Danshen + Apomorphine Hydrochloride
Apomorphine Hydrochloride brand name: Kynmobi.
Apomorphine Hydrochloride falls into 2 drug categories that Danshen can interact with; the most serious is rated moderate. Danshen might alter the levels of drugs cleared by p-glycoprotein.
Read the full interaction reportDanshen and Apomorphine Hydrochloride
These two interact in 2 distinct ways. Each one is explained separately below.
Why Are There 2 Interactions?
Danshen interacts with whole categories of medication. Apomorphine Hydrochloride falls into 2 of those categories, so it can interact with Danshen in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).
P-GLYCOPROTEIN SUBSTRATES
1 of 2Why this applies to Apomorphine Hydrochloride
Apomorphine Hydrochloride falls under P-GLYCOPROTEIN SUBSTRATES — the group Danshen interacts with.
Pharmacokinetic research in healthy volunteers suggests that danshen might affect p-glycoprotein activity. Taking danshen extract 1 gram three times daily for 10 days prior to receiving fexofenadine 60 mg increases peak levels of fexofenadine, a p-glycoprotein substrate, by 27.4% and area under the curve (AUC) by 37.2%.
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 basic idea with Danshen and Kynmobi (apomorphine). Danshen may slow down a transporter in your body called p-glycoprotein, which helps move certain drugs out of your system. In a small study, Danshen raised the blood levels of one p-glycoprotein drug by about a third. So in theory, combining the two could let a bit more apomorphine build up than expected.
Apomorphine is already a drug that can cause low blood pressure, dizziness, nausea, sleepiness, and sudden urges to fall asleep. If its levels nudge upward, those effects could feel stronger. This is a possible interaction based on fairly limited evidence, not a sure thing, but it's worth a quick chat with your pharmacist or doctor before adding Danshen, since apomorphine can affect blood pressure so easily.
- Qiu F, Zeng J, Liu S, He M, Zhu L, Ye Y, Miao P, Shen S, Jiang J. Effects of danshen ethanol extract on the pharmacokinetics of fexofenadine in healthy volunteers. Evid Based Complement Alternat Med. 2014;2014:473213. PubMed
GLUCURONIDATED DRUGS
2 of 2Apomorphine Hydrochloride also falls under GLUCURONIDATED DRUGS.
In vitro research shows that danshen induces the expression of glucuronosyltransferases. However, it also inhibits the activity of glucuronosyltransferases, including various members of the 1A and 2B families. The extent of inhibition of a specific glucuronosyltransferase seems to be dependent on whether or not the danshen is processed via 'sweating'. This type of processing may affect the levels of constituents in danshen that alter glucuronosyltransferase activity. So far, this interaction 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 situation with Kynmobi (apomorphine) and Danshen. Your body partly clears apomorphine through a process called glucuronidation, where the liver tags the drug so it can be removed. Lab studies hint that Danshen can tug on this process in both directions, sometimes speeding it up and sometimes slowing it down, depending on how the root was prepared.
Because the data here come only from test-tube and animal work, this is theoretical and has never actually been reported in people. Still, if Danshen slowed clearance, you could see more apomorphine effects like nausea, dizziness, sleepiness, or a drop in blood pressure when standing. I wouldn't panic, but please run it by your doctor or pharmacist before combining them, especially since both Danshen and your condition affect circulation.
- Liu J, Shi Y, Wu C, et al. Comparison of sweated and non-sweated ethanol extracts of Salvia miltiorrhiza Bge. (Danshen) effects on human and rat hepatic UDP-glucuronosyltransferase and preclinic herb-drug interaction potential evaluation. Curr Drug Metab
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.
Danshen Also Interacts With Other Medications
Danshen has 123 major, 935 moderate known drug interactions in our database — the Apomorphine Hydrochloride one above is among them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Danshen
We haven’t checked that one against Danshen yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Danshen. Pick one to open its full report.
See Every Supplement That Interacts With Apomorphine Hydrochloride
This page covers Danshen only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Apomorphine Hydrochloride page lists 67 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), St. John's Wort (major), Ayahuasca (moderate), Bitter Melon (moderate) and Black Horehound (moderate).
Taking Danshen as Part of a Dietary Supplement Product? Check It for Interactions
We hold 18 real supplement products containing Danshen, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Danshen. Your product may carry other ingredients that interact with Apomorphine Hydrochloride too, on top of Danshen — and those would not show on this page. Find your product and we’ll check every ingredient on its label:
Where Danshen and Apomorphine Hydrochloride 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.
#563 of 1,452 supplements looked up here in the last 7 days
#2,135 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 Danshen
What is Danshen?
- Heart and circulation support
- Angina (chest pain)
- High blood pressure
- Anxiety and stress
- Liver health
Danshen is a root used in traditional Chinese medicine, mainly for heart and circulation problems. Some early research is promising, but the evidence is not strong enough to confirm it works for any condition, and it may affect blood clotting. Talk to a pharmacist or doctor before using it, especially if you take other medicines or have a health condition.
Other Drugs & Danshen
Browse every other medication we’ve checked against Danshen — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
123 interactions
- Diclofenac Sodium ›
- Ibuprofen ›
- Aspirin ›
- Naproxen ›
- Minocycline ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Ketoprofen ›
- Bivalirudin ›
- Digoxin ›
- Warfarin Sodium ›
- Bromfenac Sodium ›
- Dabigatran ›
- Diclofenac Epolamine ›
- Iloprost ›
- Piroxicam ›
- Streptokinase ›
- Ticlopidine ›
- Treprostinil (oral) ›
- Abciximab ›
- Abrocitinib ›
- Acenocoumarol ›
- Acetylsalicylic Acid ›
- Anacaulase-bcdb ›
- Anagrelide ›
- Anisindione ›
- Antithrombin Iii ›
- Apixaban ›
- Argatroban ›
- Betrixaban ›
- Cablivi ›
- Cangrelor ›
- Cilostazol ›
- Clopidogrel ›
- Dalteparin ›
- Danaparoid ›
- Defibrotide Sodium ›
- Diclofenac ›
- Dicumarol ›
- Edoxaban ›
- Effient ›
- Enoxaparin ›
- Eptifibatide ›
- Fish Oil Triglycerides ›
- Fondaparinux ›
- Heparin ›
- Ibrutinib ›
- Ibuprofen Lysine ›
- Icosapent Ethyl (prescription Drug) ›
- Inotersen ›
- Lepirudin ›
- Nadroparin ›
- Naproxen Sodium ›
- Nintedanib Esylate ›
- Nusinersen Sodium ›
- Omega-3 Fatty Acids (prescription Drug) ›
- Pazopanib ›
- Pentoxifylline ›
- Phenprocoumon ›
- Reteplase ›
Showing 60 of 123 major interactions — see all 123 on the Danshen page.
935 interactions
- Diltiazem ›
- Theophylline ›
- Nifedipine ›
- Hydrocortisone ›
- Doxycycline ›
- Erythromycin ›
- Estradiol ›
- Propranolol ›
- Tetracycline ›
- Lidocaine ›
- Ranitidine ›
- Hydrochlorothiazide ›
- Norethindrone ›
- Testosterone ›
- Verapamil ›
- Levonorgestrel ›
- Prednisone ›
- Quinidine ›
- Cyclosporine ›
- Dexamethasone ›
- Glyburide ›
- Triazolam ›
- Zopiclone ›
- Colchicine ›
- Fentanyl ›
- Flurbiprofen ›
- Oxybutynin ›
- Phenytoin ›
- Prednisolone ›
- Tacrolimus ›
- Temazepam ›
- Triamcinolone ›
- Apomorphine ›
- Budesonide ›
- Carbamazepine ›
- Clindamycin ›
- Dextromethorphan ›
- Doxorubicin ›
- Fluticasone ›
- Formoterol ›
- Hydralazine ›
- Indomethacin ›
- Miconazole ›
- Morphine Sulfate ›
- Trimipramine ›
- Acetaminophen ›
- Buprenorphine ›
- Conjugated Estrogens ›
- Diazepam ›
- Everolimus ›
- Ivabradine ›
- Ivermectin ›
- Lofepramine ›
- Medroxyprogesterone ›
- Medroxyprogesterone Acetate ›
- Meloxicam ›
- Meprobamate ›
- Nortriptyline ›
- Rifampin ›
- Testosterone Undecanoate ›
Showing 60 of 935 moderate interactions — see all 935 on the Danshen page.
No interaction 1,771 drugs checked — show the list
We also checked Danshen against these medications and found no known interaction in our sources. Open any page to confirm.
- Levothyroxine ›
- Methylphenidate ›
- Escitalopram ›
- Docusate ›
- Hydroxyurea ›
- Valacyclovir ›
- Methamphetamine ›
- Sumatriptan ›
- Semaglutide ›
- Tirzepatide ›
- Lisdexamfetamine ›
- Bupropion ›
- Metformin ›
- Amoxicillin ›
- Acyclovir ›
- Methotrexate ›
- Amphetamine ›
- Pregabalin ›
- Gabapentin ›
- Azithromycin ›
- Dextroamphetamine ›
- Isotretinoin ›
- Methylene Blue ›
- Duloxetine ›
- Ciprofloxacin ›
- Levothyroxine, Liothyronine ›
- Cyclopentolate ›
- Acetaminophen, Dextromethorphan, Doxylamine ›
- Cephalexin ›
- Roxithromycin ›
- Pegunigalsidase Alfa-iwxj ›
- Daptomycin ›
- Dexmethylphenidate ›
- Hexobarbitone ›
- Levothyroxine Sodium ›
- Levetiracetam ›
- Phentermine, Topiramate ›
- Factor 7a ›
- Thyroid Hormone ›
- Carbidopa, Levodopa ›
- Levodopa ›
- Mitomycin ›
- Lenvatinib ›
- Ezetimibe ›
- Cefaclor ›
- Venlafaxine ›
- Hethylphenidate Hcl ›
- Phenylephrine ›
- Codeine Sulfate ›
- Vancomycin ›
- Bentoquatam ›
- Amoxicillin, Clavulanate Potassium ›
- Pentobarbitone ›
- Hydroxychloroquine ›
- Dirithromycin ›
- Triptorelin ›
- Pizotifen ›
- Procainamide ›
- Tocainide ›
- Azelaic Acid ›
Showing the 60 most looked-up of 1,771 medications checked with no known interaction — see the full Danshen 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
Taking Danshen and Apomorphine Hydrochloride Together: Common Questions
Can you take Danshen with Apomorphine Hydrochloride?
Why are there 2 interactions listed for Danshen and Apomorphine Hydrochloride?
How serious is the Danshen and Apomorphine Hydrochloride 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.