Drug & supplement interaction

Marsh Labrador Tea + Nintedanib Esylate

Nintedanib Esylate brand name: Ofev.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated July 2026 · Pair last verified Sep 27, 2026

The bottom line No known interaction

We found no known interaction between Marsh Labrador Tea and Nintedanib Esylate 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 Nintedanib Esylate 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

Marsh Labrador Tea and Nintedanib Esylate

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 Nintedanib Esylate and Marsh Labrador Tea 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.

Marsh Labrador Tea safety at a glance

Marsh Labrador Tea overall Use caution The plant contains toxic grayanotoxins, so any internal use carries a risk of poisoning.

Pregnancy Likely Unsafe When used orally; avoid using. Marsh Labrador tea is considered to be a potential uterine stimulant and abortifacient. Read the full pregnancy detail

Breastfeeding Avoid Not enough safety data and it contains potentially toxic substances, so avoid use.

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 Nintedanib Esylate and Marsh Labrador Tea? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Nintedanib Esylate

Interactions in our licensed database are recorded against drug classes, not just single drug names. Nintedanib Esylate is filed under 5 classifications — including anticoagulant/antiplatelet drugs, p-glycoprotein substrates, cytochrome p450 3a4 (cyp3a4) substrates. Marsh Labrador Tea has documented interactions with 1 drug class — the most serious being cns depressants (moderate) — and none of Nintedanib Esylate’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

Marsh Labrador Tea Does Interact With Other Medications

Marsh Labrador Tea has 248 moderate known drug interactions in our database — Nintedanib Esylate isn’t one of them. If you take anything else, check it against the full list below.

Moderate 248 No known interaction 2,582 (incl. Nintedanib Esylate)

Taking anything else?

Check Another of Your Medications Against Marsh Labrador Tea

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

What to actually watch for

No Interaction Found — But Data Suggests Marsh Labrador Tea and Nintedanib Esylate May Share Several of the Same Side Effects

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 / Vomiting reported in 32.4% of FDA reports for Nintedanib Esylate Additional detail
Marsh Labrador Tea
“Orally, large amounts of marsh Labrador tea can cause poisoning due to its ledol constituent (2). The essential oil of marsh Labrador tea can cause severe irritation of the gastrointestinal tract, vomiting, diarrhea, irritation and damage to the kidneys and urinary tract, heavy perspiration, myalgias, and arthralgias.”

Marsh Labrador Tea · Natural Medicines adverse-effect record, reported in diarrhea.
2 sources cited

2. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.

97164. Dampc A, Luczkiewicz M. Bog Labrador tea--the aromatic beverage and spice: a review of origin, processing and safety. J Sci Food Agric. 2015;95(8):1577-83. PubMed
“Orally, ledol, a constituent of the essential oil of marsh Labrador tea, can cause gastrointestinal irritation resulting in vomiting, gastroenteritis, and diarrhea.”

Marsh Labrador Tea · Natural Medicines adverse-effect record, reported in diarrhea.
1 source cited

97164. Dampc A, Luczkiewicz M. Bog Labrador tea--the aromatic beverage and spice: a review of origin, processing and safety. J Sci Food Agric. 2015;95(8):1577-83. PubMed
Nintedanib Esylate

Listed in the ADVERSE REACTIONS section of the FDA label for Nintedanib Esylate, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

Reported for Marsh Labrador Tea but not commonly for Nintedanib Esylate: sweating and seizures.

Effects for Nintedanib Esylate come from the ADVERSE REACTIONS section of its FDA label; effects for Marsh Labrador Tea come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 31,339 voluntary FDA FAERS reports for Nintedanib Esylate that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Marsh Labrador Tea in Pregnancy & Breastfeeding

Pregnancy Likely Unsafe

When used orally; avoid using. Marsh Labrador tea is considered to be a potential uterine stimulant and abortifacient.

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 Nintedanib Esylate Products Have a Food Rule — Marsh Labrador Tea Should Not Break It

At least one FDA label for a product containing Nintedanib Esylate says to take it with food. If you take Marsh Labrador Tea on an empty stomach out of habit, keep them separate — and take Nintedanib Esylate 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 Nintedanib Esylate 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.

2 DOSAGE AND ADMINISTRATION Recommended dosage: 150 mg taken orally twice daily approximately 12 hours apart taken with food.

From the Dosage and Administration section of the FDA label we read for Nintedanib Esylate — 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 Nintedanib Esylate

This page covers Marsh Labrador Tea only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Nintedanib Esylate page lists 285 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Danshen (major), Grapefruit (major), Piracetam (major) and St. John's Wort (major).

By severity: 5 major · 240 moderate · 40 minor.

From our pharmacist’s overview on the Nintedanib Esylate page

“You take Ofev (nintedanib) to slow lung scarring, and this page deserves a careful read before any supplement joins it. Of the 285 ingredients here, the biggest cluster, over 200, can add to bleeding risk, a real concern since nintedanib itself can make you bleed more easily.”

Reviewed by 2 · Jul 18, 2026

Open the Nintedanib Esylate interaction page

How much people look this up

Where Marsh Labrador Tea and Nintedanib Esylate 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 Marsh Labrador Tea

Steady interest

#1,009 of 1,452 supplements looked up here in the last 7 days

29 days ago today

Medication Nintedanib Esylate

Top 25%

#684 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 Marsh Labrador Tea reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 27, 2026. The Marsh Labrador Tea and Nintedanib Esylate 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 Marsh Labrador Tea

What is Marsh Labrador Tea?

Colds and respiratory complaints
Cough and congestion
Mild aches and joint discomfort
Topical relief of skin irritation, swelling, and insect bites
Traditional use as a diuretic

Marsh Labrador tea is a bog-growing shrub used in folk medicine for coughs, colds, and skin problems, but high-quality human evidence for any use is lacking. Because it contains grayanotoxins (andromedotoxin) that can be poisonous, it is not considered safe for routine use, and pregnant or breastfeeding people should avoid it.

Rhododendron tomentosum · Ericaceae · Leaves and flowering twigs (and an essential oil distilled from them) · Tea (infusion), essential oil, topical preparations

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

Marsh Labrador Tea: dosing

There is no established safe or standardized dose for Marsh Labrador tea. Because the plant naturally contains toxic grayanotoxins, even traditional preparations carry risk, and stronger or longer brews increase that risk.If you choose to use a commercial product, follow the directions on the label exactly and do not exceed them. Never assume that "natural" means harmless.

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

Read the full Marsh Labrador Tea monograph & all interactions

Medication

About Nintedanib

What Is Nintedanib Used For?

Brand name: Ofev

Nintedanib treats certain scarring lung diseases in adults. All the supported products are indicated for idiopathic pulmonary fibrosis (IPF) and for chronic fibrosing interstitial lung diseases (ILDs) with a progressive phenotype (scarring lung disease that keeps getting worse).

Ofev, nintedanib capsules (100 mg and 150 mg) and one other nintedanib capsule product are also indicated to slow the decline in lung function in systemic sclerosis-associated interstitial lung disease (SSc-ILD). The nintedanib esylate capsule label lists only IPF and progressive chronic fibrosing ILDs.

See full Nintedanib drug information

Keep checking

Other Drugs & Marsh Labrador Tea

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

0Major

248Moderate

0Minor

2,581No known interaction

248 Moderate 2,581 No interaction

Moderate

248 interactions

Showing 60 of 248 moderate interactions — see all 248 on the Marsh Labrador Tea page.

No interaction 2,581 drugs checked — show the list

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

Showing the 60 most looked-up of 2,581 medications checked with no known interaction — see the full Marsh Labrador Tea list.

See the full Marsh Labrador Tea interactions page

See every supplement checked against Nintedanib Esylate, ranked by severity

Evidence & sources

Marsh Labrador Tea References

The 3 references that drive our Marsh Labrador Tea 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.

Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
Dampc A, Luczkiewicz M. Bog Labrador tea--the aromatic beverage and spice: a review of origin, processing and safety. J Sci Food Agric. 2015;95(8):1577-83. 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 Marsh Labrador Tea and Nintedanib Esylate Together: Common Questions

Is it safe to take Marsh Labrador Tea with Nintedanib Esylate?

We do not list a known interaction between Marsh Labrador Tea and Nintedanib Esylate. 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 Marsh Labrador Tea and Nintedanib Esylate have any of the same side effects?

Yes — our sources link each of them separately to 2 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 Marsh Labrador Tea and Nintedanib Esylate at the same time of day?

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

How was the Marsh Labrador Tea and Nintedanib Esylate combination checked?

Interactions in our licensed database are recorded against drug classes. Nintedanib Esylate is filed under 5 classifications, and Marsh Labrador Tea has documented interactions with 1 drug class — none of Nintedanib Esylate'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 Marsh Labrador Tea interact with any other medications?

Yes. Marsh Labrador Tea has 248 documented drug interactions in our database — Nintedanib Esylate 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 Nintedanib Esylate interact with any supplements?

Yes. Nintedanib Esylate has documented interactions with 285 supplements in our database — Marsh Labrador Tea is not one of them. The Nintedanib Esylate 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

Marsh Labrador Tea monograph Uses, safety profile, and every drug interaction in one place Nintedanib drug information The full plain-English guide to this medication Nintedanib Esylate supplement interactions Every supplement checked against Nintedanib Esylate, 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 Nintedanib Esylate and Marsh Labrador 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.