Drug & supplement interaction

Lion's Mane Mushroom + Deucravacitinib

Deucravacitinib brand name: Sotyktu.

Moderate Interaction
The bottom line Moderate

Lion's Mane Mushroom has a moderate interaction with Deucravacitinib. Theoretically, concurrent use of lion's mane mushroom might interfere with immunosuppressive therapy.

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

Lion's Mane Mushroom and Deucravacitinib

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

Moderate

IMMUNOSUPPRESSANTS

Why this applies to Deucravacitinib

Deucravacitinib falls under IMMUNOSUPPRESSANTS — the group Lion's Mane Mushroom interacts with.

Theoretically, concurrent use of lion's mane mushroom might interfere with immunosuppressive therapy.
In animal and in vitro research, lion's mane mushroom polysaccharides stimulate the immune system.
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 basic idea. Sotyktu (deucravacitinib) is a medicine that calms down an overactive immune system, which is how it helps clear psoriasis. Lion's mane works in the opposite direction in some early studies. Its polysaccharides seem to nudge the immune system to be more active. So in theory, taking lion's mane could push against what your medication is trying to do, and your psoriasis could become harder to control.

I want to be honest about how soft this evidence is. This concern comes only from lab and animal research, not from people taking these two together. We don't have real proof it causes problems in humans. Still, before you add lion's mane, it's worth a quick chat with your dermatologist or pharmacist so they can keep an eye on how you're doing.

References
  1. Product information for <em>Niaspan</em>. Abbott Laboratories. North Chicago, IL 60064. April 2015.
  2. Tian B, Liu R, Xu T, et al. Modulating effects of Hericium erinaceus polysaccharides on the immune response by regulating gut microbiota in cyclophosphamide-treated mice. J Sci Food Agric 2023;103(6):3050-3064.

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

Lion's Mane Mushroom Also Interacts With Other Medications

Lion's Mane Mushroom has 326 moderate known drug interactions in our database — the Deucravacitinib 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 Lion's Mane Mushroom

Covers the 2,830 medications we’ve checked against Lion's Mane Mushroom. Pick one to open its full report.

From our Q&A

Questions About Lion's Mane Mushroom or Deucravacitinib

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Lion's Mane Mushroom or Deucravacitinib, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Deucravacitinib

This page covers Lion's Mane Mushroom only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Deucravacitinib page lists 106 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Siberian Cocklebur (major), Wine (major) and Active Hexose Correlated Compound (ahcc) (moderate).

By severity: 4 major · 92 moderate · 10 minor.

From our pharmacist’s overview on the Deucravacitinib page

“Deucravacitinib (Sotyktu) calms an overactive immune system to treat plaque psoriasis, which is exactly why its 106 supplement interactions deserve genuine respect. The biggest group, 53 ingredients, may stimulate immune function and could blunt the drug's benefit.”

Reviewed by 2 · Jul 18, 2026

Open the Deucravacitinib interaction page

One more smart check

Taking Lion's Mane Mushroom as Part of a Dietary Supplement Product? Check It for Interactions

We hold 1,338 real supplement products containing Lion's Mane Mushroom, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Lion's Mane Mushroom. Your product may carry other ingredients that interact with Deucravacitinib too, on top of Lion's Mane Mushroom — 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 Lion's Mane Mushroom and Deucravacitinib 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 Lion's Mane Mushroom
Top 25%

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

29 days ago today
Medication Deucravacitinib
Top half

#1,171 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 Lion's Mane Mushroom

What is Lion's Mane Mushroom?

Lion's Mane Mushroom
  • Memory and cognitive support
  • Nerve health
  • Mood and anxiety
  • Immune support
  • General wellness/antioxidant

Lion's mane is an edible mushroom that is popular as a 'nootropic' for memory, focus, and nerve health, but solid human evidence is still limited and early. It is generally well tolerated as a food and supplement, but talk with your pharmacist or doctor before starting it, especially if you are pregnant, breastfeeding, or have allergies.

Read the full Lion's Mane Mushroom monograph & all interactions
Medication

About Deucravacitinib

What Is Deucravacitinib Used For?

Brand name: Sotyktu

Sotyktu (deucravacitinib) is approved to treat two conditions in adults. First, it treats moderate-to-severe plaque psoriasis in people who are candidates for systemic (body-wide) therapy or phototherapy (light therapy). It is not recommended to combine Sotyktu with other strong immune-suppressing medications for this use.

Second, Sotyktu is approved to treat active psoriatic arthritis in adults.

See full Deucravacitinib drug information
Keep checking

Other Drugs & Lion's Mane Mushroom

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

0Major
326Moderate
0Minor
2,503No known interaction
Moderate

326 interactions

Showing 60 of 326 moderate interactions — see all 326 on the Lion's Mane Mushroom page.

No interaction 2,503 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 Lion's Mane Mushroom and Deucravacitinib Together: Common Questions

Can you take Lion's Mane Mushroom with Deucravacitinib?
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 Lion's Mane Mushroom and Deucravacitinib 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 Deucravacitinib and Lion's Mane Mushroom?

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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.