Drug & supplement interaction

Wallflower + Casanthranol, Docusate

Casanthranol, Docusate brand name: Doxidan.

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

Wallflower has a moderate interaction with Casanthranol, Docusate. Overuse or misuse of stimulant laxatives may cause electrolyte depletion and increase the 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 Casanthranol, Docusate

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

Moderate

STIMULANT LAXATIVES

Why this applies to Casanthranol, Docusate

Casanthranol, Docusate falls under STIMULANT LAXATIVES — the group Wallflower interacts with.

Overuse or misuse of stimulant laxatives may cause electrolyte depletion and increase the 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 connection. Doxidan combines casanthranol, a stimulant laxative, with docusate, a stool softener. When stimulant laxatives are used too often or in large amounts, they can flush out important minerals like potassium. Low potassium is the issue here, because Wallflower naturally contains cardiac glycosides, the same family of heart-active compounds as digoxin. When potassium runs low, those glycosides hit the heart harder, which can raise the risk of toxicity and irregular heartbeats.

To be fair, this is a theoretical concern based on how these substances behave, not strong human studies, and occasional proper use of Doxidan is unlikely to be a problem. Still, Wallflower really shouldn't be taken internally at all. Please check with your pharmacist or doctor before combining them.

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 Casanthranol, Docusate 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. Casanthranol, Docusate)
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 Casanthranol, Docusate

This page covers Wallflower only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Casanthranol, Docusate page lists 46 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Jalap (major), Oleander (major), Alder Buckthorn (moderate) and Aloe (moderate).

By severity: 3 major · 34 moderate · 9 minor.

From our pharmacist’s overview on the Casanthranol, Docusate page

“Doxidan (casanthranol with docusate) treats constipation, and its users are often the very people eyeing the herbal laxative aisle for extra relief. That is where the risk concentrates.”

Reviewed by 2 · Jul 18, 2026

Open the Casanthranol, Docusate interaction page

How much people look this up

Where Wallflower and Casanthranol, Docusate 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

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

29 days ago today
Medication Casanthranol, Docusate
Top 10%

#197 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 Casanthranol, Docusate, 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 Casanthranol, Docusate supplement interactions › Every supplement checked against Casanthranol, Docusate, 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 Casanthranol, Docusate Together: Common Questions

Can you take Wallflower with Casanthranol, Docusate?
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 Casanthranol, Docusate 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 Casanthranol, Docusate 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.