Drug & supplement interaction

Kamala + Elexacaftor, Tezacaftor, Ivacaftor

Elexacaftor, Tezacaftor, Ivacaftor brand name: Trikafta.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Oct 4, 2026
The bottom line No known interaction

We found no known interaction between Kamala and Elexacaftor, Tezacaftor, Ivacaftor 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

Kamala and Elexacaftor, Tezacaftor, Ivacaftor

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 Elexacaftor, Tezacaftor, Ivacaftor and Kamala 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 Kamala at all — not against Elexacaftor, Tezacaftor, Ivacaftor, 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.

Kamala safety at a glance

Kamala overall Use caution Limited modern safety data and a known tendency to cause strong digestive effects.
Pregnancy Avoid Traditionally used to stimulate the uterus and not considered safe in pregnancy.
Breastfeeding Avoid No reliable safety data during breastfeeding, so it is best avoided.

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

Still wondering about combining Elexacaftor, Tezacaftor, Ivacaftor and Kamala? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Elexacaftor, Tezacaftor, Ivacaftor’s Own FDA Label Lists

This is not an interaction — none of it involves Kamala. These are the most notable effects listed in the ADVERSE REACTIONS section of Elexacaftor, Tezacaftor, Ivacaftor’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. 9 of them are worth acting on rather than waiting out — marked below.

  • Thoughts of self-harm Worth acting on
  • Severe muscle breakdown Worth acting on
  • Yellowing of the skin or eyes Worth acting on
  • Low mood Worth acting on
  • Raised blood pressure Worth acting on
  • A severe allergic reaction Worth acting on
  • Liver problems Worth acting on
  • A higher chance of infection Worth acting on
  • An allergic reaction Worth acting on
  • A stuffy or runny nose

Showing the 10 most notable of 17 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 Elexacaftor, Tezacaftor, Ivacaftor. Read the label on DailyMed › Where a percentage is shown, it is the share of 12,399 voluntary FDA FAERS reports for Elexacaftor, Tezacaftor, Ivacaftor that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Kamala’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Kamala side to compare — that is a limit of the record, not a statement that Kamala has no side effects.

Everything else you take

See Every Supplement That Interacts With Elexacaftor, Tezacaftor, Ivacaftor

This page covers Kamala only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Elexacaftor, Tezacaftor, Ivacaftor page lists 138 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 · 94 moderate · 41 minor.

From our pharmacist’s overview on the Elexacaftor, Tezacaftor, Ivacaftor page

“Grapefruit is the first thing I would flag for anyone taking Trikafta (elexacaftor, tezacaftor, ivacaftor). All three components of this cystic fibrosis medicine are cleared by the CYP3A4 enzyme, and grapefruit blocks that enzyme, raising drug levels and the odds of side effects.”

Reviewed by 2 · Jul 18, 2026

Open the Elexacaftor, Tezacaftor, Ivacaftor interaction page

One more smart check

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

We hold 6 real supplement products containing Kamala, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Kamala. Even though Kamala itself has no known interaction with Elexacaftor, Tezacaftor, Ivacaftor, 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 Kamala and Elexacaftor, Tezacaftor, Ivacaftor 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 Kamala
Steady interest

#1,087 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Elexacaftor, Tezacaftor, Ivacaftor
Top 5%

#124 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.
  • Freshness: we automatically re-check this combination every week — this pair was last verified October 4, 2026. The Kamala and Elexacaftor, Tezacaftor, Ivacaftor 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 Kamala

What is Kamala?

  • Intestinal worms (especially tapeworm)
  • Skin conditions and parasites
  • Constipation/laxative effect
  • Wound care (traditional)
  • Use as a natural orange-red dye

Kamala is a red powder from the fruit of the Mallotus philippensis tree, used in traditional medicine mainly to expel intestinal worms and as a dye. Modern human evidence for its safety and effectiveness is very limited, and it can cause significant digestive upset, so it should only be used under professional guidance, if at all.

Mallotus philippensis · Euphorbiaceae · Red powder (glands and hairs) from the surface of the fruit; sometimes bark and leaves · Powder, capsules, traditional preparations; also used historically as a dye

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

Kamala: dosing

There is no well-established, standardized dose of Kamala supported by modern clinical research. Do not exceed the recommended amount, and avoid using it for self-treatment of worm infections without medical guidance, since safer and better-studied options are available.

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

Read the full Kamala monograph & all interactions
Medication

About Elexacaftor, Tezacaftor, and Ivacaftor

What Is Elexacaftor, Tezacaftor, and Ivacaftor Used For?

Brand name: Trikafta

Trikafta (elexacaftor, tezacaftor, and ivacaftor) is used to treat cystic fibrosis (CF) in adults and children aged 2 years and older who have a clinical diagnosis of CF and carry at least one CFTR gene variant that is expected to respond to the medication — either based on clinical trial data or laboratory testing.

If a patient's genetic variant is not already known, an FDA-cleared CF genetic test should be used to confirm eligibility before starting treatment.

See full Elexacaftor, Tezacaftor, and Ivacaftor drug information Elexacaftor, Tezacaftor, And Ivacaftor NDC codes and packages
Keep checking

Other Drugs & Kamala

Browse every other medication we’ve checked against Kamala — 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
2,829 No interaction
No interaction 2,829 drugs checked — show the list

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

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Kamala list.

See the full Kamala interactions page
See every supplement checked against Elexacaftor, Tezacaftor, Ivacaftor, ranked by severity
Sources

Sources & How We Checked

We checked Kamala against Elexacaftor, Tezacaftor, Ivacaftor in the Natural Medicines interaction database and found no documented interaction on file. The medication overview comes from MedlinePlus, and supplement label details from the NIH Dietary Supplement Label Database.

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

Keep exploring
Kamala monograph › Uses, safety, and every drug interaction in one place Elexacaftor, Tezacaftor, Ivacaftor supplement interactions › Every supplement checked against Elexacaftor, Tezacaftor, Ivacaftor, ranked by severity Elexacaftor, Tezacaftor, and Ivacaftor drug information › The full plain-English guide to this medication Elexacaftor, Tezacaftor, And Ivacaftor NDC codes and packages › Every package, labeler and price in the FDA directory Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Kamala and Elexacaftor, Tezacaftor, Ivacaftor Together: Common Questions

Is it safe to take Kamala with Elexacaftor, Tezacaftor, Ivacaftor?
We do not list a known interaction between Kamala and Elexacaftor, Tezacaftor, Ivacaftor. 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 Elexacaftor, Tezacaftor, Ivacaftor interact with any supplements?
Yes. Elexacaftor, Tezacaftor, Ivacaftor has documented interactions with 138 supplements in our database — Kamala is not one of them. The Elexacaftor, Tezacaftor, Ivacaftor 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 Elexacaftor, Tezacaftor, Ivacaftor and Kamala?

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.