Drug & supplement interaction

Scopolia + Tofacitinib

Tofacitinib brand names: Xeljanz, Xeljanz XR.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated July 2026 · Pair last verified Sep 20, 2026

The bottom line No known interaction

We found no known interaction between Scopolia and Tofacitinib 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

Scopolia and Tofacitinib

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 Tofacitinib and Scopolia 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.

Scopolia safety at a glance

Scopolia overall Avoid Scopolia is toxic and unsafe for self-medication because of its potent anticholinergic alkaloids.

Pregnancy Likely Unsafe When the root or rhizome is used orally as a medicine; avoid using. Read the full pregnancy detail

Breastfeeding Likely Unsafe When the root or rhizome is used orally as a medicine; avoid using. 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 Tofacitinib and Scopolia? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Tofacitinib

Interactions in our licensed database are recorded against drug classes, not just single drug names. Tofacitinib is filed under 4 classifications — including cytochrome p450 2c19 (cyp2c19) substrates, immunosuppressants, cytochrome p450 3a4 (cyp3a4) substrates. Scopolia has documented interactions with 3 drug classes — the most serious being anticholinergic drugs (major), quinidine (major) and tricyclic antidepressants (tcas) (major) — and none of Tofacitinib’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

Scopolia Does Interact With Other Medications

Scopolia has 200 major, known drug interactions in our database — Tofacitinib isn’t one of them. If you take anything else, check it against the full list below.

Major 200 No known interaction 2,630 (incl. Tofacitinib)

Taking anything else?

Check Another of Your Medications Against Scopolia

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

What to actually watch for

What Scopolia Itself Has Been Linked To

This is not an interaction — nothing below involves Tofacitinib. It is the side-effect record for Scopolia on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Scopolia, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

Trouble passing urine / Hallucinations / Confusion Worth acting on Additional detail
“Scopolia is generally regarded as unsafe for use. Any benefits of therapy may not outweigh the risk of toxicity. Orally, scopolia root acts on the central nervous system and can cause dry mouth, dry and reddened skin, hyperthermia, disturbance of ocular accommodation, tachycardia, difficulty urinating, glaucoma attacks (2), and constipation (18).”

Scopolia · Natural Medicines adverse-effect record, reported in arrhythmia.
2 sources cited

2. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.

18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
“Orally, adverse effects of scopolia are generally related to the central nervous system. Scopolia root can cause dry mouth, dry and reddened skin, hyperthermia, disturbance of ocular accommodation, tachycardia, difficulty urinating, glaucoma attacks (2), and constipation (18). Early symptoms of scopolia poisoning include reddened skin, dry mouth, and tachycardic arrhythmias (18).”

Scopolia · Natural Medicines adverse-effect record, reported in arrhythmia.
2 sources cited

2. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.

18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
Dry mouth / A fast or pounding heartbeat / Anxiety or restlessness / Constipation Additional detail

Recorded for Scopolia in the same Natural Medicines adverse-effect record shown under Trouble passing urine / Hallucinations / Confusion above.

Everything above comes from the Natural Medicines adverse-effect record for Scopolia — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Tofacitinib’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Tofacitinib column appears here.

Special populations

Scopolia in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Unsafe

When the root or rhizome is used orally as a medicine; avoid using.

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

Everything else you take

See Every Supplement That Interacts With Tofacitinib

This page covers Scopolia only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Tofacitinib page lists 184 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 Active Hexose Correlated Compound (ahcc) (moderate).

By severity: 3 major · 143 moderate · 38 minor.

From our pharmacist’s overview on the Tofacitinib page

“Supplements deserve genuine care alongside tofacitinib (Xeljanz, Xeljanz XR), a medicine that deliberately dials down the immune system to control conditions like rheumatoid arthritis and ulcerative colitis. Most of the interactions on this page run through the liver enzymes that clear the drug, meaning an herb can push its blood level…”

Reviewed by 2 · Jul 18, 2026

Open the Tofacitinib interaction page

How much people look this up

Where Scopolia and Tofacitinib 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 Scopolia

Steady interest

#1,129 of 1,452 supplements looked up here in the last 7 days

29 days ago today

Medication Tofacitinib

Top half

#1,277 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 Scopolia reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Scopolia and Tofacitinib 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 Scopolia

What is Scopolia?

Stomach and intestinal cramps
Motion sickness
Spasms and colic
Excess saliva or secretions
Pain relief (traditional)

Scopolia is a poisonous plant in the nightshade family that contains powerful anticholinergic alkaloids like atropine, hyoscyamine, and scopolamine. While these compounds are used in carefully measured prescription medicines, the raw plant is dangerous for self-treatment and should never be used without a doctor's supervision.

Scopolia carniolica · Solanaceae · Rhizome (root) and leaves · Standardized extracts, tinctures, and as a source for isolated alkaloid drugs (rarely sold as a stand-alone supplement)

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

Scopolia: dosing

There is no established safe over-the-counter dose of Scopolia for self-care. Because the plant contains powerful and toxic alkaloids, even small differences in amount can be the difference between an effect and a poisoning.The purified alkaloids found in Scopolia are dosed precisely in prescription products by trained professionals. When in doubt, do not use it.

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

Read the full Scopolia monograph & all interactions

Medication

About Tofacitinib

What Is Tofacitinib Used For?

Brand names: Xeljanz, Xeljanz XR

Tofacitinib is used alone or with other medications to treat rheumatoid arthritis (condition in which the body attacks its own joints causing pain, swelling, and loss of function) in adults who are unable to take or did not respond to one or more tumor necrosis factor (TNF) inhibitor medication(s). It is also used to treat psoriatic arthritis (a condition that causes joint pain and swelling and scales on the skin) in adults who are unable to take or did not respond to or tolerate one or more TNF inhibitor medication(s). Tofacitinib is used to treat ulcerative colitis (a condition which causes swelling and sores in the lining of the colon [large intestine] and rectum) in adults who are unable to take or who did not respond to one or more TNF inhibitor medication(s). It is also used to treat polyarticular juvenile idiopathic arthritis (PJIA; a type of childhood arthritis that affects five or more joints during the first six months of the condition, causing pain, swelling, and loss of function) in children 2 years and older who are unable to take or who did not respond to one or more TNF inhibitor medication(s). Tofacitinib is in a class of medications called Janus kinase (JAK) inhibitors. It works by decreasing the activity of the immune system.

See full Tofacitinib drug information

Keep checking

Other Drugs & Scopolia

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

200Major

0Moderate

0Minor

2,629No known interaction

200 Major 2,629 No interaction

Major

200 interactions

Showing 60 of 200 major interactions — see all 200 on the Scopolia page.

No interaction 2,629 drugs checked — show the list

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

Showing the 60 most looked-up of 2,629 medications checked with no known interaction — see the full Scopolia list.

See the full Scopolia interactions page

See every supplement checked against Tofacitinib, ranked by severity

Evidence & sources

Scopolia References

The 4 references that drive our Scopolia 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.

Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

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 Scopolia and Tofacitinib Together: Common Questions

Is it safe to take Scopolia with Tofacitinib?

We do not list a known interaction between Scopolia and Tofacitinib. 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.

How was the Scopolia and Tofacitinib combination checked?

Interactions in our licensed database are recorded against drug classes. Tofacitinib is filed under 4 classifications, and Scopolia has documented interactions with 3 drug classes — none of Tofacitinib'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 Scopolia interact with any other medications?

Yes. Scopolia has 200 documented drug interactions in our database — Tofacitinib 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 Tofacitinib interact with any supplements?

Yes. Tofacitinib has documented interactions with 184 supplements in our database — Scopolia is not one of them. The Tofacitinib 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

Scopolia monograph Uses, safety profile, and every drug interaction in one place Tofacitinib drug information The full plain-English guide to this medication Tofacitinib supplement interactions Every supplement checked against Tofacitinib, 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 4 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Tofacitinib and Scopolia?

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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.