Drug & supplement interaction

Rhatany + Pitolisant Hydrochloride

Pitolisant Hydrochloride brand name: Wakix.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Rhatany and Pitolisant Hydrochloride 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

Rhatany and Pitolisant Hydrochloride

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 Pitolisant Hydrochloride 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 Pitolisant Hydrochloride, 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 Pitolisant Hydrochloride and Rhatany? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Pitolisant Hydrochloride’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 Pitolisant Hydrochloride’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. 8 of them are worth acting on rather than waiting out — marked below.

  • Thoughts of self-harm Worth acting on
  • Hallucinations Worth acting on
  • Seizures Worth acting on
  • Low mood Worth acting on
  • A severe allergic reaction Worth acting on
  • Hives Worth acting on
  • A higher chance of infection Worth acting on
  • An allergic reaction Worth acting on
  • Vivid dreams or nightmares
  • Anxiety or restlessness mentioned in 11.1% of FDA reports for Pitolisant Hydrochloride

Showing the 10 most notable of 31 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 Pitolisant Hydrochloride. Read the label on DailyMed › Where a percentage is shown, it is the share of 2,018 voluntary FDA FAERS reports for Pitolisant Hydrochloride that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. 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.

Everything else you take

See Every Supplement That Interacts With Pitolisant Hydrochloride

This page covers Rhatany only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Pitolisant Hydrochloride page lists 158 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), 1,3-dmaa (moderate) and Acacia Rigidula (moderate).

By severity: 3 major · 114 moderate · 41 minor.

From our pharmacist’s overview on the Pitolisant Hydrochloride page

“Pitolisant (Wakix) keeps people with narcolepsy awake through the day, and it only works when a steady amount reaches the bloodstream. Most of the 158 supplement ingredients on this page can disturb exactly that, so this is a list worth slowing down for.”

Reviewed by 2 · Jul 18, 2026

Open the Pitolisant Hydrochloride interaction page

How much people look this up

Where Rhatany and Pitolisant Hydrochloride 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

#1,085 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Pitolisant Hydrochloride
Steady interest

#2,522 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 20, 2026. The Rhatany and Pitolisant Hydrochloride 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
Medication

About Pitolisant

What Is Pitolisant Used For?

Brand name: Wakix

Wakix (pitolisant) is used to treat two hallmark problems of narcolepsy: excessive daytime sleepiness (feeling overwhelmingly tired and unable to stay awake during the day) and cataplexy (sudden episodes of muscle weakness or loss of muscle control, often triggered by emotion). It is approved for adults and children 6 years of age and older.

Both uses are specific to Wakix tablets taken by mouth. The drug is not approved for sleepiness or cataplexy caused by conditions other than narcolepsy.

See full Pitolisant drug information
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
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Rhatany against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Rhatany list.

See the full Rhatany interactions page
See every supplement checked against Pitolisant Hydrochloride, ranked by severity
Sources

Sources & How We Checked

We checked Rhatany against Pitolisant Hydrochloride 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

Keep exploring
Rhatany monograph › Uses, safety, and every drug interaction in one place Pitolisant Hydrochloride supplement interactions › Every supplement checked against Pitolisant Hydrochloride, ranked by severity Pitolisant drug information › The full plain-English guide to this medication Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Rhatany and Pitolisant Hydrochloride Together: Common Questions

Is it safe to take Rhatany with Pitolisant Hydrochloride?
We do not list a known interaction between Rhatany and Pitolisant Hydrochloride. 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 Pitolisant Hydrochloride interact with any supplements?
Yes. Pitolisant Hydrochloride has documented interactions with 158 supplements in our database — Rhatany is not one of them. The Pitolisant Hydrochloride 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 Pitolisant Hydrochloride and Rhatany?

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.