Drug & supplement interaction

Osha + Lacosamide

Lacosamide brand names: Vimpat, Motpoly XR.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Osha and Lacosamide 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

Osha and Lacosamide

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 Lacosamide and Osha 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 Osha at all — not against Lacosamide, 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.

Osha safety at a glance

Osha overall Use caution Limited safety data exist, and wild osha can be confused with poisonous look-alike plants.
Pregnancy Likely Unsafe When used orally. Osha has been used to stimulate menstruation and is reported to have abortifacient activity; contraindicated. Read the full pregnancy detail
Breastfeeding Avoid No reliable safety data are available, so avoid use while breastfeeding.

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 Lacosamide and Osha? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Lacosamide’s Own FDA Label Lists

This is not an interaction — none of it involves Osha. These are the most notable effects listed in the ADVERSE REACTIONS section of Lacosamide’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. 5 of them are worth acting on rather than waiting out — marked below.

  • Seizures Worth acting on mentioned in 22.4% of FDA reports for Lacosamide
  • Unsteadiness Worth acting on
  • Fainting Worth acting on
  • A severe skin reaction Worth acting on
  • An allergic reaction Worth acting on
  • Blurred vision
  • Drowsiness mentioned in 4.0% of FDA reports for Lacosamide
  • Trouble sleeping
  • Dizziness mentioned in 4.5% of FDA reports for Lacosamide
  • Tiredness mentioned in 3.9% of FDA reports for Lacosamide

Showing the 10 most notable of 14 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 Lacosamide. Read the label on DailyMed › Where a percentage is shown, it is the share of 36,995 voluntary FDA FAERS reports for Lacosamide that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Osha’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Osha side to compare — that is a limit of the record, not a statement that Osha has no side effects.

Special populations

Osha in Pregnancy & Breastfeeding

Pregnancy Likely Unsafe

When used orally. Osha has been used to stimulate menstruation and is reported to have abortifacient activity; contraindicated.

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 Lacosamide

This page covers Osha only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Lacosamide page lists 151 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), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 107 moderate · 41 minor.

From our pharmacist’s overview on the Lacosamide page

“If you take lacosamide (Vimpat, Motpoly XR) for seizures, start with the three major entries here: grapefruit, St. John's wort, and activated charcoal.”

Reviewed by 2 · Jul 18, 2026

Open the Lacosamide interaction page

One more smart check

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

We hold 336 real supplement products containing Osha, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Osha. Even though Osha itself has no known interaction with Lacosamide, 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 Osha and Lacosamide 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 Osha
Top half

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

29 days ago today
Medication Lacosamide
Steady interest

#1,786 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 Osha reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Osha and Lacosamide records this page draws on were last updated July 11, 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 Osha

What is Osha?

  • Cough and sore throat
  • Respiratory infections and colds
  • Immune support
  • Digestive upset
  • Bronchitis and congestion

Osha is a root from a wild mountain plant native to the western United States and Mexico, traditionally used by Native American and Hispanic communities for coughs, colds, and sore throats. Solid human research is lacking, so its benefits remain unproven, and it should be avoided during pregnancy and breastfeeding. Talk to your pharmacist or doctor before trying it.

Ligusticum porteri · Apiaceae · Root · Tea, tincture, capsules, lozenges, chewed raw root

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

Osha: dosing

There is no established standard dose for osha. The right amount depends on the form (tea, tincture, capsule, or lozenge) and the product's strength.If you choose to use osha, follow the directions on the product label and do not exceed them.

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

Read the full Osha monograph & all interactions
Medication

About Lacosamide

What Is Lacosamide Used For?

Brand names: Vimpat, Motpoly XR

Lacosamide is used to treat partial-onset seizures (seizures that start in one part of the brain) in adults and children. The age at which it is approved depends on the specific product: Vimpat tablets, oral solution, and injection are approved for partial-onset seizures in patients as young as 1 month old; most other formulations are approved from age 4 and up; and Motpoly XR is approved for patients weighing at least 50 kg.

Lacosamide is also used as adjunctive (add-on) therapy for primary generalized tonic-clonic seizures (grand mal seizures involving the whole brain) in adults and children 4 years of age and older, including Motpoly XR for patients weighing at least 50 kg.

Most-Reported Side Effects for Lacosamide

From FAERS, the FDA’s public side-effect reporting system (36,995 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Seizure 6,858 reports
Dizziness 1,669 reports
Somnolence 1,497 reports
Fatigue 1,446 reports
Epilepsy 1,418 reports
See full Lacosamide drug information
Keep checking

Other Drugs & Osha

Browse every other medication we’ve checked against Osha — 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

Osha References

The 2 references that drive our Osha 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. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  2. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 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 Osha and Lacosamide Together: Common Questions

Is it safe to take Osha with Lacosamide?
We do not list a known interaction between Osha and Lacosamide. 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 Lacosamide interact with any supplements?
Yes. Lacosamide has documented interactions with 151 supplements in our database — Osha is not one of them. The Lacosamide 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 Lacosamide and Osha?

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.