convulsions, hypotension, dyspnea, nausea, severe salivation, strong secretion of sweat, and vomiting. The lethal oral dose of jaborandi leaf is approximately 5-10 grams (18).”

    Jaborandi · Natural Medicines adverse-effect record, reported in hypotension.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

    “Orally, pulmonary symptoms of jaborandi poisoning include bronchospasm and dyspnea (18).”

    Jaborandi · Natural Medicines adverse-effect record, reported in poisoning.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

    Mepolizumab

    Listed in the ADVERSE REACTIONS section of the FDA label for Mepolizumab, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

Reported for Jaborandi but not commonly for Mepolizumab: seizures, a slow heartbeat, low blood pressure and vomiting.

Effects for Mepolizumab come from the ADVERSE REACTIONS section of its FDA label; effects for Jaborandi come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 49,399 voluntary FDA FAERS reports for Mepolizumab that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Jaborandi in Pregnancy & Breastfeeding

Pregnancy Unsafe

When used orally or topically because it has teratogenic and uterine stimulant effects and contains pilocarpine.

Lactation Unsafe

When used orally or topically because it contains pilocarpine.

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

One more smart check

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

We hold 6 real supplement products containing Jaborandi, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Jaborandi. Even though Jaborandi itself has no known interaction with Mepolizumab, 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 Jaborandi and Mepolizumab 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 Jaborandi
Top half

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

29 days ago today
Medication Mepolizumab
Steady interest

#2,519 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 Jaborandi reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Jaborandi and Mepolizumab 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 Jaborandi

What is Jaborandi?

  • Dry mouth (xerostomia)
  • Glaucoma and high eye pressure
  • Promoting sweating
  • Increasing saliva production
  • Traditional remedy for various ailments

Jaborandi is a South American plant best known as the natural source of pilocarpine, a drug used in modern medicine for glaucoma and dry mouth. The raw herb is potent and potentially toxic, so it is not something to use casually as a home remedy. If you need its effects, use the FDA-approved pilocarpine products prescribed by your doctor rather than the crude plant.

Pilocarpus microphyllus · Rutaceae · Leaves · Standardized pharmaceutical extract (pilocarpine), eye drops, tablets, and historically as a tea or tincture

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

Jaborandi: dosing

There is no established safe dose for the crude Jaborandi herb, and we do not recommend self-dosing with the raw plant because its potency is unpredictable and it can be toxic.The purified drug pilocarpine is a different story — it comes in carefully measured tablets and eye drops with doses set by a doctor.

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

Read the full Jaborandi monograph & all interactions
Medication

About Mepolizumab Injection

What Is Mepolizumab Injection Used For?

Brand name: Nucala

Nucala is used as an add-on maintenance treatment — meaning it works alongside other medications, not instead of them. It is approved for severe asthma (in patients 6 years and older with high eosinophil levels), chronic rhinosinusitis with nasal polyps (CRSwNP) in adults 18 and older whose symptoms aren't controlled by nasal corticosteroids alone, and COPD in adults with an eosinophilic phenotype whose disease isn't adequately controlled.

Nucala is also approved to treat eosinophilic granulomatosis with polyangiitis (EGPA), a rare form of blood vessel inflammation, and hypereosinophilic syndrome (HES), a condition involving dangerously elevated eosinophil counts, in adults and adolescents 12 and older. It is not meant to relieve sudden asthma attacks or acute COPD flares.

Most-Reported Side Effects for Mepolizumab

From FAERS, the FDA’s public side-effect reporting system (49,399 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Asthma 12,767 reports
Dyspnea 10,576 reports
Wheezing 7,131 reports
Cough 5,100 reports
Therapeutic product effect incomplete 5,051 reports
See full Mepolizumab Injection drug information
Keep checking

Other Drugs & Jaborandi

Browse every other medication we’ve checked against Jaborandi — 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

Jaborandi References

The 2 references that drive our Jaborandi 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. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  2. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.

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 Jaborandi and Mepolizumab Together: Common Questions

Is it safe to take Jaborandi with Mepolizumab?
We do not list a known interaction between Jaborandi and Mepolizumab. 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 Jaborandi and Mepolizumab 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.

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

Still Have a Question About Mepolizumab and Jaborandi?

Our pharmacists answer your medication & supplement questions — free.

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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.