Drug & supplement interaction

Sassafras + Sofosbuvir, Velpatasvir, Voxilaprevir

Sofosbuvir, Velpatasvir, Voxilaprevir brand name: Vosevi.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated July 2026 · Pair last verified Sep 13, 2026

The bottom line No known interaction

We found no known interaction between Sassafras and Sofosbuvir, Velpatasvir, Voxilaprevir 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 Sofosbuvir, Velpatasvir, Voxilaprevir states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Sassafras and Sofosbuvir, Velpatasvir, Voxilaprevir

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 Sofosbuvir, Velpatasvir, Voxilaprevir and Sassafras 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.

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.

Sassafras safety at a glance

Sassafras overall Avoid Sassafras contains safrole, a compound linked to cancer and liver toxicity, and the FDA has banned it in food.

Pregnancy Likely Unsafe When used orally; avoid using. Sassafras oil has abortifacient effects. Read the full pregnancy detail

Breastfeeding Likely Unsafe When used orally; avoid using. Sassafras oil has abortifacient effects. Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Sofosbuvir, Velpatasvir, Voxilaprevir and Sassafras? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Sofosbuvir, Velpatasvir, Voxilaprevir

Interactions in our licensed database are recorded against drug classes, not just single drug names. Sofosbuvir, Velpatasvir, Voxilaprevir is filed under 9 classifications — including cytochrome p450 2b6 (cyp2b6) substrates, cytochrome p450 2c8 (cyp2c8) substrates, cytochrome p450 1a2 (cyp1a2) substrates. Sassafras has documented interactions with 2 drug classes — the most serious being cns depressants (moderate) and cytochrome p450 1a2 (cyp1a2) inducers (moderate) — and none of Sofosbuvir, Velpatasvir, Voxilaprevir’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Sassafras Does Interact With Other Medications

Sassafras has 275 moderate known drug interactions in our database — Sofosbuvir, Velpatasvir, Voxilaprevir isn’t one of them. If you take anything else, check it against the full list below.

Moderate 275 No known interaction 2,555 (incl. Sofosbuvir, Velpatasvir, Voxilaprevir)

Taking anything else?

Check Another of Your Medications Against Sassafras

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

What to actually watch for

No Interaction Found — But Data Suggests Sassafras and Sofosbuvir, Velpatasvir, Voxilaprevir May Share a Side Effect

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

A skin rash Additional detail
Sassafras
“Sassafras is generally regarded as unsafe for use in medicinal amounts. Any benefits of therapy may not outweigh the risks of toxicity. Orally, sassafras can cause diaphoresis and hot flashes (11). Consumption of large amounts of sassafras oil can cause hallucinations lasting for several days (4).”

Sassafras · Natural Medicines adverse-effect record, reported in abortion.
6 sources cited

11. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.

4. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.

6. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.

73138. Segelman, A. B., Segelman, F. P., Karliner, J., and Sofia, R. D. Sassafras and herb tea. Potential health hazards. JAMA 8-2-1976;236(5):477. DOI

73134. Ueng, Y. F., Hsieh, C. H., Don, M. J., Chi, C. W., and Ho, L. K. Identification of the main human cytochrome P450 enzymes involved in safrole 1'-hydroxylation. Chem Res Toxicol 2004;17(8):1151-1156. PubMed

73137. Kapadia, G. J., Chung, E. B., Ghosh, B., Shukla, Y. N., Basak, S. P., Morton, J. F., and Pradhan, S. N. Carcinogenicity of some folk medicinal herbs in rats. J Natl.Cancer Inst. 1978;60(3):683-686.
“Topically, sassafras can cause contact dermatitis (6).”

Sassafras · Natural Medicines adverse-effect record, reported in dermatitis.
1 source cited

6. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Sofosbuvir, Velpatasvir, Voxilaprevir

Listed in the ADVERSE REACTIONS section of the FDA label for Sofosbuvir, Velpatasvir, Voxilaprevir. Read the label on DailyMed ›

Reported for Sassafras but not commonly for Sofosbuvir, Velpatasvir, Voxilaprevir: hallucinations, raised blood pressure, a fast or pounding heartbeat and sweating.

Effects for Sofosbuvir, Velpatasvir, Voxilaprevir come from the ADVERSE REACTIONS section of its FDA label; effects for Sassafras come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Sassafras in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Unsafe

When used orally; avoid using. Sassafras oil has abortifacient effects.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

How to take them

Some Sofosbuvir, Velpatasvir, Voxilaprevir Products Have a Food Rule — Sassafras Should Not Break It

At least one FDA label for a product containing Sofosbuvir, Velpatasvir, Voxilaprevir says to take it with food. If you take Sassafras on an empty stomach out of habit, keep them separate — and take Sofosbuvir, Velpatasvir, Voxilaprevir 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 Sofosbuvir, Velpatasvir, Voxilaprevir 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 ) Recommended dosage: One tablet (400 mg of sofosbuvir, 100 mg of velpatasvir, and 100 mg of voxilaprevir) taken orally once daily with food.

From the Dosage and Administration section of the FDA label we read for Sofosbuvir, Velpatasvir, Voxilaprevir — 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 Sofosbuvir, Velpatasvir, Voxilaprevir

This page covers Sassafras only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Sofosbuvir, Velpatasvir, Voxilaprevir page lists 173 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 · 130 moderate · 40 minor.

From our pharmacist’s overview on the Sofosbuvir, Velpatasvir, Voxilaprevir page

“Vosevi (sofosbuvir, velpatasvir, and voxilaprevir) cures hepatitis C over a single short course, and that is exactly why I would be genuinely careful with supplements while taking it. Anything that drags its blood levels down can cost you the cure itself.”

Reviewed by 2 · Jul 18, 2026

Open the Sofosbuvir, Velpatasvir, Voxilaprevir interaction page

One more smart check

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

We hold 11 real supplement products containing Sassafras, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Sassafras. Even though Sassafras itself has no known interaction with Sofosbuvir, Velpatasvir, Voxilaprevir, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Sassafras and Sofosbuvir, Velpatasvir, Voxilaprevir 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 Sassafras

Steady interest

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

29 days ago today

Medication Sofosbuvir, Velpatasvir, Voxilaprevir

Top 25%

#667 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. See every Sassafras reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Sassafras and Sofosbuvir, Velpatasvir, Voxilaprevir records this page draws on were last updated July 10, 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 Dr. Brian Staiger, PharmD, BCPS.

Supplement

About Sassafras

What is Sassafras?

Digestive complaints
Cold and flu symptoms
Joint and muscle aches
Skin conditions (topical folk use)
As a flavoring agent (traditional root beer)

Sassafras is an aromatic North American tree whose root bark and oil were once popular in teas and as a flavoring, but it contains safrole, a compound the FDA has banned in foods because it can cause cancer and liver damage. There is no good evidence it safely treats any health condition, and most experts recommend avoiding internal use. If you want the flavor, choose products that are labeled safrole-free.

Sassafras albidum · Lauraceae · Root bark, bark, and essential oil · Tea, dried root bark, essential oil, capsules, and as a flavoring

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

Sassafras: dosing

There is no established safe dose for sassafras, and most experts recommend not taking it internally at all because of safrole. There is no standardized medical dosing.If you use a commercial flavoring product that is labeled safrole-free, follow the directions on the label. Do not use whole sassafras root, bark, or essential oil as a home remedy.

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

Read the full Sassafras monograph & all interactions

Medication

About Sofosbuvir, Velpatasvir, and Voxilaprevir

What Is Sofosbuvir, Velpatasvir, and Voxilaprevir Used For?

Brand name: Vosevi

Vosevi is used to treat chronic hepatitis C virus (HCV) infection in adults who do not have cirrhosis or who have compensated cirrhosis (mild liver scarring that is still functioning). It is specifically for people who have already been treated with an HCV regimen before and need a different option.

Vosevi is approved for adults with HCV genotype 1, 2, 3, 4, 5, or 6 who previously took a medicine that included an NS5A inhibitor. It is also approved for adults with genotype 1a or 3 who previously took sofosbuvir without an NS5A inhibitor.

See full Sofosbuvir, Velpatasvir, and Voxilaprevir drug information

Keep checking

Other Drugs & Sassafras

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

0Major

275Moderate

0Minor

2,554No known interaction

275 Moderate 2,554 No interaction

Moderate

275 interactions

Showing 60 of 275 moderate interactions — see all 275 on the Sassafras page.

No interaction 2,554 drugs checked — show the list

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

Showing the 60 most looked-up of 2,554 medications checked with no known interaction — see the full Sassafras list.

See the full Sassafras interactions page

See every supplement checked against Sofosbuvir, Velpatasvir, Voxilaprevir, ranked by severity

Evidence & sources

Sassafras References

The 9 references that drive our Sassafras monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
Ueng, Y. F., Hsieh, C. H., Don, M. J., Chi, C. W., and Ho, L. K. Identification of the main human cytochrome P450 enzymes involved in safrole 1'-hydroxylation. Chem Res Toxicol 2004;17(8):1151-1156. PubMed
Kapadia, G. J., Chung, E. B., Ghosh, B., Shukla, Y. N., Basak, S. P., Morton, J. F., and Pradhan, S. N. Carcinogenicity of some folk medicinal herbs in rats. J Natl.Cancer Inst. 1978;60(3):683-686.
Segelman, A. B., Segelman, F. P., Karliner, J., and Sofia, R. D. Sassafras and herb tea. Potential health hazards. JAMA 8-2-1976;236(5):477. DOI
Hu L, Wu F, He J, Zhong L, Song Y, Shao H. Cytotoxicity of safrole in HepaRG cells: studies on the role of CYP1A2-mediated ortho-quinone metabolic activation. Xenobiotica. 2019;49(12):1504-1515. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Sassafras and Sofosbuvir, Velpatasvir, Voxilaprevir Together: Common Questions

Is it safe to take Sassafras with Sofosbuvir, Velpatasvir, Voxilaprevir?

We do not list a known interaction between Sassafras and Sofosbuvir, Velpatasvir, Voxilaprevir. 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.

Do Sassafras and Sofosbuvir, Velpatasvir, Voxilaprevir have any of the same side effects?

Yes — our sources link each of them separately to one of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.

Should I take Sassafras and Sofosbuvir, Velpatasvir, Voxilaprevir at the same time of day?

At least one FDA label for a product containing Sofosbuvir, Velpatasvir, Voxilaprevir says to take it with food. If you take Sassafras on an empty stomach out of habit, keep them separate and take Sofosbuvir, Velpatasvir, Voxilaprevir with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Sofosbuvir, Velpatasvir, Voxilaprevir products can differ — so check the directions on your own box. This is about absorption, not an interaction.

How was the Sassafras and Sofosbuvir, Velpatasvir, Voxilaprevir combination checked?

Interactions in our licensed database are recorded against drug classes. Sofosbuvir, Velpatasvir, Voxilaprevir is filed under 9 classifications, and Sassafras has documented interactions with 2 drug classes — none of Sofosbuvir, Velpatasvir, Voxilaprevir's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.

Does Sassafras interact with any other medications?

Yes. Sassafras has 275 documented drug interactions in our database — Sofosbuvir, Velpatasvir, Voxilaprevir is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.

Does Sofosbuvir, Velpatasvir, Voxilaprevir interact with any supplements?

Yes. Sofosbuvir, Velpatasvir, Voxilaprevir has documented interactions with 173 supplements in our database — Sassafras is not one of them. The Sofosbuvir, Velpatasvir, Voxilaprevir interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Sassafras monograph Uses, safety profile, and every drug interaction in one place Sofosbuvir, Velpatasvir, and Voxilaprevir drug information The full plain-English guide to this medication Sofosbuvir, Velpatasvir, Voxilaprevir supplement interactions Every supplement checked against Sofosbuvir, Velpatasvir, Voxilaprevir, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 9 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Sofosbuvir, Velpatasvir, Voxilaprevir and Sassafras?

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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.