Drug & supplement interaction

Jamaican Dogwood + Aprepitant

Aprepitant brand names: Emend, Cinvanti.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Jamaican Dogwood and Aprepitant 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

Jamaican Dogwood and Aprepitant

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 Aprepitant and Jamaican Dogwood 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.

Jamaican Dogwood safety at a glance

Jamaican Dogwood overall Use caution It can be toxic in higher doses and has limited safety data in humans.
Pregnancy Likely Unsafe When used orally; avoid using due to possible uterine depressant effects. Read the full pregnancy detail
Breastfeeding Likely Unsafe When used orally; avoid using. 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 Aprepitant and Jamaican Dogwood? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Aprepitant

Interactions in our licensed database are recorded against drug classes, not just single drug names. Aprepitant is filed under 5 classifications — including cytochrome p450 2c9 (cyp2c9) inducers, cytochrome p450 3a4 (cyp3a4) inducers, cytochrome p450 3a4 (cyp3a4) inhibitors. Jamaican Dogwood has documented interactions with 1 drug class — the most serious being cns depressants (moderate) — and none of Aprepitant’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

Jamaican Dogwood Does Interact With Other Medications

Jamaican Dogwood has 248 moderate known drug interactions in our database — Aprepitant isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Jamaican Dogwood

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

What to actually watch for

What Aprepitant’s Own FDA Label Lists

This is not an interaction — none of it involves Jamaican Dogwood. These are the most notable effects listed in the ADVERSE REACTIONS section of Aprepitant’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. 10 of them are worth acting on rather than waiting out — marked below.

  • A bowel blockage Worth acting on
  • Dehydration Worth acting on
  • Low sodium Worth acting on
  • Low potassium Worth acting on
  • A slow heartbeat Worth acting on
  • Shortness of breath Worth acting on mentioned in 8.6% of FDA reports for Aprepitant
  • High blood sugar Worth acting on
  • Fainting Worth acting on
  • A severe skin reaction Worth acting on
  • A low platelet count Worth acting on

Showing the 10 most notable of 48 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 Aprepitant. Read the label on DailyMed › Where a percentage is shown, it is the share of 18,355 voluntary FDA FAERS reports for Aprepitant that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Jamaican Dogwood’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Jamaican Dogwood side to compare — that is a limit of the record, not a statement that Jamaican Dogwood has no side effects.

Special populations

Jamaican Dogwood in Pregnancy & Breastfeeding

Pregnancy Likely Unsafe

When used orally; avoid using due to possible uterine depressant effects.

Lactation Likely Unsafe

When used orally; avoid using.

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 Aprepitant

This page covers Jamaican Dogwood only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Aprepitant page lists 158 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), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 116 moderate · 39 minor.

From our pharmacist’s overview on the Aprepitant page

“Aprepitant (Emend, Cinvanti) keeps chemotherapy patients from vomiting, so a supplement that undoes it mid-cycle is a problem, and I read this list with genuine vigilance. Nearly all 158 entries touch CYP3A4, the liver enzyme that clears aprepitant.”

Reviewed by 2 · Jul 18, 2026

Open the Aprepitant interaction page

One more smart check

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

We hold 82 real supplement products containing Jamaican Dogwood, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Jamaican Dogwood. Even though Jamaican Dogwood itself has no known interaction with Aprepitant, 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 Jamaican Dogwood and Aprepitant 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 Jamaican Dogwood
Top half

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

29 days ago today
Medication Aprepitant
Top 25%

#417 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 Jamaican Dogwood reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Jamaican Dogwood and Aprepitant 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 Jamaican Dogwood

What is Jamaican Dogwood?

  • Insomnia and sleep trouble
  • Nerve pain
  • Anxiety and tension
  • Menstrual cramps
  • Muscle pain and spasms
  • Migraine and headaches

Jamaican dogwood is a tree bark traditionally used to promote sleep and ease pain, but high-quality human studies are lacking. It can be toxic in larger amounts and should be used cautiously, if at all, and never during pregnancy or breastfeeding. Talk to a pharmacist or doctor before trying it.

Piscidia piscipula · Fabaceae · Bark of the root and stem · Dried bark, tinctures, liquid extracts, capsules, teas

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

Jamaican Dogwood: dosing

There is no well-established, standardized dose for Jamaican dogwood. Products vary widely in strength, and the bark's natural compounds can be potent, so there is no safe "recommended" amount we can confidently give.If you choose to use a product, follow the directions on the label exactly and do not exceed them. It is best to start any new supplement only after checking with a pharmacist or doctor, who can help you weigh the risks. Avoid using it long-term or in high amounts.

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

Read the full Jamaican Dogwood monograph & all interactions
Medication

About Aprepitant

What Is Aprepitant Used For?

Brand names: Emend, Cinvanti

Aprepitant is used to prevent nausea and vomiting — not to treat it once it has started. It is always used alongside other anti-nausea medicines, not on its own.

EMEND capsules (oral) are approved for adults and children 12 and older to prevent nausea from highly or moderately emetogenic (nausea-causing) chemotherapy. EMEND for oral suspension extends that same use down to children as young as 6 months. CINVANTI (IV injection) is approved for adults only, for chemotherapy-related nausea. APONVIE (IV emulsion) is approved for adults to prevent postoperative nausea and vomiting (PONV) — nausea after surgery. Aprepitant capsules (generic) are approved for adults and children 12 and older for chemotherapy-related nausea, and also for adults to prevent PONV.

Most-Reported Side Effects for Aprepitant

From FAERS, the FDA’s public side-effect reporting system (18,355 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Nausea 2,245 reports
Fatigue 1,943 reports
Fever 1,653 reports
Diarrhea 1,604 reports
Dyspnea 1,583 reports
See full Aprepitant drug information
Keep checking

Other Drugs & Jamaican Dogwood

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

0Major
248Moderate
0Minor
2,581No known interaction
Moderate

248 interactions

Showing 60 of 248 moderate interactions — see all 248 on the Jamaican Dogwood page.

No interaction 2,581 drugs checked — show the list
Evidence & sources

Jamaican Dogwood References

The 2 references that drive our Jamaican Dogwood 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. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
  2. Della, Loggia R., Tubaro, A., and Redaelli, C. [Evaluation of the activity on the mouse CNS of several plant extracts and a combination of them]. Riv.Neurol. 1981;51(5):297-310.

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 Jamaican Dogwood and Aprepitant Together: Common Questions

Is it safe to take Jamaican Dogwood with Aprepitant?
We do not list a known interaction between Jamaican Dogwood and Aprepitant. 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.
How was the Jamaican Dogwood and Aprepitant combination checked?
Interactions in our licensed database are recorded against drug classes. Aprepitant is filed under 5 classifications, and Jamaican Dogwood has documented interactions with 1 drug class — none of Aprepitant'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 Jamaican Dogwood interact with any other medications?
Yes. Jamaican Dogwood has 248 documented drug interactions in our database — Aprepitant 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 Aprepitant interact with any supplements?
Yes. Aprepitant has documented interactions with 158 supplements in our database — Jamaican Dogwood is not one of them. The Aprepitant 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 Aprepitant and Jamaican Dogwood?

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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.