Drug & supplement interaction

Karaya Gum + Moxidectin

Moxidectin brand name: Moxidectin.

Minor Interaction
Medically reviewed by · Updated September 2026
The bottom line Minor

Karaya Gum has a minor interaction with Moxidectin. Co-administration of oral drugs with bulk forming laxatives such as karaya gum may decrease, increase, or have no effect on the absorption of drugs.

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

Karaya Gum and Moxidectin

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

Minor

ORAL DRUGS

Why this applies to Moxidectin

Moxidectin falls under ORAL DRUGS — the group Karaya Gum interacts with.

Co-administration of oral drugs with bulk forming laxatives such as karaya gum may decrease, increase, or have no effect on the absorption of drugs. To avoid changes in absorption, take karaya gum 30-60 minutes after oral medications.
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 simple version: karaya gum is a bulky fiber that swells into a gel when it hits water in your gut. That gel can grab onto pills you swallow around the same time, including moxidectin (a single-dose deworming medicine). The worry is purely about timing and absorption, not about how your body processes the drug. If the gel traps some of your moxidectin, a little less may get absorbed, which could mean a weaker effect against the parasite you're treating.

To be honest, this is a theoretical concern based on how fiber laxatives behave, and the risk here is minor. Still, an easy fix is to take your moxidectin first and wait at least 30 to 60 minutes before the karaya gum. If you're unsure about spacing, your pharmacist can help you plan it out.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.

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

Karaya Gum Also Interacts With Other Medications

Karaya Gum has 2,021 minor known drug interactions in our database — the Moxidectin one above is one of them. If you take anything else, check it against the full list below.

Minor 2,021 No known interaction 809 (incl. Moxidectin)
Taking anything else?

Check Another of Your Medications Against Karaya Gum

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

Everything else you take

See Every Supplement That Interacts With Moxidectin

This page covers Karaya Gum only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Moxidectin 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 Moxidectin page

“Moxidectin is usually taken as a single oral dose to clear the parasite that causes river blindness, which means it only works if that one dose is fully absorbed. All 17 supplements flagged here can interfere with exactly that, and one of them, activated charcoal, is rated major because it binds drugs in the gut and can strip away a la…”

Reviewed by 2 · Jul 18, 2026

Open the Moxidectin interaction page

One more smart check

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

We hold 16 real supplement products containing Karaya Gum, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Karaya Gum. Your product may carry other ingredients that interact with Moxidectin too, on top of Karaya Gum — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Karaya Gum and Moxidectin 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 Karaya Gum
Top half

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

29 days ago today
Medication Moxidectin
Steady interest

#2,400 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 Karaya Gum

What is Karaya Gum?

Karaya Gum
  • Constipation (bulk-forming laxative)
  • Appetite and weight management (bulking agent)
  • Dental adhesive/denture fixative
  • Skin barrier for ostomy appliances
  • Food thickening and stabilizing

Karaya gum is a natural plant gum from the Sterculia tree that is mostly used as a bulk-forming laxative and as a thickener or adhesive in food, dental, and ostomy products. As a fiber-type laxative it may help with occasional constipation, but high-quality evidence is limited, and it should be taken with plenty of water to avoid choking or blockage. Talk to your pharmacist or doctor before using it, especially if you have swallowing problems or bowel conditions.

Read the full Karaya Gum monograph & all interactions
Medication

About Moxidectin

What Is Moxidectin Used For?

Brand name: Moxidectin

Moxidectin Tablets are used to treat onchocerciasis — a parasitic infection caused by Onchocerca volvulus, commonly known as river blindness. It is approved for adults and children aged 4 years and older who weigh at least 13 kg (about 29 lbs).

Important to know: Moxidectin does not kill the adult O. volvulus worms — it targets the immature larvae (microfilariae) instead. Because of this, follow-up evaluation after treatment is advised. The safety and effectiveness of taking Moxidectin more than once for this infection has not been studied.

See full Moxidectin drug information
Keep checking

Other Drugs & Karaya Gum

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

0Major
0Moderate
2,021Minor
808No known interaction
2,021 Minor 808 No interaction
Minor

2,021 interactions

Showing 60 of 2,021 minor interactions — see all 2,021 on the Karaya Gum page.

No interaction 808 drugs checked — show the list

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

Showing the 60 most looked-up of 808 medications checked with no known interaction — see the full Karaya Gum list.

See the full Karaya Gum interactions page
See every supplement checked against Moxidectin, ranked by severity
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

Keep exploring
Karaya Gum monograph › Uses, safety, and every drug interaction in one place Moxidectin supplement interactions › Every supplement checked against Moxidectin, ranked by severity Moxidectin drug information › The full plain-English guide to this medication 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 Karaya Gum and Moxidectin Together: Common Questions

Can you take Karaya Gum with Moxidectin?
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 Karaya Gum and Moxidectin 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

Still Have a Question About Moxidectin and Karaya Gum?

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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.