Drug & supplement interaction

Pumpkin + Atazanavir, Cobicistat

Atazanavir, Cobicistat brand name: Evotaz.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Pumpkin and Atazanavir, Cobicistat 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 Atazanavir, Cobicistat 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.

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Interaction report

Pumpkin and Atazanavir, Cobicistat

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 Atazanavir, Cobicistat and Pumpkin 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.

Pumpkin safety at a glance

Pumpkin overall Generally safe Pumpkin as food is well tolerated; concentrated seed-oil supplements are generally safe for most adults.
Pregnancy Use caution Pumpkin as a food is fine, but there is not enough data on concentrated seed supplements, so avoid them unless your doctor approves.
Breastfeeding Use caution Pumpkin as a food is fine, but safety of concentrated supplements during breastfeeding is not well studied.

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

Still wondering about combining Atazanavir, Cobicistat and Pumpkin? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Atazanavir, Cobicistat

Interactions in our licensed database are recorded against drug classes, not just single drug names. Atazanavir, Cobicistat is filed under 7 classifications — including protease inhibitors (pis), cytochrome p450 2c9 (cyp2c9) inhibitors, cytochrome p450 1a2 (cyp1a2) inhibitors. Pumpkin has documented interactions with 1 drug class — the most serious being lithium (moderate) — and none of Atazanavir, Cobicistat’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Pumpkin Does Interact With Other Medications

Pumpkin has 1 moderate known drug interaction in our database — Atazanavir, Cobicistat 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 Pumpkin

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

What to actually watch for

No Interaction Found — But Data Suggests Pumpkin and Atazanavir, Cobicistat May Share Several of the Same Side Effects

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. 2 of them are worth acting on rather than waiting out — marked below.

  • Hives / An allergic reaction Worth acting on Additional detail

    Pumpkin

    “Orally, pumpkin seed oil and pumpkin pulp have been reported to cause anaphylactic reactions in children and adults. A case review highlights 4 cases of anaphylaxis in children (3 from pumpkin pulp, 1 from pumpkin seeds), and 7 cases in adults (1 from pumpkin flesh, 6 from pumpkin seeds).”

    Pumpkin · Natural Medicines adverse-effect record, reported in pruritus.

    1 source cited
    1. 107843. Gawryjolek J, Ludwig H, Zbikowska-Götz M, Bartuzi Z, Krogulska A. Anaphylaxis after consumption of pumpkin seeds in a 2-y-old child tolerant to its pulp: A case study. Nutrition 2021;89:111272. PubMed

    Atazanavir, Cobicistat

    Listed in the ADVERSE REACTIONS section of the FDA label for Atazanavir, Cobicistat. Read the label on DailyMed ›

  • Itching Additional detail

    Pumpkin

    Recorded for Pumpkin in the same Natural Medicines adverse-effect record shown under Hives / An allergic reaction above.

    Atazanavir, Cobicistat

    Listed in the ADVERSE REACTIONS section of the FDA label for Atazanavir, Cobicistat. Read the label on DailyMed ›

  • Diarrhea / Vomiting / Nausea Additional detail

    Pumpkin

    “Orally, pumpkin seed oil has been reported to cause mild abdominal discomfort in clinical trials. There are also two case reports of adults developing severe nausea, vomiting, and diarrhea following consumption of a meal containing either bitter-tasting pumpkin or undefined squash. These adverse effects were attributed to a high concentration of cucurbitacin, which is commonly found in wild pumpkins.”

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

    3 sources cited
    1. 5093. Marks L, Partin AW, Epstein JI, et al. Effects of a saw palmetto herbal blend in men with symptomatic benign prostatic hyperplasia. J Urol 2000;163:1451-6. DOI
    2. 92378. Cho YH, Lee SY, Jeong DW, et al. Effect of pumpkin seed oil on hair growth in men with androgenetic alopecia: a randomized, double-blind, placebo-controlled trial. Evid Based Complement Alternat Med 2014;2014:549721. PubMed
    3. 104535. Assouly P. Hair loss associated with cucurbit poisoning. JAMA Dermatol. 2018 May 1;154(5):617-618. PubMed

    Atazanavir, Cobicistat

    Listed in the ADVERSE REACTIONS section of the FDA label for Atazanavir, Cobicistat. Read the label on DailyMed ›

Reported for Pumpkin but not commonly for Atazanavir, Cobicistat: stomach upset, a severe allergic reaction, trouble swallowing and hair loss.

Effects for Atazanavir, Cobicistat come from the ADVERSE REACTIONS section of its FDA label; effects for Pumpkin 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.

How to take them

Some Atazanavir, Cobicistat Products Have a Food Rule — Pumpkin Should Not Break It

At least one FDA label for a product containing Atazanavir, Cobicistat says to take it with food. If you take Pumpkin on an empty stomach out of habit, keep them separate — and take Atazanavir, Cobicistat 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 Atazanavir, Cobicistat 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.

(2.1) • Recommended dosage: One tablet once daily, taken orally with food in adults and pediatric patients weighing at least 35 kg.

From the Dosage and Administration section of the FDA label we read for Atazanavir, Cobicistat — 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 Atazanavir, Cobicistat

This page covers Pumpkin only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Atazanavir, Cobicistat page lists 152 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 · 42 minor.

From our pharmacist’s overview on the Atazanavir, Cobicistat page

“Evotaz (atazanavir with cobicistat) treats HIV, and its effectiveness depends on steady blood levels, so I read this list of 152 supplements and herbs carefully rather than casually. Only three carry a major rating, but those three deserve your attention first: St.”

Reviewed by 2 · Jul 18, 2026

Open the Atazanavir, Cobicistat interaction page

One more smart check

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

We hold 2,055 real supplement products containing Pumpkin, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Pumpkin. Even though Pumpkin itself has no known interaction with Atazanavir, Cobicistat, 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 Pumpkin and Atazanavir, Cobicistat 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 Pumpkin
Top 25%

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

29 days ago today
Medication Atazanavir, Cobicistat
Steady interest

#1,652 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 Pumpkin reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Pumpkin and Atazanavir, Cobicistat 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 Pumpkin

What is Pumpkin?

Pumpkin
  • Benign prostatic hyperplasia (BPH) symptoms
  • Overactive bladder
  • Eye and skin health (vitamin A source)
  • General nutrition and fiber
  • Hair health

Pumpkin is a nutritious squash, and its seeds and seed oil are the parts most often used as supplements, mainly for urinary and prostate symptoms. The evidence for these uses is limited and mostly preliminary, though eating pumpkin as a food is safe and a good source of vitamin A, fiber, and antioxidants. Talk to your pharmacist or doctor before using concentrated pumpkin seed supplements.

Cucurbita pepo · Cucurbitaceae · Fruit flesh, seeds, and seed oil · Whole food, capsules, softgels (seed oil), powders, raw or roasted seeds

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

Pumpkin: dosing

There is no official standardized dose for pumpkin supplements. Studies have used different forms and amounts of seed or seed oil, so it is hard to recommend one exact dose.The best approach is to follow the directions on the product label and not exceed the recommended amount.

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

Read the full Pumpkin monograph & all interactions
Medication

About Atazanavir and Cobicistat

What Is Atazanavir and Cobicistat Used For?

Brand name: Evotaz

Evotaz (atazanavir/cobicistat) is used to treat HIV-1 infection. It must always be taken together with other antiretroviral medicines — it is not a complete regimen on its own. It is approved for adults and for pediatric patients who weigh at least 35 kg.

In patients who have been on HIV treatment before (treatment-experienced), how well Evotaz works depends on how much resistance to protease inhibitors the virus has already developed. Your prescriber will review this before starting you on Evotaz.

See full Atazanavir and Cobicistat drug information
Keep checking

Other Drugs & Pumpkin

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

0Major
1Moderate
0Minor
2,828No known interaction
Moderate

1 interaction

No interaction 2,828 drugs checked — show the list
Evidence & sources

Pumpkin References

The 5 references that drive our Pumpkin 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. Marks L, Partin AW, Epstein JI, et al. Effects of a saw palmetto herbal blend in men with symptomatic benign prostatic hyperplasia. J Urol 2000;163:1451-6. DOI
  2. Cho YH, Lee SY, Jeong DW, et al. Effect of pumpkin seed oil on hair growth in men with androgenetic alopecia: a randomized, double-blind, placebo-controlled trial. Evid Based Complement Alternat Med 2014;2014:549721. PubMed
  3. Vahlensieck W, Theurer C, Pfitzer E, Patz B, Banik N, Engelmann U. Effects of pumpkin seed in men with lower urinary tract symptoms due to benign prostatic hyperplasia in the one-year, randomized, placebo-controlled GRANU study. Urol Int 2015;94(3):286-95 PubMed
  4. Assouly P. Hair loss associated with cucurbit poisoning. JAMA Dermatol. 2018 May 1;154(5):617-618. PubMed
  5. Gawryjolek J, Ludwig H, Zbikowska-Götz M, Bartuzi Z, Krogulska A. Anaphylaxis after consumption of pumpkin seeds in a 2-y-old child tolerant to its pulp: A case study. Nutrition 2021;89:111272. 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 Pumpkin and Atazanavir, Cobicistat Together: Common Questions

Is it safe to take Pumpkin with Atazanavir, Cobicistat?
We do not list a known interaction between Pumpkin and Atazanavir, Cobicistat. 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 Pumpkin and Atazanavir, Cobicistat have any of the same side effects?
Yes — our sources link each of them separately to 6 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 Pumpkin and Atazanavir, Cobicistat at the same time of day?
At least one FDA label for a product containing Atazanavir, Cobicistat says to take it with food. If you take Pumpkin on an empty stomach out of habit, keep them separate and take Atazanavir, Cobicistat with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Atazanavir, Cobicistat products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Pumpkin and Atazanavir, Cobicistat combination checked?
Interactions in our licensed database are recorded against drug classes. Atazanavir, Cobicistat is filed under 7 classifications, and Pumpkin has documented interactions with 1 drug class — none of Atazanavir, Cobicistat's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Pumpkin interact with any other medications?
Yes. Pumpkin has 1 documented drug interaction in our database — Atazanavir, Cobicistat is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Atazanavir, Cobicistat interact with any supplements?
Yes. Atazanavir, Cobicistat has documented interactions with 152 supplements in our database — Pumpkin is not one of them. The Atazanavir, Cobicistat 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 Atazanavir, Cobicistat and Pumpkin?

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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.