Tonka Bean + nitazoxanide
nitazoxanide brand name: Alinia.
We found no known interaction between Tonka Bean and nitazoxanide 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. Additionally, although there is no interaction, the label for nitazoxanide states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.
Tonka Bean and nitazoxanide
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 nitazoxanide and Tonka Bean 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 Tonka Bean at all — not against nitazoxanide, 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.
Tonka Bean safety at a glance
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.
Tonka Bean in Pregnancy & Breastfeeding
When used orally; avoid using.
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
Some nitazoxanide Products Have a Food Rule — Tonka Bean Should Not Break It
At least one FDA label for a product containing nitazoxanide says to take it with food. If you take Tonka Bean on an empty stomach out of habit, keep them separate — and take nitazoxanide with a meal where the label says to.
This may not be true of your version. Food instructions belong to the product, not the ingredient: two nitazoxanide products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.
parvum (2.1): Age Dosage Duration 12 years and older One nitazoxanide tablet (500 mg nitazoxanide) every 12 hours with food 3 days 2.1 Recommended Dosage and Important Administration Instructions Important Administration Instructions for Pediatric Patients 11 years of Age or Younger: Nitazoxanide tablets should not be administered to pediatric patients 11 years of age or younger because a single t
From the Dosage and Administration section of the FDA label we read for nitazoxanide — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›
A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.
See Every Supplement That Interacts With nitazoxanide
This page covers Tonka Bean only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the nitazoxanide page lists 17 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Coffee Charcoal (moderate), European Mandrake (moderate), Glucomannan (moderate) and Guar Gum (moderate).
By severity: 1 major · 7 moderate · 9 minor.
From our pharmacist’s overview on the nitazoxanide page
“Nitazoxanide (Alinia) is an antiparasitic taken as a short course, often just three days, to clear gut infections like giardiasis, so every dose needs to actually reach the bloodstream. That is exactly what the 17 supplements on this page can undermine, and it is why this list deserves real care rather than a shrug.”
Reviewed by 2 · Jul 18, 2026
Taking Tonka Bean as Part of a Dietary Supplement Product? Check It for Interactions
We hold 6 real supplement products containing Tonka Bean, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Tonka Bean. Even though Tonka Bean itself has no known interaction with nitazoxanide, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:
Where Tonka Bean and nitazoxanide 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.
#1,300 of 1,452 supplements looked up here in the last 7 days
#1,744 of 2,830 medications looked up here in the last 7 days
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 Tonka Bean reference on this page ↓
- Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Tonka Bean and nitazoxanide 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.
About Tonka Bean
What is Tonka Bean?
- Flavoring in food and desserts
- Fragrance and perfume
- Cough and sore throat (traditional)
- Digestive complaints (traditional)
- Relaxation
Tonka bean comes from the seed of a South American tree and is prized for its sweet, vanilla-like aroma in perfumes and cooking. It contains coumarin, which can be toxic to the liver and is restricted in food in many countries, so it is not recommended as a health supplement. There is no reliable evidence that it treats any medical condition.
Dipteryx odorata · Fabaceae · Seeds (beans) and the extract or essential oil · Whole or grated bean, extract/flavoring, essential oil, perfume ingredient
An interaction check asks whether these two react with each other — it does not ask whether Tonka Bean is a good idea for someone in your situation. Here is what our Tonka Bean record says about it on its own.
Tonka Bean: dosing
There is no established safe or effective medicinal dose for tonka bean, and it is not recommended as a supplement. In cooking, chefs use only a tiny shaving of the bean because of its strong flavor and coumarin content.If you come across a product containing tonka bean, follow the product label and keep amounts very small.
From our Tonka Bean monograph — the full record covers uses, side effects and every documented interaction.
About Nitazoxanide
What Is Nitazoxanide Used For?
Brand name: Alinia
Nitazoxanide tablets (for patients 12 years and older) treat diarrhea caused by two parasites: Giardia lamblia and Cryptosporidium parvum. These are intestinal parasites that can cause significant diarrhea and digestive upset.
Important limitation: nitazoxanide tablets and Alinia for oral suspension have not been shown to work for diarrhea caused by Cryptosporidium parvum in people who are HIV-positive or have a weakened immune system.
Other Drugs & Tonka Bean
Browse every other medication we’ve checked against Tonka Bean — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
No interaction 2,829 drugs checked — show the list
We also checked Tonka Bean against these medications and found no known interaction in our sources. Open any page to confirm.
- Apixaban ›
- Levothyroxine ›
- Amlodipine ›
- Methylphenidate ›
- Warfarin ›
- Sertraline ›
- Testosterone ›
- Losartan Potassium ›
- Ivermectin ›
- Abemaciclib ›
- Aspirin ›
- Acetaminophen ›
- Metoprolol ›
- Rosuvastatin ›
- Rivaroxaban ›
- Escitalopram ›
- Clopidogrel ›
- Atorvastatin ›
- Tadalafil ›
- Docusate ›
- Tirzepatide ›
- Ibuprofen ›
- Methamphetamine ›
- Hydroxyurea ›
- Warfarin Sodium ›
- Valacyclovir ›
- Sumatriptan ›
- Semaglutide ›
- Prednisone ›
- Lisdexamfetamine ›
- Propranolol ›
- Metformin ›
- Amitriptyline ›
- Amoxicillin ›
- Lisinopril ›
- Isotretinoin ›
- Amlodipine Besylate ›
- Methotrexate ›
- Bendamustine ›
- Bupropion ›
- Amphetamine ›
- Doxycycline ›
- Fluoxetine ›
- Azithromycin ›
- Acyclovir ›
- Lamotrigine ›
- Pregabalin ›
- Dextroamphetamine ›
- Gabapentin ›
- Acetaminophen, Codeine ›
- Quetiapine ›
- Clonazepam ›
- Levothyroxine, Liothyronine ›
- Naproxen ›
- Omeprazole ›
- Letrozole ›
- Methylene Blue ›
- Duloxetine ›
- Buspirone ›
- Citalopram ›
Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Tonka Bean list.
Tonka Bean References
The 4 references that drive our Tonka Bean 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.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Mohler JL, Gomella LG, Crawford ED, et al. Phase II evaluation of coumarin (1,2-benzopyrone) in metastatic prostatic carcinoma. Prostate 1992;20:123-31. PubMed
- Marshall ME, Butler K, Fried A. Phase I evaluation of coumarin (1,2 benzopyrone) and cimetidine in patients with advanced malignancies. Mol Biother 1991;3:170-8.
- Cox D, O'Kennedy R, Thornes RD. The rarity of toxicity in patients treated with coumarin (1,2-benzopyrone). Hum Toxicol 1989;8:501-6.
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.
Taking Tonka Bean and nitazoxanide Together: Common Questions
Is it safe to take Tonka Bean with nitazoxanide?
Do Tonka Bean and nitazoxanide have any of the same side effects?
Should I take Tonka Bean and nitazoxanide at the same time of day?
Does nitazoxanide interact with any supplements?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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.