Drug & supplement interaction

Myrtle + Pitolisant Hydrochloride

Pitolisant Hydrochloride brand name: Wakix.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Myrtle and Pitolisant Hydrochloride 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

Myrtle and Pitolisant Hydrochloride

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 Pitolisant Hydrochloride and Myrtle 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 Myrtle at all — not against Pitolisant Hydrochloride, 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.

Myrtle safety at a glance

Myrtle overall Use caution Likely safe in small amounts as food or tea, but concentrated extracts and oils need caution.
Pregnancy Likely Unsafe When used orally; avoid using. Read the full pregnancy detail
Breastfeeding Likely Unsafe When used orally; 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 Pitolisant Hydrochloride and Myrtle? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Myrtle Itself Has Been Linked To

This is not an interaction — nothing below involves Pitolisant Hydrochloride. It is the side-effect record for Myrtle on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Myrtle, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

  • Wheezing Worth acting on Additional detail

    “Orally, consumption of very large amounts of undiluted myrtle leaf oil might lead to respiratory failure and collapse (18).

    Topically, facial contact with myrtle oil preparations may cause glottal or bronchial spasm, asthma-like attacks, or respiratory failure in infants and children (18).”

    Myrtle · Natural Medicines adverse-effect record, reported in asthma.

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

    “Topically, myrtle leaf extract has been reported to cause dry skin.”

    Myrtle · Natural Medicines adverse-effect record, reported in dry skin.

    1 source cited
    1. 106777. Salmanian M, Shirbeigi L, Hashem-Dabaghian F, et al. The Effects of Myrtle (Myrtus communis) and Clindamycin Topical Solution in the Treatment of Mild to Moderate Acne Vulgaris: A Comparative Split-Face Study. J Pharmacopuncture 2020;23(4):220-229.
  • Low blood pressure Additional detail

    “Orally, very large amounts of undiluted myrtle leaf oil might lead to low blood pressure and circulatory disorders due to the cineole constituent (18).”

    Myrtle · Natural Medicines adverse-effect record, reported in hypotension.

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

    “Orally, myrtle berry extract has been reported to cause constipation in infants and young children.”

    Myrtle · Natural Medicines adverse-effect record, reported in constipation.

    1 source cited
    1. 106781. Paknejad MS, Eftekhari K, Rahimi R, Vigeh M, Naghizadeh A, Karimi M. Myrtle (Myrtus communis L.) fruit syrup for gastroesophageal reflux disease in children: A double-blind randomized clinical trial. Phytother Res 2021;35(11):6369-6376.

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

Special populations

Myrtle in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Unsafe

When used orally; 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 Pitolisant Hydrochloride

This page covers Myrtle only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Pitolisant Hydrochloride page lists 158 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), 1,3-dmaa (moderate) and Acacia Rigidula (moderate).

By severity: 3 major · 114 moderate · 41 minor.

From our pharmacist’s overview on the Pitolisant Hydrochloride page

“Pitolisant (Wakix) keeps people with narcolepsy awake through the day, and it only works when a steady amount reaches the bloodstream. Most of the 158 supplement ingredients on this page can disturb exactly that, so this is a list worth slowing down for.”

Reviewed by 2 · Jul 18, 2026

Open the Pitolisant Hydrochloride interaction page

One more smart check

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

We hold 33 real supplement products containing Myrtle, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Myrtle. Even though Myrtle itself has no known interaction with Pitolisant Hydrochloride, 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 Myrtle and Pitolisant Hydrochloride 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 Myrtle
Steady interest

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

29 days ago today
Medication Pitolisant Hydrochloride
Steady interest

#1,820 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 Myrtle reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Myrtle and Pitolisant Hydrochloride 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 Myrtle

What is Myrtle?

  • Coughs and respiratory congestion
  • Digestive upset
  • Antimicrobial and wound care
  • Skin conditions
  • Urinary complaints

Myrtle (Myrtus communis) is a Mediterranean shrub used traditionally for respiratory, digestive, and skin complaints. Modern research is mostly limited to laboratory and small studies, so its benefits in people are not well proven. Use cautiously, follow product labels, and talk to your pharmacist or doctor first—especially since the essential oil should never be swallowed.

Myrtus communis · Myrtaceae · Leaves, berries, flowers, and essential oil · Tea, capsules, extracts, essential oil, topical preparations

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

Myrtle: dosing

There is no well-established standard dose for myrtle. Amounts used in traditional practice and studies vary widely depending on the form—tea, extract, capsule, or oil.Because products differ in strength and quality, the safest approach is to follow the directions on the product label and not exceed them.

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

Read the full Myrtle monograph & all interactions
Medication

About Pitolisant

What Is Pitolisant Used For?

Brand name: Wakix

Wakix (pitolisant) is used to treat two hallmark problems of narcolepsy: excessive daytime sleepiness (feeling overwhelmingly tired and unable to stay awake during the day) and cataplexy (sudden episodes of muscle weakness or loss of muscle control, often triggered by emotion). It is approved for adults and children 6 years of age and older.

Both uses are specific to Wakix tablets taken by mouth. The drug is not approved for sleepiness or cataplexy caused by conditions other than narcolepsy.

See full Pitolisant drug information
Keep checking

Other Drugs & Myrtle

Browse every other medication we’ve checked against Myrtle — 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

Myrtle References

The 3 references that drive our Myrtle 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.
  2. Salmanian M, Shirbeigi L, Hashem-Dabaghian F, et al. The Effects of Myrtle (Myrtus communis) and Clindamycin Topical Solution in the Treatment of Mild to Moderate Acne Vulgaris: A Comparative Split-Face Study. J Pharmacopuncture 2020;23(4):220-229.
  3. Paknejad MS, Eftekhari K, Rahimi R, Vigeh M, Naghizadeh A, Karimi M. Myrtle (Myrtus communis L.) fruit syrup for gastroesophageal reflux disease in children: A double-blind randomized clinical trial. Phytother Res 2021;35(11):6369-6376.

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 Myrtle and Pitolisant Hydrochloride Together: Common Questions

Is it safe to take Myrtle with Pitolisant Hydrochloride?
We do not list a known interaction between Myrtle and Pitolisant Hydrochloride. 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 Pitolisant Hydrochloride interact with any supplements?
Yes. Pitolisant Hydrochloride has documented interactions with 158 supplements in our database — Myrtle is not one of them. The Pitolisant Hydrochloride 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 Pitolisant Hydrochloride and Myrtle?

Our pharmacists answer your medication & supplement questions — free.

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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.