Drug & supplement interaction

Stereospermum + Insulin Glargine Recombinant

Insulin Glargine Recombinant brand name: Toujeo Solostar.

Moderate Interaction
The bottom line Moderate

Stereospermum has a moderate interaction with Insulin Glargine Recombinant. Animal research suggests that stereospermum can have hypoglycemic effects.

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

Stereospermum and Insulin Glargine Recombinant

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

Moderate

ANTIDIABETES DRUGS

Why this applies to Insulin Glargine Recombinant

Insulin Glargine Recombinant falls under ANTIDIABETES DRUGS — the group Stereospermum interacts with.

Animal research suggests that stereospermum can have hypoglycemic effects. This has not been shown in humans. Until more is known, use cautiously in patients taking antidiabetes drugs. Theoretically, concomitant use with antidiabetes drugs might affect glucose control and increase the risk of hypoglycemia.
Some antidiabetes drugs include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, metformin (Glucophage), pioglitazone (Actos), rosiglitazone (Avandia), and others.
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 short version for Toujeo (insulin glargine): this is a long-acting insulin you inject once a day to keep your blood sugar steady. Stereospermum, in animal studies, has shown a mild blood-sugar-lowering effect of its own. So the concern is simply additive. If the herb nudges your glucose down at the same time your insulin is working, your sugar could drop lower than expected.

I want to be honest about the strength here: this comes from lab and animal research only, not human studies, so it's more of a theoretical caution than a proven problem. Still, if you ever did notice signs of a low (shakiness, sweating, confusion, a fast heartbeat), treat it and call your doctor. Don't change your insulin dose on your own, just loop in your pharmacist before adding this herb.

References
  1. Balasubramanian T, Lal MS, Sarkar M, Chatterjee TK. Antihyperglycemic and antioxidant activities of medicinal plant Stereospermum suaveolens in streptozotocin-induced diabetic rats. J Diet Suppl 2009;6(3):227-51.
  2. Balsubramanian T, Senthilkumar GP, Karthikeyan M, Chatterjee TK. Protective effect of ethyl acetate fraction of Stereospermum suaveolens against hepatic oxidative stress in STZ diabetic rats. J Tradit Complement Med 2013;3(3):175-81. PubMed

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

Stereospermum Also Interacts With Other Medications

Stereospermum has 85 moderate known drug interactions in our database — the Insulin Glargine Recombinant 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 Stereospermum

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

Everything else you take

See Every Supplement That Interacts With Insulin Glargine Recombinant

This page covers Stereospermum only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Insulin Glargine Recombinant page lists 242 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Chelation Therapy Products (major), Siberian Cocklebur (major), Acai (moderate), African Wild Potato (moderate) and Agaricus Mushroom (moderate).

By severity: 2 major · 211 moderate · 29 minor.

From our pharmacist’s overview on the Insulin Glargine Recombinant page

“If you inject insulin glargine (Toujeo Solostar), this list deserves real respect, because all 242 ingredients on it bear on the number you track daily, your blood sugar. Most of the 211 moderate entries add to insulin's glucose-lowering effect and can tip you into hypoglycemia, a dangerous low, while a smaller group pushes sugar upwar…”

Reviewed by 2 · Jul 18, 2026

Open the Insulin Glargine Recombinant interaction page

One more smart check

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

We hold 34 real supplement products containing Stereospermum, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Stereospermum. Your product may carry other ingredients that interact with Insulin Glargine Recombinant too, on top of Stereospermum — 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 Stereospermum and Insulin Glargine Recombinant 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 Stereospermum
Top half

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

29 days ago today
Medication Insulin Glargine Recombinant
Steady interest

#2,296 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 Stereospermum

What is Stereospermum?

  • Fever
  • Inflammation and pain
  • Digestive complaints
  • Respiratory issues
  • General tonic in Ayurveda

Stereospermum is a tree used in traditional Ayurvedic medicine, most notably as one of the herbs in the classic 'Dashamula' (ten-root) formula. There is very little high-quality human research to confirm its benefits, so its uses remain largely traditional. If you are considering it, talk with a pharmacist or doctor first, especially if you are pregnant, breastfeeding, or taking other medicines.

Read the full Stereospermum monograph & all interactions
Keep checking

Other Drugs & Stereospermum

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

0Major
85Moderate
0Minor
2,744No known interaction
Moderate

85 interactions

Showing 60 of 85 moderate interactions — see all 85 on the Stereospermum page.

No interaction 2,744 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 Stereospermum and Insulin Glargine Recombinant Together: Common Questions

Can you take Stereospermum with Insulin Glargine Recombinant?
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 Stereospermum and Insulin Glargine Recombinant 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 Insulin Glargine Recombinant and Stereospermum?

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.