Drug & supplement interaction

Noni + Dantrolene

Dantrolene brand names: Dantrium, Dantrium Intravenous.

Moderate Interaction
The bottom line Moderate

Noni has a moderate interaction with Dantrolene. Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.

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

Noni and Dantrolene

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

Moderate

HEPATOTOXIC DRUGS

Why this applies to Dantrolene

Dantrolene falls under HEPATOTOXIC DRUGS — the group Noni interacts with.

Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
There is concern that noni might cause hepatotoxicity in some patients. Advise patients against combining noni with potentially hepatotoxic drugs.
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 thing to keep in mind with this pairing: dantrolene is one of those muscle relaxants that's already known to be tough on the liver. It carries a real risk of liver injury, especially with longer-term use for spasticity. Noni juice has its own rare reports of liver trouble, so the worry is that stacking the two could add up and raise your chances of liver problems.

I'll be honest, this concern is mostly theoretical and based on scattered case reports, not strong studies. Still, since your liver is doing the heavy lifting here, it's worth playing it safe. Watch for signs like yellowing skin or eyes, dark urine, belly pain, or unusual tiredness, and check with your doctor or pharmacist before combining them.

References
  1. Millonig G, Stadlmann S, Vogel W. Herbal hepatotoxicity: acute hepatitis caused by a Noni preparation (Morinda citrifolia). Eur J Gastroenterol Hepatol 2005;17:445-7. PubMed
  2. Stadlbauer V, Fickert P, Lackner C, et al. Hepatotoxicity of NONI juice: report of two cases. World J Gastroenterol 2005;11:4758-60. PubMed
  3. Yuce B, Gulberg V, Diebold J, Gerbes AL. Hepatitis induced by noni juice from morinda citrifolia: a rare cause of hepatotoxicity or the tip of the iceberg? Digestion 2006;73:167-70.

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

Noni Also Interacts With Other Medications

Noni has 540 moderate, 1 minor known drug interactions in our database — the Dantrolene 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 Noni

Covers the 2,830 medications we’ve checked against Noni. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Dantrolene

This page covers Noni only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Dantrolene page lists 77 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Procaine (major), Siberian Cocklebur (major) and Wine (major).

By severity: 5 major · 62 moderate · 10 minor.

From our pharmacist’s overview on the Dantrolene page

“People take dantrolene (Dantrium) for muscle spasticity from multiple sclerosis or spinal cord injury, and the drug already carries a boxed warning for liver injury. That is why its supplement interactions deserve genuine respect.”

Reviewed by 2 · Jul 18, 2026

Open the Dantrolene interaction page

One more smart check

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

We hold 727 real supplement products containing Noni, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Noni. Your product may carry other ingredients that interact with Dantrolene too, on top of Noni — 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 Noni and Dantrolene 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 Noni
Top 25%

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

29 days ago today
Medication Dantrolene
Top half

#1,141 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 Noni

What is Noni?

Noni
  • General wellness and energy
  • Inflammation and joint pain
  • Immune support
  • High blood pressure
  • Skin and wound care
  • Digestive complaints

Noni is a tropical fruit used widely in folk medicine and sold mostly as a juice or supplement, but solid human evidence for its many claimed benefits is limited. While moderate juice intake is generally well tolerated, there are rare reports of liver problems, and it should be avoided in pregnancy and breastfeeding. Talk with your pharmacist or doctor before using it, especially if you have kidney or liver disease.

Read the full Noni monograph & all interactions
Medication

About Dantrolene

What Is Dantrolene Used For?

Brand names: Dantrium, Dantrium Intravenous

Dantrolene sodium capsules (Dantrium, Dantrolene Sodium) are used by mouth to control spasticity — painful or disabling muscle stiffness and spasms — caused by upper motor neuron disorders such as spinal cord injury, stroke, cerebral palsy, or multiple sclerosis. They are not used for muscle spasm from arthritis or other rheumatic conditions. Oral capsules are also used before and after surgery to prevent or reduce the risk of malignant hyperthermia in patients known to be susceptible.

For an active malignant hyperthermia crisis — a sudden, dangerous overheating of the muscles triggered by certain anesthetics — the intravenous (IV) forms are given in the hospital. Dantrium Intravenous, Revonto, Ryanodex, and Dantrolene injection are all indicated to treat a malignant hyperthermia crisis and may also be given before surgery to help prevent one in high-risk patients.

See full Dantrolene drug information
Keep checking

Other Drugs & Noni

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

0Major
540Moderate
1Minor
2,288No known interaction
Moderate

540 interactions

Showing 60 of 540 moderate interactions — see all 540 on the Noni page.

Minor

1 interaction

No interaction 2,288 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 Noni and Dantrolene Together: Common Questions

Can you take Noni with Dantrolene?
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 Noni and Dantrolene 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

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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.