Drug & supplement interaction

Thyme + Chlorpheniramine Polistirex, Codeine Polistirex

Chlorpheniramine Polistirex, Codeine Polistirex brand name: Tuzistra XR.

Moderate Interaction
The bottom line Moderate

Thyme has a moderate interaction with Chlorpheniramine Polistirex, Codeine Polistirex. Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.

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

Thyme and Chlorpheniramine Polistirex, Codeine Polistirex

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

Moderate

ANTICHOLINERGIC DRUGS

Why this applies to Chlorpheniramine Polistirex, Codeine Polistirex

Chlorpheniramine Polistirex, Codeine Polistirex falls under ANTICHOLINERGIC DRUGS — the group Thyme interacts with.

Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
In vitro evidence suggests that thyme essential oil and specific essential oil constituents like thymohydroquinone and carvacrol can inhibit acetylcholinesterase (AChE). However, this effect has not been observed in humans.
Severity Moderate 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 situation with Tuzistra XR, which pairs an antihistamine (chlorpheniramine) with codeine. The chlorpheniramine part has anticholinergic activity, meaning it works partly by quieting a chemical messenger called acetylcholine. In test tube studies, compounds in thyme essential oil may slightly push acetylcholine levels back up, which could in theory soften the antihistamine's effect. That might mean a touch less drying or less drowsiness, though honestly this has never actually been shown in people.

The bottom line: this is a theoretical, lab-only concern. Cooking with thyme or sipping thyme tea is very unlikely to matter at all. Concentrated thyme essential oil is a different story and should never be swallowed undiluted. If you use thyme supplements regularly, just mention it to your pharmacist or doctor to be safe.

References
  1. Jukic, M., Politeo, O., Maksimovic, M., Milos, M., and Milos, M. In vitro acetylcholinesterase inhibitory properties of thymol, carvacrol and their derivatives thymoquinone and thymohydroquinone. Phytother.Res 2007;21(3):259-261.

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

Thyme Also Interacts With Other Medications

Thyme has 378 moderate known drug interactions in our database — the Chlorpheniramine Polistirex, Codeine Polistirex 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 Thyme

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

Everything else you take

See Every Supplement That Interacts With Chlorpheniramine Polistirex, Codeine Polistirex

This page covers Thyme only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Chlorpheniramine Polistirex, Codeine Polistirex page lists 259 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major) and Grapefruit (major).

By severity: 12 major · 205 moderate · 42 minor.

Open the Chlorpheniramine Polistirex, Codeine Polistirex interaction page

One more smart check

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

We hold 708 real supplement products containing Thyme, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Thyme. Your product may carry other ingredients that interact with Chlorpheniramine Polistirex, Codeine Polistirex too, on top of Thyme — 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 Thyme and Chlorpheniramine Polistirex, Codeine Polistirex 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 Thyme
Top 25%

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

29 days ago today
Medication Chlorpheniramine Polistirex, Codeine Polistirex
Steady interest

#2,511 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 Thyme

What is Thyme?

Thyme
  • Cough and respiratory congestion
  • Sore throat
  • Digestive upset
  • Antimicrobial and antiseptic uses
  • Flavoring in cooking

Thyme is a common kitchen herb that has long been used for coughs, sore throats, and digestive complaints. It is generally safe in the amounts found in food, and some cough products that combine thyme with other herbs have modest supporting evidence, but high-quality research on thyme alone is limited. The concentrated essential oil should never be swallowed undiluted.

Read the full Thyme monograph & all interactions
Keep checking

Other Drugs & Thyme

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

0Major
378Moderate
0Minor
2,451No known interaction
Moderate

378 interactions

Showing 60 of 378 moderate interactions — see all 378 on the Thyme page.

No interaction 2,451 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 Thyme and Chlorpheniramine Polistirex, Codeine Polistirex Together: Common Questions

Can you take Thyme with Chlorpheniramine Polistirex, Codeine Polistirex?
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 Thyme and Chlorpheniramine Polistirex, Codeine Polistirex 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 Chlorpheniramine Polistirex, Codeine Polistirex and Thyme?

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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.