Drug & supplement interaction

Securinega Suffruticosa + Selexipag

Selexipag brand name: Uptravi.

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 Selexipag 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 Selexipag states a food rule worth keeping to.

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Interaction report

Securinega Suffruticosa and Selexipag

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

Why No Interaction Is Listed for Selexipag

Interactions in our licensed database are recorded against drug classes, not just single drug names. Selexipag is filed under 4 classifications — including cytochrome p450 2c8 (cyp2c8) substrates, anticoagulant/antiplatelet drugs, antihypertensive drugs. Securinega Suffruticosa has documented interactions with 1 drug class — the most serious being stimulant drugs (moderate) — and none of Selexipag’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 — Selexipag 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. Selexipag)
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 Selexipag’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 Selexipag’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. 2 of them are worth acting on rather than waiting out — marked below.

  • A change in thyroid levels Worth acting on
  • Anemia Worth acting on
  • Pain in an arm or leg
  • Headache mentioned in 26.4% of FDA reports for Selexipag
  • Diarrhea mentioned in 20.3% of FDA reports for Selexipag
  • Flushing
  • Joint pain
  • Reduced appetite
  • Muscle pain
  • Nausea mentioned in 16.1% of FDA reports for Selexipag

Showing the 10 most notable of 13 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 Selexipag. Read the label on DailyMed › Where a percentage is shown, it is the share of 25,258 voluntary FDA FAERS reports for Selexipag that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. 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.

How to take them

Some Selexipag Products Have a Food Rule — Securinega Suffruticosa Should Not Break It

At least one FDA label for a product containing Selexipag says to take it with food. If you take Securinega Suffruticosa on an empty stomach out of habit, keep them separate — and take Selexipag 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 Selexipag 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.

Tolerability may be improved when taken with food [see Clinical Pharmacology (12.3) ] .

From the Dosage and Administration section of the FDA label we read for Selexipag — 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 Selexipag

This page covers Securinega Suffruticosa only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Selexipag page lists 291 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), American Mistletoe (major), Danshen (major) and Piracetam (major).

By severity: 6 major · 258 moderate · 27 minor.

From our pharmacist’s overview on the Selexipag page

“People take selexipag (Uptravi) for pulmonary arterial hypertension, dangerously high pressure in the arteries of the lungs, and that diagnosis raises the stakes on this list of 291 interacting supplements. I would treat it with real vigilance.”

Reviewed by 2 · Jul 18, 2026

Open the Selexipag interaction page

How much people look this up

Where Securinega Suffruticosa and Selexipag 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

#1,003 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Selexipag
Top half

#1,264 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 Selexipag 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 Selexipag

What Is Selexipag Used For?

Brand name: Uptravi

Selexipag tablets are used to treat pulmonary arterial hypertension (PAH, WHO Group I) — a type of high blood pressure in the arteries of the lungs. The goal is to slow the disease from getting worse and to reduce the chances of being hospitalized because of PAH.

Uptravi (selexipag) tablets are approved for both adults and children aged 2 years and older. Uptravi for injection (intravenous) is also available for adult patients who are already on Uptravi tablets but temporarily cannot take medicine by mouth.

Most-Reported Side Effects for Selexipag

From FAERS, the FDA’s public side-effect reporting system (25,685 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Headache 6,740 reports
Diarrhea 5,173 reports
Dyspnea 4,774 reports
Nausea 4,103 reports
Fatigue 2,601 reports
See full Selexipag 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 Selexipag, 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 Selexipag Together: Common Questions

Is it safe to take Securinega Suffruticosa with Selexipag?
We do not list a known interaction between Securinega Suffruticosa and Selexipag. 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.
Should I take Securinega Suffruticosa and Selexipag at the same time of day?
At least one FDA label for a product containing Selexipag says to take it with food. If you take Securinega Suffruticosa on an empty stomach out of habit, keep them separate and take Selexipag with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Selexipag products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Securinega Suffruticosa and Selexipag combination checked?
Interactions in our licensed database are recorded against drug classes. Selexipag is filed under 4 classifications, and Securinega Suffruticosa has documented interactions with 1 drug class — none of Selexipag'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 — Selexipag 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 Selexipag interact with any supplements?
Yes. Selexipag has documented interactions with 291 supplements in our database — Securinega Suffruticosa is not one of them. The Selexipag 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 Selexipag drug information The full plain-English guide to this medication Selexipag supplement interactions Every supplement checked against Selexipag, 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 Selexipag 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.