Drug & supplement interaction

Rhatany + Alogliptin, Metformin

Alogliptin, Metformin brand name: Kazano.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Rhatany and Alogliptin, Metformin 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 Alogliptin, Metformin states a food rule worth keeping to.

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Interaction report

Rhatany and Alogliptin, Metformin

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 Alogliptin, Metformin and Rhatany 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 Rhatany at all — not against Alogliptin, Metformin, 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.

Rhatany safety at a glance

Rhatany overall Use caution Generally used short-term as a mouth rinse, but human safety data are limited and it should not be swallowed in large amounts.
Pregnancy Avoid Not enough safety information is available, so it is best avoided.
Breastfeeding Avoid There is no reliable safety data during breastfeeding, so avoid use.

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

Still wondering about combining Alogliptin, Metformin and Rhatany? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Alogliptin, Metformin’s Own FDA Label Lists

This is not an interaction — none of it involves Rhatany. These are the most notable effects listed in the ADVERSE REACTIONS section of Alogliptin, Metformin’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. 10 of them are worth acting on rather than waiting out — marked below.

  • A bowel blockage Worth acting on
  • Severe muscle breakdown Worth acting on
  • Low blood sugar Worth acting on
  • Pancreatitis Worth acting on
  • Heart failure Worth acting on
  • High blood sugar Worth acting on
  • A severe skin reaction Worth acting on
  • Kidney problems Worth acting on
  • Raised blood pressure Worth acting on
  • A severe allergic reaction Worth acting on

Showing the 10 most notable of 25 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 Alogliptin, Metformin. Read the label on DailyMed › Rhatany’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Rhatany side to compare — that is a limit of the record, not a statement that Rhatany has no side effects.

How to take them

Some Alogliptin, Metformin Products Have a Food Rule — Rhatany Should Not Break It

At least one FDA label for a product containing Alogliptin, Metformin says to take it with food. If you take Rhatany on an empty stomach out of habit, keep them separate — and take Alogliptin, Metformin 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 Alogliptin, Metformin 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 ) Given orally twice daily with food.

From the Dosage and Administration section of the FDA label we read for Alogliptin, Metformin — 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 Alogliptin, Metformin

This page covers Rhatany only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Alogliptin, Metformin page lists 257 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Siberian Cocklebur (major), Acai (moderate), African Wild Potato (moderate) and Agaricus Mushroom (moderate).

By severity: 2 major · 217 moderate · 38 minor.

From our pharmacist’s overview on the Alogliptin, Metformin page

“Kazano combines alogliptin and metformin to lower blood sugar, and nearly everything on this list pushes on that same lever, so I treat these pairings with real caution. Most entries are herbs and supplements that lower glucose on their own, and stacked on the drug they raise the risk of hypoglycemia, a sugar drop steep enough to cause…”

Reviewed by 2 · Jul 18, 2026

Open the Alogliptin, Metformin interaction page

How much people look this up

Where Rhatany and Alogliptin, Metformin 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 Rhatany
Steady interest

#1,292 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Alogliptin, Metformin
Top half

#1,323 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.
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Rhatany and Alogliptin, Metformin records this page draws on were last updated June 22, 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 Rhatany

What is Rhatany?

  • Mouth and throat irritation
  • Gum inflammation
  • Sore throat
  • Mild diarrhea
  • Minor skin and mucous membrane inflammation

Rhatany is the root of a South American shrub that is rich in astringent tannins, and it has been used traditionally as a mouth rinse or gargle for inflamed gums and sore throat. Solid human evidence for its benefits is very limited, so it should be viewed as a traditional remedy rather than a proven treatment. Talk to your pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding due to a lack of safety data.

Krameria lappacea · Krameriaceae · Dried root · Tincture, mouthwash/gargle, tea, lozenges, powdered root extract

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

Rhatany: dosing

There is no well-established standardized dose for rhatany. It is most often found in commercial mouthwashes, gargles, tinctures, and lozenges, and the strength varies from product to product.The safest approach is to follow the directions on the specific product label and not to swallow mouth rinses or use them longer than recommended.

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

Read the full Rhatany monograph & all interactions
Keep checking

Other Drugs & Rhatany

Browse every other medication we’ve checked against Rhatany — 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
Sources

Sources & How We Checked

We checked Rhatany against Alogliptin, Metformin in the Natural Medicines interaction database and found no documented interaction on file. The medication overview comes from MedlinePlus, and supplement label details from the NIH Dietary Supplement Label Database.

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 Rhatany and Alogliptin, Metformin Together: Common Questions

Is it safe to take Rhatany with Alogliptin, Metformin?
We do not list a known interaction between Rhatany and Alogliptin, Metformin. 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.
Should I take Rhatany and Alogliptin, Metformin at the same time of day?
At least one FDA label for a product containing Alogliptin, Metformin says to take it with food. If you take Rhatany on an empty stomach out of habit, keep them separate and take Alogliptin, Metformin with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Alogliptin, Metformin products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Alogliptin, Metformin interact with any supplements?
Yes. Alogliptin, Metformin has documented interactions with 257 supplements in our database — Rhatany is not one of them. The Alogliptin, Metformin 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 Alogliptin, Metformin and Rhatany?

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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.