Drug & supplement interaction

Wallflower + Azelastine Hydrochloride, Fluticasone Propionate

Azelastine Hydrochloride, Fluticasone Propionate brand name: Dymista.

Moderate Interaction
Medically reviewed by · Updated September 2026
The bottom line Moderate

Wallflower has a moderate interaction with Azelastine Hydrochloride, Fluticasone Propionate. Use of corticosteroids may cause electrolyte depletion and increase risk of cardiac glycoside toxicity.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Wallflower and Azelastine Hydrochloride, Fluticasone Propionate

Here is the interaction we found between these two, with the evidence behind it.

Moderate

CORTICOSTEROIDS

Why this applies to Azelastine Hydrochloride, Fluticasone Propionate

Azelastine Hydrochloride, Fluticasone Propionate falls under CORTICOSTEROIDS — the group Wallflower interacts with.

Use of corticosteroids may cause electrolyte depletion and increase risk of cardiac glycoside toxicity.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the thinking on combining Wallflower with Dymista (azelastine and fluticasone nasal spray). Wallflower naturally contains cardiac glycoside-type compounds, the same family of heart-active chemicals as digoxin. Steroids like the fluticasone in Dymista can sometimes lower potassium and other electrolytes in the body, and low potassium is exactly what makes those heart glycosides more likely to cause trouble, like an irregular or pounding heartbeat.

In real life, this concern is mostly theoretical and based on how these chemicals behave, not on strong human studies. A nasal spray delivers only a tiny amount of steroid compared to pills, so the risk here is quite low. Still, since Wallflower itself can be toxic and isn't well studied, I'd skip taking it internally and check with your pharmacist or doctor first.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Wallflower Also Interacts With Other Medications

Wallflower has 122 moderate known drug interactions in our database — the Azelastine Hydrochloride, Fluticasone Propionate one above is one of them. If you take anything else, check it against the full list below.

Moderate 122 No known interaction 2,708 (incl. Azelastine Hydrochloride, Fluticasone Propionate)
Taking anything else?

Check Another of Your Medications Against Wallflower

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

Everything else you take

See Every Supplement That Interacts With Azelastine Hydrochloride, Fluticasone Propionate

This page covers Wallflower only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Azelastine Hydrochloride, Fluticasone Propionate page lists 154 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), Lily-of-the-valley (major), St. John's Wort (major) and Acacia Rigidula (moderate).

By severity: 4 major · 110 moderate · 40 minor.

From our pharmacist’s overview on the Azelastine Hydrochloride, Fluticasone Propionate page

“Grapefruit is my first concern for anyone using Dymista (azelastine with fluticasone), the combination allergy nasal spray. The fluticasone in it is cleared by a liver enzyme called CYP3A4, and grapefruit blocks that enzyme well enough that steroid levels can climb.”

Reviewed by 2 · Jul 18, 2026

Open the Azelastine Hydrochloride, Fluticasone Propionate interaction page

How much people look this up

Where Wallflower and Azelastine Hydrochloride, Fluticasone Propionate 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 Wallflower
Top half

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

29 days ago today
Medication Azelastine Hydrochloride, Fluticasone Propionate
Top 5%

#130 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.

Supplement

About Wallflower

What is Wallflower?

  • Heart-related folk tonic
  • Nervous tension
  • Joint and muscle aches (topical)
  • Menstrual complaints
  • As an ornamental and fragrance plant

Wallflower (Erysimum cheiri) is a fragrant garden plant with a long history in traditional medicine, but there is very little modern human research to support any health use. It contains cardiac glycoside-type compounds that can be toxic, so it should not be taken internally without professional guidance, and it should be avoided during pregnancy and breastfeeding.

Read the full Wallflower monograph & all interactions
Keep checking

Other Drugs & Wallflower

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

0Major
122Moderate
0Minor
2,707No known interaction
122 Moderate 2,707 No interaction
Moderate

122 interactions

Showing 60 of 122 moderate interactions — see all 122 on the Wallflower page.

No interaction 2,707 drugs checked — show the list

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

Showing the 60 most looked-up of 2,707 medications checked with no known interaction — see the full Wallflower list.

See the full Wallflower interactions page
See every supplement checked against Azelastine Hydrochloride, Fluticasone Propionate, ranked by severity
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Keep exploring
Wallflower monograph › Uses, safety, and every drug interaction in one place Azelastine Hydrochloride, Fluticasone Propionate supplement interactions › Every supplement checked against Azelastine Hydrochloride, Fluticasone Propionate, 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 Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Wallflower and Azelastine Hydrochloride, Fluticasone Propionate Together: Common Questions

Can you take Wallflower with Azelastine Hydrochloride, Fluticasone Propionate?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Wallflower and Azelastine Hydrochloride, Fluticasone Propionate interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

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

Still Have a Question About Azelastine Hydrochloride, Fluticasone Propionate and Wallflower?

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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.