Drug & supplement interaction

Datura Wrightii + Chlorpheniramine, Pheylephrine, Pyrilamine

Chlorpheniramine, Pheylephrine, Pyrilamine brand name: Phena-Plus.

Moderate Interaction
The bottom line Moderate

Datura Wrightii has a moderate interaction with Chlorpheniramine, Pheylephrine, Pyrilamine. Datura wrightii contains atropine and scopolamine, as well as other tropane alkaloids with anticholinergic activity.

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

Datura Wrightii and Chlorpheniramine, Pheylephrine, Pyrilamine

Here is the interaction we found between these two, with the evidence behind it.

Moderate

ANTICHOLINERGIC DRUGS

Why this applies to Chlorpheniramine, Pheylephrine, Pyrilamine

Chlorpheniramine, Pheylephrine, Pyrilamine falls under ANTICHOLINERGIC DRUGS — the group Datura Wrightii interacts with.

Datura wrightii contains atropine and scopolamine, as well as other tropane alkaloids with anticholinergic activity. Concomitant use of Datura wrightii with anticholinergic drugs might increase anticholinergic effects and adverse effects. Some anticholinergic drugs include amantadine, atropine, belladonna alkaloids, phenothiazines, scopolamine, and tricyclic antidepressants.
Severity Moderate Likelihood Probable Evidence D

Interaction 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..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

First things first: Datura wrightii is genuinely poisonous, and I'd urge you not to use it at all. But here's the specific concern with your Phena-Plus product. One of its ingredients, chlorpheniramine, is a sedating antihistamine that already has drying, anticholinergic effects. Datura's tropane alkaloids (atropine and scopolamine) work the very same way, so stacking them together can pile up those effects.

What might that look like? Think dry mouth, blurred vision, constipation, trouble urinating, a racing heart, and in stronger doses confusion or hallucinations. The phenylephrine piece could add to that fast heartbeat too. This warning is based on how these drugs behave (theoretical pharmacology) rather than lots of human studies, but the logic is sound. Please run any combination past your pharmacist or doctor first.

References
  1. Adams, JD Jr, Garcia C. Spirit, Mind and Body in Chumash Healing. Evid Based Complement Alternat Med 2005;2(4):459-463. PubMed
  2. Evans WC, Woolley JG. The alkaloids of Datura meteloides D.C. J Chem Soc Perkin 1. 1965;4936-4939.

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

Datura Wrightii Also Interacts With Other Medications

Datura Wrightii has 225 moderate known drug interactions in our database — the Chlorpheniramine, Pheylephrine, Pyrilamine one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Datura Wrightii

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

Everything else you take

See Every Supplement That Interacts With Chlorpheniramine, Pheylephrine, Pyrilamine

This page covers Datura Wrightii only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Chlorpheniramine, Pheylephrine, Pyrilamine page lists 198 supplements it has a documented interaction with, worst first, each one explained.

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

By severity: 6 major · 149 moderate · 43 minor.

From our pharmacist’s overview on the Chlorpheniramine, Pheylephrine, Pyrilamine page

“Reaching for Phena-Plus (chlorpheniramine, phenylephrine, and pyrilamine) usually means a miserable cold or allergy flare, and the same cabinet often holds grapefruit juice or St. John's wort.”

Reviewed by 2 · Jul 18, 2026

Open the Chlorpheniramine, Pheylephrine, Pyrilamine interaction page

How much people look this up

Where Datura Wrightii and Chlorpheniramine, Pheylephrine, Pyrilamine 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 Datura Wrightii
Steady interest

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

29 days ago today
Medication Chlorpheniramine, Pheylephrine, Pyrilamine
Top 25%

#629 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 Datura Wrightii

What is Datura Wrightii?

  • Traditional ritual and ceremonial use
  • Pain relief (traditional/topical)
  • Asthma and breathing complaints (historical)
  • Hallucinogenic/psychoactive effects
  • Skin and wound applications (folk use)

Datura wrightii (sacred datura or jimsonweed relative) is a highly poisonous desert plant that has been used in some traditional and ceremonial settings. It is not a safe dietary supplement — even small amounts can cause severe poisoning, hallucinations, and death. We strongly advise against using it.

Read the full Datura Wrightii monograph & all interactions
Keep checking

Other Drugs & Datura Wrightii

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

0Major
225Moderate
0Minor
2,604No known interaction
Moderate

225 interactions

Showing 60 of 225 moderate interactions — see all 225 on the Datura Wrightii page.

No interaction 2,604 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 Datura Wrightii and Chlorpheniramine, Pheylephrine, Pyrilamine Together: Common Questions

Can you take Datura Wrightii with Chlorpheniramine, Pheylephrine, Pyrilamine?
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.
How serious is the Datura Wrightii and Chlorpheniramine, Pheylephrine, Pyrilamine 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 Chlorpheniramine, Pheylephrine, Pyrilamine and Datura Wrightii?

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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.