Drug & supplement interaction

Peyote + Obinutuzumab

Obinutuzumab brand name: Gazyva.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Peyote and Obinutuzumab 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 Obinutuzumab states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

Know someone taking this? Share
Interaction report

Peyote and Obinutuzumab

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 Obinutuzumab and Peyote 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.

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.

Peyote safety at a glance

Peyote overall Avoid Peyote is a hallucinogen and a controlled substance with no established medical use as a supplement.
Pregnancy Unsafe When used orally. The active constituent of peyote, mescaline, may be teratogenic. Read the full pregnancy detail
Breastfeeding Unsafe When used orally. The active constituent of peyote, mescaline, may be teratogenic. 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 Obinutuzumab and Peyote? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
Keep it in perspective

Peyote Does Interact With Other Medications

Peyote has 172 major, known drug interactions in our database — Obinutuzumab isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Peyote

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

What to actually watch for

No Interaction Found — But Data Suggests Peyote and Obinutuzumab May Share a Side Effect

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Diarrhea Additional detail

    Peyote

    “Orally, ingestion of peyote can cause mild gastrointestinal effects, including nausea, vomiting, and diarrhea, within the first 30 to 60 minutes of ingestion. It can also cause mydriasis, mild tachycardia, hypertension, sweating, tremor, and visual hallucinations within about an hour after ingestion.”

    Peyote · Natural Medicines adverse-effect record, reported in anxiety.

    5 sources cited
    1. 9. Martindale W. Martindale the Extra Pharmacopoeia. Pharmaceutical Press, 1999.
    2. 17. Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
    3. 68781. Lu, B. Y., Woofter, C., and Escalona, R. A case of prolonged peyote-induced psychosis resolved by sleep. J.Clin.Psychiatry 2004;65(10):1433-1434. PubMed
    4. 68789. Pelner, L. Peyote cult, mescaline hallucinations, and model psychosis. N.Y.State J.Med. 11-1-1967;67(21):2838-2843.
    5. 99284. Carstairs SD, Cantrell FL. Peyote and mescaline exposures: a 12-year review of a statewide poison center database. Clin Toxicol (Phila). 2010;48(4):350-3. PubMed

    “Orally, ingestion of peyote can cause mild gastrointestinal effects, including nausea, vomiting, and diarrhea, within the first 30 to 60 minutes of ingestion (9,17). However, a ten-year retrospective review of the California Poison Control System database suggests that vomiting and nausea following intake of peyote or peyote tea is rare.”

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

    4 sources cited
    1. 9. Martindale W. Martindale the Extra Pharmacopoeia. Pharmaceutical Press, 1999.
    2. 17. Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
    3. 99284. Carstairs SD, Cantrell FL. Peyote and mescaline exposures: a 12-year review of a statewide poison center database. Clin Toxicol (Phila). 2010;48(4):350-3. PubMed
    4. 68775. Nolte, K. B. and Zumwalt, R. E. Fatal peyote ingestion associated with Mallory-Weiss lacerations. West J.Med. 1999;170(6):328.

    Obinutuzumab

    Listed in the ADVERSE REACTIONS section of the FDA label for Obinutuzumab. Read the label on DailyMed ›

Reported for Peyote but not commonly for Obinutuzumab: hallucinations, raised blood pressure, a fast or pounding heartbeat and a slow heartbeat.

Effects for Obinutuzumab come from the ADVERSE REACTIONS section of its FDA label; effects for Peyote come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Peyote in Pregnancy & Breastfeeding

Pregnancy And Lactation Unsafe

When used orally. The active constituent of peyote, mescaline, may be teratogenic.

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

How to take them

Some Obinutuzumab Products Have a Food Rule — Peyote Should Not Break It

At least one FDA label for a product containing Obinutuzumab says to take it on an empty stomach. Most supplements — Peyote included — are taken with a meal, so the easy mistake is swallowing both together at breakfast. Where that rule applies, keep Obinutuzumab on its own and move Peyote to a meal later in the day.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Obinutuzumab 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.

650–1,000 mg acetaminophen At least 30 minutes before GAZYVA infusion.

From the Dosage and Administration section of the FDA label we read for Obinutuzumab — 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.

How much people look this up

Where Peyote and Obinutuzumab 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 Peyote
Steady interest

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

29 days ago today
Medication Obinutuzumab
Steady interest

#1,744 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 Peyote reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Peyote and Obinutuzumab 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 Peyote

What is Peyote?

  • Traditional and religious ceremonies
  • Spiritual or visionary experiences
  • Folk use for pain and fatigue
  • Folk use for fever and skin conditions

Peyote is a small spineless cactus that contains mescaline, a powerful hallucinogen. It is a federally controlled substance in the United States (with a narrow exemption for certain Native American religious use), is not a safe or proven dietary supplement, and should not be used for self-treatment.

Lophophora williamsii · Cactaceae · Crown (top) of the cactus, often dried into 'buttons' · Dried buttons, chewed material, brewed tea (used ceremonially); rarely sold as a legal supplement

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

Peyote: dosing

There is no established or safe medical dose for peyote. It is not a regulated supplement, and the amount of mescaline in plant material can vary a great deal, which makes the effects unpredictable and dangerous.Because peyote is a controlled substance and a strong hallucinogen, HelloPharmacist does not provide dosing guidance.

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

Read the full Peyote monograph & all interactions
Medication

About Obinutuzumab Injection

What Is Obinutuzumab Injection Used For?

Brand name: Gazyva

Gazyva is used to treat three conditions. For chronic lymphocytic leukemia (CLL), it is given in combination with chlorambucil in patients who have not been treated before. For follicular lymphoma (FL), it is used either with bendamustine (for patients whose disease came back or stopped responding to a rituximab-based regimen) or with chemotherapy (for previously untreated advanced disease) — in both cases followed by Gazyva alone as maintenance therapy.

Gazyva is also approved for active lupus nephritis — a type of kidney inflammation caused by lupus — in adults who are already receiving standard therapy for the condition.

See full Obinutuzumab Injection drug information
Keep checking

Other Drugs & Peyote

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

172Major
0Moderate
0Minor
2,657No known interaction
Major

172 interactions

Showing 60 of 172 major interactions — see all 172 on the Peyote page.

No interaction 2,657 drugs checked — show the list
Evidence & sources

Peyote References

The 7 references that drive our Peyote 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. Martindale W. Martindale the Extra Pharmacopoeia. Pharmaceutical Press, 1999.
  2. Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
  3. Gilmore HT. Petoye use during pregnancy. S D J Med 2001;54:27-9.
  4. Nolte, K. B. and Zumwalt, R. E. Fatal peyote ingestion associated with Mallory-Weiss lacerations. West J.Med. 1999;170(6):328.
  5. Lu, B. Y., Woofter, C., and Escalona, R. A case of prolonged peyote-induced psychosis resolved by sleep. J.Clin.Psychiatry 2004;65(10):1433-1434. PubMed
  6. Pelner, L. Peyote cult, mescaline hallucinations, and model psychosis. N.Y.State J.Med. 11-1-1967;67(21):2838-2843.
  7. Carstairs SD, Cantrell FL. Peyote and mescaline exposures: a 12-year review of a statewide poison center database. Clin Toxicol (Phila). 2010;48(4):350-3. 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 Peyote and Obinutuzumab Together: Common Questions

Is it safe to take Peyote with Obinutuzumab?
We do not list a known interaction between Peyote and Obinutuzumab. 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.
Do Peyote and Obinutuzumab have any of the same side effects?
Yes — our sources link each of them separately to one of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Should I take Peyote and Obinutuzumab at the same time of day?
At least one FDA label for a product containing Obinutuzumab says to take it on an empty stomach, and supplements are usually taken with a meal — so taking them together at breakfast is the easy mistake. Where that applies, keep Obinutuzumab on its own and move Peyote to a meal later in the day. Food instructions belong to the product rather than the ingredient, so check the directions on your own box. This is about absorption, not an interaction.
Does Peyote interact with any other medications?
Yes. Peyote has 172 documented drug interactions in our database — Obinutuzumab is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Obinutuzumab and Peyote?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.