Drug & supplement interaction

Terminalia Chebula + Choline Magnesium Trisalicylate

Choline Magnesium Trisalicylate brand names: Trilisate, Tricosal.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated July 2026 · Pair last verified Sep 13, 2026

The bottom line No known interaction

We found no known interaction between Terminalia Chebula and Choline Magnesium Trisalicylate 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

Terminalia Chebula and Choline Magnesium Trisalicylate

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 Choline Magnesium Trisalicylate and Terminalia Chebula 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.

Terminalia Chebula safety at a glance

Terminalia Chebula overall Use caution Generally used in traditional medicine, but human safety data are limited and quality of products varies.

Pregnancy Possibly Unsafe When used orally. One source warns against using Terminalia bellirica and Terminalia chebula during pregnancy; however, the reason for this warning is not descr... Read the full pregnancy detail

Breastfeeding Avoid Safety during breastfeeding is unknown, so it is best avoided.

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Choline Magnesium Trisalicylate and Terminalia Chebula? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Choline Magnesium Trisalicylate

Interactions in our licensed database are recorded against drug classes, not just single drug names. Choline Magnesium Trisalicylate is filed under 3 classifications — including hepatotoxic drugs, oral drugs. Terminalia Chebula has documented interactions with 3 drug classes — the most serious being antidiabetes drugs (moderate), chlorzoxazone (parafon forte, paraflex) (moderate) and omeprazole (prilosec) (moderate) — and none of Choline Magnesium Trisalicylate’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

Terminalia Chebula Does Interact With Other Medications

Terminalia Chebula has 93 moderate known drug interactions in our database — Choline Magnesium Trisalicylate isn’t one of them. If you take anything else, check it against the full list below.

Moderate 93 No known interaction 2,737 (incl. Choline Magnesium Trisalicylate)

Taking anything else?

Check Another of Your Medications Against Terminalia Chebula

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

What to actually watch for

What Terminalia Chebula Itself Has Been Linked To

This is not an interaction — nothing below involves Choline Magnesium Trisalicylate. It is the side-effect record for Terminalia Chebula on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Terminalia Chebula, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

An allergic reaction Worth acting on Additional detail
“In a small clinical study, two adults with hyperlipidemia developed a hypersensitivity rash, one with facial edema, within minutes of oral administration of Triphala (containing an aqueous extract of Terminalia chebula, Terminalia bellirica, and Indian gooseberry), together with guggul extract. It is unclear if this reaction was due to Triphala, guggul, or other factors.”

Terminalia Chebula · Natural Medicines adverse-effect record, reported in hypercholesterolemia.
1 source cited

105741. Donato F, Raffetti E, Toninelli G, Festa A, Scarcella C, Castellano M; TRIGU Project Working Group. Guggulu and Triphala for the Treatment of Hypercholesterolaemia: A Placebo-Controlled, Double-Blind, Randomised Trial. Complement Med Res 2021;28(3):216-22 PubMed
Swelling / A skin rash Additional detail

Recorded for Terminalia Chebula in the same Natural Medicines adverse-effect record shown under An allergic reaction above.

Everything above comes from the Natural Medicines adverse-effect record for Terminalia Chebula — expand a row for the licensed statement it rests on. We haven’t matched Choline Magnesium Trisalicylate to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for Choline Magnesium Trisalicylate.

Special populations

Terminalia Chebula in Pregnancy & Breastfeeding

Pregnancy Possibly Unsafe

When used orally. One source warns against using Terminalia bellirica and Terminalia chebula during pregnancy; however, the reason for this warning is not described. Until more is known, avoid use.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With Choline Magnesium Trisalicylate

This page covers Terminalia Chebula only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Choline Magnesium Trisalicylate page lists 60 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Siberian Cocklebur (major), Wine (major) and Ashwagandha (moderate).

By severity: 4 major · 46 moderate · 10 minor.

From our pharmacist’s overview on the Choline Magnesium Trisalicylate page

“Choline magnesium trisalicylate (Trilisate, Tricosal) is an aspirin-like salicylate taken for arthritis pain, and I would treat its supplement list with more care than most. Four of the 60 ingredients on file rate major, and the dominant theme is the liver: 38 of these ingredients can stress it, so combining them with this drug may rai…”

Reviewed by 2 · Jul 18, 2026

Open the Choline Magnesium Trisalicylate interaction page

How much people look this up

Where Terminalia Chebula and Choline Magnesium Trisalicylate 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 Terminalia Chebula

Steady interest

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

29 days ago today

Medication Choline Magnesium Trisalicylate

Top 25%

#697 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 Terminalia Chebula reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Terminalia Chebula and Choline Magnesium Trisalicylate records this page draws on were last updated July 11, 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 Dr. Brian Staiger, PharmD, BCPS.

Supplement

About Terminalia Chebula

What is Terminalia Chebula?

Digestive support and constipation
Antioxidant support
Oral and throat health
General immune support
Traditional tonic in Ayurvedic medicine

Terminalia chebula, often called haritaki, is a fruit widely used in Ayurvedic medicine, most commonly for digestion and as a key part of the Triphala blend. Early laboratory and small human studies suggest possible antioxidant and digestive effects, but high-quality evidence in people is limited. Talk with your pharmacist or doctor before using it, especially if you are pregnant, breastfeeding, or take other medicines.

Terminalia chebula · Combretaceae · Dried fruit · Powder (churna), capsules, tablets, decoctions, and as part of herbal blends like Triphala

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

Terminalia Chebula: dosing

There is no official, standardized dose of Terminalia chebula. Traditional and commercial products vary widely in their strength and form.The safest approach is to follow the directions on the product label and not exceed the recommended amount.

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

Read the full Terminalia Chebula monograph & all interactions

Keep checking

Other Drugs & Terminalia Chebula

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

0Major

93Moderate

0Minor

2,736No known interaction

93 Moderate 2,736 No interaction

Moderate

93 interactions

Showing 60 of 93 moderate interactions — see all 93 on the Terminalia Chebula page.

No interaction 2,736 drugs checked — show the list

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

Showing the 60 most looked-up of 2,736 medications checked with no known interaction — see the full Terminalia Chebula list.

See the full Terminalia Chebula interactions page

See every supplement checked against Choline Magnesium Trisalicylate, ranked by severity

Evidence & sources

Terminalia Chebula References

The 9 references that drive our Terminalia Chebula 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.

Chevallier A. Encyclopedia of Medicinal Plants. New York, NY: DK Publishing, 1996.
Sabu, M. C. and Kuttan, R. Anti-diabetic activity of medicinal plants and its relationship with their antioxidant property. J Ethnopharmacol. 2002;81(2):155-160. PubMed
Murali, Y. K., Anand, P., Tandon, V., Singh, R., Chandra, R., and Murthy, P. S. Long-term effects of Terminalia chebula Retz. on hyperglycemia and associated hyperlipidemia, tissue glycogen content and in vitro release of insulin in streptozotocin induced
Senthilkumar, G. P. and Subramanian, S. Evaluation of antioxidant potential of Terminalia chebula fruits studies in streptozotocin-induced diabetic rats. Pharmaceutical Biology (Netherlands) 2007;45:511-518.
Wu G, Dong Z, Dong J, et al. Effects of mongolian medicine Terminalia chebula Retz. on 6 CYP450 enzymes in rats. Int J Clin Exp Pathol 2020;13(12):3128-3138.
Donato F, Raffetti E, Toninelli G, Festa A, Scarcella C, Castellano M; TRIGU Project Working Group. Guggulu and Triphala for the Treatment of Hypercholesterolaemia: A Placebo-Controlled, Double-Blind, Randomised Trial. Complement Med Res 2021;28(3):216-22 PubMed
Das A, Naveen J, Sreerama YN, Gnanesh Kumar BS, Baskaran V. Low-glycemic foods with wheat, barley and herbs (Terminalia chebula, Terminalia bellerica and Emblica officinalis) inhibit a-amylase, a-glucosidase and DPP-IV activity in high fat and low dose st
Eltimamy M, Elshamarka M, Aboelsaad M, Sayed M, Moawad H. Effects of alcoholic extract of Terminalia Chebula dried fruit on blood biochemical profile in diabetic rats. J Diabetes Metab Disord 2022;21(1):159-170. PubMed
Agrawal OD, Kulkarni YA. Treatment with Terminalia chebula extract reduces insulin resistance, hyperglycemia and improves SIRT1 expression in type 2 diabetic rats. Life (Basel) 2023;13(5):1168. 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 Terminalia Chebula and Choline Magnesium Trisalicylate Together: Common Questions

Is it safe to take Terminalia Chebula with Choline Magnesium Trisalicylate?

We do not list a known interaction between Terminalia Chebula and Choline Magnesium Trisalicylate. 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 Terminalia Chebula and Choline Magnesium Trisalicylate combination checked?

Interactions in our licensed database are recorded against drug classes. Choline Magnesium Trisalicylate is filed under 3 classifications, and Terminalia Chebula has documented interactions with 3 drug classes — none of Choline Magnesium Trisalicylate'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 Terminalia Chebula interact with any other medications?

Yes. Terminalia Chebula has 93 documented drug interactions in our database — Choline Magnesium Trisalicylate 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 Choline Magnesium Trisalicylate interact with any supplements?

Yes. Choline Magnesium Trisalicylate has documented interactions with 60 supplements in our database — Terminalia Chebula is not one of them. The Choline Magnesium Trisalicylate 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

Terminalia Chebula monograph Uses, safety profile, and every drug interaction in one place Choline Magnesium Trisalicylate supplement interactions Every supplement checked against Choline Magnesium Trisalicylate, 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 9 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Choline Magnesium Trisalicylate and Terminalia Chebula?

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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.