Drug & supplement interaction

Liverwort + Phenylephrine

Phenylephrine brand names: Gilchew, AH Chew D, Gilchew IR, Sudafed PE, Biorphen.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Oct 4, 2026
The bottom line No known interaction

We found no known interaction between Liverwort and Phenylephrine 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.

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Interaction report

Liverwort and Phenylephrine

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 Phenylephrine and Liverwort 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.

Worth understanding: our licensed dataset holds no drug-interaction record for Liverwort at all — not against Phenylephrine, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

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.

Liverwort safety at a glance

Liverwort overall Use caution The fresh plant can irritate skin and mucous membranes, and human safety data are very limited.
Pregnancy Likely Unsafe When used orally or topically. Read the full pregnancy detail
Breastfeeding Likely Unsafe When the fresh above ground parts are used orally or topically. There is insufficient reliable information available about the safety of dried liverwort while b... 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 Phenylephrine and Liverwort? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Liverwort Itself Has Been Linked To

This is not an interaction — nothing below involves Phenylephrine. It is the side-effect record for Liverwort on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Liverwort, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

  • An allergic reaction Worth acting on Additional detail

    “Topically, fresh liverwort has been reported to cause irritation, itching, and pustule formation known as ranunculus dermatitis (2). In one case report, fresh liverwort was associated with contact hypersensitivity.”

    Liverwort · Natural Medicines adverse-effect record, reported in dermatitis.

    2 sources cited
    1. 2. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
    2. 59971. Storrs, F. J., Mitchell, J. C., and Rasmussen, J. E. Contact hypersensitivity to liverwort and the compositae family of plants. Cutis 1976;18(5):681-686.
  • Itching / A skin rash Additional detail

    “Orally, fresh liverwort has been reported to cause diarrhea, gastrointestinal irritation (18), and kidney and urinary tract irritation (2). Topically, fresh liverwort has been reported to cause irritation, itching, and pustule formation known as ranunculus dermatitis (2). There is currently a limited amount of information available on the adverse effects of dried liverwort.”

    Liverwort · Natural Medicines adverse-effect record, reported in dermatitis.

    2 sources cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
    2. 2. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
  • Diarrhea Additional detail

    “Orally, fresh liverwort has been reported to cause diarrhea and gastrointestinal irritation (18).”

    Liverwort · Natural Medicines adverse-effect record, reported in diarrhea.

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

Everything above comes from the Natural Medicines adverse-effect record for Liverwort — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Phenylephrine’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Phenylephrine column appears here.

Special populations

Liverwort in Pregnancy & Breastfeeding

Pregnancy Likely Unsafe

When used orally or topically.

Lactation Likely Unsafe

When the fresh above ground parts are used orally or topically. There is insufficient reliable information available about the safety of dried liverwort while breast-feeding; avoid using.

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

Overlapping uses

What Phenylephrine Is Prescribed For, and What Liverwort Has Been Studied For

These two come up together because they touch the same health topic — not because they do the same job. Phenylephrine is a prescription medicine with approved uses on its FDA label. Liverwort is a supplement: what follows is what researchers have looked at it for, and how strong that evidence is.

Phenylephrine is prescribed for: Phenylephrine is used in several different products, and each one has its own use. Injection (IV): raises blood pressure in adults with clinically important hypotension (low blood pressure) caused mainly by widened blood vessels. Some injections are labeled for anesthesia only. Others are labeled for anesthesia and septic shock.

Read the rest of what Phenylephrine is prescribed for

Eye drops: Phenylephrine Hydrochloride Ophthalmic Solution is used to dilate the pupil. Nasal products: temporarily relieve nasal and sinus congestion from the common cold, hay fever or other upper respiratory allergies. Rectal suppositories: relieve itching, burning and discomfort from hemorrhoids and temporarily shrink hemorrhoidal tissue.

Liverwort has been studied for:

  • Hemorrhoids studied, not established Liverwort has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

    Liverwort for hemorrhoids

    Although there is interest in using topical liverwort for hemorrhoids, there is insufficient reliable information about the clinical effects of liverwort for this condition.

Effectiveness ratings and the research summaries above are the verbatim record from the Natural Medicines database, which grades evidence from “Effective” down to “Insufficient Reliable Evidence To Rate”. A rating below the top of that scale means researchers have looked at it — not that it works, and never that it can stand in for a prescribed medicine. Do not stop or replace Phenylephrine on your own; if you are taking Liverwort for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

From our Q&A

Questions About Liverwort or Phenylephrine

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Liverwort or Phenylephrine, 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:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Phenylephrine

This page covers Liverwort only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Phenylephrine page lists 81 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Ephedra (major), Lithium (major), Peyote (major) and Rauvolfia Vomitoria (major).

By severity: 6 major · 60 moderate · 15 minor.

From our pharmacist’s overview on the Phenylephrine page

“If you take phenylephrine (Sudafed PE, Biorphen) for congestion, treat this list as one that needs real attention, since six of its 81 entries carry a major rating. Phenylephrine tightens blood vessels to clear your nose, and more than half of the interactions here come from stimulant ingredients, ephedra above all, that can push blood…”

Reviewed by 2 · Jul 18, 2026

Open the Phenylephrine interaction page

One more smart check

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

We hold 8 real supplement products containing Liverwort, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Liverwort. Even though Liverwort itself has no known interaction with Phenylephrine, 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 Liverwort and Phenylephrine 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 Liverwort
Steady interest

#1,322 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Phenylephrine
Top 25%

#566 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 Liverwort reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified October 4, 2026. The Liverwort and Phenylephrine 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 .
Supplement

About Liverwort

What is Liverwort?

Liverwort
  • Liver and gallbladder complaints
  • Digestive upset
  • Mild gallbladder discomfort
  • Respiratory or throat irritation
  • Skin conditions (traditional use)

Liverwort (Anemone hepatica) is a traditional herb once used for liver, gallbladder, and digestive complaints, but there is no reliable human research showing it works for any condition. The fresh plant belongs to the buttercup family and can irritate the skin and digestive tract, so it should only be used dried and with caution. Talk to your pharmacist or doctor before trying it.

Anemone hepatica · Ranunculaceae · Above-ground parts (leaves and flowers) · Tea, dried herb, tincture, capsules

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

Liverwort: dosing

There is no established or standardized dose for liverwort. Because it has not been studied in proper clinical trials, no safe and effective amount has been confirmed.If you choose to use a product that contains liverwort, follow the directions on the label and use only properly dried material, never the fresh plant. When in doubt, choose better-studied options with a clearer safety record.

From our Liverwort monograph — the full record covers uses, side effects and every documented interaction.

Read the full Liverwort monograph & all interactions
Medication

About Phenylephrine

What Is Phenylephrine Used For?

Brand names: Gilchew, AH Chew D, Gilchew IR, Sudafed PE, Biorphen

Phenylephrine is used in several different products, and each one has its own use.

Injection (IV): raises blood pressure in adults with clinically important hypotension (low blood pressure) caused mainly by widened blood vessels. Some injections are labeled for anesthesia only. Others are labeled for anesthesia and septic shock.

Eye drops: Phenylephrine Hydrochloride Ophthalmic Solution is used to dilate the pupil.

Nasal products: temporarily relieve nasal and sinus congestion from the common cold, hay fever or other upper respiratory allergies.

Rectal suppositories: relieve itching, burning and discomfort from hemorrhoids and temporarily shrink hemorrhoidal tissue.

Most-Reported Side Effects for Phenylephrine

From FAERS, the FDA’s public side-effect reporting system (221,388 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 20,609 reports
Headache 17,301 reports
Nausea 16,925 reports
Diarrhea 14,221 reports
Dyspnea 13,719 reports
See full Phenylephrine drug information
Keep checking

Other Drugs & Liverwort

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

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

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

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Liverwort list.

See the full Liverwort interactions page
See every supplement checked against Phenylephrine, ranked by severity
Evidence & sources

Liverwort References

The 3 references that drive our Liverwort 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.

  1. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Storrs, F. J., Mitchell, J. C., and Rasmussen, J. E. Contact hypersensitivity to liverwort and the compositae family of plants. Cutis 1976;18(5):681-686.

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 Liverwort and Phenylephrine Together: Common Questions

Is it safe to take Liverwort with Phenylephrine?
We do not list a known interaction between Liverwort and Phenylephrine. 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.
Are Liverwort and Phenylephrine used for the same thing?
They overlap in purpose, which usually means the real question is whether you need both rather than whether they are safe together. This page lists the shared uses and how strong the evidence is for Liverwort in each. That is a conversation for your prescriber, especially if Phenylephrine is being adjusted to a target.
Does Phenylephrine interact with any supplements?
Yes. Phenylephrine has documented interactions with 81 supplements in our database — Liverwort is not one of them. The Phenylephrine 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

Liverwort monograph Uses, safety profile, and every drug interaction in one place Phenylephrine drug information The full plain-English guide to this medication Phenylephrine supplement interactions Every supplement checked against Phenylephrine, 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 3 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Phenylephrine and Liverwort?

Our pharmacists answer your medication & supplement questions — free.

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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.