Drug & supplement interaction

Java Tea + Penbutolol Sulfate

Penbutolol Sulfate brand name: Levatol.

Moderate Interaction
The bottom line Moderate

Java Tea has a moderate interaction with Penbutolol Sulfate. Some preliminary clinical evidence suggests that Java tea has antihypertensive effects.

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

Java Tea and Penbutolol Sulfate

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

Moderate

ANTIHYPERTENSIVE DRUGS

Why this applies to Penbutolol Sulfate

Penbutolol Sulfate falls under ANTIHYPERTENSIVE DRUGS — the group Java Tea interacts with.

Some preliminary clinical evidence suggests that Java tea has antihypertensive effects. Further, animal research suggests that Java tea has diuretic properties. Theoretically, taking Java tea with other antihypertensive drugs might increase the effects and risk for hypotension with these drugs.
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

Here's the gist: penbutolol (Levatol) is a beta blocker that lowers your blood pressure by slowing your heart rate and easing your blood vessels. Java Tea may have its own mild blood-pressure-lowering and water-pill (diuretic) effects. Stack the two together and they could push in the same direction, so your blood pressure might drop a little more than expected.

If that happens, you could feel dizzy or lightheaded, especially when standing up quickly, or feel unusually tired. I want to be honest though, this is a theoretical concern based mostly on early lab and animal work, not strong human studies. It's not a reason to panic. Just check with your pharmacist or doctor before adding Java Tea, and don't change your penbutolol on your own.

References
  1. Cicero AF, De Sando V, Izzo R, Vasta A, Trimarco A, Borghi C. Effect of a combined nutraceutical containing Orthosiphon stamineus effect on blood pressure and metabolic syndrome components in hypertensive dyslipidaemic patients: a randomized clinical tria

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

Java Tea Also Interacts With Other Medications

Java Tea has 172 moderate known drug interactions in our database — the Penbutolol Sulfate 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 Java Tea

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

Everything else you take

See Every Supplement That Interacts With Penbutolol Sulfate

This page covers Java Tea only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Penbutolol Sulfate page lists 139 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), Indian Snakeroot (major) and Tyramine (major).

By severity: 5 major · 113 moderate · 21 minor.

From our pharmacist’s overview on the Penbutolol Sulfate page

“Penbutolol sulfate (Levatol) is a beta-blocker that lowers blood pressure and slows the heart, and its supplement file earns real vigilance, since five of the 139 ingredients on record carry a major rating. The great majority, 119 ingredients, tug on blood pressure one way or the other, some stacking with the drug until it falls too fa…”

Reviewed by 2 · Jul 18, 2026

Open the Penbutolol Sulfate interaction page

One more smart check

Taking Java Tea as Part of a Dietary Supplement Product? Check It for Interactions

We hold 64 real supplement products containing Java Tea, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Java Tea. Your product may carry other ingredients that interact with Penbutolol Sulfate too, on top of Java Tea — 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 Java Tea and Penbutolol Sulfate 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 Java Tea
Steady interest

#1,057 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Penbutolol Sulfate
Steady interest

#1,650 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 Java Tea

What is Java Tea?

  • Urinary tract health
  • Mild fluid retention
  • Kidney and bladder support
  • Mild diuretic ('water pill') effect
  • Digestive complaints

Java Tea is a Southeast Asian herb traditionally used as a gentle diuretic and for urinary tract and kidney support. Some early lab, animal, and small human studies are encouraging, but high-quality evidence in people is limited, so it should not replace proven treatments. Talk to a pharmacist or doctor before using it, especially if you have kidney problems or take other medicines.

Read the full Java Tea monograph & all interactions
Medication

About Penbutolol

What Is Penbutolol Used For?

Brand name: Levatol

  • Penbutolol is used to treat high blood pressure. Penbutolol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure.

See full Penbutolol drug information
Keep checking

Other Drugs & Java Tea

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

0Major
172Moderate
0Minor
2,657No known interaction
Moderate

172 interactions

Showing 60 of 172 moderate interactions — see all 172 on the Java Tea page.

No interaction 2,657 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 Java Tea and Penbutolol Sulfate Together: Common Questions

Can you take Java Tea with Penbutolol Sulfate?
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 Java Tea and Penbutolol Sulfate 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 Penbutolol Sulfate and Java Tea?

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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.