Vitex Agnus-castus + Erlotinib
Erlotinib brand name: Tarceva.
We found no known interaction between Vitex Agnus-castus and Erlotinib 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 Erlotinib 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.
Vitex Agnus-castus and Erlotinib
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 Erlotinib and Vitex Agnus-castus 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.
Vitex Agnus-castus 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.
Why No Interaction Is Listed for Erlotinib
Interactions in our licensed database are recorded against drug classes, not just single drug names. Erlotinib is filed under 2 classifications — including oral drugs. Vitex Agnus-castus has documented interactions with 5 drug classes — the most serious being antipsychotic drugs (moderate), contraceptive drugs (moderate) and dopamine agonists (moderate) — and none of Erlotinib’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.
Vitex Agnus-castus Does Interact With Other Medications
Vitex Agnus-castus has 121 moderate known drug interactions in our database — Erlotinib isn’t one of them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Vitex Agnus-castus
We haven’t checked that one against Vitex Agnus-castus yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Vitex Agnus-castus. Pick one to open its full report.
Vitex Agnus-castus in Pregnancy & Breastfeeding
When used orally. Theoretically, the hormonal effects of vitex agnus-castus might adversely affect pregnancy or lactation. Animal research shows that taking vitex agnus-castus fruit extract when planning to become pregnant or during pregnancy may increase the risk of infertility, low fetal body weight, abortion, and stillbirth; 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 Erlotinib Products Have a Food Rule — Vitex Agnus-castus Should Not Break It
At least one FDA label for a product containing Erlotinib says to take it on an empty stomach. Most supplements — Vitex Agnus-castus included — are taken with a meal, so the easy mistake is swallowing both together at breakfast. Where that rule applies, keep Erlotinib on its own and move Vitex Agnus-castus 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 Erlotinib 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.
Recommended Dose – NSCLC The recommended daily dose of erlotinib tablets for NSCLC is 150 mg taken on an empty stomach, i.e., at least one hour before or two hours after the ingestion of food.
From the Dosage and Administration section of the FDA label we read for Erlotinib — 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 Erlotinib
This page covers Vitex Agnus-castus only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Erlotinib page lists 18 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Bilberry (moderate), Coffee Charcoal (moderate), European Mandrake (moderate) and Glucomannan (moderate).
By severity: 1 major · 8 moderate · 9 minor.
From our pharmacist’s overview on the Erlotinib page
“Activated charcoal is the entry I would flag first for anyone taking erlotinib (Tarceva), an oral targeted therapy for certain lung cancers. Charcoal can adsorb the drug in the gut and cut how much reaches the bloodstream, and with a cancer pill, less absorbed means less cancer fought.”
Reviewed by 2 · Jul 18, 2026
Taking Vitex Agnus-castus as Part of a Dietary Supplement Product? Check It for Interactions
We hold 45 real supplement products containing Vitex Agnus-castus, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Vitex Agnus-castus. Even though Vitex Agnus-castus itself has no known interaction with Erlotinib, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:
Where Vitex Agnus-castus and Erlotinib 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.
#459 of 1,452 supplements looked up here in the last 7 days
#1,386 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 Vitex Agnus-castus reference on this page ↓
- Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Vitex Agnus-castus and Erlotinib 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 Vitex Agnus-castus
What is Vitex Agnus-castus?
- Premenstrual syndrome (PMS)
- Irregular or absent menstrual periods
- Cyclical breast pain (mastalgia)
- Menopause symptoms
- Fertility support
Vitex (chasteberry) is an herbal remedy most often used for PMS and menstrual cycle problems, and the strongest evidence is for easing some PMS symptoms. It is generally well tolerated by many adults, but it can affect hormone-related processes, so anyone who is pregnant, breastfeeding, or has a hormone-sensitive condition should talk with a healthcare professional first.
Vitex agnus-castus · Lamiaceae · Dried ripe fruit (berries) · Capsules, tablets, liquid extracts (tinctures), and teas
An interaction check asks whether these two react with each other — it does not ask whether Vitex Agnus-castus is a good idea for someone in your situation. Here is what our Vitex Agnus-castus record says about it on its own.
Vitex Agnus-castus: dosing
There is no single official or proven dose for vitex. Products differ widely in how they are made and how concentrated they are, so the amount per dose varies from one brand to another. Standardized extracts are common, but a universal best dose has not been established.The safest approach is to follow the directions on the product label and not take more than recommended. Because vitex may take several weeks or even a few menstrual cycles before any effect is noticed, it is often used over time.
From our Vitex Agnus-castus monograph — the full record covers uses, side effects and every documented interaction.
About Erlotinib
What Is Erlotinib Used For?
Brand name: Tarceva
Erlotinib tablets are used to treat metastatic non-small cell lung cancer (NSCLC) in patients whose tumors carry specific gene changes — EGFR exon 19 deletions or exon 21 (L858R) mutations — confirmed by an FDA-approved test. It can be used as a first-line treatment, as maintenance therapy, or after at least one prior chemotherapy has stopped working.
Erlotinib tablets are also used for the first-line treatment of locally advanced, unresectable, or metastatic pancreatic cancer — but only in combination with another chemotherapy drug called gemcitabine. Erlotinib is not recommended alongside platinum-based chemotherapy regimens.
Most-Reported Side Effects for Erlotinib
From FAERS, the FDA’s public side-effect reporting system (12,442 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.
Other Drugs & Vitex Agnus-castus
Browse every other medication we’ve checked against Vitex Agnus-castus — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
121 interactions
- Estradiol ›
- Levonorgestrel ›
- Apomorphine ›
- Conjugated Estrogens ›
- Selegiline ›
- Aripiprazole ›
- Fluphenazine ›
- Metoclopramide ›
- Modafinil ›
- Aripiprazole Lauroxil ›
- Asenapine ›
- Chlorpromazine ›
- Clozapine ›
- Esterified Estrogens ›
- Estropipate ›
- Levodopa ›
- Lithium Carbonate (prescription Drug) ›
- Loxapine ›
- Norgestrel ›
- Pergolide Mesylate ›
- Prochlorperazine ›
- Quetiapine ›
- Risperidone ›
- Ropinirole ›
- Zonisamide ›
- Acepromazine ›
- Acetophenazine ›
- Apomorphine Hydrochloride ›
- Armodafinil ›
- Birth Control Pills ›
- Brexpiprazole ›
- Bromocriptine ›
- Butaperazine ›
- Cariprazine Hydrochloride ›
- Carphenazine ›
- Chlorprothixene ›
- Cyamemazine ›
- Dopamine ›
- Drospirenone ›
- Entacapone ›
- Estrogen ›
- Estrone ›
- Ethinyl Estradiol ›
- Etonogestrel ›
- Flupenthixol ›
- Gestodene ›
- Haloperidol ›
- Isopropamide Iodide ›
- Lurasidone ›
- Mesoridazine Besylate ›
- Methotrimeprazine Maleate ›
- Metoclopramide Hydrochloride ›
- Molindone ›
- Oestrogen ›
- Olanzapine ›
- Opicapone ›
- Paliperidone ›
- Paliperidone Palmitate ›
- Pericyazine ›
- Perphenazine ›
Showing 60 of 121 moderate interactions — see all 121 on the Vitex Agnus-castus page.
No interaction 2,708 drugs checked — show the list
We also checked Vitex Agnus-castus 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 ›
- Metoprolol ›
- Aspirin ›
- Ivermectin ›
- Rivaroxaban ›
- Rosuvastatin ›
- Escitalopram ›
- Tadalafil ›
- Acetaminophen ›
- Clopidogrel ›
- Valacyclovir ›
- Atorvastatin ›
- Docusate ›
- Hydroxyurea ›
- Abemaciclib ›
- Methamphetamine ›
- Ibuprofen ›
- Sumatriptan ›
- Semaglutide ›
- Tirzepatide ›
- Warfarin Sodium ›
- Prednisone ›
- Propranolol ›
- Lisdexamfetamine ›
- Acyclovir ›
- Bupropion ›
- Metformin ›
- Amoxicillin ›
- Lisinopril ›
- Bendamustine ›
- Amitriptyline ›
- Doxycycline ›
- Lamotrigine ›
- Fluoxetine ›
- Methotrexate ›
- Acetaminophen, Codeine ›
- Gabapentin ›
- Amphetamine ›
- Pregabalin ›
- Isotretinoin ›
- Dextroamphetamine ›
- Azithromycin ›
- Clonazepam ›
- Omeprazole ›
- Amlodipine Besylate ›
- Methylene Blue ›
- Duloxetine ›
- Letrozole ›
- Buspirone ›
- Citalopram ›
- Ciprofloxacin ›
- Naproxen ›
- Bisoprolol ›
Showing the 60 most looked-up of 2,708 medications checked with no known interaction — see the full Vitex Agnus-castus list.
Vitex Agnus-castus References
The 23 references that drive our Vitex Agnus-castus 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.
- Wuttke W. Dopaminergic action of extracts of Agnus Castus. Forschende Komplementarmedizen 1996;3:329-30.
- Jarry H, Leonhardt S., Gorkow C, Wuttke W. In vitro prolactin but not LH and FSH release is inhibited by compounds in extracts of Agnus Castus: direct evidence for a dopaminergic principle by the dopamine receptor assay. Exp Clin Endocrinol 1994;102:448- PubMed
- Schellenberg R. Treatment for the premenstrual syndrome with agnus castus fruit extract: prospective, randomised, placebo-controlled study. BMJ 2001;322:134-7. PubMed
- Lauritzen CH, Reuter HD, Repges R, et al. Treatment of premenstrual tension syndrome with Vitex agnus castus: Controlled-double blind versus pyridoxine. Phytomedicine 1997;4:183-9.
- Berger D, Schaffner W, Schrader E, et al. Efficacy of Vitex agnus castus L. extract Ze 440 in patients with premenstrual syndrome (PMS). Arch Gynecol Obstet 2000;264:150-3.
- Loch EG, Selle H, Boblitz N. Treatment of premenstrual syndrome with a phytopharmaceutical formulation containing Vitex agnus castus. J Womens Health Gend Based Med 2000;9:315-20. PubMed
- Meier B, Berger D, Hoberg E, et al. Pharmacological activities of Vitex agnus-castus extracts in vitro. Phytomedicine 2000;7:373-81. PubMed
- Liu J, Burdette JE, Xu H, et al. Evaluation of estrogenic activity of plant extracts for the potential treatment of menopausal symptoms. J Agric Food Chem 2001;49:2472-9.. PubMed
- Wuttke W, Jarry H, Christoffel V, et al. Chaste tree (Vitex agnus-castus)--pharmacology and clinical indications. Phytomedicine 2003;10:348-57. PubMed
- Atmaca M, Kumru S, Tezcan E. Fluoxetine versus Vitex agnus castus extract in the treatment of premenstrual dysphoric disorder. Hum Psychopharmacol 2003;18:191-5..
- Daniele C, Thompson Coon J, Pittler MH, Ernst E. Vitex agnus castus: a systematic review of adverse events. Drug Saf 2005;28:319-32..
- Halaska M, Beles P, Gorkow C, Sieder C. Treatment of cyclical mastalgia with a solution containing a Vitex agnus castus extract: results of a placebo-controlled double-blind study. Breast 1999;8:175-81. PubMed
- Prilepskaya VN, Ledina AV, Tagiyeva AV, Revazova FS. Vitex agnus castus: Successful treatment of moderate to severe premenstrual syndrome. Maturitas 2006;55 Suppl 1:S55-63. DOI
- Ma, L., Lin, S., Chen, R., and Wang, X. Treatment of moderate to severe premenstrual syndrome with Vitex agnus castus (BNO 1095) in Chinese women. Gynecol.Endocrinol. 2010;26(8):612-616. PubMed
- Ma, L., Lin, S., Chen, R., Zhang, Y., Chen, F., and Wang, X. Evaluating therapeutic effect in symptoms of moderate-to-severe premenstrual syndrome with Vitex agnus castus (BNO 1095) in Chinese women. Aust.N.Z.J Obstet.Gynaecol. 2010;50(2):189-193. PubMed
- Dinç T, Coskun F. Comparison of fructus agni casti and flurbiprofen in the treatment of cyclic mastalgia in premenopausal women. Ulus Cerrahi Derg. 2014 Mar 1;30(1):34-8 PubMed
- Momoeda M, Sasaki H, Tagashira E, Ogishima M, Takano Y, Ochiai K. Efficacy and safety of Vitex agnus-castus extract for treatment of premenstrual syndrome in Japanese patients: a prospective, open-label study. Adv Ther. 2014 Mar;31(3):362-73. PubMed
- Yavarikia P, Shahnazi M, Hadavand Mirzaie S, Javadzadeh Y, Lutfi R. Comparing the effect of mefenamic Acid and vitex agnus on intrauterine device induced bleeding. J Caring Sci. 2013 Aug 31;2(3):245-54.
- Van Die MD, Burger HC, Teede HG, Bone KM. Vitex agnus castus extracts for female reproductive disorders: a systematic review of clinical trials. Planta Med 2013:79:562-575. PubMed
- Ooi SL, Watts S, McClean R, Pak SC. Vitex agnus-castus for the treatment of cyclic mastalgia: A systematic review and meta-analysis. J Womens Health (Larchmt). 2020;29(2):262-278. PubMed
- Mollazadeh S, Mirghafourvand M, Abdollahi NG. The effects of Vitex agnus-castus on menstrual bleeding: A systematic review and meta-analysis. J Complement Integr Med. 2019;17(1). pii: /j/jcim.2019.17.issue-1/jcim-2018-0053/jcim-2018-0053.xml.
- Najib FS, Poordast T, Mahmudi MS, Shiravani Z, Namazi N, Omrani GR. Does Vitex Agnus-Castus L. Have Deleterious Effect on Fertility and Pregnancy Outcome? An Experimental Study on Rats for Prediction of Its Safety. J Pharmacopuncture 2022;25(2):106-113. PubMed
- Somuncu E, Solak IHA. Colonic Obstruction Secondary to Phytobezoar Caused by Vitex Agnus-Castus Seeds: A Case Report. J Coll Physicians Surg Pak 2022;32(8):S115-S117. 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.
Taking Vitex Agnus-castus and Erlotinib Together: Common Questions
Is it safe to take Vitex Agnus-castus with Erlotinib?
Do Vitex Agnus-castus and Erlotinib have any of the same side effects?
Should I take Vitex Agnus-castus and Erlotinib at the same time of day?
How was the Vitex Agnus-castus and Erlotinib combination checked?
Does Vitex Agnus-castus interact with any other medications?
Does Erlotinib interact with any supplements?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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