Drug & supplement interaction

Pu-erh Tea + Metformin, Linagliptin

Metformin, Linagliptin brand name: Jentadueto.

Minor Interaction
The bottom line Minor

Metformin, Linagliptin falls into 2 drug categories that Pu-erh Tea can interact with; the most serious is rated minor. Theoretically, taking pu-erh tea with antidiabetes drugs might interfere with blood glucose control.

Read the full interaction report
SeverityMinor
LikelihoodUnlikely
Interactions2
EvidenceB
What do Severity, Likelihood & Evidence mean?
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Interaction report

Pu-erh Tea and Metformin, Linagliptin

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

Pu-erh Tea interacts with whole categories of medication. Metformin, Linagliptin falls into 2 of those categories, so it can interact with Pu-erh Tea in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Minor).

Minor

ANTIDIABETES DRUGS

1 of 2

Why this applies to Metformin, Linagliptin

Metformin, Linagliptin falls under ANTIDIABETES DRUGS — the group Pu-erh Tea interacts with.

Theoretically, taking pu-erh tea with antidiabetes drugs might interfere with blood glucose control.
Pu-erh tea contains caffeine. Reports claim that caffeine might increase or decrease blood sugar levels.
Severity Minor Likelihood Unlikely Evidence B

Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the practical takeaway with Jentadueto (which combines metformin and linagliptin) and pu-erh tea. The concern isn't that the tea changes how your body processes these medicines. It comes down to the caffeine in pu-erh, which can nudge blood sugar up or down a little in some people. That's a fairly weak and inconsistent effect, and the evidence here is graded as minor and unlikely.

A few cups of pu-erh as a normal drink probably won't throw off your numbers in a meaningful way. If you do drink it regularly, just keep an eye out for signs your sugar is off, like shakiness, sweating, or feeling unusually tired or thirsty. Don't change any doses on your own. If you notice swings in your readings, mention it to your pharmacist or doctor.

References
  1. Watson JM, Jenkins EJ, Hamilton P, et al. Influence of caffeine on the frequency and perception of hypoglycemia in free-living patients with type 1 diabetes. Diabetes Care 2000;23:455-9. PubMed
  2. Bell DG, Jacobs I, Ellerington K. Effect of caffeine and ephedrine ingestion on anaerobic exercise performance. Med Sci Sports Exerc 2001;33:1399-403. PubMed
Minor

Metformin (Glucophage)

2 of 2
Theoretically, metformin might increase the levels and adverse effects of caffeine.
Pu-erh tea contains caffeine. Animal research suggests that metformin can reduce caffeine metabolism. Theoretically, concomitant use can increase caffeine serum concentrations and the risk of caffeine adverse effects.
Severity Minor Likelihood Possible Evidence D

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.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the thing to understand: this interaction isn't really about your diabetes medicine getting stronger or weaker. Jentadueto combines metformin and linagliptin, and neither of those is the part that's affected here. Instead, it works the other way around. The metformin in your pill may slow down how fast your body clears caffeine, and pu-erh tea naturally contains caffeine.

So in theory, the caffeine from the tea could hang around a little longer and hit you harder, meaning jitteriness, a racing heart, trouble sleeping, or feeling wired. I'll be honest though, this is based only on animal research and pharmacology theory, so it's a minor, theoretical concern. Enjoying a cup or two is usually fine. If you notice you're extra sensitive to caffeine, ease back and check with your pharmacist.

References
  1. Mohiuddin, M., Azam, A. T., Amran, M. S., and Hossain, M. A. In vive effects of gliclazide and metformin on the plasma concentration of caffeine in healthy rats. Pak.J Biol Sci 5-1-2009;12(9):734-737.

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

Pu-erh Tea Also Interacts With Other Medications

Pu-erh Tea has 9 major, 448 moderate, 209 minor known drug interactions in our database — the Metformin, Linagliptin one above is among them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Pu-erh Tea

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

Everything else you take

See Every Supplement That Interacts With Metformin, Linagliptin

This page covers Pu-erh Tea only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Metformin, Linagliptin page lists 285 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Siberian Cocklebur (major), St. John's Wort (major), Acai (moderate) and Adrafinil (moderate).

By severity: 3 major · 242 moderate · 40 minor.

From our pharmacist’s overview on the Metformin, Linagliptin page

“Siberian cocklebur is the risk anyone taking metformin and linagliptin (Jentadueto) should understand first, since it has caused severe hypoglycemia in people who consumed it. The wider picture deserves real care too.”

Reviewed by 2 · Jul 18, 2026

Open the Metformin, Linagliptin interaction page

How much people look this up

Where Pu-erh Tea and Metformin, Linagliptin 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 Pu-erh Tea
Steady interest

#1,416 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Metformin, Linagliptin
Top half

#1,081 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 Pu-erh Tea

What is Pu-erh Tea?

  • Weight management
  • Cholesterol and heart health
  • Digestion after meals
  • Mental alertness
  • General antioxidant support

Pu-erh tea is a fermented, aged form of tea made from the same plant as green and black tea. It is enjoyed worldwide as a beverage and is sometimes promoted for weight loss, cholesterol, and digestion, but human evidence for these uses is limited. As a normal drink it is generally well tolerated, though it does contain caffeine.

Read the full Pu-erh Tea monograph & all interactions
Keep checking

Other Drugs & Pu-erh Tea

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

9Major
448Moderate
209Minor
2,163No known interaction
Major

9 interactions

Moderate

448 interactions

Showing 60 of 448 moderate interactions — see all 448 on the Pu-erh Tea page.

Minor

209 interactions

Showing 60 of 209 minor interactions — see all 209 on the Pu-erh Tea page.

No interaction 2,163 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 Pu-erh Tea and Metformin, Linagliptin Together: Common Questions

Can you take Pu-erh Tea with Metformin, Linagliptin?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
Why are there 2 interactions listed for Pu-erh Tea and Metformin, Linagliptin?
Metformin, Linagliptin belongs to more than one drug category, and Pu-erh Tea interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Pu-erh Tea and Metformin, Linagliptin interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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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.