There are multiple interactions reported between these two agents.

Interaction Details

Phenobarbital is classified as belonging to the following category: Cns Depressants

Theoretically, concomitant use with drugs with sedative effects might cause additive therapeutic effects and adverse effects.

Interaction Rating

Moderate

Likelihood of Occurrence

Possible

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists

References

  • Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.

Interaction Details

Phenobarbital is classified as belonging to the following category: Anticholinergic Drugs

Studies report varying evidence on whether or not wild lettuce contains hyoscyamine, an anticholinergic drug. If it does, it appears to be in very low amounts. Nevertheless, there have been case reports of individuals consuming large amounts of wild lettuce experiencing anticholinergic-related side effects, such as constipation, dry mouth, dizziness, and sweating. Therefore, if you are already taking a drug with anticholinergic effects, you should be cautious about combining it with wild lettuce as the risk of side effects may be increased.

Interaction Rating

Moderate

Likelihood of Occurrence

Possible

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists

Pharmacist Analysis

It is unlikely that wild lettuce contains appreciable amounts of hyoscyamine to make a clinical impact in most individuals. However, case reports have documented individuals showcasing anticholinergic side effects after consuming very large quantities. Due to this, I would recommend caution if you are already taking anticholinergic drugs or drugs that have anticholinergic effects (such as tricyclic antidepressants, some antipsychotics, some antihistamines, etc...). 

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Wild Lettuce Overview

Wild Lettuce Wild lettuce (Lactuca virosa) is a plant species in the lettuce family that is native to Europe and parts of Asia. It is a tall, annual plant with small, yellow flowers and leaves that resemble the leaves of cultivated lettuce. Wild lettuce is sometimes called "opium lettuce" due to the milky sap it contains that has been purported to have sedative and analgesic effects. Wild lettuce has a long history of use in traditional medicine. It is thought to have various medicinal properties, including sedative, analgesic, and antispasmodic effects. It is used to treat a variety of conditions, including insomnia, anxiety, and pain.
See More Information Regarding Wild Lettuce

Phenobarbital Overview

  • Phenobarbital is used to control seizures. Phenobarbital is also used to relieve anxiety. It is also used to prevent withdrawal symptoms in people who are dependent ('addicted'; feel a need to continue taking the medication) on another barbiturate medication and are going to stop taking the medication. Phenobarbital is in a class of medications called barbiturates. It works by slowing activity in the brain.

See More Information Regarding Phenobarbital

Wild Lettuce - More Interactions

Wild Lettuce interacts with 390 drugs

Interaction Rating Key

These severity listings are for informational use only. Never start, stop or otherwise change your therapy before speaking with your provider.

Major The combined use of these agents is strongly discouraged as serious side effects or other negative outcomes could occur.
Moderate Use cautiously under the care of a healthcare professional or avoid this combination. A significant interaction or negative outcome could occur.
Minor Be aware that there is a chance of an interaction. Watch for warning signs of a potential interaction.
Unknown No interactions have been reported or no interaction data is currently available.

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Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Drug descriptions are provided by MedlinePlus.

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Dr. Brian Staiger, PharmD

In addition to being a clinical pharmacist specializing in pharmacotherapy, Dr. Brian Staiger is a registered herbalist through the American Herbalist Guild. He has combined his passion for pharmacy practice with the study of medical ethnobotany to improve patient care. Feel free to reach out about any of your herbal or medication questions!

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