Drug & supplement interaction

Spleen Extract + Selpercatinib

Selpercatinib brand name: Retevmo.

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

We found no known interaction between Spleen Extract and Selpercatinib 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

Spleen Extract and Selpercatinib

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 Selpercatinib and Spleen Extract 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.

Worth understanding: our licensed dataset holds no drug-interaction record for Spleen Extract at all — not against Selpercatinib, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

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.

Spleen Extract safety at a glance

Spleen Extract overall Use caution Human evidence is limited and animal-tissue products carry possible contamination and infection concerns.
Pregnancy Avoid There is no safety data in pregnancy, so it is best avoided.
Breastfeeding Avoid No safety information exists for breastfeeding, so avoid use.

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

Still wondering about combining Selpercatinib and Spleen Extract? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Selpercatinib’s Own FDA Label Lists

This is not an interaction — none of it involves Spleen Extract. These are the most notable effects listed in the ADVERSE REACTIONS section of Selpercatinib’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.

  • A change in thyroid levels Worth acting on
  • A stroke or mini-stroke Worth acting on
  • Bone thinning Worth acting on
  • Low sodium Worth acting on
  • Yellowing of the skin or eyes Worth acting on
  • Heart failure Worth acting on
  • Fainting Worth acting on
  • An irregular heartbeat Worth acting on
  • Raised blood pressure Worth acting on mentioned in 5.3% of FDA reports for Selpercatinib
  • Chest pain Worth acting on

Showing the 10 most notable of 44 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 Selpercatinib. Read the label on DailyMed › Where a percentage is shown, it is the share of 1,250 voluntary FDA FAERS reports for Selpercatinib that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Spleen Extract’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Spleen Extract side to compare — that is a limit of the record, not a statement that Spleen Extract has no side effects.

Everything else you take

See Every Supplement That Interacts With Selpercatinib

This page covers Spleen Extract only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Selpercatinib page lists 178 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), Arsenic (major), Beer (major) and Cesium (major).

By severity: 11 major · 132 moderate · 35 minor.

From our pharmacist’s overview on the Selpercatinib page

“People facing a RET-driven lung or thyroid cancer often add supplements for strength, sleep, or immune support, and with selpercatinib (Retevmo) that instinct needs a careful check. Eleven of the 178 ingredients here carry a major rating, and the largest cluster affects how the drug is cleared by the CYP3A4 enzyme: St.”

Reviewed by 2 · Jul 18, 2026

Open the Selpercatinib interaction page

One more smart check

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

We hold 2 real supplement products containing Spleen Extract, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Spleen Extract. Even though Spleen Extract itself has no known interaction with Selpercatinib, 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 Spleen Extract and Selpercatinib 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 Spleen Extract
Steady interest

#1,256 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Selpercatinib
Top 25%

#462 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 Spleen Extract reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Spleen Extract and Selpercatinib 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 .
Supplement

About Spleen Extract

What is Spleen Extract?

  • Immune support
  • Low white blood cell counts
  • General "glandular" support
  • Boosting energy or vitality

Spleen extract is a glandular supplement made from the spleen tissue of animals such as cows or pigs, promoted mainly for immune support. There is very little reliable human research to show it works, and because it is an animal tissue product there are real safety questions, including possible infection risk. Talk with your pharmacist or doctor before using it.

Spleen tissue, usually from cattle (bovine) or pigs (porcine) · Capsules, tablets, sometimes injectable forms (older or non-standard products)

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

Spleen Extract: dosing

There is no established or standardized dose for spleen extract. Products vary widely in how they are made and what they contain.If you choose to use it, follow the directions on the product label and do not exceed the recommended amount.

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

Read the full Spleen Extract monograph & all interactions
Medication

About Selpercatinib

What Is Selpercatinib Used For?

Brand name: Retevmo

Selpercatinib treats cancers driven by changes in the RET gene — either a gene fusion (where RET joins abnormally with another gene) or a RET mutation (a change in the gene itself). Your doctor will confirm one of these changes with an FDA-approved test before prescribing it.

It is approved for adults with RET fusion-positive non-small cell lung cancer; adults and children 2 and older with RET-mutant medullary thyroid cancer or RET fusion-positive thyroid cancer; and adults and children 2 and older with other advanced solid tumors that have a RET gene fusion and have not responded to prior treatment.

See full Selpercatinib drug information
Keep checking

Other Drugs & Spleen Extract

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

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

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

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Spleen Extract list.

See the full Spleen Extract interactions page
See every supplement checked against Selpercatinib, ranked by severity
Evidence & sources

Spleen Extract References

The 1 references that drive our Spleen Extract 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. Lewis CJ. Letter to reiterate certain public health and safety concerns to firms manufacturing or importing dietary supplements that contain specific bovine tissues. FDA. Available at: www.cfsan.fda.gov/~dms/dspltr05.html.

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 Spleen Extract and Selpercatinib Together: Common Questions

Is it safe to take Spleen Extract with Selpercatinib?
We do not list a known interaction between Spleen Extract and Selpercatinib. 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.
Does Selpercatinib interact with any supplements?
Yes. Selpercatinib has documented interactions with 178 supplements in our database — Spleen Extract is not one of them. The Selpercatinib 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

Spleen Extract monograph Uses, safety profile, and every drug interaction in one place Selpercatinib drug information The full plain-English guide to this medication Selpercatinib supplement interactions Every supplement checked against Selpercatinib, 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 1 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Selpercatinib and Spleen Extract?

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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.