Drug & supplement interaction

Purple Nut Sedge + Clemastine

Clemastine brand name: Tavist Allergy.

Moderate Interaction
The bottom line Moderate

Purple Nut Sedge has a moderate interaction with Clemastine. In vitro, purple nut sedge dose-dependently inhibits acetylcholinesterase (AChE).

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

Purple Nut Sedge and Clemastine

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

Moderate

ANTICHOLINERGIC DRUGS

Why this applies to Clemastine

Clemastine falls under ANTICHOLINERGIC DRUGS — the group Purple Nut Sedge interacts with.

In vitro, purple nut sedge dose-dependently inhibits acetylcholinesterase (AChE). Theoretically, concurrent use of anticholinergic drugs and purple nut sedge might decrease the effectiveness of purple nut sedge or the anticholinergic agent.
Some anticholinergic drugs include atropine, benztropine (Cogentin), biperiden (Akineton), procyclidine (Kemadrin), and trihexyphenidyl (Artane).
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 gist: clemastine works partly by blocking acetylcholine, a chemical messenger in your body. That's the same family of effects we call anticholinergic. In lab dish studies, purple nut sedge seems to do the opposite, it slows down the enzyme that breaks acetylcholine down, so more of it sticks around. In theory, that tug-of-war could blunt how well each one does its job.

The honest part: this is only test-tube and animal data, not people taking these together. So it's more of a maybe than a real worry. If you take clemastine for allergies or hives and want to try purple nut sedge, just run it by your pharmacist or doctor first. And remember, the drowsiness and dry mouth from clemastine come from the medicine itself.

References
  1. Sharma R, Gupta R. Cyperus rotundus extract inhibits acetylcholinesterase activity from animal and plants as well as inhibits germination and seedling growth in wheat and tomato. Life Sci. 2007;80(24-25):2389-2392. PubMed

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

Purple Nut Sedge Also Interacts With Other Medications

Purple Nut Sedge has 423 moderate known drug interactions in our database — the Clemastine 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 Purple Nut Sedge

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

From our Q&A

Questions About Purple Nut Sedge or Clemastine

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Purple Nut Sedge or Clemastine, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Clemastine

This page covers Purple Nut Sedge only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Clemastine page lists 72 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Henbane (major), Scopolia (major), Alfalfa (moderate) and Angel's Trumpet (moderate).

By severity: 3 major · 57 moderate · 12 minor.

From our pharmacist’s overview on the Clemastine page

“Clemastine (Tavist Allergy) is an older, sedating antihistamine that already dries the mouth, blurs vision, and slows the gut, and that is exactly why this list earns real caution rather than a quick skim. Thirty of the 72 supplements on file pile the same drying, sedating anticholinergic load on top, and two of the three major-rated e…”

Reviewed by 2 · Jul 18, 2026

Open the Clemastine interaction page

How much people look this up

Where Purple Nut Sedge and Clemastine 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 Purple Nut Sedge
Top half

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

29 days ago today
Medication Clemastine
Steady interest

#1,774 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 Purple Nut Sedge

What is Purple Nut Sedge?

  • Digestive upset and bloating
  • Menstrual cramps and irregular periods
  • Fever and inflammation
  • Skin and weight-related concerns
  • Antimicrobial uses

Purple nut sedge (Cyperus rotundus) is a common weed whose tubers have a long history in Ayurvedic, Chinese, and other traditional medicine systems, mostly for digestive and menstrual complaints. Modern human evidence is very limited, so its benefits remain unproven. If you want to try it, talk with a pharmacist or doctor first, and avoid it during pregnancy and breastfeeding.

Read the full Purple Nut Sedge monograph & all interactions
Medication

About Clemastine

What Is Clemastine Used For?

Brand name: Tavist Allergy

Clemastine treats symptoms of allergic rhinitis (hay fever and similar nasal allergies) — including sneezing, runny nose, itching, and watery eyes. The oral solution (Clemastine Fumarate syrup) is indicated for adults and children aged 6 through 12 years. The tablets (Clemastine Fumarate and Clemsza) are indicated for adults.

Clemastine also treats mild, uncomplicated allergic skin reactions — specifically urticaria (hives) and angioedema (swelling under the skin) — at the appropriate dosage level, in both the oral solution and tablet forms.

See full Clemastine drug information
Keep checking

Other Drugs & Purple Nut Sedge

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

0Major
423Moderate
0Minor
2,406No known interaction
Moderate

423 interactions

Showing 60 of 423 moderate interactions — see all 423 on the Purple Nut Sedge page.

No interaction 2,406 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 Purple Nut Sedge and Clemastine Together: Common Questions

Can you take Purple Nut Sedge with Clemastine?
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 Purple Nut Sedge and Clemastine 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

Still Have a Question About Clemastine and Purple Nut Sedge?

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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.