Drug & supplement interaction

Securinega Suffruticosa + Nortriptyline

Nortriptyline brand names: Pamelor, Nortriptyline, Aventyl, Allegron.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Securinega Suffruticosa and Nortriptyline 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.

Know someone taking this? Share
Facebook Post Reddit Email
On this page
Interaction report

Securinega Suffruticosa and Nortriptyline

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 Nortriptyline 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 Nortriptyline and Securinega Suffruticosa? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Nortriptyline

Interactions in our licensed database are recorded against drug classes, not just single drug names. Nortriptyline is filed under 10 classifications — including tricyclic antidepressants (tcas), antidepressant drugs, serotonergic drugs. Securinega Suffruticosa has documented interactions with 1 drug class — the most serious being stimulant drugs (moderate) — and none of Nortriptyline’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 — Nortriptyline 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. Nortriptyline)
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 Nortriptyline’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 Nortriptyline’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. 10 of them are worth acting on rather than waiting out — marked below.

  • Mania or an unusually elevated mood Worth acting on
  • Dependence or withdrawal symptoms Worth acting on
  • A bowel blockage Worth acting on
  • Trouble passing urine Worth acting on
  • Unsteadiness Worth acting on
  • A heart attack Worth acting on
  • Hallucinations Worth acting on
  • Yellowing of the skin or eyes Worth acting on
  • Confusion Worth acting on
  • Seizures Worth acting on

Showing the 10 most notable of 49 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 Nortriptyline. 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.

From our Q&A

Questions About Securinega Suffruticosa or Nortriptyline

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

This page covers Securinega Suffruticosa only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Nortriptyline page lists 198 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Henbane (major), Lithium (major), Scopolia (major) and 1,3-dmaa (moderate).

By severity: 4 major · 150 moderate · 44 minor.

Open the Nortriptyline interaction page

How much people look this up

Where Securinega Suffruticosa and Nortriptyline 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

#1,083 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Nortriptyline
Top 25%

#354 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 13, 2026. The Securinega Suffruticosa and Nortriptyline 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 Nortriptyline

What Is Nortriptyline Used For?

Brand names: Pamelor, Nortriptyline, Aventyl, Allegron

Nortriptyline is approved to relieve symptoms of depression. This applies to nortriptyline hydrochloride capsules, nortriptyline hydrochloride oral solution, and Pamelor capsules — all used for the same core indication.

The label notes that depression arising from within the body (endogenous depression) may respond better than other types of depression, though all of these products are indicated for the broader relief of depressive symptoms.

See full Nortriptyline 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 Nortriptyline, 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 Nortriptyline Together: Common Questions

Is it safe to take Securinega Suffruticosa with Nortriptyline?
We do not list a known interaction between Securinega Suffruticosa and Nortriptyline. 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 Nortriptyline combination checked?
Interactions in our licensed database are recorded against drug classes. Nortriptyline is filed under 10 classifications, and Securinega Suffruticosa has documented interactions with 1 drug class — none of Nortriptyline'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 — Nortriptyline 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 Nortriptyline interact with any supplements?
Yes. Nortriptyline has documented interactions with 198 supplements in our database — Securinega Suffruticosa is not one of them. The Nortriptyline 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 Nortriptyline drug information The full plain-English guide to this medication Nortriptyline supplement interactions Every supplement checked against Nortriptyline, 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 Nortriptyline and Securinega Suffruticosa?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.