Drug & supplement interaction

Corn Silk + Hydrochlorothiazide, Irbesartan

Hydrochlorothiazide, Irbesartan brand name: Avalide.

Moderate Interaction
The bottom line Moderate

Hydrochlorothiazide, Irbesartan falls into 2 drug categories that Corn Silk can interact with; the most serious is rated moderate. Taking corn silk extract with antihypertensive drugs might increase the risk of hypotension.

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

Corn Silk and Hydrochlorothiazide, Irbesartan

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

Why Are There 2 Interactions?

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

Moderate

ANTIHYPERTENSIVE DRUGS

1 of 2

Why this applies to Hydrochlorothiazide, Irbesartan

Hydrochlorothiazide, Irbesartan falls under ANTIHYPERTENSIVE DRUGS — the group Corn Silk interacts with.

Taking corn silk extract with antihypertensive drugs might increase the risk of hypotension.
Clinical research in both hypertensive and normotensive adults shows that taking corn silk extract lowers 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

Avalide combines two blood pressure lowering medicines: irbesartan (which relaxes your blood vessels) and hydrochlorothiazide (a water pill that helps your body shed extra fluid). Corn silk seems to gently nudge blood pressure down on its own and may also work as a mild diuretic. So when you pair the two, the worry is simply that your pressure could drop a little lower than intended.

If that happens, you might feel dizzy, lightheaded, tired, or wobbly when standing up quickly. Keep in mind this caution is theoretical, based on how these things work, not on strong studies of the combination. An occasional cup of corn silk tea is unlikely to cause trouble, but concentrated extracts are a bigger question. Please check with your pharmacist or doctor before adding it.

References
  1. George GO, Idu FK. Corn silk aqueous extracts and intraocular pressure of systemic and non-systemic hypertensive subjects. Clin Exp Optom. 2015 Mar;98(2):138-49. PubMed
Moderate

DIURETIC DRUGS

2 of 2

Hydrochlorothiazide, Irbesartan also falls under DIURETIC DRUGS.

Taking corn silk with diuretic drugs might increase the risk of adverse effects such as hyponatremia and hypokalemia.
Clinical research shows that taking corn silk extract increases urine volume and promotes the urinary excretion of sodium and potassium. Some patients may require electrolyte supplementation.
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

Your Avalide combines two blood pressure medicines, and the hydrochlorothiazide part is a 'water pill' that makes you pee out extra fluid along with sodium and potassium. Corn silk is thought to work in a similar way, gently increasing urine output and the loss of those same salts. So the worry here is simply doubling up. Together they could push your sodium and potassium too low.

If that happened, you might feel dizzy, weak, cramped, very thirsty, or notice your heart skipping beats. To be fair, this is a theoretical concern based on how both work, not strong proof, and an occasional cup of corn silk tea is unlikely to be a problem. Still, please check with your pharmacist or doctor before using concentrated corn silk regularly, so we can keep an eye on your electrolytes.

References
  1. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
  2. George GO, Idu FK. Corn silk aqueous extracts and intraocular pressure of systemic and non-systemic hypertensive subjects. Clin Exp Optom. 2015 Mar;98(2):138-49. 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

Corn Silk Also Interacts With Other Medications

Corn Silk has 289 moderate known drug interactions in our database — the Hydrochlorothiazide, Irbesartan 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 Corn Silk

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

Everything else you take

See Every Supplement That Interacts With Hydrochlorothiazide, Irbesartan

This page covers Corn Silk only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Hydrochlorothiazide, Irbesartan page lists 273 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 · 226 moderate · 37 minor.

Open the Hydrochlorothiazide, Irbesartan interaction page

One more smart check

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

We hold 58 real supplement products containing Corn Silk, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Corn Silk. Your product may carry other ingredients that interact with Hydrochlorothiazide, Irbesartan too, on top of Corn Silk — 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 Corn Silk and Hydrochlorothiazide, Irbesartan 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 Corn Silk
Top half

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

29 days ago today
Medication Hydrochlorothiazide, Irbesartan
Top 25%

#448 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 Corn Silk

What is Corn Silk?

Corn Silk
  • Urinary tract and bladder problems
  • Mild fluid retention (diuretic)
  • Kidney and prostate concerns
  • Bedwetting in children
  • Soothing urinary irritation

Corn silk is a traditional herbal remedy taken as a tea or extract, mostly for urinary and mild fluid-related complaints. High-quality human evidence for these uses is limited, so it should not replace proven treatments. It is generally considered low-risk for short-term use in healthy adults, but talk with your pharmacist or doctor before trying it.

Read the full Corn Silk monograph & all interactions
Keep checking

Other Drugs & Corn Silk

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

0Major
289Moderate
0Minor
2,540No known interaction
Moderate

289 interactions

Showing 60 of 289 moderate interactions — see all 289 on the Corn Silk page.

No interaction 2,540 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 Corn Silk and Hydrochlorothiazide, Irbesartan Together: Common Questions

Can you take Corn Silk with Hydrochlorothiazide, Irbesartan?
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 Corn Silk and Hydrochlorothiazide, Irbesartan?
Hydrochlorothiazide, Irbesartan belongs to more than one drug category, and Corn Silk 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 Corn Silk and Hydrochlorothiazide, Irbesartan 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

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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.