Drug & supplement interaction

Tormentil + Ixazomib Citrate

Ixazomib Citrate brand name: Ninlaro.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Tormentil and Ixazomib Citrate 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 Ixazomib Citrate states a food rule worth keeping to.

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Interaction report

Tormentil and Ixazomib Citrate

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 Ixazomib Citrate and Tormentil 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 Tormentil at all — not against Ixazomib Citrate, 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.

Tormentil safety at a glance

Tormentil overall Use caution Generally considered low-risk for short-term use, but human safety data are limited.
Pregnancy Avoid Not enough safety information, so it is best avoided during pregnancy.
Breastfeeding Avoid Safety has not been studied, so avoid use while breastfeeding.

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

Still wondering about combining Ixazomib Citrate and Tormentil? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Tormentil Itself Has Been Linked To

This is not an interaction — nothing below involves Ixazomib Citrate. It is the side-effect record for Tormentil on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Tormentil, this list is the first place to look.

  • Heartburn / Stomach pain Additional detail

    “Orally, tormentil has been reported to cause mild abdominal pain, heartburn, and feelings of fullness in one clinical trial. These adverse effects occurred at the same frequency for doses ranging from 1.2 grams daily to 3 grams daily.”

    Tormentil · Natural Medicines adverse-effect record, reported in dyspepsia.

    1 source cited
    1. 78590. Huber, R., Ditfurth, A. V., Amann, F., Guthlin, C., Rostock, M., Trittler, R., Kummerer, K., and Merfort, I. Tormentil for active ulcerative colitis: an open-label, dose-escalating study. J.Clin.Gastroenterol. 2007;41(9):834-838. PubMed

Everything above comes from the Natural Medicines adverse-effect record for Tormentil — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Ixazomib Citrate’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Ixazomib Citrate column appears here.

How to take them

Some Ixazomib Citrate Products Have a Food Rule — Tormentil Should Not Break It

At least one FDA label for a product containing Ixazomib Citrate says to take it on an empty stomach. Most supplements — Tormentil included — are taken with a meal, so the easy mistake is swallowing both together at breakfast. Where that rule applies, keep Ixazomib Citrate on its own and move Tormentil to a meal later in the day.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Ixazomib Citrate 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.

( 2.1 ) Dose should be taken at least one hour before or at least two hours after food.

From the Dosage and Administration section of the FDA label we read for Ixazomib Citrate — where that label names a specific product, the instruction is that product's. See the Ixazomib Citrate drug page ›

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.

Everything else you take

See Every Supplement That Interacts With Ixazomib Citrate

This page covers Tormentil only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ixazomib Citrate page lists 168 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Grapefruit (major), Siberian Cocklebur (major) and St. John's Wort (major).

By severity: 6 major · 124 moderate · 38 minor.

From our pharmacist’s overview on the Ixazomib Citrate page

“Anyone taking ixazomib citrate (Ninlaro) for multiple myeloma should give this list real weight, because a supplement that shifts this chemotherapy's blood level can shift how well it works against the cancer. Of the 168 ingredients on file, 121 act on CYP3A4, the enzyme that clears ixazomib.”

Reviewed by 2 · Jul 18, 2026

Open the Ixazomib Citrate interaction page

How much people look this up

Where Tormentil and Ixazomib Citrate 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 Tormentil
Top half

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

29 days ago today
Medication Ixazomib Citrate
Top 25%

#524 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 Tormentil reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Tormentil and Ixazomib Citrate 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.
Data structure & sourcing designed and verified by .
Supplement

About Tormentil

What is Tormentil?

  • Diarrhea
  • Mouth and throat inflammation
  • Mild digestive upset
  • Sore throat (gargle)
  • Minor wounds and skin irritation

Tormentil is a traditional herb whose root is rich in tannins and has long been used for diarrhea and as a mouth rinse for sore gums or throat. Some small studies suggest it may help shorten diarrhea, but overall evidence is limited and quality is low. Talk to your pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding because safety is not established.

Potentilla erecta · Rosaceae · Root and rhizome (underground stem) · Tincture, liquid extract, tea, capsules, mouth rinse

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

Tormentil: dosing

There is no official, standardized dose for tormentil, and products vary widely in strength. Tinctures, extracts, teas, and capsules will each have different recommended amounts.The safest approach is to follow the directions on the product label and not exceed them. If you are using it as a mouth rinse, do not swallow large amounts.

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

Read the full Tormentil monograph & all interactions
Medication

About Ixazomib

What Is Ixazomib Used For?

Brand name: Ninlaro

Ninlaro (ixazomib) is used to treat multiple myeloma — a cancer of plasma cells in the bone marrow. It is always used together with two other medicines, lenalidomide and dexamethasone, and is approved for adults who have already tried at least one other treatment.

Ninlaro is not recommended as maintenance therapy or for newly diagnosed multiple myeloma in combination with lenalidomide and dexamethasone outside of controlled clinical trials.

See full Ixazomib drug information
Keep checking

Other Drugs & Tormentil

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

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Tormentil References

The 1 references that drive our Tormentil 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. Huber, R., Ditfurth, A. V., Amann, F., Guthlin, C., Rostock, M., Trittler, R., Kummerer, K., and Merfort, I. Tormentil for active ulcerative colitis: an open-label, dose-escalating study. J.Clin.Gastroenterol. 2007;41(9):834-838. 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 Tormentil and Ixazomib Citrate Together: Common Questions

Is it safe to take Tormentil with Ixazomib Citrate?
We do not list a known interaction between Tormentil and Ixazomib Citrate. 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.
Should I take Tormentil and Ixazomib Citrate at the same time of day?
At least one FDA label for a product containing Ixazomib Citrate says to take it on an empty stomach, and supplements are usually taken with a meal — so taking them together at breakfast is the easy mistake. Where that applies, keep Ixazomib Citrate on its own and move Tormentil to a meal later in the day. Food instructions belong to the product rather than the ingredient, so check the directions on your own box. This is about absorption, not an interaction.
Does Ixazomib Citrate interact with any supplements?
Yes. Ixazomib Citrate has documented interactions with 168 supplements in our database — Tormentil is not one of them. The Ixazomib Citrate interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Ixazomib Citrate and Tormentil?

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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.