Drug & supplement interaction

Larch Arabinogalactan + Temsirolimus

Temsirolimus brand name: Torisel.

Moderate Interaction
The bottom line Moderate

Larch Arabinogalactan has a moderate interaction with Temsirolimus. Theoretically, larch arabinogalactan might interfere with immunosuppression therapy due to immunostimulant effects.

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

Larch Arabinogalactan and Temsirolimus

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

Moderate

IMMUNOSUPPRESSANTS

Why this applies to Temsirolimus

Temsirolimus falls under IMMUNOSUPPRESSANTS — the group Larch Arabinogalactan interacts with.

Theoretically, larch arabinogalactan might interfere with immunosuppression therapy due to immunostimulant effects. Immunosuppressant drugs include azathioprine (Imuran), basiliximab (Simulect), cyclosporine (Neoral, Sandimmune), daclizumab (Zenapax), muromonab-CD3 (OKT3, Orthoclone OKT3), mycophenolate (CellCept), tacrolimus (FK506, Prograf), sirolimus (Rapamune), prednisone (Deltasone, Orasone), corticosteroids (glucocorticoids), and other drugs.
Severity Moderate 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 thinking behind this one. Larch arabinogalactan is a fiber that may gently nudge the immune system to be a bit more active. Temsirolimus (Torisel) works in the opposite direction. While it's mainly used to slow kidney cancer growth, it's an mTOR inhibitor that also quiets down immune activity. So the worry is that the supplement's immune-stimulating effect could, in theory, work against what your medication is doing.

I want to be honest about the strength of this concern: it's theoretical, based on how each thing works rather than real cases. It's not proven to cause a problem. Still, since temsirolimus is a serious cancer treatment, I'd skip the supplement unless your oncologist or pharmacist gives you the green light. Please loop them in before adding it.

References
  1. D'Adamo P. Larch arabinogalactan. J Naturopath Med 1996;6:33-7.
  2. Kelly GS. Larch arabinogalactan: Clinical relevance of a novel immune-enhancing polysaccharide. Alt Med Rev 1999;4:96-103.
  3. Dion C, Chappuis E, Ripoll C. Does larch arabinogalactan enhance immune function? A review of mechanistic and clinical trials. Nutr Metab (Lond) 2016;13:28. PubMed

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

Larch Arabinogalactan Also Interacts With Other Medications

Larch Arabinogalactan has 120 moderate known drug interactions in our database — the Temsirolimus one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Larch Arabinogalactan

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

Everything else you take

See Every Supplement That Interacts With Temsirolimus

This page covers Larch Arabinogalactan only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Temsirolimus page lists 169 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Asarabacca (major), Grapefruit (major), Siberian Cocklebur (major), St. John's Wort (major) and Acacia Rigidula (moderate).

By severity: 4 major · 135 moderate · 30 minor.

From our pharmacist’s overview on the Temsirolimus page

“Temsirolimus (Torisel), an infusion for advanced kidney cancer, deserves genuine wariness around supplements. Most interactions on record involve herbs that alter CYP3A4, the liver enzyme that clears the drug, so a capsule can quietly raise its levels and side effects or thin out its anticancer effect.”

Reviewed by 2 · Jul 18, 2026

Open the Temsirolimus interaction page

One more smart check

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

We hold 717 real supplement products containing Larch Arabinogalactan, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Larch Arabinogalactan. Your product may carry other ingredients that interact with Temsirolimus too, on top of Larch Arabinogalactan — 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 Larch Arabinogalactan and Temsirolimus 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 Larch Arabinogalactan
Top 25%

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

29 days ago today
Medication Temsirolimus
Top 25%

#592 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 Larch Arabinogalactan

What is Larch Arabinogalactan?

  • Immune support
  • Cold and flu prevention
  • Digestive and gut health
  • Source of soluble fiber
  • Prebiotic support

Larch arabinogalactan is a soluble fiber from larch trees that is mainly used as a prebiotic and for immune support. Early research is interesting but limited, and most claims are not yet firmly proven. It is generally well tolerated, but pregnant and breastfeeding people should be cautious and check with a healthcare provider first.

Read the full Larch Arabinogalactan monograph & all interactions
Medication

About Temsirolimus

What Is Temsirolimus Used For?

Brand name: Torisel

Temsirolimus injection is approved to treat advanced renal cell carcinoma (a form of kidney cancer that has spread or cannot be removed by surgery). Both the brand-name product Torisel and generic temsirolimus injection share this indication.

See full Temsirolimus drug information
Keep checking

Other Drugs & Larch Arabinogalactan

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

0Major
120Moderate
0Minor
2,709No known interaction
Moderate

120 interactions

Showing 60 of 120 moderate interactions — see all 120 on the Larch Arabinogalactan page.

No interaction 2,709 drugs checked — show the list
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

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Pharmacist Counseling Corner

Taking Larch Arabinogalactan and Temsirolimus Together: Common Questions

Can you take Larch Arabinogalactan with Temsirolimus?
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 Larch Arabinogalactan and Temsirolimus 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 Temsirolimus and Larch Arabinogalactan?

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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.