Hibiscus Sabdariffa + Cyclobenzaprine
Cyclobenzaprine brand names: Cyclobenzaprine, Flexeril, Cycloprine.
Cyclobenzaprine falls into 3 drug categories that Hibiscus Sabdariffa can interact with; the most serious is rated minor. Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP1A2 substrates.
Read the full interaction reportHibiscus Sabdariffa and Cyclobenzaprine
These two interact in 3 distinct ways. Each one is explained separately below.
Why Are There 3 Interactions?
Hibiscus Sabdariffa interacts with whole categories of medication. Cyclobenzaprine falls into 3 of those categories, so it can interact with Hibiscus Sabdariffa in 3 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Minor).
CYTOCHROME P450 1A2 (CYP1A2) SUBSTRATES
1 of 3Why this applies to Cyclobenzaprine
Cyclobenzaprine falls under CYTOCHROME P450 1A2 (CYP1A2) SUBSTRATES — the group Hibiscus Sabdariffa interacts with.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP1A2. 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 gist with hibiscus and cyclobenzaprine. Your body relies on a liver enzyme called CYP1A2 to help break down cyclobenzaprine. In a test-tube study, hibiscus extract slowed that enzyme down a bit. In theory, that could mean cyclobenzaprine clears a little more slowly and hangs around longer, which might bump up its usual side effects like drowsiness, dizziness, dry mouth, or feeling foggy.
I want to be honest about how soft this is. It's based only on lab work and has never actually been reported in people, so it's rated minor. A cup or two of hibiscus tea is unlikely to cause trouble. If you use concentrated hibiscus supplements, just mention it to your pharmacist or doctor first.
- Johnson SS, Oyelola FT, Ari T, Juho H. In vitro inhibitory activities of the extract of Hibiscus sabdariffa L. (family Malvaceae) on selected cytochrome P450 isoforms. Afr J Tradit Complement Altern Med. 2013 Apr 12;10(3):533-40.
CYTOCHROME P450 2D6 (CYP2D6) SUBSTRATES
2 of 3Cyclobenzaprine also falls under CYTOCHROME P450 2D6 (CYP2D6) SUBSTRATES.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP2D6. 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 gist for hibiscus and cyclobenzaprine. Your body uses a liver enzyme called CYP2D6 to help break down cyclobenzaprine. In lab dish studies, hibiscus extract seemed to slow that enzyme down a bit. If that happened in real life, cyclobenzaprine could linger a little longer and feel stronger, meaning more drowsiness, dry mouth, dizziness, or grogginess.
The important part: this is only a theoretical concern based on test-tube research, and it has never actually been reported in people. A cup or two of hibiscus tea is very unlikely to cause trouble. Concentrated hibiscus supplements are the bigger question mark. If you take both regularly, just mention it to your pharmacist or doctor so they can keep an eye on how sleepy you feel.
- Johnson SS, Oyelola FT, Ari T, Juho H. In vitro inhibitory activities of the extract of Hibiscus sabdariffa L. (family Malvaceae) on selected cytochrome P450 isoforms. Afr J Tradit Complement Altern Med. 2013 Apr 12;10(3):533-40.
CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES
3 of 3Cyclobenzaprine also falls under CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP3A4. 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 gist: your body uses an enzyme called CYP3A4 to help clear cyclobenzaprine out of your system. In a lab dish, hibiscus extract slowed that enzyme down a bit. If the same thing happened in people, cyclobenzaprine could linger a little longer and feel slightly stronger. That might mean more of its usual effects, like drowsiness, dry mouth, dizziness, or a foggy, sleepy feeling.
That said, I'd keep this in perspective. This is a theoretical concern based only on test-tube work, and it has never actually been reported in real patients. A cup or two of tart hibiscus tea is very unlikely to cause trouble. Concentrated hibiscus supplements are where I'd be a touch more careful. If you take both, just mention it to your pharmacist or doctor.
- Johnson SS, Oyelola FT, Ari T, Juho H. In vitro inhibitory activities of the extract of Hibiscus sabdariffa L. (family Malvaceae) on selected cytochrome P450 isoforms. Afr J Tradit Complement Altern Med. 2013 Apr 12;10(3):533-40.
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.
Hibiscus Sabdariffa Also Interacts With Other Medications
Hibiscus Sabdariffa has 2 major, 266 moderate, 818 minor known drug interactions in our database — the Cyclobenzaprine one above is among them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Hibiscus Sabdariffa
We haven’t checked that one against Hibiscus Sabdariffa yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Hibiscus Sabdariffa. Pick one to open its full report.
Questions About Hibiscus Sabdariffa or Cyclobenzaprine
These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Hibiscus Sabdariffa or Cyclobenzaprine, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:
- Concern With Taking Flexeril And Gabapentin Together ›
- Can You Take Lyrica And Flexeril Together? ›
- Prednisone With Flexeril - Interaction Details ›
Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.
See Every Supplement That Interacts With Cyclobenzaprine
This page covers Hibiscus Sabdariffa only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Cyclobenzaprine page lists 197 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Grapefruit (major), Lithium (major), Procaine (major) and St. John's Wort (major).
By severity: 5 major · 146 moderate · 46 minor.
Where Hibiscus Sabdariffa and Cyclobenzaprine 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.
#607 of 1,452 supplements looked up here in the last 7 days
#320 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 Hibiscus Sabdariffa
What is Hibiscus Sabdariffa?
- High blood pressure
- Heart and cholesterol health
- Digestive upset
- Antioxidant support
- Fever and general wellness
Hibiscus sabdariffa is a tart, cranberry-flavored plant most often consumed as a tea, and its best-studied use is for mildly lowering blood pressure. Evidence for other uses is limited, and while hibiscus tea is generally well tolerated in food amounts, concentrated supplements should be used cautiously and avoided in pregnancy. Talk to your pharmacist or doctor before using it for a medical condition.
About Cyclobenzaprine
What Is Cyclobenzaprine Used For?
Brand names: Cyclobenzaprine, Flexeril, Cycloprine
Cyclobenzaprine tablets and extended-release capsules are used alongside rest and physical therapy to relieve muscle spasm caused by acute, painful musculoskeletal conditions — easing pain, tenderness, and limited movement. This use is intended for short-term treatment only (up to 2–3 weeks).
Tonmya, the sublingual (under-the-tongue) form of cyclobenzaprine, is separately indicated for the treatment of fibromyalgia in adults. It is not the same as the oral tablet or capsule formulations.
Other Drugs & Hibiscus Sabdariffa
Browse every other medication we’ve checked against Hibiscus Sabdariffa — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
2 interactions
266 interactions
- Diclofenac Sodium ›
- Diltiazem ›
- Nifedipine ›
- Insulin (rdna) ›
- Propranolol ›
- Hydrochlorothiazide ›
- Verapamil ›
- Glyburide ›
- Insulin (pork) ›
- Diclofenac Potassium ›
- Hydralazine ›
- Insulin (human) ›
- Trichlormethiazide ›
- Acarbose ›
- Bendroflumethiazide ›
- Insulin Glargine ›
- Lisinopril ›
- Metolazone ›
- Minoxidil ›
- Nicardipine ›
- Prazosin ›
- Semaglutide ›
- Spironolactone ›
- Timolol ›
- Acebutolol ›
- Acetazolamide ›
- Ambrisentan ›
- Amiloride ›
- Atenolol ›
- Betaxolol ›
- Candesartan Cilexetil ›
- Captopril ›
- Carteolol ›
- Carvedilol ›
- Chlorpropamide ›
- Chlorthalidone ›
- Cyclothiazide ›
- Diclofenac Epolamine ›
- Enalapril Maleate ›
- Exenatide ›
- Felodipine ›
- Glipizide ›
- Glucagon ›
- Guanethidine Monosulfate ›
- Iloprost ›
- Indapamide ›
- Insulin Lispro ›
- Irbesartan ›
- Labetalol ›
- Mannitol ›
- Metformin ›
- Methyclothiazide ›
- Methyldopa ›
- Metoprolol ›
- Nadolol ›
- Nebivolol ›
- Nimodipine ›
- Olmesartan Medoxomil ›
- Oxprenolol ›
- Pindolol ›
Showing 60 of 266 moderate interactions — see all 266 on the Hibiscus Sabdariffa page.
818 interactions
- Theophylline ›
- Ibuprofen ›
- Hydrocortisone ›
- Naproxen ›
- Erythromycin ›
- Estradiol ›
- Lidocaine ›
- Norethindrone ›
- Testosterone ›
- Levonorgestrel ›
- Prednisone ›
- Quinidine ›
- Cyclosporine ›
- Dexamethasone ›
- Triazolam ›
- Zopiclone ›
- Bupropion ›
- Colchicine ›
- Fentanyl ›
- Flurbiprofen ›
- Isotretinoin ›
- Orphenadrine ›
- Oxybutynin ›
- Oxycodone ›
- Phenytoin ›
- Prednisolone ›
- Tacrolimus ›
- Temazepam ›
- Budesonide ›
- Carbamazepine ›
- Clindamycin ›
- Dextromethorphan ›
- Doxorubicin ›
- Fluticasone ›
- Formoterol ›
- Indomethacin ›
- Miconazole ›
- Morphine Sulfate ›
- Trimipramine ›
- Acetaminophen ›
- Amphetamine ›
- Buprenorphine ›
- Conjugated Estrogens ›
- Diazepam ›
- Everolimus ›
- Ivabradine ›
- Lofepramine ›
- Medroxyprogesterone ›
- Medroxyprogesterone Acetate ›
- Meloxicam ›
- Nortriptyline ›
- Propoxyphene ›
- Rifampin ›
- Testosterone Undecanoate ›
- Tretinoin ›
- Aripiprazole ›
- Bendamustine ›
- Caffeine (otc Drug) ›
- Ciclesonide ›
- Clonazepam ›
Showing 60 of 818 minor interactions — see all 818 on the Hibiscus Sabdariffa page.
No interaction 1,743 drugs checked — show the list
We also checked Hibiscus Sabdariffa against these medications and found no known interaction in our sources. Open any page to confirm.
- Levothyroxine ›
- Methylphenidate ›
- Aspirin ›
- Ivermectin ›
- Rosuvastatin ›
- Escitalopram ›
- Docusate ›
- Valacyclovir ›
- Hydroxyurea ›
- Sumatriptan ›
- Amoxicillin ›
- Acyclovir ›
- Doxycycline ›
- Methotrexate ›
- Lamotrigine ›
- Gabapentin ›
- Pregabalin ›
- Azithromycin ›
- Methylene Blue ›
- Ciprofloxacin ›
- Levothyroxine, Liothyronine ›
- Cyclopentolate ›
- Cephalexin ›
- Roxithromycin ›
- Pegunigalsidase Alfa-iwxj ›
- Daptomycin ›
- Hexobarbitone ›
- Levothyroxine Sodium ›
- Dexmethylphenidate ›
- Levetiracetam ›
- Factor 7a ›
- Thyroid Hormone ›
- Carbidopa, Levodopa ›
- Mitomycin ›
- Levodopa ›
- Ezetimibe ›
- Phentermine, Topiramate ›
- Cefaclor ›
- Lenvatinib ›
- Phenylephrine ›
- Vancomycin ›
- Hethylphenidate Hcl ›
- Dirithromycin ›
- Bentoquatam ›
- Pentobarbitone ›
- Amoxicillin, Clavulanate Potassium ›
- Procainamide ›
- Hydroxychloroquine ›
- Tenecteplase ›
- Digoxin ›
- Azelaic Acid ›
- Triptorelin ›
- Dextrothyroxine ›
- Lomustine ›
- Tocainide ›
- Pizotifen ›
- Acetylsalicylic Acid ›
- Sodium Valproate ›
- Rocuronium ›
- Succimer ›
Showing the 60 most looked-up of 1,743 medications checked with no known interaction — see the full Hibiscus Sabdariffa 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 Hibiscus Sabdariffa and Cyclobenzaprine Together: Common Questions
Can you take Hibiscus Sabdariffa with Cyclobenzaprine?
Why are there 3 interactions listed for Hibiscus Sabdariffa and Cyclobenzaprine?
How serious is the Hibiscus Sabdariffa and Cyclobenzaprine interaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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