Drug & supplement interaction

Chiropractic + Chlorpheniramine Tannate, Phenylephrine Tannate

Chlorpheniramine Tannate, Phenylephrine Tannate brand name: Ricobid.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Chiropractic and Chlorpheniramine Tannate, Phenylephrine Tannate 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

Chiropractic and Chlorpheniramine Tannate, Phenylephrine Tannate

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 Chlorpheniramine Tannate, Phenylephrine Tannate and Chiropractic in our sources. This does not guarantee that the combination is completely free of risk — research on Chiropractic alongside specific medications may be limited.

Chiropractic is a treatment rather than something you take. Tell whoever provides it which medicines you use, and ask your prescriber whether it is appropriate for your health and treatment. 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.

Chiropractic safety at a glance

Chiropractic overall Use caution Generally safe for most people when done by a licensed provider, but serious risks exist for certain neck procedures and high-risk patients.
Pregnancy Possibly Safe When used appropriately, short-term. Chiropractic treatment has been administered during pregnancy with apparent safety for up to 10 weeks. Read the full pregnancy detail
Breastfeeding Generally safe Chiropractic care does not involve substances passed through breast milk and is generally considered acceptable while breastfeeding.

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 Chlorpheniramine Tannate, Phenylephrine Tannate and Chiropractic? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Chlorpheniramine Tannate, Phenylephrine Tannate

Interactions in our licensed database are recorded against drug classes, not just single drug names. Chlorpheniramine Tannate, Phenylephrine Tannate is filed under 10 classifications — including cytochrome p450 2d6 (cyp2d6) inhibitors, alpha-adrenergic agonists, stimulant drugs. Chiropractic has documented interactions with 1 drug class — the most serious being warfarin (coumadin) (moderate) — and none of Chlorpheniramine Tannate, Phenylephrine Tannate’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Chiropractic Does Interact With Other Medications

Chiropractic has 2 moderate known drug interactions in our database — Chlorpheniramine Tannate, Phenylephrine Tannate isn’t one of them. If you take anything else, check it against the full list below.

Moderate 2 No known interaction 2,828 (incl. Chlorpheniramine Tannate, Phenylephrine Tannate)
Taking anything else?

Check Another of Your Medications Against Chiropractic

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

What to actually watch for

What Chiropractic Itself Has Been Linked To

This is not an interaction — nothing below involves Chlorpheniramine Tannate, Phenylephrine Tannate. It is the side-effect record for Chiropractic on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Chiropractic, this list is the first place to look. 4 entries are worth acting on rather than waiting out — marked below.

  • Loss of vision Worth acting on Additional detail

    “Upper spinal manipulation has also been linked to at least 14 reports of ophthalmologic adverse effects. These include loss of vision, diplopia, Horner's syndrome, ophthalmoplegia, and others. In many of these cases, the cause of the adverse outcome was cervical artery wall dissection due to chiropractic manipulation.”

    Chiropractic · Natural Medicines adverse-effect record, reported in cluster headache.

    3 sources cited
    1. 15962. Ernst E. Ophthalmological adverse effects of (chiropractic) upper spinal manipulation: evidence from recent case reports. Acta Ophthalmol Scand 2005;83:581-5. PubMed
    2. 15969. Rubinstein SM, Leboeuf-Yde C, Knol DL, et al. The benefits outweigh the risks for patients undergoing chiropractic care for neck pain: a prospective, multicenter, cohort study. J Manipulative Physiol Ther 2007;30:408-18. PubMed
    3. 101498. Regan KA, Youn TS, Iyer SSR. Ophthalmic artery occlusion after chiropractic neck manipulation. Acta Ophthalmol. 2018 Aug;96(5):e663-e664. available. PubMed

    “Several cases of vertebral artery dissection have been reported following neck manipulation. In most vertebral artery dissection cases, symptoms develop within 12 hours of receiving treatment. Death has resulted in at least one case. Some experts estimate that 20,000 chiropractic neck manipulations will result in one vertebral artery dissection.”

    Chiropractic · Natural Medicines adverse-effect record, reported in stroke.

    5 sources cited
    1. 15964. Reuter U, Hämling M, Kavuk I, et al. Vertebral artery dissections after chiropractic neck manipulation in Germany over three years. J Neurol 2006;253:724-30. PubMed
    2. 104081. Almuaigel MF, Althwanay A, Alamri A. Spontaneous Bilateral Dissection of the Vertebral Artery: A Case Report. Cureus. 2020;12(7):e9310. PubMed
    3. 111152. Chen Y, Mofatteh M, Nguyen TN, et al. Carotid Artery Dissection and Ischemic Stroke Following Cervical Chiropractic Manipulation: Two Case Reports. Vasc Endovascular Surg 2022;56(3):303-307. PubMed
    4. 91783. Church EW, Sieg EP, Zalatimo O, et al. Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation. Cureus. 2016 Feb 16;8(2):e498. PubMed
    5. 101498. Regan KA, Youn TS, Iyer SSR. Ophthalmic artery occlusion after chiropractic neck manipulation. Acta Ophthalmol. 2018 Aug;96(5):e663-e664. available. PubMed
  • A stroke or mini-stroke Worth acting on Additional detail

    Recorded for Chiropractic in the same Natural Medicines adverse-effect record shown under Loss of vision above.

  • Chest pain / Shortness of breath Worth acting on Additional detail

    “In one case report, a tall, thin patient with a significant smoking history presented with sudden onset dyspnea at rest and associated chest pain two days after chiropractic manipulation of the chest and back. The patient was found to have developed a life-threatening spontaneous primary hemopneumothorax requiring hospitalization and chest tube insertion.”

    Chiropractic · Natural Medicines adverse-effect record, reported in pain.

    1 source cited
    1. 106822. Khatib S, Sabobeh T, Abdalla K, Kulkarni S. A Case Report of Life-Threatening Hemopneumothorax as a Result of Spinal Manipulation Performed by Chiropractor. Cureus 2021;13(9):e18031. PubMed
  • Bleeding or bruising Worth acting on Additional detail

    “After chiropractic treatment for neck pain: ringing in the ears, tiredness, nausea, or dizziness occur in less than 8% of patients. Radiating pain and headache occur infrequently. In one case report, a 36-year-old female reported to the emergency room with severe postural headaches.”

    Chiropractic · Natural Medicines adverse-effect record, reported in cluster headache.

    6 sources cited
    1. 15960. Hurwitz EL, Morgenstern H, Vassilaki M, Chiang LM. Frequency and clinical predictors of adverse reactions to chiropractic care in the UCLA neck pain study. Spine 2005;30:1477-84. PubMed
    2. 15968. Vohra S, Johnston BC, Cramer K, Humphreys K. Adverse events associated with pediatric spinal manipulation: a systematic review. Pediatrics 2007;119:e275-83. PubMed
    3. 15969. Rubinstein SM, Leboeuf-Yde C, Knol DL, et al. The benefits outweigh the risks for patients undergoing chiropractic care for neck pain: a prospective, multicenter, cohort study. J Manipulative Physiol Ther 2007;30:408-18. PubMed
    4. 98267. Lin SF, Weng HY. Postural headaches due to cerebrospinal fluid leakage through subarachnoid-pleural fistula: a case report. Headache 2017;57(3):467-71. PubMed
    5. 15967. Whedon JM, Quebada PB, Roberts DW, Radwan TA. Spinal epidural hematoma after spinal manipulative therapy in a patient undergoing anticoagulant therapy: a case report. J Manipulative Physiol Ther 2006;29:582-5. PubMed
    6. 15970. Klougart N, Leboeuf-Yde C, Rasmussen LR. Safety in chiropractic practice, part I: The occurrence of cerebrovascular accidents after manipulation to the neck in Denmark from 1978-1988. J Manipulative Physiol Ther 1996;19:371-7.
  • Ringing in the ears / Dizziness Additional detail

    Recorded for Chiropractic in the same Natural Medicines adverse-effect record shown under Loss of vision above.

  • Back pain Additional detail

    “Adverse reactions are common in patients with neck pain who receive cervical spine manipulation. Reported adverse events occur in about 30% to 56% of patients receiving treatment for neck pain. About 13% of side effects are reported to be of severe intensity. Increased neck pain or neck stiffness occurred in 25% of patients.”

    Chiropractic · Natural Medicines adverse-effect record, reported in back pain.

    4 sources cited
    1. 15960. Hurwitz EL, Morgenstern H, Vassilaki M, Chiang LM. Frequency and clinical predictors of adverse reactions to chiropractic care in the UCLA neck pain study. Spine 2005;30:1477-84. PubMed
    2. 15969. Rubinstein SM, Leboeuf-Yde C, Knol DL, et al. The benefits outweigh the risks for patients undergoing chiropractic care for neck pain: a prospective, multicenter, cohort study. J Manipulative Physiol Ther 2007;30:408-18. PubMed
    3. 15968. Vohra S, Johnston BC, Cramer K, Humphreys K. Adverse events associated with pediatric spinal manipulation: a systematic review. Pediatrics 2007;119:e275-83. PubMed
    4. 16855. Sozio MS, Cave M. Boerhaave's syndrome following chiropractic manipulation. Am Surg 2008;74:428-9. DOI
  • Low blood pressure Additional detail

    Recorded for Chiropractic in the same Natural Medicines adverse-effect record shown under Bleeding or bruising above.

  • Tiredness Additional detail

    Recorded for Chiropractic in the same Natural Medicines adverse-effect record shown under Bleeding or bruising above.

Showing the 10 most notable of 12 recorded effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

Everything above comes from the Natural Medicines adverse-effect record for Chiropractic — expand a row for the licensed statement it rests on. We haven’t matched Chlorpheniramine Tannate, Phenylephrine Tannate to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for Chlorpheniramine Tannate, Phenylephrine Tannate.

Special populations

Chiropractic in Pregnancy & Breastfeeding

Pregnancy Possibly Safe

When used appropriately, short-term. Chiropractic treatment has been administered during pregnancy with apparent safety for up to 10 weeks.

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 Chlorpheniramine Tannate, Phenylephrine Tannate

This page covers Chiropractic only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Chlorpheniramine Tannate, Phenylephrine Tannate page lists 229 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Ephedra (major), Grapefruit (major), Henbane (major) and Lithium (major).

By severity: 10 major · 175 moderate · 44 minor.

From our pharmacist’s overview on the Chlorpheniramine Tannate, Phenylephrine Tannate page

“Ricobid pairs chlorpheniramine, an antihistamine, with phenylephrine, a decongestant, and 229 supplement and herbal ingredients interact with it, ten of them at major severity. That count earns real caution, not a shrug.”

Reviewed by 2 · Jul 18, 2026

Open the Chlorpheniramine Tannate, Phenylephrine Tannate interaction page

How much people look this up

Where Chiropractic and Chlorpheniramine Tannate, Phenylephrine Tannate 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 Chiropractic
Steady interest

#1,443 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Chlorpheniramine Tannate, Phenylephrine Tannate
Steady interest

#2,154 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 Chiropractic reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Chiropractic and Chlorpheniramine Tannate, Phenylephrine Tannate 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 .
Treatment approach

About Chiropractic

What is Chiropractic?

  • Low back pain
  • Neck pain
  • Tension and certain headaches
  • Joint and muscle pain
  • Posture and mobility concerns

Chiropractic is a licensed health profession that treats muscle and joint problems mostly through hands-on spinal manipulation, not a dietary supplement or herb. There is reasonable evidence it can help short-term low back pain and neck pain in many people, but it is not a cure-all, and you should see a qualified provider and rule out serious causes of pain first.

Not applicable (Chiropractic is a hands-on health profession, not a plant or supplement) · In-person treatment, including spinal manipulation (adjustments), mobilization, soft-tissue therapy, and exercise advice

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

Chiropractic: dosing

There is no "dose" for chiropractic the way there is for a supplement. Instead, a chiropractor recommends a treatment plan — how many visits, how often, and which techniques — based on your condition.A common approach for back or neck pain is a short series of visits with a planned re-check; if you are not improving after a few weeks, the plan should be reconsidered. Be cautious of providers who recommend long, open-ended packages of frequent visits without clear goals.

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

Read the full Chiropractic monograph & all interactions
Keep checking

Other Drugs & Chiropractic

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

0Major
2Moderate
0Minor
2,827No known interaction
2 Moderate 2,827 No interaction
Moderate

2 interactions

No interaction 2,827 drugs checked — show the list

We also checked Chiropractic against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,827 medications checked with no known interaction — see the full Chiropractic list.

See the full Chiropractic interactions page
See every supplement checked against Chlorpheniramine Tannate, Phenylephrine Tannate, ranked by severity
Evidence & sources

Chiropractic References

The 19 references that drive our Chiropractic 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. Meeker WC, Haldeman S. Chiropractic: A profession at the crossroads of mainstream and alternative medicine. Ann Intern Med 2002;136:216-27. PubMed
  2. Hurwitz EL, Morgenstern H, Vassilaki M, Chiang LM. Frequency and clinical predictors of adverse reactions to chiropractic care in the UCLA neck pain study. Spine 2005;30:1477-84. PubMed
  3. Ernst E. Ophthalmological adverse effects of (chiropractic) upper spinal manipulation: evidence from recent case reports. Acta Ophthalmol Scand 2005;83:581-5. PubMed
  4. Reuter U, Hämling M, Kavuk I, et al. Vertebral artery dissections after chiropractic neck manipulation in Germany over three years. J Neurol 2006;253:724-30. PubMed
  5. Whedon JM, Quebada PB, Roberts DW, Radwan TA. Spinal epidural hematoma after spinal manipulative therapy in a patient undergoing anticoagulant therapy: a case report. J Manipulative Physiol Ther 2006;29:582-5. PubMed
  6. Vohra S, Johnston BC, Cramer K, Humphreys K. Adverse events associated with pediatric spinal manipulation: a systematic review. Pediatrics 2007;119:e275-83. PubMed
  7. Rubinstein SM, Leboeuf-Yde C, Knol DL, et al. The benefits outweigh the risks for patients undergoing chiropractic care for neck pain: a prospective, multicenter, cohort study. J Manipulative Physiol Ther 2007;30:408-18. PubMed
  8. Klougart N, Leboeuf-Yde C, Rasmussen LR. Safety in chiropractic practice, part I: The occurrence of cerebrovascular accidents after manipulation to the neck in Denmark from 1978-1988. J Manipulative Physiol Ther 1996;19:371-7.
  9. Hurwitz EL, Aker PD, Adams AH, et al. Manipulation and mobilization of the cervical spine. A systematic review of the literature. Spine 1996;21:1746-59. PubMed
  10. Dvorak J, Orelli F. How dangerous is manipulation of the cervical spine: case report and results of a survey. Manual Medicine 1985;2:1-4.
  11. Sozio MS, Cave M. Boerhaave's syndrome following chiropractic manipulation. Am Surg 2008;74:428-9. DOI
  12. Church EW, Sieg EP, Zalatimo O, et al. Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation. Cureus. 2016 Feb 16;8(2):e498. PubMed
  13. Gausel AM, Kjærmann I, Malmqvist S, et al. Chiropractic management of dominating one-sided pelvic girdle pain in pregnant women; a randomized controlled trial. BMC Pregnancy Childbirth 2017;17(1):331. PubMed
  14. Lin SF, Weng HY. Postural headaches due to cerebrospinal fluid leakage through subarachnoid-pleural fistula: a case report. Headache 2017;57(3):467-71. PubMed
  15. Regan KA, Youn TS, Iyer SSR. Ophthalmic artery occlusion after chiropractic neck manipulation. Acta Ophthalmol. 2018 Aug;96(5):e663-e664. available. PubMed

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

Having Chiropractic While Taking Chlorpheniramine Tannate, Phenylephrine Tannate: Common Questions

Is it safe to have Chiropractic while taking Chlorpheniramine Tannate, Phenylephrine Tannate?
We do not list a known interaction between Chiropractic and Chlorpheniramine Tannate, Phenylephrine Tannate. 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.
How was the Chiropractic and Chlorpheniramine Tannate, Phenylephrine Tannate combination checked?
Interactions in our licensed database are recorded against drug classes. Chlorpheniramine Tannate, Phenylephrine Tannate is filed under 10 classifications, and Chiropractic has documented interactions with 1 drug class — none of Chlorpheniramine Tannate, Phenylephrine Tannate's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Chiropractic interact with any other medications?
Yes. Chiropractic has 2 documented drug interactions in our database — Chlorpheniramine Tannate, Phenylephrine Tannate is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Chlorpheniramine Tannate, Phenylephrine Tannate interact with any supplements?
Yes. Chlorpheniramine Tannate, Phenylephrine Tannate has documented interactions with 229 supplements in our database — Chiropractic is not one of them. The Chlorpheniramine Tannate, Phenylephrine Tannate interaction page linked on this page lists every one, ranked by severity.

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

Where next

Keep Exploring

Chiropractic monograph Uses, safety profile, and every drug interaction in one place Chlorpheniramine Tannate, Phenylephrine Tannate supplement interactions Every supplement checked against Chlorpheniramine Tannate, Phenylephrine Tannate, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 19 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Chlorpheniramine Tannate, Phenylephrine Tannate and Chiropractic?

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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.