Rhodiola - Zejula (Niraparib Tosylate) Interaction
Herbal: Rhodiola
Also Known As: Rhodiola rosea, Arctic Root, Golden Root, Hong Jing Tian, King's Crown, Lignum Rhodium, Orpin Rose, Rhodiole, Rhodiole Rougeâtre, Rodia Riza, Rose Root, Rosenroot, Roseroot, Rosewort, Siberian Golden Root
Drug: Niraparib Tosylate
Brand names:
Zejula
Medical Content Editor Dr. Brian Staiger, PharmD
Last updated
May 18, 2025
Interaction Details
Niraparib Tosylate is classified as belonging to the following category: P-Glycoprotein Substrates
Theoretically, rhodiola might increase levels of P-glycoprotein substrates.
In vitro research shows that rhodiola inhibits P-glycoprotein. Theoretically, using rhodiola with P-glycoprotein substrates might increase drug levels and potentially increase the risk of adverse effects.
Interaction Rating
Likelihood of Occurrence
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
References
- Hellum BH, Tosse A, Hoybakk K, et al. Potent in vitro inhibition of CYP3A4 and P-glycoprotein by Rhodiola rosea. Planta Med 2010;76:331-8.
Rhodiola Overview
Rhodiola is a type of plant native to the Arctic regions of Europe and Asia. It is also known as "golden root" or "arctic root."
The roots and rhizomes of Rhodiola are commonly used in dietary supplements for their purported effects as an 'adaptogen', which are used to improve physical and mental performance, reduce fatigue, and enhance the ability to cope with stress. Rhodiola is believed to work by increasing the production of certain chemicals in the brain (e.g., serotonin, dopamine, and norepinephrine) that are involved in mood and energy regulation.
Rhodiola supplements are often standardized to a specific amount of their rosavin and salidroside content.
Niraparib Tosylate Overview
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Niraparib is used to help maintain the response of certain types of ovarian (female reproductive organs where eggs are formed), fallopian tube (tube that transports eggs released by the ovaries to the uterus), and peritoneal (layer of tissue that lines the stomach) cancer in people who have completely responded or partially responded to other chemotherapy medication(s). It is also used to treat certain types of ovarian, fallopian tube, or peritoneal cancer when the cancer has gotten worse after 3 or more chemotherapy treatments. Niraparib is in a class of medications called poly (ADP-ribose) polymerase (PARP) inhibitors. It works by killing cancer cells.
Rhodiola - More Interactions
Rhodiola interacts with 1092 drugs
Interaction Rating Key
These severity listings are for informational use only. Never start, stop or otherwise change your therapy before speaking with your provider.
| Major | The combined use of these agents is strongly discouraged as serious side effects or other negative outcomes could occur. |
| Moderate | Use cautiously under the care of a healthcare professional or avoid this combination. A significant interaction or negative outcome could occur. |
| Minor | Be aware that there is a chance of an interaction. Watch for warning signs of a potential interaction. |
| Unknown | No interactions have been reported or no interaction data is currently available. |
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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
Drug descriptions are provided by MedlinePlus.
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Dr. Brian Staiger, PharmD
In addition to being a clinical pharmacist specializing in pharmacotherapy, Dr. Brian Staiger is a registered herbalist through the American Herbalist Guild. He has combined his passion for pharmacy practice with the study of medical ethnobotany to improve patient care. Feel free to reach out about any of your herbal or medication questions!
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