Yes, Rudraksha beads can be worn with gemstones. Many people combine them for enhancing planetary remedies. For instance:

  • Rudraksha beads worn with emerald or ruby can help improve the effects of Mercury or Mars in the astrological chart.
  • Garnet, diamond, and blue sapphire can be combined with Rudraksha beads for amplifying specific spiritual or healing effects.

It is important to consult an astrologer or spiritual advisor to ensure compatibility with the Rudraksha bead and gemstone.