Lion's Mane With Cymbalta, Gabapentin And Primidone

In our latest question and answer, the pharmacist discusses the safety of taking Lion's Mane with several drugs.

Question

Can I take Lion's Mane Mushroom with primidone, duloxetine, and gabapentin?

Asked by Jack On Jun 21, 2023

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Jun 22, 2023
Last updated May 02, 2024

Key points

  • Although studies are lacking, there is no known interaction between Lion's Mane Mushroom and the three drugs in question here: Cymbalta (duloxetine), primidone and gabapentin.

Quick Answer

There is no known interaction between Lion's Mane mushroom and primidone, duloxetine, or gabapentin. However, you should always consult your doctor before taking any supplements or herbal products so they provide guidance for your specific medical situation.

Detailed Answer

Lion’s Mane mushroom is a type of edible fungus that has become a very popular dietary supplement and is purported to have various health benefits, such as enhancing cognitive function, nerve regeneration, immune system support, and antioxidant activity.

Studies show that Lion's Mane contains many bioactive compounds, such as polysaccharides, erinacines, hericenones, and lectins, that may contribute to its effects.

As with many dietary supplements, comprehensive drug interaction studies are lacking.

There is some evidence that Lion's Mane has mild antidiabetic and anticoagulant effects, so there is a theoretical interaction between it and those types of drugs.

However, there is no known interaction between it and the drugs you mentioned in your question:

Lion's Mane is not known to alter any of the enzymes in our body that are responsible for metabolizing drugs (e.g., CYP liver metabolizing enzymes) and there have been no specific drug interactions documented with it.

As always though, I highly recommend speaking to your doctor before adding on Lion's Mane to your prescription drug regimen so you can be appropriately monitored.

Final Words

Thanks so much for reaching out! I hope you found this helpful.

References

  • Hericium erinaceus Inhibits TNF-α-Induced Angiogenesis and ROS Generation through Suppression of MMP-9/NF-κB Signaling and Activation of Nrf2-Mediated Antioxidant Genes in Human EA.hy926 Endothelial Cells, PubMed
  • Yamabushitake mushroom (Hericium erinaceus) improved lipid metabolism in mice fed a high-fat diet, PubMed
  • Hericium erinaceus: an edible mushroom with medicinal values, PubMed

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

Recent Questions