Can You Take Ashwagandha and Red Yeast Rice Together?

Use extra care with this pair

The short answer

Both Ashwagandha and Red Yeast Rice have hepatotoxic potential. This combination is common in wellness and cholesterol management regimens. Research suggests monitoring liver function when combining hepatotoxic supplements.

How to arrange timing

Monitor liver function if using both long-term. Consider periodic ALT/AST testing, especially during the first 3 months.

Reference

Reference noted for this combination: Björnsson HK et al., J Hepatol 2020; Björnsson ES, Clin Liver Dis 2017

Important context

Whether supplements suit you together also depends on dose, product formulation, health conditions, and medication use. Ask a doctor or pharmacist first if you take medication, are pregnant or breastfeeding, or have a chronic condition.