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Drug interactions

Anti-thymocyte + Astragalus

Severity: Moderate

Anti-thymocyte and Astragalus: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Astragalus is claimed to stimulate immune function and might oppose the immunosuppression from anti-thymocyte globulin. This could theoretically raise the risk of rejection or reduce the effect of induction therapy.

What this interaction means in plain words

Anti-thymocyte and Astragalus can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Possible immunostimulatory activity of astragalus opposing T-cell depletion; evidence is not well established.

What to do

Advise transplant patients to avoid astragalus during and after antithymocyte globulin therapy. Monitor graft function if it has been used.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Anti-thymocyte with Astragalus?

MediHelp rates the interaction as moderate. Anti-thymocyte and Astragalus can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Astragalus is claimed to stimulate immune function and might oppose the immunosuppression from anti-thymocyte globulin. This could theoretically raise the risk of rejection or reduce the effect of induction therapy.

How serious is the interaction between Anti-thymocyte and Astragalus?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise transplant patients to avoid astragalus during and after antithymocyte globulin therapy. Monitor graft function if it has been used.

What other medicines interact with Anti-thymocyte?

MediHelp also lists interactions of Anti-thymocyte with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine live. The full list is on the Anti-thymocyte page.

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