Drug & supplement interaction

Western Herbal Medicine + Clomipramine

Clomipramine brand names: Anafranil, Anafranil SR.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Oct 4, 2026
The bottom line No known interaction

We found no known interaction between Western Herbal Medicine and Clomipramine 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 Clomipramine states a food rule worth keeping to.

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Interaction report

Western Herbal Medicine and Clomipramine

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 Clomipramine and Western Herbal Medicine 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 Western Herbal Medicine at all — not against Clomipramine, 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.

Western Herbal Medicine safety at a glance

Western Herbal Med... overall Use caution Safety depends heavily on the specific herb, dose, and product quality.
Pregnancy Use caution Many herbs are not well studied in pregnancy and some may be harmful, so avoid unless cleared by your provider.
Breastfeeding Use caution Evidence is limited for most herbs while breastfeeding, so use only with professional guidance.

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

Still wondering about combining Clomipramine and Western Herbal Medicine? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Clomipramine’s Own FDA Label Lists

This is not an interaction — none of it involves Western Herbal Medicine. These are the most notable effects listed in the ADVERSE REACTIONS section of Clomipramine’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 10 of them are worth acting on rather than waiting out — marked below.

  • Loss of vision Worth acting on
  • A change in thyroid levels Worth acting on
  • Dependence or withdrawal symptoms Worth acting on
  • Thoughts of self-harm Worth acting on
  • Hearing loss Worth acting on
  • A bowel blockage Worth acting on
  • Pain or burning when passing urine Worth acting on
  • Muscle weakness Worth acting on
  • Memory problems Worth acting on
  • Dehydration Worth acting on

Showing the 10 most notable of 85 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Clomipramine. Read the label on DailyMed › Western Herbal Medicine’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Western Herbal Medicine side to compare — that is a limit of the record, not a statement that Western Herbal Medicine has no side effects.

How to take them

Some Clomipramine Products Have a Food Rule — Western Herbal Medicine Should Not Break It

At least one FDA label for a product containing Clomipramine says to take it with food. If you take Western Herbal Medicine on an empty stomach out of habit, keep them separate — and take Clomipramine with a meal where the label says to.

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

During initial titration, Anafranil should be given in divided doses with meals to reduce gastrointestinal side effects.

From the Dosage and Administration section of the FDA label we read for Clomipramine — 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.

From our Q&A

Questions About Western Herbal Medicine or Clomipramine

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Western Herbal Medicine or Clomipramine, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Clomipramine

This page covers Western Herbal Medicine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Clomipramine page lists 236 supplements it has a documented interaction with, worst first, each one explained.

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

By severity: 5 major · 179 moderate · 52 minor.

From our pharmacist’s overview on the Clomipramine page

“A tricyclic antidepressant used mostly for OCD, clomipramine (Anafranil) is unforgiving of shifts in its blood level, which is why its 236 supplement interactions deserve genuine wariness. Most of the list involves metabolism: herbs that speed up or slow down the liver enzymes handling clomipramine can drag its level too low or push it…”

Reviewed by 2 · Jul 18, 2026

Open the Clomipramine interaction page

How much people look this up

Where Western Herbal Medicine and Clomipramine 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 Western Herbal Medicine
Top half

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

29 days ago today
Medication Clomipramine
Steady interest

#1,545 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. Western Herbal Medicine is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Western Herbal Medicine reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified October 4, 2026. The Western Herbal Medicine and Clomipramine records this page draws on were last updated June 20, 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 Western Herbal Medicine

What is Western Herbal Medicine?

  • Digestive complaints
  • Sleep and anxiety support
  • Cold and immune support
  • Skin conditions
  • Joint and muscle aches
  • Women's health concerns

Western Herbal Medicine is a healing tradition that uses plants native to or commonly grown in Europe and North America to support health. Some individual herbs have decent research behind them, while many traditional uses are supported by limited or low-quality evidence. Always talk with a pharmacist or doctor before starting any herbal product, especially if you take medications or have a health condition.

Varies by plant — leaves, roots, flowers, bark, seeds, and whole herbs · Teas (infusions and decoctions), tinctures, capsules, tablets, powders, syrups, and topical creams

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

Western Herbal Medicine: dosing

There is no single standard dose for Western Herbal Medicine, because it covers so many different plants and product types. The right amount depends on the herb, its strength, the form (tea, tincture, or capsule), and the person.Follow the directions on the product label and do not exceed the suggested amount. A pharmacist, doctor, or qualified medical herbalist can help you choose a suitable product and dose for your situation. Start low, watch how you respond, and stop if you have any concerning reaction.

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

Read the full Western Herbal Medicine monograph & all interactions
Medication

About Clomipramine

What Is Clomipramine Used For?

Brand names: Anafranil, Anafranil SR

Clomipramine capsules (sold as Anafranil and as generic Clomipramine Hydrochloride) are used to treat obsessions and compulsions in people with obsessive-compulsive disorder (OCD).

The obsessions or compulsions must cause marked distress, take up a lot of time, or get in the way of social or work life. Studies included adults and children and adolescents aged 10 to 17.

See full Clomipramine drug information
Keep checking

Other Drugs & Western Herbal Medicine

Browse every other medication we’ve checked against Western Herbal Medicine — 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
2,829 No interaction
No interaction 2,829 drugs checked — show the list

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

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Western Herbal Medicine list.

See the full Western Herbal Medicine interactions page
See every supplement checked against Clomipramine, ranked by severity
Evidence & sources

Western Herbal Medicine References

The 4 sources that drive our Western Herbal Medicine monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Western Herbal Medicine is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Herbs at a Glance — NIH NCCIH Source
  2. Using Dietary Supplements Wisely — NIH NCCIH Source
  3. Herbal Medicine — MedlinePlus Source
  4. About Herbs, Botanicals & Other Products — Memorial Sloan Kettering Cancer Center Source

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 Western Herbal Medicine and Clomipramine Together: Common Questions

Is it safe to take Western Herbal Medicine with Clomipramine?
We do not list a known interaction between Western Herbal Medicine and Clomipramine. 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 Western Herbal Medicine and Clomipramine at the same time of day?
At least one FDA label for a product containing Clomipramine says to take it with food. If you take Western Herbal Medicine on an empty stomach out of habit, keep them separate and take Clomipramine with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Clomipramine products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Clomipramine interact with any supplements?
Yes. Clomipramine has documented interactions with 236 supplements in our database — Western Herbal Medicine is not one of them. The Clomipramine interaction page linked on this page lists every one, ranked by severity.

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

Where next

Keep Exploring

Western Herbal Medicine monograph Uses, safety profile, and every drug interaction in one place Clomipramine drug information The full plain-English guide to this medication Clomipramine supplement interactions Every supplement checked against Clomipramine, 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 References The 4 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Clomipramine and Western Herbal Medicine?

Our pharmacists answer your medication & supplement questions — free.

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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.