Drug & supplement interaction

Trailing Arbutus + Fruquintinib

Fruquintinib brand name: Fruzaqla.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Trailing Arbutus and Fruquintinib 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 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.

Know someone taking this? Share
Interaction report

Trailing Arbutus and Fruquintinib

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 Fruquintinib and Trailing Arbutus 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 Trailing Arbutus at all — not against Fruquintinib, 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.

Trailing Arbutus safety at a glance

Trailing Arbutus overall Not established There is very little human research, so its safety is not well established.
Pregnancy Avoid No reliable safety data exist, so avoid use during pregnancy.
Breastfeeding Avoid No reliable safety data exist, so avoid use while breastfeeding.

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

Still wondering about combining Fruquintinib and Trailing Arbutus? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Trailing Arbutus and Fruquintinib May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do. 2 of them are worth acting on rather than waiting out — marked below.

  • Liver problems / Bleeding or bruising Worth acting on Additional detail

    Trailing Arbutus

    “Orally, chronic use of trailing arbutus may lead to hydroquinone toxicity. Symptoms of toxicity include tinnitus, vomiting, delirium, convulsions, and collapse (11). Liver damage, cachexia, hemolytic anemia, and hair depigmentation may also occur with long term use (18).”

    Trailing Arbutus · Natural Medicines adverse-effect record, reported in anemia.

    2 sources cited
    1. 11. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
    2. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

    Fruquintinib

    Listed in the ADVERSE REACTIONS section of the FDA label for Fruquintinib. Read the label on DailyMed ›

  • Vomiting Additional detail

    Trailing Arbutus

    Recorded for Trailing Arbutus in the same Natural Medicines adverse-effect record shown under Liver problems / Bleeding or bruising above.

    Fruquintinib

    Listed in the ADVERSE REACTIONS section of the FDA label for Fruquintinib. Read the label on DailyMed ›

Reported for Trailing Arbutus but not commonly for Fruquintinib: pain or burning when passing urine, seizures, confusion and ringing in the ears.

Effects for Fruquintinib come from the ADVERSE REACTIONS section of its FDA label; effects for Trailing Arbutus come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Everything else you take

See Every Supplement That Interacts With Fruquintinib

This page covers Trailing Arbutus only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Fruquintinib 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 Fruquintinib page

“Fruquintinib (Fruzaqla) is an oral targeted therapy for advanced colorectal cancer, which means keeping its blood level steady is part of what makes it work, and I would treat this supplement list with genuine care. Of the 168 ingredients on file, the large majority interact through CYP3A4, the liver enzyme that clears the drug, so the…”

Reviewed by 2 · Jul 18, 2026

Open the Fruquintinib interaction page

One more smart check

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

We hold 12 real supplement products containing Trailing Arbutus, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Trailing Arbutus. Even though Trailing Arbutus itself has no known interaction with Fruquintinib, 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 Trailing Arbutus and Fruquintinib 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 Trailing Arbutus
Steady interest

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

29 days ago today
Medication Fruquintinib
Top 25%

#608 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 Trailing Arbutus reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified October 4, 2026. The Trailing Arbutus and Fruquintinib 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 Trailing Arbutus

What is Trailing Arbutus?

  • Urinary tract complaints
  • Bladder irritation
  • Kidney support (traditional)
  • Mild diuretic

Trailing Arbutus is a low-growing North American woodland plant traditionally used in folk medicine for urinary and bladder complaints. There is very little modern scientific research on its safety or effectiveness, so it cannot be recommended with confidence. Talk to your pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.

Epigaea repens · Ericaceae · Leaves (occasionally the whole flowering plant) · Tea, tincture, dried herb

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

Trailing Arbutus: dosing

There is no established or standardized dose for Trailing Arbutus. It has not been studied enough to know a safe and effective amount, and quality of commercial products is not guaranteed.If you choose to use a product that contains it, follow the directions on the label and do not exceed them.

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

Read the full Trailing Arbutus monograph & all interactions
Medication

About Fruquintinib

What Is Fruquintinib Used For?

Brand name: Fruzaqla

Fruzaqla (fruquintinib) is used to treat adults with metastatic colorectal cancer (mCRC) — colorectal cancer that has spread to other parts of the body. It is specifically for patients who have already been treated with several standard chemotherapy regimens and other targeted therapies.

Fruzaqla is intended for patients who have previously received fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy, an anti-VEGF therapy, and — if their tumor is RAS wild-type and it is medically appropriate — an anti-EGFR therapy.

Most-Reported Side Effects for Fruquintinib

From FAERS, the FDA’s public side-effect reporting system (3,770 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 470 reports
Colorectal cancer metastatic 388 reports
Colon cancer 371 reports
Diarrhea 275 reports
Blood pressure increased 269 reports
See full Fruquintinib drug information
Keep checking

Other Drugs & Trailing Arbutus

Browse every other medication we’ve checked against Trailing Arbutus — 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

Trailing Arbutus References

The 2 references that drive our Trailing Arbutus 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. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

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 Trailing Arbutus and Fruquintinib Together: Common Questions

Is it safe to take Trailing Arbutus with Fruquintinib?
We do not list a known interaction between Trailing Arbutus and Fruquintinib. 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.
Do Trailing Arbutus and Fruquintinib have any of the same side effects?
Yes — our sources link each of them separately to 3 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Does Fruquintinib interact with any supplements?
Yes. Fruquintinib has documented interactions with 168 supplements in our database — Trailing Arbutus is not one of them. The Fruquintinib 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 Fruquintinib and Trailing Arbutus?

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.