Drug & supplement interaction

Basil + Benzthiazide

Benzthiazide brand name: Exna.

Moderate Interaction
The bottom line Moderate

Basil has a moderate interaction with Benzthiazide. Theoretically, basil might increase the risk of hypotension when taken with antihypertensive drugs.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Basil and Benzthiazide

Here is the interaction we found between these two, with the evidence behind it.

Moderate

ANTIHYPERTENSIVE DRUGS

Why this applies to Benzthiazide

Benzthiazide falls under ANTIHYPERTENSIVE DRUGS — the group Basil interacts with.

Theoretically, basil might increase the risk of hypotension when taken with antihypertensive drugs.
Animal research suggests that basil extract can reduce systolic and diastolic blood pressure.
Severity Moderate Likelihood Possible Evidence D

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.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Benzthiazide (Exna) is a thiazide-type water pill that lowers blood pressure by helping your body get rid of extra salt and fluid. The thinking here is that basil may nudge blood pressure down a little too, so taking concentrated basil supplements alongside your benzthiazide could add to that effect.

If your pressure drops too low, you might feel dizzy, lightheaded, or unusually tired, especially when standing up quickly. The good news is that this caution comes only from animal and lab research, not human studies, so it is mostly theoretical. Cooking with basil in normal food amounts is very unlikely to cause any problem. Concentrated supplements or basil essential oil are the real question marks. Before adding those, check with your pharmacist or doctor.

References
  1. Umar, A., Imam, G., Yimin, W., Kerim, P., Tohti, I., Berke, B., and Moore, N. Antihypertensive effects of Ocimum basilicum L. (OBL) on blood pressure in renovascular hypertensive rats. Hypertens.Res 5-7-2010; PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction 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.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Basil Also Interacts With Other Medications

Basil has 288 moderate known drug interactions in our database — the Benzthiazide one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Basil

Covers the 2,830 medications we’ve checked against Basil. Pick one to open its full report.

From our Q&A

Questions About Basil or Benzthiazide

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Basil or Benzthiazide, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Benzthiazide

This page covers Basil only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Benzthiazide page lists 227 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), American Mistletoe (major), Asarabacca (major) and Dolomite (major).

By severity: 10 major · 192 moderate · 25 minor.

From our pharmacist’s overview on the Benzthiazide page

“Benzthiazide (Exna), a thiazide water pill prescribed for high blood pressure and fluid retention, comes with a supplement list I would treat with genuine respect. Most of what appears here either drops blood pressure further than intended or deepens the potassium and fluid loss the drug already causes, and a handful can strain the kid…”

Reviewed by 2 · Jul 18, 2026

Open the Benzthiazide interaction page

One more smart check

Taking Basil as Part of a Dietary Supplement Product? Check It for Interactions

We hold 396 real supplement products containing Basil, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Basil. Your product may carry other ingredients that interact with Benzthiazide too, on top of Basil — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Basil and Benzthiazide Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Basil
Top 25%

#361 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Benzthiazide
Top half

#1,102 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Basil

What is Basil?

Basil
  • Digestive upset and gas
  • Stress and anxiety
  • Antimicrobial support
  • Cold and cough symptoms
  • Headache
  • General antioxidant support

Basil is a popular cooking herb that is generally safe in the amounts used in food. While it has a long history of traditional medicinal use and contains antioxidant compounds, strong human evidence for most health claims is limited. Talk with your pharmacist or doctor before using concentrated supplements or essential oils.

Read the full Basil monograph & all interactions
Keep checking

Other Drugs & Basil

Browse every other medication we’ve checked against Basil — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
288Moderate
0Minor
2,541No known interaction
Moderate

288 interactions

Showing 60 of 288 moderate interactions — see all 288 on the Basil page.

No interaction 2,541 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

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

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Pharmacist Counseling Corner

Taking Basil and Benzthiazide Together: Common Questions

Can you take Basil with Benzthiazide?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Basil and Benzthiazide interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Benzthiazide and Basil?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.