Drug & supplement interaction

Khella + Daunorubicin, Cytarabine

Daunorubicin, Cytarabine brand name: Vyxeos.

Moderate Interaction
Medically reviewed by · Updated October 2026
The bottom line Moderate

Khella has a moderate interaction with Daunorubicin, Cytarabine. Theoretically, khella might have additive adverse effects on the liver when used with hepatotoxic drugs.

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

Khella and Daunorubicin, Cytarabine

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

Moderate

HEPATOTOXIC DRUGS

Why this applies to Daunorubicin, Cytarabine

Daunorubicin, Cytarabine falls under HEPATOTOXIC DRUGS — the group Khella interacts with.

Theoretically, khella might have additive adverse effects on the liver when used with hepatotoxic drugs. Khella can increase liver transaminases. Some drugs that can adversely affect the liver include acetaminophen (Tylenol), amiodarone (Cordarone), carbamazepine (Tegretol), isoniazid (INH), methotrexate (Rheumatrex), methyldopa (Aldomet), and many others.
Severity Moderate Likelihood Possible Evidence B

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 concern with combining khella and Vyxeos (the daunorubicin and cytarabine combo used for AML). Both can be hard on the liver. Khella has been shown to raise liver enzymes (transaminases), and chemotherapy like this can stress the liver too. Put them together and you may be stacking two liver burdens on top of each other, which could show up as rising liver numbers on your bloodwork, fatigue, nausea, or yellowing of the skin or eyes.

This is mostly a theoretical worry, but with a serious cancer drug it's not one to gamble on. Khella isn't a routine supplement anyway. Please run it by your oncology team or pharmacist before taking anything new while on Vyxeos.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
  2. Harvengt C, Desager JP. HDL-cholesterol increase in normolipaemic subjects on khellin: a pilot study. Int J Clin Pharmacol Res 1983;3:363-6.

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

Khella Also Interacts With Other Medications

Khella has 619 moderate known drug interactions in our database — the Daunorubicin, Cytarabine one above is one of them. If you take anything else, check it against the full list below.

Moderate 619 No known interaction 2,211 (incl. Daunorubicin, Cytarabine)
Taking anything else?

Check Another of Your Medications Against Khella

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

Everything else you take

See Every Supplement That Interacts With Daunorubicin, Cytarabine

This page covers Khella only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Daunorubicin, Cytarabine page lists 50 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Beer (major), Siberian Cocklebur (major), Wine (major), Acerola (moderate) and Alpha-lipoic Acid (moderate).

By severity: 3 major · 47 moderate.

From our pharmacist’s overview on the Daunorubicin, Cytarabine page

“Vyxeos pairs daunorubicin and cytarabine to treat acute myeloid leukemia, and its supplement list is one to handle with genuine care. Most of it points at the liver: 38 of the 50 flagged ingredients can stress an organ already processing intensive chemotherapy, and the three rated major all belong to that group.”

Reviewed by 2 · Jul 18, 2026

Open the Daunorubicin, Cytarabine interaction page

One more smart check

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

We hold 43 real supplement products containing Khella, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Khella. Your product may carry other ingredients that interact with Daunorubicin, Cytarabine too, on top of Khella — 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 Khella and Daunorubicin, Cytarabine 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 Khella
Top half

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

29 days ago today
Medication Daunorubicin, Cytarabine
Top 5%

#90 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 Khella

What is Khella?

Khella
  • Asthma and bronchitis
  • Angina and heart-related chest pain
  • Kidney stones
  • Vitiligo and psoriasis
  • Mild high blood pressure

Khella is a Mediterranean herb whose seeds contain compounds like khellin that may relax smooth muscle in the airways and blood vessels. While it has a long history of traditional use for breathing and heart problems, modern evidence in supplement form is limited, and it can cause side effects and sun sensitivity, so talk with your pharmacist or doctor before using it.

Read the full Khella monograph & all interactions
Medication

About Daunorubicin and Cytarabine Lipid Complex Injection

What Is Daunorubicin and Cytarabine Lipid Complex Injection Used For?

Brand name: Vyxeos

  • Daunorubicin and cytarabine lipid complex is used to treat certain types of acute myeloid leukemia (AML; a type of cancer of the white blood cells) in adults and children 1 year of age and older. Daunorubicin is in a class of medications called anthracyclines. Cytarabine is in a class of medications called antimetabolites. Daunorubicin and cytarabine lipid complex slows or stops the growth of cancer cells in your body.

See full Daunorubicin and Cytarabine Lipid Complex Injection drug information
Keep checking

Other Drugs & Khella

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

0Major
619Moderate
0Minor
2,210No known interaction
619 Moderate 2,210 No interaction
Moderate

619 interactions

Showing 60 of 619 moderate interactions — see all 619 on the Khella page.

No interaction 2,210 drugs checked — show the list

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

Showing the 60 most looked-up of 2,210 medications checked with no known interaction — see the full Khella list.

See the full Khella interactions page
See every supplement checked against Daunorubicin, Cytarabine, 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
Khella monograph › Uses, safety, and every drug interaction in one place Daunorubicin, Cytarabine supplement interactions › Every supplement checked against Daunorubicin, Cytarabine, ranked by severity Daunorubicin and Cytarabine Lipid Complex Injection 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 Khella and Daunorubicin, Cytarabine Together: Common Questions

Can you take Khella with Daunorubicin, Cytarabine?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Khella and Daunorubicin, Cytarabine interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

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

Still Have a Question About Daunorubicin, Cytarabine and Khella?

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.