Drug & supplement interaction

Rhatany + Sonidegib Phosphate

Sonidegib Phosphate brand name: Odomzo.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Rhatany and Sonidegib Phosphate 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 Sonidegib Phosphate states a food rule worth keeping to.

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Interaction report

Rhatany and Sonidegib Phosphate

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

What Sonidegib Phosphate’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 Sonidegib Phosphate’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. 3 of them are worth acting on rather than waiting out — marked below.

  • High blood sugar Worth acting on
  • Anemia Worth acting on
  • A low white blood cell count Worth acting on
  • Changes to your period
  • A change in taste
  • Weight loss
  • Hair loss
  • Reduced appetite
  • Muscle pain
  • Itching

Showing the 10 most notable of 16 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 Sonidegib Phosphate. 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 Sonidegib Phosphate Products Have a Food Rule — Rhatany Should Not Break It

At least one FDA label for a product containing Sonidegib Phosphate says to take it on an empty stomach. Most supplements — Rhatany included — are taken with a meal, so the easy mistake is swallowing both together at breakfast. Where that rule applies, keep Sonidegib Phosphate on its own and move Rhatany 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 Sonidegib Phosphate 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 DOSAGE AND ADMINISTRATION Recommended dosage: 200 mg orally once daily taken on an empty stomach, at least 1 hour before or 2 hours after a meal.

From the Dosage and Administration section of the FDA label we read for Sonidegib Phosphate — 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 Sonidegib Phosphate

This page covers Rhatany only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Sonidegib Phosphate page lists 138 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 · 94 moderate · 41 minor.

From our pharmacist’s overview on the Sonidegib Phosphate page

“Grapefruit is the first thing to drop if you take sonidegib (Odomzo) for advanced basal cell skin cancer. It blocks the CYP3A4 enzyme your body uses to clear sonidegib, so the drug can build up along with its side effects.”

Reviewed by 2 · Jul 18, 2026

Open the Sonidegib Phosphate interaction page

How much people look this up

Where Rhatany and Sonidegib Phosphate 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

#1,165 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Sonidegib Phosphate
Steady interest

#2,611 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 27, 2026. The Rhatany and Sonidegib Phosphate 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 Sonidegib

What Is Sonidegib Used For?

Brand name: Odomzo

Odomzo (sonidegib) is used to treat adults with locally advanced basal cell carcinoma (BCC) — a type of skin cancer that has grown beyond what surgery or radiation can easily handle. Specifically, it is for BCC that has come back after surgery or radiation therapy, or for patients who are not candidates for those treatments.

See full Sonidegib 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
No interaction 2,829 drugs checked — show the list
Sources

Sources & How We Checked

We checked Rhatany against Sonidegib Phosphate 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 Sonidegib Phosphate Together: Common Questions

Is it safe to take Rhatany with Sonidegib Phosphate?
We do not list a known interaction between Rhatany and Sonidegib Phosphate. 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 Sonidegib Phosphate at the same time of day?
At least one FDA label for a product containing Sonidegib Phosphate 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 Sonidegib Phosphate on its own and move Rhatany 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 Sonidegib Phosphate interact with any supplements?
Yes. Sonidegib Phosphate has documented interactions with 138 supplements in our database — Rhatany is not one of them. The Sonidegib Phosphate 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 Sonidegib Phosphate 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.