Drug & supplement interaction

Securinega Suffruticosa + Epinephrine Injection

Epinephrine Injection brand name: Twinject.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Securinega Suffruticosa and Epinephrine Injection 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

Securinega Suffruticosa and Epinephrine Injection

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 Epinephrine Injection and Securinega Suffruticosa 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.

Securinega Suffruticosa safety at a glance

Securinega Suffrut... overall Avoid It contains potent, potentially toxic alkaloids and has no established safe supplement dose.
Pregnancy Avoid No safety data; its stimulant alkaloids make it unsafe during pregnancy.
Breastfeeding Avoid No safety data and potential transfer of toxic alkaloids; avoid while breastfeeding.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Epinephrine Injection and Securinega Suffruticosa? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Epinephrine Injection

Interactions in our licensed database are recorded against drug classes, not just single drug names. Epinephrine Injection is filed under a single classification — alpha-adrenergic agonists. Securinega Suffruticosa has documented interactions with 1 drug class — the most serious being stimulant drugs (moderate) — and none of Epinephrine Injection’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

Securinega Suffruticosa Does Interact With Other Medications

Securinega Suffruticosa has 172 moderate known drug interactions in our database — Epinephrine Injection isn’t one of them. If you take anything else, check it against the full list below.

Moderate 172 No known interaction 2,658 (incl. Epinephrine Injection)
Taking anything else?

Check Another of Your Medications Against Securinega Suffruticosa

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

What to actually watch for

What Epinephrine Injection’s Own FDA Label Lists

This is not an interaction — none of it involves Securinega Suffruticosa. These are the most notable effects listed in the ADVERSE REACTIONS section of Epinephrine Injection’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. 6 of them are worth acting on rather than waiting out — marked below.

  • A change in thyroid levels Worth acting on
  • Chest pain Worth acting on
  • Raised blood pressure Worth acting on
  • A severe allergic reaction Worth acting on
  • Bleeding or bruising Worth acting on
  • A higher chance of infection Worth acting on
  • Tremor or shakiness
  • Sweating
  • A fast or pounding heartbeat
  • Anxiety or restlessness

Showing the 10 most notable of 14 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 Epinephrine Injection. Read the label on DailyMed › Securinega Suffruticosa’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Securinega Suffruticosa side to compare — that is a limit of the record, not a statement that Securinega Suffruticosa has no side effects.

Everything else you take

See Every Supplement That Interacts With Epinephrine Injection

This page covers Securinega Suffruticosa only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Epinephrine Injection page lists 1 supplement it has a documented interaction with, worst first, each one explained.

The most serious there right now: Butcher's Broom (moderate).

By severity: 1 moderate.

From our pharmacist’s overview on the Epinephrine Injection page

“For anyone carrying an epinephrine injection like Twinject for severe allergic reactions, the supplement interaction list is remarkably short. Just one ingredient is on file, butcher's broom, and it rates moderate.”

Reviewed by 2 · Jul 18, 2026

Open the Epinephrine Injection interaction page

How much people look this up

Where Securinega Suffruticosa and Epinephrine Injection 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 Securinega Suffruticosa
Steady interest

#1,118 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Epinephrine Injection
Steady interest

#2,618 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 Securinega Suffruticosa reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Securinega Suffruticosa and Epinephrine Injection 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 Securinega Suffruticosa

What is Securinega Suffruticosa?

  • Nerve and muscle weakness
  • Fatigue and low energy
  • Nerve-related conditions in traditional medicine
  • Childhood paralysis (historical traditional use)
  • General tonic

Securinega suffruticosa is a shrub used in traditional East Asian medicine, best known for an alkaloid called securinine that strongly stimulates the nervous system. Because securinine is powerful and can cause seizures and serious toxicity, this plant is not a safe or well-studied dietary supplement, and it should not be used for self-treatment. Talk to a doctor or pharmacist before considering anything containing this plant.

Securinega suffruticosa · Phyllanthaceae · Leaves, twigs, and aerial parts (roots in some traditional preparations) · Dried herb decoction, tinctures, and isolated alkaloid extracts (mainly used in research settings)

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

Securinega Suffruticosa: dosing

There is no established, standardized safe dose of Securinega suffruticosa for use as a supplement. The plant's alkaloid content can vary, and the active compound securinine has a narrow margin between any effect and toxic effects.Because of these safety concerns, we cannot recommend a specific amount.

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

Read the full Securinega Suffruticosa monograph & all interactions
Medication

About Epinephrine Injection

What Is Epinephrine Injection Used For?

Brand name: Twinject

Epinephrine injection is used for the emergency treatment of anaphylaxis — a severe, potentially life-threatening allergic reaction. Triggers can include stings from bees, wasps, hornets, yellow jackets, and fire ants; bites from insects like mosquitoes; foods; drugs; diagnostic agents; allergen immunotherapy; or exercise. It is also used for anaphylaxis with no identified trigger (idiopathic anaphylaxis).

AUVI-Q (available in 0.3 mg and 0.15 mg strengths) is specifically indicated for patients at increased risk of anaphylaxis, including those with a history of anaphylactic reactions. It is intended for immediate emergency use only — not as a substitute for follow-up medical care.

See full Epinephrine Injection drug information
Keep checking

Other Drugs & Securinega Suffruticosa

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

0Major
172Moderate
0Minor
2,657No known interaction
172 Moderate 2,657 No interaction
Moderate

172 interactions

Showing 60 of 172 moderate interactions — see all 172 on the Securinega Suffruticosa page.

No interaction 2,657 drugs checked — show the list

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

Showing the 60 most looked-up of 2,657 medications checked with no known interaction — see the full Securinega Suffruticosa list.

See the full Securinega Suffruticosa interactions page
See every supplement checked against Epinephrine Injection, ranked by severity
Evidence & sources

Securinega Suffruticosa References

The 2 references that drive our Securinega Suffruticosa 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.

  1. Holmes M, Crater AK, Dhudshia B, Thadani AN, Ananvoranich S. Toxoplasma gondii: inhibitory activity and encystation effect of securinine and pyrrolidine derivatives on Toxoplasma growth. Exp Parasitol. 2011;127(2):370-5. PubMed
  2. Raj D, Luczkiewicz M. Securinega suffruticosa. Fitoterapia. 2008;79(6):419-27. 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 Securinega Suffruticosa and Epinephrine Injection Together: Common Questions

Is it safe to take Securinega Suffruticosa with Epinephrine Injection?
We do not list a known interaction between Securinega Suffruticosa and Epinephrine Injection. 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 Securinega Suffruticosa and Epinephrine Injection combination checked?
Interactions in our licensed database are recorded against drug classes. Epinephrine Injection is filed under 1 classification, and Securinega Suffruticosa has documented interactions with 1 drug class — none of Epinephrine Injection'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 Securinega Suffruticosa interact with any other medications?
Yes. Securinega Suffruticosa has 172 documented drug interactions in our database — Epinephrine Injection 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 Epinephrine Injection interact with any supplements?
Yes. Epinephrine Injection has documented interactions with 1 supplement in our database — Securinega Suffruticosa is not one of them. The Epinephrine Injection 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

Securinega Suffruticosa monograph Uses, safety profile, and every drug interaction in one place Epinephrine Injection drug information The full plain-English guide to this medication Epinephrine Injection supplement interactions Every supplement checked against Epinephrine Injection, 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 2 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Epinephrine Injection and Securinega Suffruticosa?

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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.