Drug & supplement interaction

Tamarind + Tacrolimus

Tacrolimus brand names: Prograf (capsule), Prograf (injectable), Protopic, Prograf XL, Astagraf XL, and others.

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

We found no known interaction between Tamarind and Tacrolimus 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

Tamarind and Tacrolimus

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 Tacrolimus and Tamarind 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.

Tamarind safety at a glance

Tamarind overall Generally safe Tamarind is generally safe when eaten as a food in normal amounts.
Pregnancy Use caution Food amounts are likely fine, but avoid large medicinal or supplement doses without medical advice.
Breastfeeding Use caution Food amounts are likely fine, but medicinal doses have not been well studied.

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

Still wondering about combining Tacrolimus and Tamarind? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Tacrolimus

Interactions in our licensed database are recorded against drug classes, not just single drug names. Tacrolimus is filed under 8 classifications — including immunosuppressants, qt interval-prolonging drugs, topical drugs. Tamarind has documented interactions with 3 drug classes — the most serious being antidiabetes drugs (moderate), aspirin (moderate) and ibuprofen (advil, others) (moderate) — and none of Tacrolimus’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

Tamarind Does Interact With Other Medications

Tamarind has 130 moderate known drug interactions in our database — Tacrolimus isn’t one of them. If you take anything else, check it against the full list below.

Moderate 130 No known interaction 2,700 (incl. Tacrolimus)
Taking anything else?

Check Another of Your Medications Against Tamarind

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

What to actually watch for

What Tacrolimus’s Own FDA Label Lists

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

  • Loss of vision Worth acting on
  • Low magnesium Worth acting on
  • Hearing loss Worth acting on
  • A stroke or mini-stroke Worth acting on
  • A bowel blockage Worth acting on
  • Bone thinning Worth acting on
  • Pain or burning when passing urine Worth acting on
  • Memory problems Worth acting on
  • Dehydration Worth acting on
  • Trouble swallowing Worth acting on

Showing the 10 most notable of 87 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 Tacrolimus. Read the label on DailyMed › Where a percentage is shown, it is the share of 152,391 voluntary FDA FAERS reports for Tacrolimus that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Tamarind’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Tamarind side to compare — that is a limit of the record, not a statement that Tamarind has no side effects.

From our Q&A

Questions About Tamarind or Tacrolimus

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

This page covers Tamarind only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Tacrolimus page lists 202 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), Asarabacca (major) and Cesium (major).

By severity: 11 major · 152 moderate · 39 minor.

From our pharmacist’s overview on the Tacrolimus page

“Tacrolimus (Prograf, Astagraf XL, Envarsus XR) keeps a transplanted organ from being rejected, and it works inside a narrow blood-level window, meaning even small shifts can invite rejection or toxicity. That makes these 202 supplement interactions worth real caution.”

Reviewed by 2 · Jul 18, 2026

Open the Tacrolimus interaction page

One more smart check

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

We hold 45 real supplement products containing Tamarind, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Tamarind. Even though Tamarind itself has no known interaction with Tacrolimus, 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 Tamarind and Tacrolimus 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 Tamarind
Steady interest

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

29 days ago today
Medication Tacrolimus
Top 10%

#241 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 Tamarind reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Tamarind and Tacrolimus 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 Tamarind

What is Tamarind?

  • Constipation and digestive upset
  • Culinary flavoring
  • Fever and sore throat
  • Antioxidant support
  • Traditional wound or skin care

Tamarind is a tangy tropical fruit widely used in cooking and traditional medicine, mainly for digestion and as a mild laxative. While it is a nutritious food, strong human evidence for most of its medicinal claims is limited, so use it mainly as a food and talk to your pharmacist before using concentrated supplements.

Tamarindus indica · Fabaceae · Fruit pulp, seeds, leaves, and bark · Fruit pulp, paste, juice, candy, capsules, powder, and extracts

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

Tamarind: dosing

There is no official, standardized medicinal dose for tamarind. As a food, people eat it in the amounts found in recipes, drinks, or candies, which is generally fine.For supplements such as capsules, powders, or extracts, the best approach is to follow the directions on the product label.

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

Read the full Tamarind monograph & all interactions
Medication

About Tacrolimus

What Is Tacrolimus Used For?

Brand names: Prograf (capsule), Prograf (injectable), Protopic, Prograf XL, Astagraf XL, Envarsus XR

Tacrolimus is prescribed to help prevent your body from rejecting a transplanted organ. It is used in adults who receive a kidney, liver, or heart transplant, and in children who receive a liver transplant. It is always used alongside other anti-rejection medicines.

Because tacrolimus works by dampening your immune system, it lowers the risk of your body attacking the new organ — but it also means you need to be watched closely for infections and other side effects throughout your treatment.

Most-Reported Side Effects for Tacrolimus

From FAERS, the FDA’s public side-effect reporting system (0 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Acute kidney injury 6,154 reports
Diarrhea 5,965 reports
Transplant rejection 5,034 reports
Fever 4,886 reports
Cytomegalovirus infection 4,655 reports
See full Tacrolimus drug information
Keep checking

Other Drugs & Tamarind

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

0Major
130Moderate
0Minor
2,699No known interaction
130 Moderate 2,699 No interaction
Moderate

130 interactions

Showing 60 of 130 moderate interactions — see all 130 on the Tamarind page.

No interaction 2,699 drugs checked — show the list

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

Showing the 60 most looked-up of 2,699 medications checked with no known interaction — see the full Tamarind list.

See the full Tamarind interactions page
See every supplement checked against Tacrolimus, ranked by severity
Evidence & sources

Tamarind References

The 3 references that drive our Tamarind 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. Garba M, Yakasai IA, Bakare MT, Munir HY. Effect of Tamarindus indica. L on the bioavailability of ibuprofen in healthy human volunteers. Eur J Drug Metab Pharmacokinet 2003;28:179-84.
  2. Mustapha A, Yakasai IA, Abdu Aguye I. Effect of Tamarindus indica L. on the bioavailability of aspirin in healthy human volunteers. Eur J Drug Metab Pharmacokinet 1996;21:223-6.
  3. Maiti, R., Jana, D., Das, U. K., and Ghosh, D. Antidiabetic effect of aqueous extract of seed of Tamarindus indica in streptozotocin-induced diabetic rats. J Ethnopharmacol. 2004;92(1):85-91. 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 Tamarind and Tacrolimus Together: Common Questions

Is it safe to take Tamarind with Tacrolimus?
We do not list a known interaction between Tamarind and Tacrolimus. 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 Tamarind and Tacrolimus combination checked?
Interactions in our licensed database are recorded against drug classes. Tacrolimus is filed under 8 classifications, and Tamarind has documented interactions with 3 drug classes — none of Tacrolimus'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 Tamarind interact with any other medications?
Yes. Tamarind has 130 documented drug interactions in our database — Tacrolimus 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 Tacrolimus interact with any supplements?
Yes. Tacrolimus has documented interactions with 202 supplements in our database — Tamarind is not one of them. The Tacrolimus 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

Tamarind monograph Uses, safety profile, and every drug interaction in one place Tacrolimus drug information The full plain-English guide to this medication Tacrolimus supplement interactions Every supplement checked against Tacrolimus, 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 3 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Tacrolimus and Tamarind?

Our pharmacists answer your medication & supplement questions — free.

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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.