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. Berberine may affect P-glycoprotein and CYP3A pathways and could alter cyclosporine levels.
Mechanism. Potential transporter and enzyme modulation.
Recommendation. Avoid unsupervised berberine; check trough levels if started or stopped.
Stack Score
How it moves the number.
Effect on the composite score
If both Berberine and Cyclosporine 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. Cyclosporine Capsules Modified US Prescribing Information. 2026.Needs sourceNo link