Drug & supplement interaction

Maca + Trilaciclib Dihydrochloride

Trilaciclib Dihydrochloride brand name: Cosela.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Maca and Trilaciclib Dihydrochloride 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

Maca and Trilaciclib Dihydrochloride

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 Trilaciclib Dihydrochloride and Maca 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 Maca at all — not against Trilaciclib Dihydrochloride, 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.

Maca safety at a glance

Maca overall Use caution Generally well tolerated as a food, but supplement safety has not been studied long term.
Pregnancy Avoid Not enough safety data in supplement amounts, so avoid during pregnancy.
Breastfeeding Avoid There is not enough reliable information on safety while breastfeeding.

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

Still wondering about combining Trilaciclib Dihydrochloride and Maca? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Maca Itself Has Been Linked To

This is not an interaction — nothing below involves Trilaciclib Dihydrochloride. It is the side-effect record for Maca on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Maca, this list is the first place to look.

  • Stomach pain Additional detail

    “Consumption of fresh, uncooked maca may cause stomach pain.”

    Maca · Natural Medicines adverse-effect record, reported in pain.

    1 source cited
    1. 40231. Valerio, L. G., Jr. and Gonzales, G. F. Toxicological aspects of the South American herbs cat's claw (Uncaria tomentosa) and Maca (Lepidium meyenii) : a critical synopsis. Toxicol.Rev 2005;24(1):11-35. PubMed

Everything above comes from the Natural Medicines adverse-effect record for Maca — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Trilaciclib Dihydrochloride’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Trilaciclib Dihydrochloride column appears here.

Everything else you take

See Every Supplement That Interacts With Trilaciclib Dihydrochloride

This page covers Maca only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Trilaciclib Dihydrochloride page lists 13 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: American Hellebore (major), Arsenic (major), Cesium (major), Ephedra (major) and Grapefruit (major).

By severity: 6 major · 7 moderate.

From our pharmacist’s overview on the Trilaciclib Dihydrochloride page

“Trilaciclib (Cosela) is an infusion given before chemotherapy to shield bone marrow in people with small cell lung cancer, and its supplement list deserves genuine attention because all 13 flagged ingredients press on the same weak point, the heart's electrical rhythm. Each can lengthen the QT interval, the pause between beats on an EC…”

Reviewed by 2 · Jul 18, 2026

Open the Trilaciclib Dihydrochloride interaction page

One more smart check

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

We hold 2,489 real supplement products containing Maca, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Maca. Even though Maca itself has no known interaction with Trilaciclib Dihydrochloride, 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 Maca and Trilaciclib Dihydrochloride 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 Maca
Top 10%

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

29 days ago today
Medication Trilaciclib Dihydrochloride
Steady interest

#2,156 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. See every Maca reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 27, 2026. The Maca and Trilaciclib Dihydrochloride records this page draws on were last updated July 10, 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 Maca

What is Maca?

Maca
  • Low libido and sexual function
  • Energy and stamina
  • Menopause symptoms
  • Mood and stress
  • Fertility support

Maca is a nutrient-rich Andean root often used for energy, libido, and menopause symptoms. Early studies suggest it may modestly help sexual desire and some menopause symptoms, but the evidence is limited and not conclusive. It appears generally well tolerated in food amounts, but talk to your pharmacist or doctor before using it, especially if you are pregnant, breastfeeding, or have a hormone-related condition.

Lepidium meyenii · Brassicaceae · Root (hypocotyl) · Capsules, powder, tablets, liquid extracts, gelatinized powder

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

Maca: dosing

There is no official or standardized dose of maca, and the amounts used in studies have varied widely. Because of this, it is best to follow the directions on the product label.Maca is sold in different forms, including raw powder, gelatinized powder, capsules, and extracts, and the strength can differ between products. Do not assume that taking more will work better or be safer.

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

Read the full Maca monograph & all interactions
Medication

About Trilaciclib Injection

What Is Trilaciclib Injection Used For?

Brand name: Cosela

Trilaciclib Injection (brand name Cosela) is used in adults with extensive-stage small cell lung cancer. It helps decrease the incidence of chemotherapy-induced myelosuppression. That means it lowers the chance that chemotherapy will suppress the bone marrow's production of blood cells.

It is given before certain chemotherapy regimens: a platinum/etoposide-containing regimen or a topotecan-containing regimen.

See full Trilaciclib Injection drug information
Keep checking

Other Drugs & Maca

Browse every other medication we’ve checked against Maca — 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
No interaction 2,829 drugs checked — show the list
Evidence & sources

Maca References

The 1 references that drive our Maca monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Valerio, L. G., Jr. and Gonzales, G. F. Toxicological aspects of the South American herbs cat's claw (Uncaria tomentosa) and Maca (Lepidium meyenii) : a critical synopsis. Toxicol.Rev 2005;24(1):11-35. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Maca and Trilaciclib Dihydrochloride Together: Common Questions

Is it safe to take Maca with Trilaciclib Dihydrochloride?
We do not list a known interaction between Maca and Trilaciclib Dihydrochloride. 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 Trilaciclib Dihydrochloride interact with any supplements?
Yes. Trilaciclib Dihydrochloride has documented interactions with 13 supplements in our database — Maca is not one of them. The Trilaciclib Dihydrochloride 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 Trilaciclib Dihydrochloride and Maca?

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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.