Celery + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide
Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide brand name: Coricidin HBP Maximum Strength Flu.
Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide falls into 3 drug categories that Celery can interact with; the most serious is rated moderate. Theoretically, celery might increase levels of drugs metabolized by CYP1A2.
Read the full interaction reportCelery and Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide
These two interact in 3 distinct ways. Each one is explained separately below.
Why Are There 3 Interactions?
Celery interacts with whole categories of medication. Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide falls into 3 of those categories, so it can interact with Celery in 3 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).
CYTOCHROME P450 1A2 (CYP1A2) SUBSTRATES
1 of 3Why this applies to Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide
Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide falls under CYTOCHROME P450 1A2 (CYP1A2) SUBSTRATES — the group Celery interacts with.
In vitro and animal research suggests that constituents of celery can inhibit CYP1A2. This effect has not been reported in humans.
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.
Here's the simple version. This Coricidin HBP product is a combo of acetaminophen (a pain and fever reducer), chlorpheniramine (an antihistamine), and dextromethorphan (a cough suppressant). Lab and animal studies hint that compounds in celery may slow down a liver enzyme called CYP1A2, which helps process certain medicines. If that enzyme runs slower, levels of an affected drug could theoretically creep up, which might mean a bit more drowsiness, dizziness, or dry mouth.
The good news: this has never actually been shown to happen in people, and it's only a theory based on test-tube work. Eating celery as a normal food is very unlikely to matter. Concentrated celery seed extracts are where I'd be a touch more cautious. If you use those regularly, just run it by your pharmacist or doctor.
- Peterson, S., Lampe, J. W., Bammler, T. K., Gross-Steinmeyer, K., and Eaton, D. L. Apiaceous vegetable constituents inhibit human cytochrome P-450 1A2 (hCYP1A2) activity and hCYP1A2-mediated mutagenicity of aflatoxin B1. Food Chem.Toxicol. 2006;44(9):147 PubMed
PHOTOSENSITIZING DRUGS
2 of 3Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide also falls under PHOTOSENSITIZING DRUGS.
Laboratory research shows that celery contains photosensitizing agents such as phenols and psoralens.
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.
Here's the gist for your Coricidin HBP Flu product (which combines acetaminophen, chlorpheniramine, and dextromethorphan): the concern with celery isn't about how your body breaks down these medicines. Instead, certain medications can make your skin a little more sensitive to sunlight, and celery supplements naturally contain compounds called psoralens that may do the same thing. The worry is that combining them might add up and make a sunburn-type reaction more likely.
Honestly, this is a very weak, theoretical concern based mostly on lab findings, not real patient reports, and it's rated minor. Eating celery as food is unlikely to matter. If you're using concentrated celery extract or oil and plan to be out in strong sun, just use sunscreen and check with your pharmacist.
- Gral N, Beani JC, Bonnot D, et al. [Plasma levels of psoralens after celery ingestion]. Ann Dermatol Venereol 1993;120:599-603.
- Weber, I. C., Davis, C. P., and Greeson, D. M. Phytophotodermatitis: the other "lime" disease. J Emerg.Med 1999;17(2):235-237. PubMed
- Lombaert, G. A., Siemens, K. H., Pellaers, P., Mankotia, M., and Ng, W. Furanocoumarins in celery and parsnips: method and multiyear Canadian survey. J AOAC Int 2001;84(4):1135-1143. DOI
- Gorgus, E., Lohr, C., Raquet, N., Guth, S., and Schrenk, D. Limettin and furocoumarins in beverages containing citrus juices or extracts. Food Chem.Toxicol. 2010;48(1):93-98. PubMed
- Beier, R. C., Ivie, G. W., Oertli, E. H., and Holt, D. L. HPLC analysis of linear furocoumarins (psoralens) in healthy celery (Apium graveolens). Food Chem.Toxicol. 1983;21(2):163-165. PubMed
ACETAMINOPHEN (Tylenol, others)
3 of 3Animal research suggests that concomitant use of celery juice plus acetaminophen prolongs the effects of acetaminophen. This effect has been attributed to a decrease in hepatic cytochrome P450 activity. However, other animal research shows that pretreatment with celery root extract protects against acetaminophen-induced acute liver failure. These effects have not been reported in humans.
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.
Here's the deal with Coricidin HBP and celery. The piece on file involves the acetaminophen in this combo product. In animal studies, celery juice seemed to slow how the liver clears acetaminophen, which could in theory make its effects linger a bit longer. Interestingly, other animal work suggested celery root might actually protect the liver. Either way, none of this has been seen in people, so we're working off lab and animal data only.
In practical terms, eating celery as food is nothing to worry about here. With concentrated celery seed or oil supplements I'd just be a little mindful, since acetaminophen taken too often or with alcohol can stress the liver. Stick to the dosing on the label and ask your pharmacist if you have questions.
- Jakovljevic, V., Raskovic, A., Popovic, M., and Sabo, J. The effect of celery and parsley juices on pharmacodynamic activity of drugs involving cytochrome P450 in their metabolism. Eur.J Drug Metab Pharmacokinet. 2002;27(3):153-156. PubMed
- Emad AM, Ali SF, Abdel-Rahman EA, et al. Anti-inflammatory and antioxidant effects of Apium graveolens L. extracts mitigate against fatal acetaminophen-induced acute liver toxicity. J Food Biochem 2020:e13399. Online ahead of print.
What These Ratings Mean
Every interaction above is graded three ways — here’s the key to each label.
Clinically significant. Avoid the combination, or use only under close professional supervision.
Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.
Generally not serious. Be aware of it and mention it to your pharmacist.
- 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.
- 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.
Celery Also Interacts With Other Medications
Celery has 448 moderate, 202 minor known drug interactions in our database — the Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide one above is among them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Celery
We haven’t checked that one against Celery yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Celery. Pick one to open its full report.
See Every Supplement That Interacts With Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide
This page covers Celery only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide page lists 275 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), Grapefruit (major) and Henbane (major).
Open the Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interaction page
Taking Celery as Part of a Dietary Supplement Product? Check It for Interactions
We hold 1,687 real supplement products containing Celery, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Celery. Your product may carry other ingredients that interact with Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide too, on top of Celery — and those would not show on this page. Find your product and we’ll check every ingredient on its label:
Where Celery and Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide 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.
#169 of 1,452 supplements looked up here in the last 7 days
#954 of 2,830 medications looked up here in the last 7 days
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.
About Celery
What is Celery?
- High blood pressure
- Fluid retention (diuretic)
- Joint pain and inflammation
- Anxiety and sleep
- Digestive support
Celery is a common vegetable that is also taken as a seed extract or oil supplement, mainly for blood pressure, fluid retention, and joint discomfort. Human evidence for these supplement uses is limited and mostly preliminary, so it should not replace proven treatments. Celery is generally safe as food, but concentrated supplements and possible allergic reactions warrant caution.
Other Drugs & Celery
Browse every other medication we’ve checked against Celery — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
448 interactions
- Diclofenac Sodium ›
- Diltiazem ›
- Theophylline ›
- Nifedipine ›
- Ibuprofen ›
- Aspirin ›
- Naproxen ›
- Estradiol ›
- Minocycline ›
- Propranolol ›
- Levothyroxine ›
- Hydrochlorothiazide ›
- Verapamil ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Hydralazine ›
- Acetaminophen ›
- Diazepam ›
- Ketoprofen ›
- Lofepramine ›
- Nortriptyline ›
- Trichlormethiazide ›
- Bendamustine ›
- Bendroflumethiazide ›
- Bivalirudin ›
- Caffeine (otc Drug) ›
- Cyclobenzaprine ›
- Desipramine ›
- Levothyroxine Sodium ›
- Lisinopril ›
- Metolazone ›
- Minoxidil ›
- Nicardipine ›
- Prazosin ›
- Riluzole ›
- Spironolactone ›
- Timolol ›
- Warfarin Sodium ›
- Acebutolol ›
- Acetazolamide ›
- Ambrisentan ›
- Amiloride ›
- Asenapine ›
- Atenolol ›
- Betaxolol ›
- Bromfenac Sodium ›
- Caffeine (prescription Drug) ›
- Candesartan Cilexetil ›
- Captopril ›
- Carteolol ›
- Carvedilol ›
- Chlorthalidone ›
- Clomipramine ›
- Clozapine ›
- Cyclothiazide ›
- Dabigatran ›
- Diclofenac Epolamine ›
- Enalapril Maleate ›
- Felodipine ›
- Flutamide ›
Showing 60 of 448 moderate interactions — see all 448 on the Celery page.
202 interactions
- Diphenhydramine ›
- Doxycycline ›
- Tetracycline ›
- Quinidine ›
- Glyburide ›
- Ciprofloxacin ›
- Flurbiprofen ›
- Isotretinoin ›
- Carbamazepine ›
- Tazarotene ›
- Trimipramine ›
- Etodolac ›
- Griseofulvin ›
- Meloxicam ›
- Ofloxacin ›
- Selegiline ›
- Topiramate ›
- Tretinoin ›
- Aripiprazole ›
- Azithromycin ›
- Dapsone ›
- Doxepin ›
- Doxycycline Hyclate ›
- Fluphenazine ›
- Hydroxyzine ›
- Interferon Alfa-2b ›
- Interferon Beta-1b ›
- Levofloxacin ›
- Paroxetine ›
- Sulfasalazine ›
- Valproic Acid ›
- Aminolevulinic Acid Hydrochloride ›
- Amiodarone ›
- Aripiprazole Lauroxil ›
- Brompheniramine ›
- Celecoxib ›
- Chlorpheniramine ›
- Chlorpromazine ›
- Chlorpropamide ›
- Danazol ›
- Dantrolene ›
- Dexchlorpheniramine ›
- Flucytosine ›
- Fluorouracil ›
- Fluoxetine ›
- Gatifloxacin ›
- Glipizide ›
- Interferon Beta-1a ›
- Methoxsalen ›
- Minocycline Hydrochloride ›
- Nabumetone ›
- Norfloxacin ›
- Prochlorperazine ›
- Quetiapine ›
- Quinine Sulfate ›
- Rabeprazole Sodium ›
- Risperidone ›
- Saquinavir ›
- Thiethylperazine Maleate ›
- Tripelennamine ›
Showing 60 of 202 minor interactions — see all 202 on the Celery page.
No interaction 2,179 drugs checked — show the list
We also checked Celery against these medications and found no known interaction in our sources. Open any page to confirm.
- Methylphenidate ›
- Testosterone ›
- Ivermectin ›
- Rosuvastatin ›
- Escitalopram ›
- Tadalafil ›
- Atorvastatin ›
- Valacyclovir ›
- Docusate ›
- Hydroxyurea ›
- Abemaciclib ›
- Methamphetamine ›
- Sumatriptan ›
- Semaglutide ›
- Tirzepatide ›
- Prednisone ›
- Lisdexamfetamine ›
- Bupropion ›
- Metformin ›
- Acyclovir ›
- Amoxicillin ›
- Methotrexate ›
- Lamotrigine ›
- Amphetamine ›
- Pregabalin ›
- Gabapentin ›
- Dextroamphetamine ›
- Clonazepam ›
- Omeprazole ›
- Methylene Blue ›
- Duloxetine ›
- Letrozole ›
- Buspirone ›
- Cyclopentolate ›
- Cephalexin ›
- Roxithromycin ›
- Atorvastatin Calcium ›
- Pegunigalsidase Alfa-iwxj ›
- Daptomycin ›
- Finasteride ›
- Hexobarbitone ›
- Dexmethylphenidate ›
- Levetiracetam ›
- Alprazolam ›
- Bromocriptine ›
- Mitomycin ›
- Dutasteride ›
- Factor 7a ›
- Thyroid Hormone ›
- Cefaclor ›
- Carbidopa, Levodopa ›
- Dexamethasone ›
- Ezetimibe ›
- Levodopa ›
- Vancomycin ›
- Phenylephrine ›
- Dextromethorphan ›
- Dirithromycin ›
- Lenvatinib ›
- Procainamide ›
Showing the 60 most looked-up of 2,179 medications checked with no known interaction — see the full Celery list.
Sources & How We Checked
Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference for vitamins, herbs and supplements — the basis for our interaction data.
- MedlinePlus, U.S. National Library of Medicine — NIH consumer drug information, used for the medication overviews.
- NIH Dietary Supplement Label Database (DSLD) — Official supplement product labels.
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
Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide Is Linked to Lower Levels of One Nutrient
Natural Medicines records Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide as a medicine that can lower these. This is not an interaction with Celery — it is a separate effect of the medicine, and it is a reason some people are advised to supplement rather than to avoid one:
Depletion records come from the licensed Natural Medicines database. Do not start a supplement on the strength of this page — ask your pharmacist or doctor whether it applies to you.
Taking Celery and Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide Together: Common Questions
Can you take Celery with Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide?
Why are there 3 interactions listed for Celery and Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide?
How serious is the Celery and Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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.