Drug & supplement interaction

Muira Puama + Eltrombopag

Eltrombopag brand names: Promacta, Revolade, Alvaiz.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Muira Puama and Eltrombopag 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. Additionally, although there is no interaction, the label for Eltrombopag states a food rule worth keeping to.

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Interaction report

Muira Puama and Eltrombopag

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 Eltrombopag and Muira Puama 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 Muira Puama at all — not against Eltrombopag, 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.

Muira Puama safety at a glance

Muira Puama overall Use caution Generally used in small amounts traditionally, but human safety data are limited.
Pregnancy Avoid Not enough safety information; avoid during pregnancy.
Breastfeeding Avoid Not enough safety information; avoid while breastfeeding.

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

Still wondering about combining Eltrombopag and Muira Puama? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Eltrombopag’s Own FDA Label Lists

This is not an interaction — none of it involves Muira Puama. These are the most notable effects listed in the ADVERSE REACTIONS section of Eltrombopag’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 7 of them are worth acting on rather than waiting out — marked below.

  • Yellowing of the skin or eyes Worth acting on
  • A low platelet count Worth acting on
  • Kidney problems Worth acting on
  • Anemia Worth acting on
  • Liver problems Worth acting on
  • Bleeding or bruising Worth acting on
  • A higher chance of infection Worth acting on
  • Pain in an arm or leg
  • Chills
  • Hair loss

Showing the 10 most notable of 30 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Eltrombopag. Read the label on DailyMed › Muira Puama’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Muira Puama side to compare — that is a limit of the record, not a statement that Muira Puama has no side effects.

How to take them

Some Eltrombopag Products Have a Food Rule — Muira Puama Should Not Break It

At least one FDA label for a product containing Eltrombopag says to take it with food. If you take Muira Puama on an empty stomach out of habit, keep them separate — and take Eltrombopag with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Eltrombopag products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

Do not split, chew, or crush tablets and mix with food or liquids.

From the Dosage and Administration section of the FDA label we read for Eltrombopag — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Eltrombopag

This page covers Muira Puama only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Eltrombopag page lists 55 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 Ashwagandha (moderate).

By severity: 4 major · 42 moderate · 9 minor.

From our pharmacist’s overview on the Eltrombopag page

“Eltrombopag (Promacta, Revolade) boosts platelet production, and because the drug itself can stress the liver, this list warrants genuine care. Thirty-eight of the 55 supplements and herbs here can injure the liver on their own, so combining them stacks risk on an organ your doctor is already watching with blood tests.”

Reviewed by 2 · Jul 18, 2026

Open the Eltrombopag interaction page

One more smart check

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

We hold 698 real supplement products containing Muira Puama, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Muira Puama. Even though Muira Puama itself has no known interaction with Eltrombopag, 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 Muira Puama and Eltrombopag 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 Muira Puama
Top 25%

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

29 days ago today
Medication Eltrombopag
Steady interest

#1,505 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 Muira Puama reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Muira Puama and Eltrombopag records this page draws on were last updated June 22, 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 Muira Puama

What is Muira Puama?

  • Low libido
  • Erectile difficulty
  • Sexual performance
  • Fatigue and low energy
  • General tonic for stress

Muira puama is a Brazilian plant traditionally used as an aphrodisiac and general tonic, often nicknamed 'potency wood.' Human research is very limited, so its benefits are not well proven, and there is little information on its long-term safety. Talk with your pharmacist or doctor before trying it, especially if you have a health condition or take other medicines.

Ptychopetalum olacoides · Olacaceae · Roots and bark (sometimes wood) · Capsules, tinctures, liquid extracts, teas, and powders

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

Muira Puama: dosing

There is no well-established or standardized dose for muira puama. Products differ in form (capsule, tincture, tea) and in how concentrated they are, so amounts on labels vary widely.The safest approach is to follow the directions on the specific product you buy and to start low.

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

Read the full Muira Puama monograph & all interactions
Medication

About Eltrombopag

What Is Eltrombopag Used For?

Brand names: Promacta, Revolade, Alvaiz

Eltrombopag treats thrombocytopenia (low platelet counts) in several different conditions. It is used for adults and children (age 1 and older, depending on the product) with persistent or chronic immune thrombocytopenia (ITP) — a condition where the immune system destroys platelets — when other treatments like steroids or immunoglobulins haven't worked well enough. It is also used to raise platelet counts in adults with chronic hepatitis C whose low platelet count prevents them from starting or staying on interferon-based antiviral therapy.

Eltrombopag tablets (including Promacta) are also approved — alone or combined with immunosuppressive therapy — for adults and certain children (age 2 and older) with severe aplastic anemia, a serious bone marrow failure condition. Alvaiz (a specific brand) shares most of these uses but has product-specific dosing that is not interchangeable milligram-for-milligram with other eltrombopag products. The oral suspension formulation is approved for ITP and for refractory severe aplastic anemia, but is not approved for first-line severe aplastic anemia in combination with immunosuppressive therapy.

See full Eltrombopag drug information
Keep checking

Other Drugs & Muira Puama

Browse every other medication we’ve checked against Muira Puama — 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

Muira Puama References

The 2 references that drive our Muira Puama 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. Waynberg, J. and Brewer, S. Effects of Herbal vX on libido and sexual activity in premenopausal and postmenopausal women. Adv Ther 2000;17(5):255-262. PubMed
  2. Nguyen S, Rajfer J, Shaheen M. Safety and efficacy of daily Revactin in men with erectile dysfunction: a 3-month pilot study. Transl Androl Urol. 2018;7(2):266-73. 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 Muira Puama and Eltrombopag Together: Common Questions

Is it safe to take Muira Puama with Eltrombopag?
We do not list a known interaction between Muira Puama and Eltrombopag. 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.
Should I take Muira Puama and Eltrombopag at the same time of day?
At least one FDA label for a product containing Eltrombopag says to take it with food. If you take Muira Puama on an empty stomach out of habit, keep them separate and take Eltrombopag with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Eltrombopag products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Eltrombopag interact with any supplements?
Yes. Eltrombopag has documented interactions with 55 supplements in our database — Muira Puama is not one of them. The Eltrombopag 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 Eltrombopag and Muira Puama?

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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.