Drug & supplement interaction

Mezereon + Piperazine Citrate

Piperazine Citrate brand name: Avizine.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Mezereon and Piperazine Citrate 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

Mezereon and Piperazine Citrate

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 Piperazine Citrate and Mezereon 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 Mezereon at all — not against Piperazine Citrate, 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.

Mezereon safety at a glance

Mezereon overall Avoid Mezereon is a poisonous plant that can cause severe irritation and serious poisoning.
Pregnancy Likely Unsafe When used orally or topically; avoid using. Read the full pregnancy detail
Breastfeeding Likely Unsafe When used orally or topically; avoid using. Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Piperazine Citrate and Mezereon? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Mezereon Itself Has Been Linked To

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

  • Increased thirst / Diarrhea / Vomiting Additional detail

    “Orally, mezereon can cause reddening and swelling of the oral mucous membranes, salivation, thirst, stomach pains, vomiting, and severe diarrhea (18).”

    Mezereon · Natural Medicines adverse-effect record, reported in diarrhea.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  • A fast or pounding heartbeat / Dizziness / Headache Additional detail

    “Orally, mezereon can cause headache, dizziness, stupor, tachycardia, spasms, and death through circulatory collapse (18).”

    Mezereon · Natural Medicines adverse-effect record, reported in cluster headache.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  • Swelling Additional detail

    “Topically, mezereon can cause red, painful swelling of the skin, blister formation, and shedding of the epidermis (18). Extended exposure can cause necrosis (18). Contact with the eyes can cause severe conjunctivitis (18).”

    Mezereon · Natural Medicines adverse-effect record, reported in conjunctivitis.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  • Stomach pain Additional detail

    Recorded for Mezereon in the same Natural Medicines adverse-effect record shown under Increased thirst / Diarrhea / Vomiting above.

Everything above comes from the Natural Medicines adverse-effect record for Mezereon — expand a row for the licensed statement it rests on. We haven’t matched Piperazine Citrate to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for Piperazine Citrate.

Special populations

Mezereon in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Unsafe

When used orally or topically; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With Piperazine Citrate

This page covers Mezereon only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Piperazine Citrate 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 Piperazine Citrate page

“Activated charcoal is the entry I would flag first for anyone taking piperazine citrate (Avizine) for pinworms or roundworms. Charcoal soaks up medicines in the gut and can pull enough piperazine out of the body to leave the infection undertreated, which is why I treat this short list with genuine caution.”

Reviewed by 2 · Jul 18, 2026

Open the Piperazine Citrate interaction page

How much people look this up

Where Mezereon and Piperazine Citrate 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 Mezereon
Top half

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

29 days ago today
Medication Piperazine Citrate
Top half

#1,165 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 Mezereon reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Mezereon and Piperazine Citrate 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 Mezereon

What is Mezereon?

  • Skin conditions and ulcers (traditional)
  • Joint and rheumatic pain (traditional)
  • Counter-irritant on the skin
  • Homeopathic remedies for skin eruptions

Mezereon is a poisonous European shrub whose bark and berries have been used in traditional and homeopathic medicine, but it is highly toxic and irritating. There is no reliable scientific evidence that it safely treats any condition, and swallowing any part of the plant can be dangerous. It should not be used as a home remedy.

Daphne mezereum · Thymelaeaceae · Bark and berries (rarely the dried bark used in traditional preparations) · Homeopathic preparations, traditional tinctures, and topical ointments

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

Mezereon: dosing

There is no established safe dose of mezereon for any medical use. Because the plant is poisonous, pharmacists and doctors do not recommend taking it.Highly diluted homeopathic products are sometimes sold, but these are not proven to work, and you should never use raw bark, berries, or homemade tinctures.

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

Read the full Mezereon monograph & all interactions
Keep checking

Other Drugs & Mezereon

Browse every other medication we’ve checked against Mezereon — 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

Mezereon References

The 1 references that drive our Mezereon 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. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

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 Mezereon and Piperazine Citrate Together: Common Questions

Is it safe to take Mezereon with Piperazine Citrate?
We do not list a known interaction between Mezereon and Piperazine Citrate. 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 Piperazine Citrate interact with any supplements?
Yes. Piperazine Citrate has documented interactions with 17 supplements in our database — Mezereon is not one of them. The Piperazine Citrate 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 Piperazine Citrate and Mezereon?

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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.