Medication interaction hub

What Supplements Interact with Omacetaxine Mepesuccinate?

Omacetaxine Mepesuccinate brand name: Synribo. Every interaction below applies to the brands too.

87 Interactions 1 Major 77 Moderate 9 Minor
Curated & coded by · Clinical Pharmacist · Updated September 15, 2026

Drug–supplement interaction data sourced from Natural Medicines Pro, the licensed clinical database from TRC Healthcare / Therapeutic Research, with additional analysis by the HelloPharmacist Pharmacist Team. Our sources · Editorial policy

What is this page for?

One answer, for one medication: what supplements and herbal products interact with Omacetaxine Mepesuccinate? Every vitamin, herb, and supplement ingredient we’ve checked against it is on this page, ranked by severity, each linking to the full report for that exact pair.

This page covers supplement interactions only — to check Omacetaxine Mepesuccinate against your other medications, use the drug–drug interaction checker. Educational information from our licensed clinical databases, not medical advice. Our editorial policy

HelloPharmacist Bottom Line

87 supplements and herbal ingredients have interactions with Omacetaxine Mepesuccinate on file in the HelloPharmacist interaction database — 1 rated major, 77 moderate, and 9 minor. The most serious involve St. John's Wort.

Our assessment: with 1 major-rated interaction on the list, this one deserves real attention — know the major entries before combining anything with Omacetaxine Mepesuccinate.

Major 1 Moderate 77 Minor 9 No known interaction 1,365

Ranked by severity below. Every entry links to the full pharmacist-reviewed report for that exact combination — what can happen, how likely it is, and what to do about it.

This box checks one ingredient at a time (like turmeric or magnesium). Taking a supplement product with a whole label of ingredients? Search the product instead — we check every ingredient on it ↓

Top Ingredient Interactions

Omacetaxine Mepesuccinate: Top Interactions at a Glance

The most significant Omacetaxine Mepesuccinate supplement & herbal interactions, colored by severity. Tap any ingredient to open the full report for that pair.

Showing the 12 highest-ranked of 87 interacting ingredients — plus 1,365 more checked with no known interaction. See the complete ranked list.

Start here

The Major Interactions to Know About

The most clinically significant Omacetaxine Mepesuccinate + supplement combinations in our database, best-documented first. Open any card for the full report.

Major Likelihood Probable St. John's Wort + Omacetaxine Mepesuccinatei

St.

Read the full interaction
The complete list

Every Supplement Checked Against Omacetaxine Mepesuccinate

All 1,452 ingredients in our database, ranked by severity — 87 with a Omacetaxine Mepesuccinate interaction on file and 1,365 with none found. Filter by severity or search any ingredient; hover the for what each ingredient is.

Looking for an interaction with a specific supplement product? Search products instead ↓

Straight answers

Can You Take It With Omacetaxine Mepesuccinate?

One-line answers, one card per combination — scroll through today’s 20 and tap any card for the full report. A different set rotates in daily until every combination has had its turn.

Can you take Bulbine Natalensis with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, Bulbine natalensis stem might increase the levels and clinical effects of p-glycoprotein substrates.

Full Bulbine Natalensis + Omacetaxine Mepesuccinate answer

Can you take Shiitake Mushroom with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, taking shiitake mushroom might decrease the effects of immunosuppressive therapy.

Full Shiitake Mushroom + Omacetaxine Mepesuccinate answer

Can you take Strawberry with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. In vitro research suggests that strawberry extract can inhibit p-glycoprotein efflux.

Full Strawberry + Omacetaxine Mepesuccinate answer

Can you take Sweet Orange with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.

Full Sweet Orange + Omacetaxine Mepesuccinate answer

Can you take Thuja with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Thuja might stimulate immune function.

Full Thuja + Omacetaxine Mepesuccinate answer

Can you take Thunder God Vine with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, thunder god vine might enhance the effects of immunosuppressant drugs.

Full Thunder God Vine + Omacetaxine Mepesuccinate answer

Can you take Thymus Extract with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, patients taking immunosuppressants may be at an increased risk of infection from contaminated thymus extract.

Full Thymus Extract + Omacetaxine Mepesuccinate answer

Can you take Tinospora Cordifolia with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, Tinospora cordifolia might reduce the effectiveness of immunosuppressants.

Full Tinospora Cordifolia + Omacetaxine Mepesuccinate answer

Can you take Trichopus Zeylanicus with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, Trichopus zeylanicus might reduce the effects of immunosuppressants.

Full Trichopus Zeylanicus + Omacetaxine Mepesuccinate answer

Can you take Umckaloabo with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, Pelargonium sidoides might decrease the effectiveness of immunosuppressant therapy.

Full Umckaloabo + Omacetaxine Mepesuccinate answer

Can you take White Pepper with Omacetaxine Mepesuccinate?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, white pepper might increase levels of p-glycoprotein substrates.

Full White Pepper + Omacetaxine Mepesuccinate answer

Can you take Baikal Skullcap with Omacetaxine Mepesuccinate?

Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, Baikal skullcap might increase levels of drugs transported by P-glycoprotein.

Full Baikal Skullcap + Omacetaxine Mepesuccinate answer

Can you take Devil's Claw with Omacetaxine Mepesuccinate?

Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, devil's claw might increase levels of P-glycoprotein substrates.

Full Devil's Claw + Omacetaxine Mepesuccinate answer

Can you take Grapefruit with Omacetaxine Mepesuccinate?

Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Grapefruit juice does not seem to affect renal P-glycoprotein (P-gp).

Full Grapefruit + Omacetaxine Mepesuccinate answer

Can you take Lychee with Omacetaxine Mepesuccinate?

Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, lychee might reduce the effectiveness of immunosuppressant drugs.

Full Lychee + Omacetaxine Mepesuccinate answer

Can you take Puravive with Omacetaxine Mepesuccinate?

Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Puravive contains quercetin.

Full Puravive + Omacetaxine Mepesuccinate answer

Can you take Sesame with Omacetaxine Mepesuccinate?

Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, sesame might alter the transport of P-glycoprotein substrates.

Full Sesame + Omacetaxine Mepesuccinate answer

Can you take Turmeric with Omacetaxine Mepesuccinate?

Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, turmeric might increase the absorption of P-glycoprotein substrates.

Full Turmeric + Omacetaxine Mepesuccinate answer

Can you take Uva Ursi with Omacetaxine Mepesuccinate?

Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, uva ursi may alter the levels of drugs transported by P-glycoprotein.

Full Uva Ursi + Omacetaxine Mepesuccinate answer

Can you take Milk Thistle with Omacetaxine Mepesuccinate?

Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, milk thistle might increase the absorption of P-glycoprotein substrates.

Full Milk Thistle + Omacetaxine Mepesuccinate answer
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 entry links to a full report with the clinical detail, likelihood, evidence level, and citations for that exact combination.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

How Does Our Interaction Checker Work?

Behind every verdict on this page is a category system. Our source database doesn’t document supplement interactions drug-by-drug — it documents them against groups of medications that behave the same way (for example, “drugs processed by the CYP3A4 liver enzyme” or “blood-thinning medications”).

So the check works in three steps: (1) Omacetaxine Mepesuccinate is classified into the pharmacology categories it belongs to, (2) every supplement interaction documented against any of those categories is inherited by Omacetaxine Mepesuccinate, and (3) each ingredient keeps its own severity, likelihood, and evidence grades from the underlying record. That’s why one supplement can carry several records for one drug — it may interact through more than one category.

Omacetaxine Mepesuccinate sits in 2 interaction categories. Open any one to see what the group means:

Immunosuppressants 53 ingredients

Medications that damp down the immune system. Supplements that stimulate immunity can work against them.

53 of the supplement ingredients on this page reach Omacetaxine Mepesuccinate through this category.

P-Glycoprotein Substrates 37 ingredients

A drug-transport group: these medications are moved in and out of cells by the P-glycoprotein pump. Supplements that affect the pump can change how much of the drug is absorbed or kept in the body.

37 of the supplement ingredients on this page reach Omacetaxine Mepesuccinate through this category.

About Omacetaxine Mepesuccinate

Omacetaxine Mepesuccinate is a prescription medication also sold under the brand name Synribo. Because supplements and herbal products can change how medications work — or how strongly — every ingredient on this page has been checked against it in our interaction database.

Generic name: Omacetaxine Mepesuccinate  ·  Brand name: Synribo.

See the full Omacetaxine Injection drug information
Check a real product

Take a Supplement Product? Check the Whole Bottle Against Omacetaxine Mepesuccinate

Most supplements are combination products — and the interaction may come from an ingredient you didn’t buy it for. Search any product below (or scan its label) and we’ll check every ingredient on it against Omacetaxine Mepesuccinate.

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Pharmacist Counseling Corner

Omacetaxine Mepesuccinate & Supplements: Common Questions

What supplements interact with Omacetaxine Mepesuccinate?
More than you might expect — 87 in total, though they are far from equal: 1 are rated major, 77 moderate, and 9 minor. The ranked list on this page puts the ones that genuinely matter first, and every entry opens a full report on that exact pair. The highest-ranked right now: St. John's Wort, Goldenseal, Active Hexose Correlated Compound (ahcc).
Which Omacetaxine Mepesuccinate supplement interactions are the most serious?
Focus on the major group: St. John's Wort. A major rating means the combination can be clinically significant, not that harm is guaranteed — but it's exactly the kind of thing to run past your pharmacist before your next dose, not after. Jump to the ranked list.
Can I take vitamins or supplements while on Omacetaxine Mepesuccinate?
Usually yes — most people on Omacetaxine Mepesuccinate can take most supplements. The catch is the exceptions, and they aren't always the exotic ones (St. John's Wort trips up more prescriptions than almost anything sold next to it). Look up each ingredient you actually take in the list above, and treat "no known interaction" as a green-ish light, not a guarantee. Try the label scanner or the interaction checker.
Do brands like Synribo have the same supplement interactions as Omacetaxine Mepesuccinate?
Yes — Synribo all contain Omacetaxine Mepesuccinate, so everything on this page applies to them equally. Interactions belong to the active drug, never to the brand on the box; the same is true of generics.
Where do these interaction ratings come from?
Every rating comes from the Natural Medicines database — the same evidence-graded reference pharmacists and hospitals use — and each interaction carries three separate grades: severity (how bad it can be), likelihood (how well it's documented in studies and case reports), and an evidence level. Our pharmacists review the content; we never let an AI decide an interaction. See how to read the ratings and our editorial policy.
What about Omacetaxine Mepesuccinate and my other medications?
This page covers Omacetaxine Mepesuccinate against supplements and herbal ingredients. Checking Omacetaxine Mepesuccinate against your other prescription or OTC medications is a different tool — our drug interaction checker covers that side. Head to the drug–drug interaction checker, or read the full Omacetaxine Injection drug information.

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

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Sourcing

Where This Data Comes From — and Why You Can Trust It

🧪 Licensed clinical database

Every interaction verdict on this page comes from Natural Medicines Pro (TRC Healthcare / Therapeutic Research) — the same evidence-graded reference used by pharmacists and hospitals. We license this data directly; we do not scrape it, and no AI invents an interaction.

🧑‍⚕️ Pharmacist review

This page is curated and coded by , Clinical Pharmacist, with additional analysis by the HelloPharmacist Pharmacist Team. Editorial commentary is ours; the licensed interaction records are shown as sourced.

🔄 Kept current

Our interaction database refreshes on a weekly cycle, and this page re-checks the live database every time it’s rebuilt — what you see reflects the database as of September 15, 2026.

🔍 Full transparency

How every dataset on this site is sourced, licensed, and updated is documented publicly: our data sources · editorial policy · how we use AI.

Educational information, not medical advice. An interaction being on file does not mean it will happen to you — and absence of one is not proof of safety. Never start or stop a medication or supplement without talking to your pharmacist or doctor.