Sceletium Ingredients & Drug Interactions
by Big Tree
What is this page for?
First and foremost: checking Sceletium against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Sceletium is a dietary supplement by Big Tree with 1 active ingredient. Its ingredients are commonly taken for anxiety and stress, low mood, mental focus and cognition.Based on those ingredients, 248 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Sceletium tortuosum. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Sceletium by Big Tree
Ask about any prescription or over-the-counter medication and we check it for interactions with Sceletium by Big Tree — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Sceletium by Big Tree
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
Big Tree Sceletium is a single-ingredient tablet containing sceletium tortuosum, a plant extract. The tablet also contains inactive ingredients (microcrystalline cellulose, potato starch, silicon dioxide, and magnesium stearate) that help form and stabilize the pill.
Does it work?
Couldn't assess
The evidence for sceletium isn't established in our data. We hold insufficient reliable evidence to rate it for anxiety, depression, stress, alcohol use disorder, athletic performance, or weight management.
That doesn't mean it doesn't work—it means the studies we have aren't strong or complete enough yet to say.
How safe is it?
Well-documented data
Sceletium appears generally well tolerated in small studies, but we don't have good long-term safety data. The most common side effects reported with oral use are anxiety, headache, insomnia, irritability, and nausea.
There are also anecdotal reports of headache, depression, and listlessness with chewing, and a report of elevated blood pressure. The safety data advises against use during pregnancy.
Safety data are also lacking for breastfeeding, so avoid it then too. Because our overall safety information is limited, talk with your pharmacist or doctor before starting, especially if you have any health conditions.
Meds to double-check
Moderate interaction found
Before taking Big Tree Sceletium, double-check any CNS depressants you're on—that includes prescription sedatives, sleep aids, opioid pain relievers, anti-anxiety medications, and some antidepressants. The risk is moderate: additive sedation.
Use the medication checker on this page to verify your specific drugs.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Sceletium might interest you if you're exploring options for stress or anxiety, but the evidence for it isn't established yet. The main caution: don't combine it with sedatives, sleep aids, opioids, or anxiety medications without checking first—the drowsiness could compound.
Pregnancy and breastfeeding are off-limits. Run your exact medications through our checker, and talk to your pharmacist before you start.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Dec 21, 2012.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Sceletium, straight from the product label.
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Sceletium by Big Tree, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Sceletium tortuosum | 50 mg | -- |
Other ingredients: Microcrystalline Cellulose, Potato Starch, Silicon Dioxide, Magnesium Stearate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
SUGGESTED USE: 1 tablet twice daily or as directed by a healthcare practitioner.
Precautions
Do not use during pregnancy or while breastfeeding.
Keep out of reach of children.
Do not use if seal is broken or missing.
Storage
Store in a cool dry place.
General Statements
Please recycle.
See underside for batch number and expiry date.
Formulation
*Organically grown without the use of synthetic pesticides, herbicides or chemical fertilizers.
Pesticide residue free.
Free of corn, yeast, wheat, soy, salt, sugar and dairy products and formulated without preservatives, artificial colours or flavours.
Suitable for vegans.
Formula
Sceletium tortuosum
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Sceletium by Big Tree label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Sceletium by Big Tree
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container60 Amounts shown are per serving.
Sceletium tortuosum
Interacts with248 drugs
Sceletium (often sold as 'kanna') is a South African plant traditionally used to ease stress and lift mood. Early human studies are small and short, s...
Sceletium tortuosum monograph & interactionsOther (inactive) ingredients: Microcrystalline Cellulose, Potato Starch, Silicon Dioxide, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Sceletium by Big Tree Drug Interactions
HelloPharmacist Interaction Report
Big Tree Sceletium has one active ingredient—sceletium tortuosum—and it does interact with medications.
The main concern is CNS depressants (drugs that slow your brain and nervous system), which include sedatives, sleep aids, anxiety medications, pain relievers like opioids, and some antidepressants. Combining sceletium with these could add up to stronger drowsiness and sedation than either one alone.
Read the full breakdown — every affected drug type, severity by severity
Because sceletium appears to have sedative properties itself, we can't rule out additive effects. Altogether, these interactions span 248 individual medications.
If you take any CNS depressant—whether prescription or over-the-counter—run it through the checker below before you start sceletium.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Sceletium?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Sceletium interact with 248 drugs. Click any drug to see the details.
1 of the 1 ingredient in Sceletium interact with drugs. Each result below shows which ingredient is responsible. Sceletium tortuosum
AcepromazineAtravet
How Acepromazine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acepromazine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interactionAcetaminophen, Chlorzoxazone, CodeineAcetazone Forte C8, Parafon Forte C8
How Acetaminophen, Chlorzoxazone, Codeine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Chlorzoxazone, Codeine interactionAcetaminophen, CodeineTylenol No.3, Tylenol w/ Codeine
How Acetaminophen, Codeine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Codeine interactionAcetaminophen, Codeine, DoxylamineMersyndol
How Acetaminophen, Codeine, Doxylamine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Codeine, Doxylamine interactionAcetaminophen, Codeine, MethocarbamolAcetaminophen, Codeine, Methocarbamol, Robaxacet 8
How Acetaminophen, Codeine, Methocarbamol interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Codeine, Methocarbamol interactionAcetaminophen, Dichloralantipyrine, IsomethepteneAmidrine, Midchlor, Migquin, Migratine
How Acetaminophen, Dichloralantipyrine, Isometheptene interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Dichloralantipyrine, Isometheptene interactionAcetaminophen, Dichloralphenazone, IsomethepteneMidrin
How Acetaminophen, Dichloralphenazone, Isometheptene interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Dichloralphenazone, Isometheptene interactionAcetaminophen, Dichlorophenazone, IsometheptaneIsocom
How Acetaminophen, Dichlorophenazone, Isometheptane interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Dichlorophenazone, Isometheptane interactionAcetaminophen, DiphenhydramineTylenol PM, Tylenol PM Ex Strength
How Acetaminophen, Diphenhydramine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Diphenhydramine interactionAcetaminophen, Diphenhydramine, PseudoephedrineChildren's Tylenol Allergy, Cold Control, Contac Night Allergy Relief
How Acetaminophen, Diphenhydramine, Pseudoephedrine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Diphenhydramine, Pseudoephedrine interactionAcetaminophen, HydrocodoneAnexsia, Anodynos DHC, Azdone, Co-Gesic, Doucet, Lorcet +9 more
How Acetaminophen, Hydrocodone interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Hydrocodone interactionAcetaminophen, MeperidineDemerol APAP
How Acetaminophen, Meperidine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Meperidine interactionAcetaminophen, OxycodonePercocet, Roxicet, Tylox, Xartemis XR
How Acetaminophen, Oxycodone interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Oxycodone interactionAcetaminophen, PentazocineTalacen
How Acetaminophen, Pentazocine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Pentazocine interactionAcetaminophen, PropoxypheneDarvocet-N 100, Darvocet-N 50, E-Lor, Wygesic
How Acetaminophen, Propoxyphene interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetaminophen, Propoxyphene interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Acetazolamide interactionAlfentanilAlfenta
How Alfentanil interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Alfentanil interactionAlprazolamNiravam, Xanax
How Alprazolam interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Alprazolam interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAminoglutethimideCytadren
How Aminoglutethimide interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Aminoglutethimide interactionAminophylline, Amobarbital, EphedrineAmesec
How Aminophylline, Amobarbital, Ephedrine interacts with Sceletium — through 1 ingredient. Tap an ingredient for the detail:
Sceletium TortuosumCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Read the full Sceletium Tortuosum + Aminophylline, Amobarbital, Ephedrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Sceletium with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Sceletium tortuosum
Cns Depressants
Theoretically, concomitant use of sceletium and CNS depressants might result in additive sedative effects.
Some evidence suggests that sceletium has sedative properties.
Brand information
Manufacturer and brand details for Sceletium, from the product label.
Big Tree
See all Big Tree products- Name
- Big Tree Nutraceutical
- Street Address
- PO Box 889
- City
- Wilderness
- ZipCode
- 6560
Sceletium by Big Tree: Common Questions
Does Sceletium by Big Tree interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What is sceletium tortuosum?
Can I take this if I'm pregnant or breastfeeding?
What side effects might I notice?
Is sceletium proven to work for anxiety or depression?
Can I take this with my sleep medication?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Sceletium is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Sceletium’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Sceletium's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 3 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Sceletium 3 references
- Smith MT, Crouch NR, Gericke N, Hirst M. Psychoactive constituents of the genus Sceletium N.E.Br. and other Mesembryanthemaceae: a review. J Ethnopharmacol 1996;50:119-30. PubMed
- Meyer GMJ, Wink CSD, Zapp J, Maurer HH. GC-MS, LC-MS(n), LC-high resolution-MS(n), and NMR studies on the metabolism and toxicological detection of mesembrine and mesembrenone, the main alkaloids of the legal high "Kanna" isolated from Sceletium tortuosum
- Gericke J, Lekhooa M, Steyn SF, Viljoen AM, Harvey BH. An acute dose-ranging evaluation of the antidepressant properties of Sceletium tortuosum (Zembrin®) versus escitalopram in the Flinders Sensitive Line rat. J Ethnopharmacol. 2022 Feb 10;284:114550. do PubMed
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