Contraindications Reference
Covers herbs and prescription drugs commonly used across Borrelia, Bartonella and Babesia protocols. Items marked ⚠ require a specific test before starting — check those first.
Used forBartonella, Babesia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsMust not be combined with antidepressant medication — this includes duloxetine and mirtazapine. Excluded outright from the Bartonella protocol on this basis.
Used forBorrelia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsCan trigger a skin rash in some users; discontinue if this occurs. Cryptolepis or Banderol are documented substitutes with comparable effect.
Used forBorrelia. See the full herb database page for dosing.
ContraindicationsPregnant and breastfeeding women should avoid dong quai (miscarriage risk, Memorial Sloan Kettering). It may add to the effect of blood thinners such as warfarin and raise bleeding risk, and it may raise PT/INR results. Possible hormone-sensitive effect: ask a doctor first if you have a hormone-sensitive cancer. Prolonged use may speed up the breakdown of some medicines (CYP3A4). Reported side effects include bloating, diarrhoea, sensitivity to sunlight and high blood pressure. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBabesia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsUse caution with existing cardiac issues. Isolated artemisinin carries a resistance risk with continuous use — periodic breaks are required (Ross cycles it 3 days on, 11 days off).
Used forBabesia. See the full herb database page for dosing.
ContraindicationsMemorial Sloan Kettering says people with ulcers or other stomach and gut disorders should not take it. Liver inflammation (hepatitis) has been reported with artemisia and artemisinin products, and rare delayed anaemia has been reported with artemisinin drugs. Lab studies show it can speed up the breakdown of some medicines (CYP2B6 and CYP3A4), but the real-world effect is not established. Pregnancy was not addressed in the source: ask a doctor first. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBorrelia, Bartonella, Babesia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsMust not be combined with antidepressant medication — this includes duloxetine and mirtazapine. Excluded outright from the Borrelia and Bartonella protocols on this basis.
Used forBorrelia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsContraindicated in late-stage chronic Lyme disease specifically — stimulates already-elevated Th1 immune pathways and can aggravate symptoms. Only appropriate for pre-exposure, early localized, or early disseminated stages.
Used forBabesia
DescriptionThe antimalarial component of Malarone; almost always prescribed as the combination product rather than alone for Babesia.
ContraindicationsSame core cautions as Malarone. Absorption is significantly reduced without food — always taken with a meal.
Used forBorrelia, Bartonella
DescriptionA macrolide antibiotic, generally with fewer drug interactions than clarithromycin.
ContraindicationsCarries a QT-prolongation risk — caution with existing arrhythmia or other QT-prolonging drugs. Do not use if you are allergic to azithromycin, erythromycin or other macrolide antibiotics, or if azithromycin has previously caused jaundice or liver problems. Serious allergic and skin reactions have been reported (stop and get urgent help). Liver inflammation and liver failure have been reported: stop and seek help for signs such as yellow skin or eyes, dark urine or severe tiredness. It can worsen muscle weakness in myasthenia gravis. Severe or persistent diarrhoea during or after treatment can be C. difficile colitis and needs prompt medical attention. It may increase the effect of warfarin, so INR needs close monitoring. Can be taken with or without food (DailyMed Zithromax label).
Used forBabesia. See the full herb database page for dosing.
ContraindicationsAvoid in pregnancy and breastfeeding, because safety information is lacking and animal studies suggest oestrogen-like and uterus-stimulating effects (Drugs.com Natural Products). People allergic to the daisy family (Asteraceae) may react. No interactions are well documented, which means none are established, not that none exist. Long-term human safety data are limited. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBabesia, Bartonella. See the full herb database page for dosing.
ContraindicationsAvoid in pregnancy and breastfeeding: black walnut preparations are advised against because mutagenic properties have been documented (Drugs.com Natural Products). Do not use if you have a tree nut allergy; walnut allergy can cause severe reactions. It contains juglone, which is toxic to animals, and higher doses may act as a laxative. It is high in oxalate (kidney stones) and may reduce iron absorption. Safety data are limited. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBorrelia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsExcess doses can induce nausea and vomiting — a sign the dose should be reduced.
Used forBorrelia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsAvoid with blood-thinning or immunosuppressive medication, and discontinue 10 days before surgery. Use caution with existing low blood pressure. Deactivated by stomach acid blockers/antacids — substitute Ashwagandha or Cordyceps if these are needed.
Used forBorrelia. See the full herb database page for dosing.
ContraindicationsNo reliable safety summary was found for Polygala tenuifolia (Chinese senega). Safety information for this herb could not be confirmed from a reliable source, so treat it as unknown rather than safe. Check with your prescriber or pharmacist. Research on polygala saponins reports stomach and gut irritation, so stop if you get stomach pain. Avoid in pregnancy and breastfeeding unless a doctor agrees. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBorrelia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsA strong synergist that can raise blood concentrations of co-administered medications — consult a doctor before combining with antibiotics, steroids, blood pressure medication, or diabetes medication. This includes several drugs on this page (Doxycycline, Rifampin, Clarithromycin).
Used forBorrelia, Bartonella, Babesia. See the full herb database page for dosing.
ContraindicationsClove: eugenol may slow blood clotting, so use with blood thinners or antiplatelet drugs may raise bruising and bleeding. Stop clove at least 2 weeks before planned surgery, and use caution with bleeding disorders. Clove and oregano may lower blood sugar, so watch your levels if you take diabetes medicines. Clove can also change how the liver handles some medicines (CYP enzymes) (WebMD). Oregano: pregnancy and breastfeeding safety is not established, so stay to food amounts, and people allergic to the mint family may react. Oregano has been linked to liver injury in a US study of supplements (Drugs.com Natural Products). Clove oil is likely unsafe by mouth for children. Check the product label for its exact ingredients. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBorrelia
DescriptionA cephalosporin antibiotic, a standard oral choice for early Lyme disease.
ContraindicationsDo not use if you have had a serious allergy to cefuroxime or to other cephalosporin or penicillin-type antibiotics; some people with a penicillin allergy also react to cephalosporins, so tell your prescriber about any past antibiotic allergy. Serious allergic reactions have occurred (stop and get urgent help). Severe or persistent diarrhoea during or up to 2 months after treatment can be C. difficile colitis and needs prompt medical attention. Fungal infections such as thrush can develop during treatment. Take antacids at least 1 hour after or 2 hours before cefuroxime. Acid-reducing medicines (H2 blockers and proton pump inhibitors) reduce absorption and should be avoided. Probenecid raises cefuroxime levels: combined use is not recommended. Absorption is better with food. Swallow tablets whole. Can falsely affect some urine and blood sugar tests (copper-reduction urine tests, ferricyanide blood tests). A drugs.com leaflet also advises discussing oral contraceptives and avoiding grapefruit juice (DailyMed cefuroxime axetil label and drugs.com).
Used forBartonella, Babesia, Borrelia
DescriptionA macrolide antibiotic used across Bartonella, Babesia and Borrelia prescription protocols.
ContraindicationsCarries a QT-prolongation risk — use caution combining with other QT-prolonging drugs. Significant CYP3A4 interactions with many medications. A documented, sometimes fatal interaction exists with colchicine in patients with renal or hepatic impairment.
Used forBabesia
DescriptionUsed in combination with Quinine sulfate as an alternative Babesia regimen.
ContraindicationsCarries a notable risk of C. difficile-associated colitis — severe or persistent diarrhea during or after treatment warrants prompt medical attention.
Used forBartonella. See the full herb database page for dosing.
ContraindicationsMemorial Sloan Kettering: should not be used by people with myelogenous (bone marrow) type cancers. It may add to the effect of blood thinners, antiplatelet drugs and diabetes medicines (insulin and others), raising bleeding or low blood sugar risk. A case of heavy bleeding after a tooth extraction was reported in someone taking it daily. Pregnancy and breastfeeding were not addressed in the source: ask a doctor first. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBorrelia, Bartonella, Babesia. See the full herb database page for dosing.
ContraindicationsNo reliable human safety summary was found for Cryptolepis. Safety information for this herb could not be confirmed from a reliable source, so treat it as unknown rather than safe. Check with your prescriber or pharmacist. Avoid in pregnancy and breastfeeding unless a doctor agrees. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBorrelia, Bartonella
DescriptionUsed for persister-phase Borrelia (Horowitz’s Double-Dose Dapsone Combination Therapy) and in resistant Bartonella protocols.
ContraindicationsRequires G6PD testing before starting — contraindicated in G6PD deficiency due to hemolytic anemia risk. Also carries a methemoglobinemia risk; use caution combining with other oxidizing drugs.
⚠ Testing Required
G6PD test required before starting.
Used forBorrelia
DescriptionA tetracycline antibiotic and the standard first-line prescription option for Borrelia.
ContraindicationsNot for children under 8 or during pregnancy/breastfeeding (permanent teeth staining risk). Avoid taking at the same time as calcium supplements or dairy — chelation significantly reduces absorption; separate by at least 2 hours. Causes photosensitivity — sun protection is required while on it. Avoid combining with isotretinoin (intracranial hypertension risk).
Used forGeneral reference / cross-referenced medication
DescriptionAn SNRI antidepressant — included here as a cross-reference point, since it appears frequently as a background medication and interacts with several items on this page.
ContraindicationsContraindicated with MAOIs (including within 14 days of stopping either drug). Carries a serotonin syndrome risk when combined with Methylene Blue (see that entry). Several herbs in Buhner’s protocol — Ashwagandha and Alchornea cordifolia specifically — are documented as contraindicated with antidepressants generally; duloxetine falls under that caution.
Used forBartonella
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsAvoid if hypersensitive to caffeine.
Used forBartonella
DescriptionUsed in combination with Methylene Blue for Bartonella-related brain fog, and separately for yeast/Candida overgrowth.
ContraindicationsA CYP3A4 and CYP2C9 inhibitor with many drug interactions. Use caution combining with other QT-prolonging drugs. Extended use warrants liver function monitoring.
Used forBorrelia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsCirculatory disease patients should consult a physician before use.
Used forBorrelia, Bartonella
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsLowers blood pressure — those with hypotensive tendencies should monitor status or use an alternative.
Used forBorrelia
DescriptionUsed as an alternative to rifampin/tinidazole for cyst-form Borrelia.
ContraindicationsA strong CYP3A4 inhibitor — significantly raises blood levels of many other medications (certain statins, some calcium channel blockers, immunosuppressants). Review all current prescriptions with a doctor or pharmacist before combining. Also: some liquid products have been found adulterated with synthetic preservatives (benzethonium chloride, triclosan), and benzethonium chloride has been linked to reduced warfarin effect in case reports. ConsumerLab also lists statins, benzodiazepines, carbamazepine, protease inhibitors and estrogen as grapefruit-type interactions. Not recommended in pregnancy or breastfeeding.
Used forBorrelia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsLimited to one month of continuous use. Increases bile flow — contraindicated in bile duct obstruction or active liver disease, and must not be combined with other medication, especially paracetamol.
Used forBartonella
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsMust be avoided by anyone with pre-existing pathologically low blood pressure.
Used forBartonella. See the full herb database page for dosing.
ContraindicationsNo reliable human safety summary was found for Houttuynia. Safety information for this herb could not be confirmed from a reliable source, so treat it as unknown rather than safe. Check with your prescriber or pharmacist. Avoid in pregnancy and breastfeeding unless a doctor agrees. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBorrelia, Bartonella
DescriptionSometimes added to more aggressive combination protocols.
ContraindicationsLong-term use carries a retinal toxicity risk — periodic eye exams are required. Use caution in G6PD deficiency (milder hemolysis risk than dapsone or tafenoquine, but still relevant). Carries a QT-prolongation risk.
Used forBartonella
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsLimited to 3 consecutive weeks before a one-week break — prolonged high-dose use can overtax the kidneys.
Used forBartonella
DescriptionAn alternative to Fluconazole for Bartonella-related brain fog protocols.
ContraindicationsContraindicated with numerous CYP3A4-metabolized drugs (including certain statins). Not for use in anyone with a history of ventricular dysfunction or heart failure. Requires an acidic stomach environment for absorption — avoid combining with acid-reducing medication (e.g. PPIs) at the same time.
Used forBorrelia, Bartonella, Babesia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsAvoid with blood-thinning medication (stop 10 days before surgery) or existing high estrogen levels. Can cause temporary loss of taste in roughly 1% of people.
Used forBabesia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsLowers blood pressure (unlike Siberian Ginseng) — use caution with existing hypotension.
Used forBorrelia. See the full herb database page for dosing.
ContraindicationsMemorial Sloan Kettering lists these as contraindications: known allergy to kudzu, hormone-sensitive cancers (including ER-positive breast cancer, because kudzu has oestrogen-like activity), and use of tamoxifen. It may add to the effect of diabetes medicines, may raise methotrexate levels (rat data), and may alter how some medicines are processed (CYP2D6 and CYP1A2). Rare cases of kidney inflammation and liver injury have been reported. Pregnancy was not addressed in the source: ask a doctor first. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBartonella, Babesia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsContraindicated in severe hypertension; prolonged uncycled use can itself raise blood pressure. Must not be used with an active viral infection, particularly herpes — it can intensify viral symptoms.
Used forBabesia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsCompletely contraindicated in hypertension, hypokalemia, hypernatremia and low testosterone. Not for continuous use beyond 4–6 weeks.
Used forBorrelia. See the full herb database page for dosing.
ContraindicationsDo not use if you are allergic to lion’s mane or other mushrooms or moulds; severe allergic reactions are possible (stop and get help straight away if you get breathing problems, swelling, hives or fainting). Tell your doctor first if you have asthma or kidney or liver problems. Pregnancy and breastfeeding safety is not known (WebMD). Drug interactions are not fully understood, so check with a pharmacist before combining it with medicines. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBorrelia, Bartonella, Babesia. See the full herb database page for dosing.
ContraindicationsDo not combine with blood thinners (warfarin, DOACs) or antiplatelet drugs unless your doctor agrees and is monitoring you. Avoid with active bleeding, bleeding disorders, a recent haemorrhagic stroke, severe liver disease, an active stomach ulcer or uncontrolled high blood pressure. Avoid in pregnancy, when trying to conceive and when breastfeeding. Stop and get medical help for new bruising, nosebleeds, bleeding gums, black stools, heavy periods or severe headache. Tell your surgical or dental team: a safety guide says most clinicians stop it about 5 to 7 days before procedures. Other proteolytic enzymes (Nattokinase, Serrapeptase) and high-dose fish oil add to the same effect. Long-term safety is uncertain. (Source: a consumer safety guide, not a regulator: confirm with your prescriber.) Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBabesia
DescriptionCombination antimalarial; the standard first-line prescription option for Babesia.
ContraindicationsDo not combine with rifampin or rifabutin — they lower atovaquone blood levels and reduce effectiveness. Use caution in severe renal impairment (creatinine clearance under 30ml/min), due to proguanil accumulation.
Used forBartonella
DescriptionUsed in Bartonella protocols targeting brain fog, alongside Fluconazole or Itraconazole.
ContraindicationsRequires G6PD testing before starting — hemolysis risk in G6PD deficiency. Contraindicated with SSRIs, SNRIs, MAOIs and tricyclic antidepressants — inhibits monoamine oxidase-A and can cause serotonin syndrome, which has been fatal in reported cases. This specifically includes duloxetine and mirtazapine-class antidepressants; an antidepressant washout period (typically at least 5 days) is required beforehand if switching from an SNRI/SSRI.
⚠ Testing Required
G6PD test required before starting.
Used forBabesia, Bartonella. See the full herb database page for dosing.
ContraindicationsGenerally well tolerated; the most common complaints are bloating, nausea and gas (NCCIH). Can trigger allergy in people sensitive to ragweed, chrysanthemum, marigold or daisy. Little is known about safety in pregnancy and breastfeeding. Specific drug interactions are not named by NCCIH, so check with your prescriber or pharmacist. Some supplements contain different amounts than the label states. Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forGeneral reference / cross-referenced medication
DescriptionAn atypical antidepressant — included here as a cross-reference point for the same reason as Duloxetine.
ContraindicationsGenerally carries a lower serotonin syndrome risk than SNRIs/SSRIs, but is sedating — use caution combining with other sedating herbs (Valerian/Amantilla, Melatonin) due to additive drowsiness. Falls under the same general antidepressant caution flagged for Ashwagandha and Alchornea cordifolia.
Used forGeneral reference / cross-referenced medication
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsUse caution with asthma, bleeding disorders, active ulcers, respiratory failure, or specific methylation impairments.
Used forBorrelia, Bartonella, Babesia (biofilm and fibrin support)
DescriptionFibrin-dissolving enzyme from natto (fermented soybeans), used for biofilm and fibrin nests. See the full herb database page for dosing.
ContraindicationsUse only under medical supervision if you take anticoagulant drugs, and do not use in any condition associated with bleeding (Allergy Research Group label). Ask a practitioner first if you are pregnant or lactating, have a health condition or take any medication. Made from fermented soybeans, so it contains soy. The product page lists no other drug interactions, which means none are documented there, not that none exist: check with your prescriber or pharmacist.
Used forBabesia, Bartonella
DescriptionAn antifungal used for yeast/Candida overgrowth support during antibiotic treatment.
ContraindicationsMinimal systemic absorption and few significant drug interactions — one of the better-tolerated antifungal options to combine with other treatment.
Used forBartonella
DescriptionUsed in resistant Bartonella protocols, typically combined with other antibiotics.
ContraindicationsCarries a hepatotoxicity risk — liver function monitoring is required. Avoid in acute gout, since it raises uric acid levels.
Used forBabesia
DescriptionUsed in combination with Clindamycin as an alternative Babesia regimen.
ContraindicationsCarries a QT-prolongation risk — avoid combining with other QT-prolonging drugs. Can cause cinchonism at higher doses (tinnitus, headache, visual disturbance). Use caution in G6PD deficiency (milder hemolysis risk).
Used forBorrelia
DescriptionBark extract (Otoba parvifolia), sold by NutraMedix as Banderol. Part of the Ross Lyme protocol.
ContraindicationsDo not use if pregnant or nursing (NutraMedix and Montana Farmacy labels). Stop if you have a reaction. The Banderol label says not to mix the drops into hot water, distilled water or reverse osmosis water. Banderol contains 20-24% food-grade alcohol. The product pages list no drug interactions, which means none are documented there, not that none exist: check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBartonella
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsA potent blood coagulant — never combine with anticoagulant or coagulant medication.
Used forBartonella
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsCan cause jitters or over-stimulation in some people — best avoided close to bedtime until tolerance is confirmed.
Used forBartonella, Babesia, Borrelia
DescriptionUsed as an adjunct for Bartonella and Babesia, and for cyst-form Borrelia.
ContraindicationsA major CYP450 enzyme inducer — reduces the effectiveness of many other drugs, including hormonal contraceptives and warfarin. Do not combine with Malarone/atovaquone (lowers atovaquone levels). Harmlessly discolors urine, tears and sweat orange. Periodic liver function monitoring is recommended.
Used forBorrelia, Babesia. See the full herb database page for dosing.
ContraindicationsMay increase bleeding risk: discuss with your prescriber before using with warfarin, antiplatelet drugs (clopidogrel, aspirin and others) or NSAIDs. Other medicines to discuss: digoxin (danshen can make digoxin blood tests inaccurate), blood pressure and chest pain medicines. Serious reactions can include severe allergy and liver damage. Tell your surgical team: it may need to be stopped before and after procedures. Pregnancy and breastfeeding safety is not known (WebMD). Always check with your prescriber or pharmacist, especially if you take blood thinners or other regular medicines.
Used forBabesia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsNot for use in severe hypertension, organic heart disorders, acute nervous hyperexcitability, or severe insomnia.
Used forBartonella (biofilm and fibrin support)
DescriptionProteolytic enzyme used for biofilm and fibrin support. See the full herb database page for dosing.
ContraindicationsDo not use if you take blood platelet inhibitors such as Ticlid, Plavix or Coumadin, or similar prescription medicines. Do not use if pregnant or nursing. Stop use if you have a reaction (NutraMedix label). The product page lists no other drug interactions, which means none are documented there, not that none exist: check with your prescriber or pharmacist, especially if you take any blood thinner.
Used forBartonella, Babesia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsAvoid entirely with existing heart problems (cardiac issues are a hard contraindication in the underlying data). Reduce the dose or discontinue if a headache occurs — a documented dose-sensitivity signal repeated across the Babesia and Bartonella protocols.
Used forBorrelia, Bartonella
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsContraindicated with pharmaceutical calcium channel blockers, beta-blockers, digoxin, antiarrhythmic drugs, AV heart block, and existing low blood pressure.
Used forBabesia
DescriptionA newer antimalarial sometimes used off-label for Babesia, related to primaquine.
ContraindicationsQuantitative G6PD testing is mandatory before starting — contraindicated in G6PD deficiency or unknown G6PD status (hemolytic anemia risk). Also contraindicated in pregnancy, in breastfeeding when the infant’s G6PD status is unknown or deficient, and in anyone with a history of psychosis.
⚠ Testing Required
Quantitative G6PD test is mandatory before starting — this is a hard contraindication, not just a caution.
Used forBorrelia
DescriptionUsed specifically to target the cyst form of Borrelia.
ContraindicationsAvoid alcohol during treatment and for 3 days after — causes a disulfiram-like reaction (nausea, vomiting, flushing). Avoid in the first trimester of pregnancy. Potentiates warfarin’s effect.
Used forBorrelia
DescriptionSee the full Herb Database page for plant name, tincture dosing, and general description.
ContraindicationsNever combine with 5-HTP — both regulate the same serotonin pathway; combining them is redundant, not additive.
This reference is for informational purposes only and is not a substitute for advice from your prescribing physician or LLMD. Always disclose your full current medication and supplement list to every provider involved in your care — many of the interactions above only become relevant when combined with something not listed here.