Drug & supplement interaction

Rose Hip + Bleomycin

Bleomycin brand name: Blenoxane.

Moderate Interaction
The bottom line Moderate

Rose Hip has a moderate interaction with Bleomycin. Theoretically, the antioxidant effects of rose hip might reduce the effectiveness of antitumor antibiotics.

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

Rose Hip and Bleomycin

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

Moderate

ANTITUMOR ANTIBIOTICS

Why this applies to Bleomycin

Bleomycin falls under ANTITUMOR ANTIBIOTICS — the group Rose Hip interacts with.

Theoretically, the antioxidant effects of rose hip might reduce the effectiveness of antitumor antibiotics.
Rose hip contains the antioxidant vitamin C. There is concern that antioxidants might reduce the activity of chemotherapy drugs that generate free radicals, such as antitumor antibiotics. In contrast, other researchers theorize that antioxidants might make antitumor antibiotic chemotherapy more effective by reducing oxidative stress that could interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effects, if any, antioxidants such as vitamin C have on antitumor antibiotic chemotherapy.
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 thinking behind this one. Bleomycin fights cancer in part by creating free radicals, those unstable molecules that damage and kill tumor cells. Rose hip is loaded with antioxidants like vitamin C, which by definition mop up free radicals. So on paper, there's a worry that the antioxidants in a concentrated rose hip supplement could blunt how well bleomycin works against the cancer.

I want to be honest, though: this is theoretical. It comes from how these compounds behave in the lab, not from solid studies in people, and some researchers actually argue antioxidants might help. Because the stakes with chemo are high, please loop in your oncology team before taking rose hip as a supplement. The small amounts found in foods or teas are far less likely to matter than concentrated capsules.

References
  1. Labriola D, Livingston R. Possible interactions between dietary antioxidants and chemotherapy. Oncology 1999;13:1003-8.
  2. Prasad KN. Rationale for using high-dose multiple dietary antioxidants as an adjunct to radiation therapy and chemotherapy. J Nutr 2004;134:3182S-3S. PubMed
  3. Conklin KA. Cancer chemotherapy and antioxidants. J Nutr 2004;134:3201S-3204S. 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

Rose Hip Also Interacts With Other Medications

Rose Hip has 212 moderate known drug interactions in our database — the Bleomycin 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 Rose Hip

Covers the 2,830 medications we’ve checked against Rose Hip. Pick one to open its full report.

From our Q&A

Questions About Rose Hip or Bleomycin

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Rose Hip or Bleomycin, 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 Bleomycin

This page covers Rose Hip only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Bleomycin page lists 23 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Acerola (moderate), Alpha-lipoic Acid (moderate), Coffee Charcoal (moderate) and European Mandrake (moderate).

By severity: 1 major · 13 moderate · 9 minor.

Open the Bleomycin interaction page

One more smart check

Taking Rose Hip as Part of a Dietary Supplement Product? Check It for Interactions

We hold 273 real supplement products containing Rose Hip, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Rose Hip. Your product may carry other ingredients that interact with Bleomycin too, on top of Rose Hip — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Rose Hip and Bleomycin 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 Rose Hip
Top 25%

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

29 days ago today
Medication Bleomycin
Top 25%

#509 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 Rose Hip

What is Rose Hip?

Rose Hip
  • Joint pain and osteoarthritis
  • Colds and flu
  • Source of vitamin C
  • Digestive complaints
  • Anti-inflammatory support

Rose hip is the vitamin C–rich fruit of the wild rose, used traditionally for colds and joint pain. A standardized rose hip powder has some research support for easing osteoarthritis symptoms, but evidence for most other uses is limited. It is generally well tolerated as a food, but talk with your pharmacist or doctor before using it as a supplement.

Read the full Rose Hip monograph & all interactions
Medication

About Bleomycin

What Is Bleomycin Used For?

Brand name: Blenoxane

Bleomycin injection is used as a palliative (disease-managing, not curative) treatment for several cancers. It can be used alone or combined with other chemotherapy drugs to treat squamous cell carcinoma of the head and neck (including the mouth, tongue, tonsil, larynx, and other sites), as well as squamous cell carcinomas of the penis, cervix, and vulva. It also treats Hodgkin's disease and non-Hodgkin's lymphoma, and testicular carcinoma (including embryonal cell, choriocarcinoma, and teratocarcinoma subtypes).

When given as an intrapleural injection (directly into the chest cavity), Bleomycin acts as a sclerosing agent — it seals off the space around the lungs to treat malignant pleural effusion and help prevent fluid from coming back.

See full Bleomycin drug information
Keep checking

Other Drugs & Rose Hip

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

0Major
212Moderate
0Minor
2,617No known interaction
Moderate

212 interactions

Showing 60 of 212 moderate interactions — see all 212 on the Rose Hip page.

No interaction 2,617 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 Rose Hip and Bleomycin Together: Common Questions

Can you take Rose Hip with Bleomycin?
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 Rose Hip and Bleomycin 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

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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.