Drug & supplement interaction

Black Haw + acetaminophen, dextromethorphan, phenylephrine, guaifenesin

acetaminophen, dextromethorphan, phenylephrine, guaifenesin brand name: DayQuil Severe.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Black Haw and acetaminophen, dextromethorphan, phenylephrine, guaifenesin in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Black Haw and acetaminophen, dextromethorphan, phenylephrine, guaifenesin

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between acetaminophen, dextromethorphan, phenylephrine, guaifenesin and Black Haw in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Black Haw at all — not against acetaminophen, dextromethorphan, phenylephrine, guaifenesin, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Black Haw safety at a glance

Black Haw overall Use caution Generally used in traditional medicine, but human safety data are limited.
Pregnancy Possibly Unsafe When used orally. Some evidence suggests black haw has uterine relaxant effects; avoid using. Read the full pregnancy detail
Breastfeeding Avoid Not enough safety information exists for nursing mothers.

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining acetaminophen, dextromethorphan, phenylephrine, guaifenesin and Black Haw? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
Special populations

Black Haw in Pregnancy & Breastfeeding

Pregnancy Possibly Unsafe

When used orally. Some evidence suggests black haw has uterine relaxant effects; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With acetaminophen, dextromethorphan, phenylephrine, guaifenesin

This page covers Black Haw only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the acetaminophen, dextromethorphan, phenylephrine, guaifenesin page lists 1 supplement it has a documented interaction with, worst first, each one explained.

The most serious there right now: Echinacea (minor).

By severity: 1 minor.

From our pharmacist’s overview on the acetaminophen, dextromethorphan, phenylephrine, guaifenesin page

“People fighting off a cold with DayQuil Severe (acetaminophen, dextromethorphan, phenylephrine, guaifenesin) are often the same people dosing themselves with echinacea, and that pairing is the only supplement interaction on record here, rated minor and considered unlikely to matter. Echinacea can nudge the liver enzymes that break down…”

Reviewed by 2 · Jul 18, 2026

Open the acetaminophen, dextromethorphan, phenylephrine, guaifenesin interaction page

One more smart check

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

We hold 20 real supplement products containing Black Haw, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Black Haw. Even though Black Haw itself has no known interaction with acetaminophen, dextromethorphan, phenylephrine, guaifenesin, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Black Haw and acetaminophen, dextromethorphan, phenylephrine, guaifenesin 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 Black Haw
Steady interest

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

29 days ago today
Medication acetaminophen, dextromethorphan, phenylephrine, guaifenesin
Steady interest

#1,532 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.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Black Haw reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Black Haw and acetaminophen, dextromethorphan, phenylephrine, guaifenesin records this page draws on were last updated July 11, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Black Haw

What is Black Haw?

Black Haw
  • Menstrual cramps
  • Uterine spasms
  • Threatened miscarriage (traditional)
  • Menopause-related discomfort
  • General muscle cramps

Black Haw is a traditional herbal bark long used to ease menstrual cramps and uterine spasms, but modern human studies are very limited. It contains compounds that may relax smooth muscle, but its effectiveness is not well proven, and it should be used with caution, especially during pregnancy. Talk to a pharmacist or doctor before trying it.

Viburnum prunifolium · Adoxaceae · Bark of the stem and root · Tea (decoction), tincture, liquid extract, capsules, dried bark

An interaction check asks whether these two react with each other — it does not ask whether Black Haw is a good idea for someone in your situation. Here is what our Black Haw record says about it on its own.

Black Haw: dosing

There is no established standardized dose for Black Haw. Traditional preparations include teas (decoctions of the bark), tinctures, and liquid extracts, but reliable dosing has not been confirmed by modern research.If you choose to use a product, follow the directions on the label and do not exceed the recommended amount.

From our Black Haw monograph — the full record covers uses, side effects and every documented interaction.

Read the full Black Haw monograph & all interactions
Keep checking

Other Drugs & Black Haw

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

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Black Haw References

The 1 references that drive our Black Haw monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Black Haw and acetaminophen, dextromethorphan, phenylephrine, guaifenesin Together: Common Questions

Is it safe to take Black Haw with acetaminophen, dextromethorphan, phenylephrine, guaifenesin?
We do not list a known interaction between Black Haw and acetaminophen, dextromethorphan, phenylephrine, guaifenesin. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does acetaminophen, dextromethorphan, phenylephrine, guaifenesin interact with any supplements?
Yes. acetaminophen, dextromethorphan, phenylephrine, guaifenesin has documented interactions with 1 supplement in our database — Black Haw is not one of them. The acetaminophen, dextromethorphan, phenylephrine, guaifenesin interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About acetaminophen, dextromethorphan, phenylephrine, guaifenesin and Black Haw?

Our pharmacists answer your medication & supplement questions — free.

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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.