Drug & supplement interaction

Buchu + Minocycline

Minocycline brand names: Vectrin, Dynacin, Minocin, Minocin IV, Solodyn, and others.

Moderate Interaction
The bottom line Moderate

Minocycline falls into 2 drug categories that Buchu can interact with; the most serious is rated moderate. Buchu contains pulegone, a known hepatotoxin.

Read the full interaction report
SeverityModerate
LikelihoodPossible
Interactions2
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Buchu and Minocycline

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

Buchu interacts with whole categories of medication. Minocycline falls into 2 of those categories, so it can interact with Buchu in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).

Moderate

HEPATOTOXIC DRUGS

1 of 2

Why this applies to Minocycline

Minocycline falls under HEPATOTOXIC DRUGS — the group Buchu interacts with.

Buchu contains pulegone, a known hepatotoxin. There is some concern that buchu may adversely affect the liver, especially when the leaf is used in large doses or the oil is ingested. Theoretically, concomitant use with hepatotoxic drugs might increase the risk of liver damage. Some of these drugs include acarbose (Precose, Prandase), amiodarone (Cordarone), atorvastatin (Lipitor), azathioprine (Imuran), carbamazepine (Tegretol), cerivastatin (Baycol), diclofenac (Voltaren), felbamate (Felbatol), fenofibrate (Tricor), fluvastatin (Lescol), gemfibrozil (Lopid), isoniazid, itraconazole, (Sporanox), ketoconazole (Nizoral), leflunomide (Arava), lovastatin (Mevacor), methotrexate (Rheumatrex), nevirapine (Viramune), niacin, nitrofurantoin (Macrodantin), pioglitazone (Actos), pravastatin (Pravachol), pyrazinamide, rifampin (Rifadin), ritonavir (Norvir), rosiglitazone (Avandia), simvastatin (Zocor), tacrine (Cognex), tamoxifen, terbinafine (Lamisil), valproic acid, and zileuton (Zyflo)
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

Here's the gist with Buchu and minocycline. Buchu's essential oil contains a compound called pulegone, which can be hard on the liver when taken in large amounts or as a concentrated oil. Minocycline, on its own, is also a medication that can occasionally stress the liver. So the worry is simple addition: two things that lean on the liver at the same time could, in theory, raise the chance of liver irritation.

To be honest, this is a theoretical concern based on pharmacology, not strong human studies, so I don't want to scare you. Most people taking minocycline short term won't run into trouble. Still, watch for yellowing of the skin or eyes, dark urine, belly pain, or unusual tiredness, and check with your pharmacist or doctor before combining them.

References
  1. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
  2. Moolla A, Viljoen AM. 'Buchu' - Agathosma betulina and Agathosma crenulata (Retaceae): a review. J Ethnopharmacol 2008;119(3):413-9.
Moderate

ANTICOAGULANT/ANTIPLATELET DRUGS

2 of 2

Minocycline also falls under ANTICOAGULANT/ANTIPLATELET DRUGS.

Buchu may have antiplatelet effects. Theoretically, buchu may enhance the effects of anticoagulant or antiplatelet drugs and increase the risk of bleeding in some patients. Some anticoagulant or antiplatelet drugs include aspirin, clopidogrel (Plavix), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, ticlopidine (Ticlid), warfarin (Coumadin), and others.
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

Here's the honest picture: the interaction we have on file is really about blood thinners and antiplatelet drugs, and minocycline isn't one of those. Minocycline is an antibiotic from the tetracycline family, so the bleeding concern in our database doesn't apply to it directly.

That said, minocycline can have its own mild effect on blood clotting in some people, and buchu may also nudge platelets a little. The evidence here is weak (mostly anecdotal and theoretical), so I wouldn't lose sleep over it. Still, if you take an actual blood thinner alongside this, or you bruise or bleed easily, it's worth a quick chat with your pharmacist or doctor before combining them.

References
  1. Fetrow CW, Avila JR. Professional's Handbook of Complementary & Alternative Medicines. 1st ed. Springhouse, PA: Springhouse Corp., 1999.

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

Buchu Also Interacts With Other Medications

Buchu has 480 moderate known drug interactions in our database — the Minocycline one above is among them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Buchu

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

From our Q&A

Questions About Buchu or Minocycline

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Buchu or Minocycline, 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 Minocycline

This page covers Buchu only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Minocycline page lists 331 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Asarabacca (major), Beer (major), Danshen (major) and Oleander (major).

By severity: 9 major · 290 moderate · 32 minor.

From our pharmacist’s overview on the Minocycline page

“This is one of the longer interaction lists I review, and with minocycline it earns real care rather than a shrug. Most entries pair this tetracycline antibiotic, taken for acne and other infections, with supplements that raise bleeding risk, and a second sizable group, beer and wine included, can add strain on the liver.”

Reviewed by 2 · Jul 18, 2026

Open the Minocycline interaction page

One more smart check

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

We hold 128 real supplement products containing Buchu, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Buchu. Your product may carry other ingredients that interact with Minocycline too, on top of Buchu — 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 Buchu and Minocycline 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 Buchu
Top 25%

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

29 days ago today
Medication Minocycline
Top 25%

#603 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 Buchu

What is Buchu?

Buchu
  • Urinary tract complaints
  • Diuretic (increasing urine flow)
  • Bloating and fluid retention
  • Mild digestive upset
  • Antimicrobial/antiseptic use
  • Flavoring and fragrance

Buchu is a fragrant South African shrub whose leaves are traditionally used for urinary and bladder complaints and as a diuretic. Solid human studies are lacking, so its benefits are largely unproven, and it should be avoided in pregnancy and breastfeeding. Talk to a pharmacist or doctor before using it, especially if you have kidney or liver problems.

Read the full Buchu monograph & all interactions
Medication

About Minocycline

What Is Minocycline Used For?

Brand names: Vectrin, Dynacin, Minocin, Minocin IV, Solodyn, Acnamino MR, Minocin MR, Sebomin MR, Aknemin, Arestin Miscrosperes, Amzeeq, Zilxi

Minocycline is mainly used for infections caused by susceptible bacteria. Oral capsules and tablets, and Minocin intravenous (IV), are labeled for many infections. These include rickettsial infections such as Rocky Mountain spotted fever, Mycoplasma pneumoniae respiratory infections, chlamydia-related infections, plague, tularemia, cholera and brucellosis (with streptomycin). Some gram-negative bacterial infections are included when lab testing shows the bacteria respond.

Other minocycline products are not for infections at all. Extended-release tablets (including Minolira) treat inflammatory acne lesions in patients 12 and older. Amzeeq foam treats inflammatory acne in patients 9 and older. Zilxi foam and Emrosi capsules treat inflammatory rosacea lesions in adults. Arestin is placed in gum pockets by a dental professional for adult periodontitis.

See full Minocycline drug information
Keep checking

Other Drugs & Buchu

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

0Major
480Moderate
0Minor
2,349No known interaction
Moderate

480 interactions

Showing 60 of 480 moderate interactions — see all 480 on the Buchu page.

No interaction 2,349 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

Keep exploring
Pharmacist Counseling Corner

Taking Buchu and Minocycline Together: Common Questions

Can you take Buchu with Minocycline?
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.
Why are there 2 interactions listed for Buchu and Minocycline?
Minocycline belongs to more than one drug category, and Buchu interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Buchu and Minocycline 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 Minocycline and Buchu?

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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.