From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionEmerging evidence
What is happening. Ashwagandha may cause sedation or dizziness and can complicate assessment of rivastigmine tolerability.
Mechanism. Additive CNS effects and possible orthostatic symptoms.
Recommendation. Avoid during rivastigmine titration; use cautiously if stable and monitor falls or confusion.
Stack Score
How it moves the number.
Effect on the composite score
If both Ashwagandha and Rivastigmine are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1U.S. National Library of Medicine. Rivastigmine transdermal system US Prescribing Information. 2026.Needs sourceNo link