Herb & supplement monograph

Agaricus Mushroom Drug Interactions, Uses, Effectiveness, Safety & More

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Reviewed by licensed pharmacists Sourced from Natural Medicines

Agaricus Mushroom Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Agaricus Mushroom drug interaction appears low for most people, with the main caution applying to those who take medicines for diabetes. None of the listed interactions are rated major, and every one traces back to a single moderate concern about blood sugar.

Interactions deserving the most attention

The combination that deserves the most attention is Agaricus mushroom with diabetes medications. In one small study, a few people with type 2 diabetes who were already stable on oral blood sugar medicines reported low blood sugar while taking an agaricus extract, compared with just one person taking placebo. Because blood sugar medicines work within a narrow margin, an added glucose-lowering effect could matter, even though the evidence so far is limited.

What the rest of the list means

Although the number of listed medications looks large, it does not mean each combination is proven harmful. Nearly all of these entries reflect the same theoretical possibility of an additive effect on blood sugar, supported mainly by one small study rather than strong human evidence. For people not taking diabetes medicines, no other documented concerns stand out.

Check your medications against Agaricus Mushroom

Based on HelloPharmacist’s Agaricus Mushroom interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Agaricus Mushroom

86 medications have a known interaction with Agaricus Mushroom, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AcarboseGlucobay, Prandase, Precose› AcetohexamideDymelor› AlbiglutideTanzeum› AlogliptinNesina› Alogliptin, MetforminKazano› Alogliptin, PioglitazoneOseni› Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi› CanagliflozinInvokana› Canagliflozin, MetforminInvokamet› Canagliflozin, Metformin HydrochlorideInvokamet XR› ChlorpropamideChlorpropam, Diabinese› DapagliflozinFarxiga› Dapagliflozin Propanediol, MetforminXigduo XR› Dapagliflozin Propanediol, Saxagliptin HydrochlorideQtern› Dapagliflozin, Metformin Hydrochloride, Saxagliptin HydrochlorideQternmet XR› Dasiglucagon HydrochlorideZegalogue› DulaglutideTrulicity› EmpagliflozinJardiance› Empagliflozin, Linagliptin, Metformin HydrochlorideTrijardy XR› Empagliflozin, MetforminSynjardy› Empagliflozin, Metformin HydrochlorideSynjardy XR› ErtugliflozinSteglatro› Ertugliflozin, Metformin HydrochlorideSegluromet› ExenatideBydureon, Byetta› Exenatide SyntheticBydureon BCISE› GliclazideDiamicron› GlimepirideAmaryl› GlipizideGlucotrol, Glucotrol XL› Glipizide, MetforminMetaglip› GlucagonBaqsimi, Glucagon›
Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction 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.
  • Possible. 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
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Agaricus Mushroom combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Agaricus Mushroom affects

Every type of medication (drug category) Agaricus Mushroom is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Agaricus Mushroom interacts with
Antidiabetes Drugs
Antidiabetes Drugs

Theoretically, taking agaricus mushroom with antidiabetes drugs might increase the risk of hypoglycemia.
In one clinical study in patients with type 2 diabetes who are stabilized on conventional oral hypoglycemic agents, 3 of 29 patients taking an agaricus mushroom extract 500 mg three times daily for 12 weeks reported hypoglycemia, compared to one of 29 patients in the placebo group.

Likelihood Possible Evidence D
Monograph

Agaricus Mushroom: Uses, Safety & Side Effects

The bottom line

Agaricus mushroom (often Agaricus blazei/subrufescens) is a culinary and medicinal mushroom studied mostly for possible immune and antioxidant effects. The human evidence is limited and not strong enough to recommend it for treating any disease. If you want to try it, talk with your pharmacist or doctor first, especially if you have a health condition or take other medicines.

Scientific name
Agaricus subrufescens
Family
Agaricaceae
Part used
Fruiting body (mushroom), sometimes mycelium
Common forms
Capsules, tablets, powders, dried mushroom, liquid extracts, teas
People commonly use it for
  • Immune support
  • General wellness and antioxidant
  • Adjunct interest during cancer care
  • Blood sugar support
  • Cholesterol and heart health

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally tolerated as a food, but supplement safety and long-term effects are not well established.

PregnancyBest avoided

Not enough safety data, so it is best to avoid supplement doses during pregnancy.

BreastfeedingInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Agaricus mushroom is a name used for several related edible mushrooms. The common button or white mushroom is Agaricus bisporus, while the type most often sold as a supplement is Agaricus blazei (also called Agaricus subrufescens), known as the Brazilian or sun mushroom. It is native to the Americas and is also widely grown in Brazil, Japan, and other countries.

People eat Agaricus mushrooms as food, but the mushroom is also dried and processed into capsules, powders, teas, and liquid extracts that are marketed for health support. Much of the supplement interest focuses on the Brazilian sun mushroom because of compounds found in its cell walls.

How it works

Agaricus mushrooms contain complex sugars called beta-glucans and other polysaccharides found in the mushroom cell wall. In laboratory and animal studies, these compounds appear to interact with the immune system and may help activate certain immune cells.

The mushroom also contains antioxidant compounds that may help reduce oxidative stress in test-tube studies. These mechanisms are mostly based on lab and animal research, and it is not clear how well they translate to real benefits in people.

Effectiveness

Does Agaricus Mushroom work?

Evidence overview · 12 uses evaluated
12 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

For Agaricus Mushroom, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 12 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Allergic rhinitis (hay fever)
Rating & evidence shown verbatim from Natural Medicines

Oral agaricus mushroom has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Cancer
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral agaricus mushroom for the treatment of various types of cancer, there is insufficient reliable information about the clinical effects of agaricus mushroom for this purpose.

Insufficient Reliable Evidence To Rate Cardiovascular disease (CVD)
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral agaricus mushroom for the management of CVD and CVD risk factors, there is insufficient reliable information about the clinical effects of agaricus mushroom for this purpose.

Insufficient Reliable Evidence To Rate Chemotherapy-induced adverse effects
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral agaricus mushroom is beneficial for reducing adverse effects in patients undergoing chemotherapy treatment.

Insufficient Reliable Evidence To Rate Crohn Disease
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral agaricus mushroom is beneficial for Crohn disease.

Insufficient Reliable Evidence To Rate Diabetes
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral agaricus mushroom is beneficial for type 2 diabetes.

Insufficient Reliable Evidence To Rate Hepatitis B
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral agaricus mushroom is beneficial for hepatitis B.

Insufficient Reliable Evidence To Rate Hyperlipidemia
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral agaricus mushroom for hyperlipidemia, there is insufficient reliable information about the clinical effects of agaricus mushroom for this condition.

Insufficient Reliable Evidence To Rate Multiple myeloma
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral agaricus mushroom is beneficial for multiple myeloma.

Insufficient Reliable Evidence To Rate Osteoporosis
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral agaricus mushroom for osteoporosis, there is insufficient reliable information about the clinical effects of agaricus mushroom for this condition.

Insufficient Reliable Evidence To Rate Peptic ulcers
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral agaricus mushroom for peptic ulcers, there is insufficient reliable information about the clinical effects of agaricus mushroom for this condition.

Insufficient Reliable Evidence To Rate Ulcerative colitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral agaricus mushroom is beneficial for ulcerative colitis.

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

Agaricus mushroom has a long history of use as a food and is generally well tolerated in normal culinary amounts. The safety of concentrated supplements, especially over a long time, is less certain.

There have been rare reports of liver problems in people taking Agaricus blazei extracts, so people with liver disease should be especially cautious. People with autoimmune conditions should also use caution, since the mushroom may affect the immune system. If you have any health condition or take medication, check with your pharmacist or doctor first.

Because there is not enough safety information, pregnant and breastfeeding people should avoid Agaricus mushroom supplements and stick to normal food amounts only if their healthcare provider agrees.

Side effects

When used as a supplement, Agaricus mushroom may cause mild side effects such as nausea, stomach upset, diarrhea, or itching. Allergic reactions are possible, especially in people sensitive to mushrooms.

Rare but more serious concerns include reports of liver injury linked to some Agaricus blazei products. Stop using it and seek medical care if you notice yellowing of the skin or eyes, dark urine, severe stomach pain, or signs of an allergic reaction.

Agaricus Mushroom: Reported Adverse Effects

Documented safety reports on Agaricus Mushroom from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Orally, agaricus mushroom is generally well tolerated.

Most Common Adverse Effects:

Orally: Abdominal discomfort, diarrhea, and nausea.

Serious Adverse Effects (Rare):

Orally: Allergic reactions, hepatotoxicity, interstitial lung disease (ILD).

Reports by condition
Breast cancer Hepatic

Three cases of severe hepatotoxicity have been reported in females with ovarian or breast cancer receiving chemotherapy who also took agaricus mushroom supplements. Two of the patients had increases in liver function tests a few days after starting agaricus mushroom, which then progressed rapidly to fatal, fulminant hepatitis. One of these patients was also an asymptomatic carrier of hepatitis B virus. In the third case, liver function improved when agaricus mushroom was stopped, worsened when it was restarted, and then recovered fully when the supplement was stopped permanently.

  1. Mukai H, Watanabe T, Ando M, Katsumata N. An alternative medicine, Agaricus blazei, may have induced severe hepatic dysfunction in cancer patients. Jpn J Clin Oncol 2006;36:808-10.
Cheilitis Immunologic

An allergic reaction has been reported in a female who took a specific agaricus powder product (Sen-Sei-Ro Powder Gold, Kyowa Wellness Co., Ltd.) 1.8 grams daily by mouth for 2 months. The patient developed an urticarial papular rash which resolved when the product was discontinued. Allergic contact cheilitis was also reported in a patient taking a homemade agaricus mushroom extract orally. The reaction resolved upon discontinuation of agaricus mushroom.

  1. Ohno S, Sumiyoshi Y, Hashine K, et al. Phase I clinical study of the dietary supplement, Agaricus blazei Murill, in cancer patients in remission. Evid Based Complement Alternat Med 2011, doi 10.1155/2011/192381.
  2. Suehiro M, Katoh N, Kishimoto S. Chelitis due to Agaricus blazei Murill mushroom extract. Contact Dermatitis 2007;56(5):293-4.
Connective tissue disease-associated interstitial lung disease (CT-ILD) Pulmonary/Respiratory

There is one case report of interstitial lung disease associated with the use of agaricus mushroom for approximately one month in a male with pancreatic ductal adenocarcinoma being treated with gemcitabine. Drug-induced lymphocyte stimulation test (DLST) was positive for agaricus mushroom extract and not gemcitabine. Pneumonitis improved upon discontinuation of agaricus mushroom.

  1. Iwai N, Okuda T, Sawada R, et al. Interstitial lung disease associated with Agaricus blazei Murill in a patient with pancreatic ductal adenocarcinoma receiving gemcitabine-based therapy. Case Rep Gastroenterol 2022;16(1):229-234.
Diarrhea Gastrointestinal

In one clinical trial, mild gastrointestinal side effects such as nausea, diarrhea, and abdominal discomfort were reported in 6 of 78 patients taking a specific agaricus powder product (Sen-Sei-Ro Powder Gold, Kyowa Wellness Co., Ltd.) 1.8-5.4 grams orally daily for 60 days. The causal relationship between this agaricus mushroom product and the associated gastrointestinal adverse effect was determined to be possible or probable in each case.

  1. Ohno S, Sumiyoshi Y, Hashine K, et al. Phase I clinical study of the dietary supplement, Agaricus blazei Murill, in cancer patients in remission. Evid Based Complement Alternat Med 2011, doi 10.1155/2011/192381.
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.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no established standard dose for Agaricus mushroom supplements. Studies have used different products and amounts, so it is hard to recommend one specific dose.

If you choose to use it, follow the directions on the product label and do not exceed the recommended amount. Choosing products from reputable companies that test for purity is wise, since supplements are not tightly regulated. Talk with your pharmacist or doctor before starting, especially if you have a medical condition or take other medicines.

Pregnancy & Breastfeeding

Agaricus Mushroom & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; 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

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 5 references that drive our Agaricus Mushroom 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. Hsu CH, Liao YL, Lin SC, et al. The mushroom Agaricus Blazei Murill in combination with metformin and gliclazide improves insulin resistance in type 2 diabetes: a randomized, double-blinded, and placebo-controlled clinical trial. J Altern Complement Med 2
  2. Mukai H, Watanabe T, Ando M, Katsumata N. An alternative medicine, Agaricus blazei, may have induced severe hepatic dysfunction in cancer patients. Jpn J Clin Oncol 2006;36:808-10. PubMed
  3. Ohno S, Sumiyoshi Y, Hashine K, et al. Phase I clinical study of the dietary supplement, Agaricus blazei Murill, in cancer patients in remission. Evid Based Complement Alternat Med 2011, doi 10.1155/2011/192381.
  4. Suehiro M, Katoh N, Kishimoto S. Chelitis due to Agaricus blazei Murill mushroom extract. Contact Dermatitis 2007;56(5):293-4.
  5. Iwai N, Okuda T, Sawada R, et al. Interstitial lung disease associated with Agaricus blazei Murill in a patient with pancreatic ductal adenocarcinoma receiving gemcitabine-based therapy. Case Rep Gastroenterol 2022;16(1):229-234.
Keep reading

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.

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

Product directory

Supplement products with Agaricus Mushroom

723 products in our database contain Agaricus Mushroom. Open any to see its full ingredient list and every drug interaction we check.

Blazei Extract by Host Defense Mushrooms Liquid 2 fl. Oz. · 60 mL View ingredients & interactions CA Mushroom Blend 800 mg by BioAnue Capsule 600 Capsule(s) View ingredients & interactions CA Mushroom Blend 800 mg by BioAnue Capsule 10 Capsule(s) View ingredients & interactions Cal-Mag Zinc + D3 by Paradise Earth's Blend Capsule 90 Vegetarian Capsule(s) View ingredients & interactions Calcium by Catie's Capsule 150 V Capsule(s) View ingredients & interactions Carnivor Mass Vanilla Caramel by MuscleMeds Powder 5.93 lbs · 2688 Gram(s) View ingredients & interactions Collagen + Greens Unflavored by Country Farms Powder 10.6 Oz(s) · 300 Gram(s) View ingredients & interactions Collagen + Greens Unflavored by Country Farms Powder 10.6 Ounce(s) · 300 Gram(s) View ingredients & interactions Complete Foods Multi by Trace Minerals Research Tablet Or Pill 120 Tablet(s) View ingredients & interactions Complete Foods Multi by Trace Minerals Research Tablet Or Pill 240 Tablet(s) View ingredients & interactions Complete Immune by NutriCology Powder 300 Gram(s) · 10.6 Ounce(s) View ingredients & interactions Daily Life Essentials by Mushroom Matrix Capsule 60 Capsule(s) View ingredients & interactions Day Pack: Shroom Tech Immune by Onnit Capsule 30 Total Packet(s) View ingredients & interactions Defend by New Earth Capsule 90 Vegetarian Capsules View ingredients & interactions Defend by New Earth Capsule 90 Vegetarian Capsules View ingredients & interactions Energize by Natural Factors Whole Earth & Sea Powder 6.2 oz · 175.8 Gram(s) View ingredients & interactions Enhanced Energy Once Daily Whole Food Multivitamin by KAL Tablet Or Pill 60 Vegetarian Tablet(s) View ingredients & interactions Fermented Royal Agaricus 500 mg by Solaray Capsule 60 Veg Cap(s) View ingredients & interactions Full Spectrum 14 Mushroom Complex by Swanson Capsule 60 Veggie Capsule(s) View ingredients & interactions Full Spectrum Agaricus 500 mg by Planetary Herbals Capsule 30 Capsule(s) View ingredients & interactions Full Spectrum Agaricus 500 mg by Planetary Herbals Capsule 60 Capsule(s) View ingredients & interactions Full Spectrum Agaricus 500 mg by Planetary Herbals Capsule 90 Capsule(s) View ingredients & interactions Full-Spectrum Elements by Earthpulse Nanotronic Nutrients Capsule 60 Vegetarian Capsule(s) View ingredients & interactions Global Wellness Immuno-Shield with Elderberry by Irwin Naturals Softgel Capsule 60 Liquid Softgel(s) View ingredients & interactions
Pharmacist Counseling Corner

Agaricus Mushroom: Common Questions

What is Agaricus Mushroom used for, and does it work?
People use Agaricus Mushroom for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Agaricus Mushroom interact with prescription medications?
Yes. We list 86 medications with a known interaction with Agaricus Mushroom. Use the checker above to see how Agaricus Mushroom interacts with a specific drug.
How are Agaricus Mushroom interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Agaricus Mushroom with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Agaricus Mushroom interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Agaricus Mushroom used for?
People commonly use it for immune support, as an antioxidant, and sometimes as an add-on during cancer care or for blood sugar and cholesterol. The evidence for these uses is limited and not conclusive.
Is Agaricus Mushroom safe to take?
It is generally well tolerated as a food, but supplement safety is less certain and there have been rare reports of liver problems. Check with your pharmacist or doctor before using it, especially if you have a health condition.
Can I take Agaricus Mushroom while pregnant or breastfeeding?
There is not enough safety information, so it is best to avoid Agaricus Mushroom supplements during pregnancy and breastfeeding.
Is the Agaricus supplement the same as the mushrooms I eat?
They are related, but most supplements use Agaricus blazei (also called Agaricus subrufescens), while the common grocery-store mushroom is Agaricus bisporus. Supplements are far more concentrated than mushrooms used in cooking.

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

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