Drug & supplement interaction

Hound's Tongue + Bethanechol Chloride

Bethanechol Chloride brand name: Urecholine.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated July 2026 · Pair last verified Sep 13, 2026

The bottom line No known interaction

We found no known interaction between Hound's Tongue and Bethanechol Chloride 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. Additionally, although there is no interaction, the label for Bethanechol Chloride states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Hound's Tongue and Bethanechol Chloride

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 Bethanechol Chloride and Hound's Tongue in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. 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.

Hound's Tongue safety at a glance

Hound's Tongue overall Avoid It contains liver-toxic pyrrolizidine alkaloids, so internal use is not recommended.

Pregnancy Likely Unsafe When used orally. Hound's tongue preparations containing pyrrolizidine alkaloid (PA) constituents might be teratogenic and hepatotoxic. There is insufficient re... Read the full pregnancy detail

Breastfeeding Likely Unsafe When used orally. Hepatotoxic pyrrolizidine alkaloid (PA) constituents in hound's tongue are excreted in milk. There is insufficient reliable information availa... Read the full breastfeeding detail

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 Bethanechol Chloride and Hound's Tongue? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Bethanechol Chloride

Interactions in our licensed database are recorded against drug classes, not just single drug names. Bethanechol Chloride is filed under 2 classifications — cholinergic drugs, oral drugs. Hound's Tongue has documented interactions with 1 drug class — the most serious being cytochrome p450 3a4 (cyp3a4) inducers (moderate) — and none of Bethanechol Chloride’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

Hound's Tongue Does Interact With Other Medications

Hound's Tongue has 87 moderate known drug interactions in our database — Bethanechol Chloride isn’t one of them. If you take anything else, check it against the full list below.

Moderate 87 No known interaction 2,743 (incl. Bethanechol Chloride)

Taking anything else?

Check Another of Your Medications Against Hound's Tongue

Covers the 2,830 medications we’ve checked against Hound's Tongue. Pick one to open its full report.

What to actually watch for

No Interaction Found — But Data Suggests Hound's Tongue and Bethanechol Chloride May Share a Side Effect

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

Diarrhea Additional detail
Hound's Tongue
“The pyrrolizidine alkaloid (PA) constituents of hound's tongue are hepatotoxic. Chronic exposure to other plants containing hepatotoxic PA constituents is associated with veno-occlusive disease (VOD). Subacute VOD causes vague symptoms with persistent liver enlargement. Symptoms of acute VOD include epigastric pain, vomiting and diarrhea, and ascites formation within several days.”

Hound's Tongue · Natural Medicines adverse-effect record, reported in diarrhea.
3 sources cited

12841. Chojkier M. Hepatic sinusoidal-obstruction syndrome: toxicity of pyrrolizidine alkaloids. J Hepatol 2003;39:437-46. PubMed

12842. Roeder E. Medicinal plants in Europe containing pyrrolizidine alkaloids. Pharmazie 1995;50:83-98.

4021. WHO working group. Pyrrolizidine alkaloids. Environmental Health Criteria, 80. WHO: Geneva, 1988.
Bethanechol Chloride

Listed in the ADVERSE REACTIONS section of the FDA label for Bethanechol Chloride. Read the label on DailyMed ›

Reported for Hound's Tongue but not commonly for Bethanechol Chloride: vomiting.

Effects for Bethanechol Chloride come from the ADVERSE REACTIONS section of its FDA label; effects for Hound's Tongue come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Hound's Tongue in Pregnancy & Breastfeeding

Pregnancy Likely Unsafe

When used orally. Hound's tongue preparations containing pyrrolizidine alkaloid (PA) constituents might be teratogenic and hepatotoxic. There is insufficient reliable information available about the safety of using PA-free hound's tongue products during pregnancy.

Lactation Likely Unsafe

When used orally. Hepatotoxic pyrrolizidine alkaloid (PA) constituents in hound's tongue are excreted in milk. There is insufficient reliable information available about the safety of using PA-free hound's tongue products during lactation.

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

How to take them

Some Bethanechol Chloride Products Have a Food Rule — Hound's Tongue Should Not Break It

At least one FDA label for a product containing Bethanechol Chloride says to take it with food. If you take Hound's Tongue on an empty stomach out of habit, keep them separate — and take Bethanechol Chloride with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Bethanechol Chloride products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

If taken soon after eating, nausea and vomiting may occur.

From the Dosage and Administration section of the FDA label we read for Bethanechol Chloride — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Bethanechol Chloride

This page covers Hound's Tongue only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Bethanechol Chloride page lists 38 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Bacopa (moderate), Bael (moderate), Betel Nut (moderate) and Boxwood (moderate).

By severity: 1 major · 27 moderate · 10 minor.

From our pharmacist’s overview on the Bethanechol Chloride page

“Anyone taking bethanechol chloride (Urecholine) for urinary retention should read this list carefully, starting with activated charcoal, the lone major-rated entry among the 38 ingredients here. Charcoal can bind bethanechol in the gut and sharply cut how much reaches your system, a real problem for a drug that has to get a sluggish bl…”

Reviewed by 2 · Jul 18, 2026

Open the Bethanechol Chloride interaction page

One more smart check

Taking Hound's Tongue as Part of a Dietary Supplement Product? Check It for Interactions

We hold 1 real supplement products containing Hound's Tongue, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Hound's Tongue. Even though Hound's Tongue itself has no known interaction with Bethanechol Chloride, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Hound's Tongue and Bethanechol Chloride 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 Hound's Tongue

Steady interest

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

29 days ago today

Medication Bethanechol Chloride

Steady interest

#2,208 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 Hound's Tongue reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Hound's Tongue and Bethanechol Chloride 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 Dr. Brian Staiger, PharmD, BCPS.

Supplement

About Hound's Tongue

What is Hound's Tongue?

Minor wounds and skin irritation
Coughs and sore throat
Hemorrhoids
Burns and bruises
Diarrhea

Hound's Tongue is a traditional folk remedy used mostly on the skin and for coughs, but there is little to no reliable human research showing it works. More importantly, it contains pyrrolizidine alkaloids that can seriously harm the liver, so internal use is generally discouraged. Talk with a pharmacist or doctor before using it in any form.

Cynoglossum officinale · Boraginaceae · Leaves and roots · Dried herb, topical poultice, ointment, tincture, tea

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

Hound's Tongue: dosing

There is no established safe or standardized dose for Hound's Tongue. In most cases, safer and better-studied alternatives are available for the conditions people use this plant for.

From our Hound's Tongue monograph — the full record covers uses, side effects and every documented interaction.

Read the full Hound's Tongue monograph & all interactions

Medication

About Bethanechol

What Is Bethanechol Used For?

Brand name: Urecholine

Bethanechol Chloride Tablets are used to treat urinary retention — when the bladder holds urine but can't release it properly — in two specific situations: after surgery or childbirth (acute postoperative or postpartum nonobstructive urinary retention), and when weak bladder muscle caused by nerve problems (neurogenic atony) prevents normal emptying.

These are functional problems, meaning there's no physical blockage — the bladder simply isn't contracting the way it should.

See full Bethanechol drug information

Keep checking

Other Drugs & Hound's Tongue

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

0Major

87Moderate

0Minor

2,742No known interaction

87 Moderate 2,742 No interaction

Moderate

87 interactions

Showing 60 of 87 moderate interactions — see all 87 on the Hound's Tongue page.

No interaction 2,742 drugs checked — show the list

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

Showing the 60 most looked-up of 2,742 medications checked with no known interaction — see the full Hound's Tongue list.

See the full Hound's Tongue interactions page

See every supplement checked against Bethanechol Chloride, ranked by severity

Evidence & sources

Hound's Tongue References

The 4 references that drive our Hound's Tongue 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.

WHO working group. Pyrrolizidine alkaloids. Environmental Health Criteria, 80. WHO: Geneva, 1988.
Chojkier M. Hepatic sinusoidal-obstruction syndrome: toxicity of pyrrolizidine alkaloids. J Hepatol 2003;39:437-46. PubMed
Roeder E. Medicinal plants in Europe containing pyrrolizidine alkaloids. Pharmazie 1995;50:83-98.
Wang YP, Yan J, Fu PP, Chou MW. Human liver microsomal reduction of pyrrolizidine alkaloid N-oxides to form the corresponding carcinogenic parent alkaloid. Toxicol Lett 2005;155:411-20. 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

Taking Hound's Tongue and Bethanechol Chloride Together: Common Questions

Is it safe to take Hound's Tongue with Bethanechol Chloride?

We do not list a known interaction between Hound's Tongue and Bethanechol Chloride. 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.

Do Hound's Tongue and Bethanechol Chloride have any of the same side effects?

Yes — our sources link each of them separately to one of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.

Should I take Hound's Tongue and Bethanechol Chloride at the same time of day?

At least one FDA label for a product containing Bethanechol Chloride says to take it with food. If you take Hound's Tongue on an empty stomach out of habit, keep them separate and take Bethanechol Chloride with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Bethanechol Chloride products can differ — so check the directions on your own box. This is about absorption, not an interaction.

How was the Hound's Tongue and Bethanechol Chloride combination checked?

Interactions in our licensed database are recorded against drug classes. Bethanechol Chloride is filed under 2 classifications, and Hound's Tongue has documented interactions with 1 drug class — none of Bethanechol Chloride'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 Hound's Tongue interact with any other medications?

Yes. Hound's Tongue has 87 documented drug interactions in our database — Bethanechol Chloride 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 Bethanechol Chloride interact with any supplements?

Yes. Bethanechol Chloride has documented interactions with 38 supplements in our database — Hound's Tongue is not one of them. The Bethanechol Chloride 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

Hound's Tongue monograph Uses, safety profile, and every drug interaction in one place Bethanechol drug information The full plain-English guide to this medication Bethanechol Chloride supplement interactions Every supplement checked against Bethanechol Chloride, 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 4 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Bethanechol Chloride and Hound's Tongue?

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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.