Turpentine Oil - Librax (Chlordiazepoxide, Clidinium Bromide) Interaction
Herbal: Turpentine Oil
Also Known As: Pinus palustris, Aceite de Trementina, Essence de Térébenthine, Huile de Pin, Huile de Térébenthine, Huile de Térébenthine Purifiée, Pine Oleoresin, Pine Tree Terpenic, Purified Turpentine Oil, Spirits of Turpentine, Térébenthine, Terebinthinae Aetheroleum
Drug: Chlordiazepoxide, Clidinium Bromide
Brand names:
Librax
Medical Content Editor Dr. Brian Staiger, PharmD
Last updated
May 25, 2025
Interaction Details
Chlordiazepoxide, Clidinium Bromide is classified as belonging to the following category: Cytochrome P450 1A2 (Cyp1A2) Substrates
There is some concern that turpentine oil can inhibit CYP1A2 enzyme activity by up to 90% via induction of inflammation and subsequent downregulation of CYP activity. However, animal research suggests that turpentine oil does not affect the metabolism of phenacetin, a CYP1A2 substrate, despite inducing inflammation.
Some medications metabolized by CYP1A2 include clozapine (Clozaril), cyclobenzaprine (Flexeril), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), mexiletine (Mexitil), olanzapine (Zyprexa), pentazocine (Talwin), propranolol (Inderal), tacrine (Cognex), theophylline, tizanidine (Zanaflex), zileuton (Zyflo), zolmitriptan (Zomig), and others.
Interaction Rating
Likelihood of Occurrence
UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
References
- Prasad VG, Vivek Ch, Anand Kumar P, Ravi Kumar P, Rao GS. Turpentine oil induced inflammation decreases absorption and increases distribution of phenacetin without altering its elimination process in rats. Eur J Drug Metab Pharmacokinet 2015;40(1):23-8.
Turpentine Oil Overview
Turpentine oil is a yellowish liquid that is extracted from the resin of some pine trees. It has a strong, pungent aroma and is used in a variety of industrial and commercial applications, including the production of paints, varnishes, solvents, and disinfectants.
Turpentine oil has also been used in traditional medicine as a natural remedy for a variety of ailments. It is thought to have antiseptic, expectorant, and diuretic properties, and it is sometimes used to treat respiratory conditions, such as coughs and bronchitis, as well as skin conditions, such as wounds and fungal infections.
Turpentine oil is most commonly used as a fragrance additive in some over-the-counter medicated chest rubs, such as Vicks VapoRub. It is important to note that turpentine oil can be toxic if ingested or inhaled in large amounts, and it can cause a number of side effects, including nausea, vomiting, dizziness, and difficulty breathing. It should be used with caution and only under the supervision of a healthcare provider.
Chlordiazepoxide, Clidinium Bromide Overview
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The combination of chlordiazepoxide and clidinium is used along with other medications to treat peptic ulcers, irritable bowel syndrome (IBS; a condition that causes stomach pain, bloating, constipation, and diarrhea), and enterocolitis (swelling in the intestines). Chlordiazepoxide is in a class of medications called benzodiazepines. It works by decreasing abnormal electrical activity in the brain. Clidinium is in a class of medications called anticholinergics. It helps to decrease stomach spasms and cramps.
Turpentine Oil - More Interactions
Turpentine Oil interacts with 362 drugs
Interaction Rating Key
These severity listings are for informational use only. Never start, stop or otherwise change your therapy before speaking with your provider.
| Major | The combined use of these agents is strongly discouraged as serious side effects or other negative outcomes could occur. |
| Moderate | Use cautiously under the care of a healthcare professional or avoid this combination. A significant interaction or negative outcome could occur. |
| Minor | Be aware that there is a chance of an interaction. Watch for warning signs of a potential interaction. |
| Unknown | No interactions have been reported or no interaction data is currently available. |
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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
Drug descriptions are provided by MedlinePlus.
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In addition to being a clinical pharmacist specializing in pharmacotherapy, Dr. Brian Staiger is a registered herbalist through the American Herbalist Guild. He has combined his passion for pharmacy practice with the study of medical ethnobotany to improve patient care. Feel free to reach out about any of your herbal or medication questions!
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