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Is Ashwagandha Safe with Immunosuppressants (e.g., Cyclosporine, Tacrolimus)?

⚠️ HIGH SEVERITY
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Immunosuppressants (e.g., Cyclosporine, Tacrolimus) Ashwagandha
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Do not use ashwagandha if you are on immunosuppressive therapy without explicit approval from your transplant or specialist physician. Report any signs of organ rejection or immune activation immediately.

Why this interaction occurs

Ashwagandha is a known immunostimulant that activates T-cell and NK-cell activity. This immune-boosting effect can directly antagonize immunosuppressant medications, increasing the risk of organ rejection or autoimmune flares.

Evidence

Evidence level: moderate.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 297,234 reports mentioning Immunosuppressants (e.g., Cyclosporine, Tacrolimus). This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Immunosuppressants (e.g., Cyclosporine, Tacrolimus) + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take Ashwagandha with Immunosuppressants (e.g., Cyclosporine, Tacrolimus)?
Avoid unless your doctor or pharmacist directs otherwise. Do not use ashwagandha if you are on immunosuppressive therapy without explicit approval from your transplant or specialist physician. Report any signs of organ rejection or immune activation immediately.

Related interactions

All Ashwagandha interactions →  ·  All Immunosuppressants (e.g., Cyclosporine, Tacrolimus) interactions →

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Educational only — not medical advice.
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