Drug & supplement interaction

Star Of Bethlehem + Clobetasol

Clobetasol brand names: Temovate, Clobex.

Moderate Interaction
The bottom line Moderate

Star Of Bethlehem has a moderate interaction with Clobetasol. Theoretically, taking star of Bethlehem with prolonged corticosteroid therapy might increase the risk of toxicity.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
Know someone taking this? Share
Interaction report

Star Of Bethlehem and Clobetasol

Here is the interaction we found between these two, with the evidence behind it.

Moderate

CORTICOSTEROIDS

Why this applies to Clobetasol

Clobetasol falls under CORTICOSTEROIDS — the group Star Of Bethlehem interacts with.

Theoretically, taking star of Bethlehem with prolonged corticosteroid therapy might increase the risk of toxicity.
Star of Bethlehem contains cardiac glycosides. Concomitant use of corticosteroids with star of Bethlehem can increase the therapeutic and adverse effects of long-term corticosteroid use due to potassium depletion and electrolyte imbalance.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the gist: Star of Bethlehem contains natural cardiac glycosides (similar in action to the heart drug digoxin), and these are sensitive to your body's potassium levels. The worry on file is that long-term corticosteroid use can lower potassium, which could make those glycosides act more strongly and raise the risk of toxicity. So the concern is really about your potassium and electrolytes, not Clobetasol getting stronger or weaker.

The good news for you: Clobetasol is a topical steroid you put on your skin, so very little reaches the bloodstream when used as directed. This makes any real-world overlap unlikely. The flagged interaction is theoretical and aimed at strong, long-term oral steroids. Still, if you use Clobetasol over large areas for a long time, mention this supplement to your pharmacist or doctor.

References
  1. Waud RA. The action of Ornithogalum umbellatum on the heart. J Pharmacol Exp Ther 1954;111:147-51. DOI
  2. Vogelsang A. Ornithogalum umbellatum in the treatment of congestive heart failure: progress report. J Am Geriatr Soc 1961;9:1096-9.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Star Of Bethlehem Also Interacts With Other Medications

Star Of Bethlehem has 155 moderate known drug interactions in our database — the Clobetasol one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Star Of Bethlehem

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

Everything else you take

See Every Supplement That Interacts With Clobetasol

This page covers Star Of Bethlehem only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Clobetasol page lists 74 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Lily-of-the-valley (major), St. John's Wort (major), Alder Buckthorn (moderate) and Bitter Melon (moderate).

By severity: 3 major · 53 moderate · 18 minor.

Open the Clobetasol interaction page

One more smart check

Taking Star Of Bethlehem as Part of a Dietary Supplement Product? Check It for Interactions

We hold 15 real supplement products containing Star Of Bethlehem, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Star Of Bethlehem. Your product may carry other ingredients that interact with Clobetasol too, on top of Star Of Bethlehem — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Star Of Bethlehem and Clobetasol 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 Star Of Bethlehem
Steady interest

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

29 days ago today
Medication Clobetasol
Top half

#1,124 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.

Supplement

About Star Of Bethlehem

What is Star Of Bethlehem?

  • Emotional shock and trauma
  • Grief and bereavement
  • Stress relief
  • Calming and comfort

Star of Bethlehem is a small flowering plant best known as one of the ingredients in Bach flower remedies, where it is used for emotional shock and grief. There is no solid scientific evidence that it treats any medical condition, and the raw plant and bulb are considered toxic, so it should not be eaten. If you choose to use a flower-essence product, treat it as a complement to—not a replacement for—proper medical care.

Read the full Star Of Bethlehem monograph & all interactions
Medication

About Clobetasol Topical

What Is Clobetasol Topical Used For?

Brand names: Temovate, Clobex

Clobetasol topical is used to treat moderate to severe scalp psoriasis and plaque psoriasis. It reduces the redness, scaling, and itching associated with these skin conditions.

Treatment is intended for short-term use only and should be limited to the minimum time needed to bring the condition under control. It should not be used on the face, groin, or underarm areas.

See full Clobetasol Topical drug information
Keep checking

Other Drugs & Star Of Bethlehem

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

0Major
155Moderate
0Minor
2,674No known interaction
Moderate

155 interactions

Showing 60 of 155 moderate interactions — see all 155 on the Star Of Bethlehem page.

No interaction 2,674 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
Pharmacist Counseling Corner

Taking Star Of Bethlehem and Clobetasol Together: Common Questions

Can you take Star Of Bethlehem with Clobetasol?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Star Of Bethlehem and Clobetasol interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Clobetasol and Star Of Bethlehem?

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.