Drug & supplement interaction

Wild Cherry + Conjugated Estrogens, Meprobamate

Conjugated Estrogens, Meprobamate brand names: PMB 200, PMB 400.

Moderate Interaction
The bottom line Moderate

Wild Cherry has a moderate interaction with Conjugated Estrogens, Meprobamate. In vitro research suggests that wild cherry can inhibit cytochrome P450 3A4 (CYP3A4) enzymes.

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

Wild Cherry and Conjugated Estrogens, Meprobamate

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

Moderate

CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES

Why this applies to Conjugated Estrogens, Meprobamate

Conjugated Estrogens, Meprobamate falls under CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES — the group Wild Cherry interacts with.

In vitro research suggests that wild cherry can inhibit cytochrome P450 3A4 (CYP3A4) enzymes. Theoretically, wild cherry might increase levels of drugs metabolized by CYP3A4. However, so far, this interaction has not been reported in humans.
Some drugs metabolized by CYP3A4 include lovastatin (Mevacor), ketoconazole (Nizoral), itraconazole (Sporanox), fexofenadine (Allegra), triazolam (Halcion), and others.
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

This combination pill pairs conjugated estrogens with meprobamate, an older anti-anxiety medicine. Both the estrogen part and meprobamate are handled in part by a liver enzyme called CYP3A4. Lab studies (in test tubes, not people) hint that wild cherry might slow this enzyme down. If that happened in the body, these medicines could clear a little slower and build up, which in theory might mean more estrogen-related effects (breast tenderness, nausea, fluid retention) or more meprobamate-related drowsiness and grogginess.

Here's the honest part: this is only theoretical and has never been reported in real patients. Normal cough-syrup amounts of wild cherry are unlikely to cause trouble. Still, it's worth a quick chat with your pharmacist or doctor before combining them.

References
  1. Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine 2000;7:273-82. PubMed

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

Wild Cherry Also Interacts With Other Medications

Wild Cherry has 642 moderate known drug interactions in our database — the Conjugated Estrogens, Meprobamate 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 Wild Cherry

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

Everything else you take

See Every Supplement That Interacts With Conjugated Estrogens, Meprobamate

This page covers Wild Cherry only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Conjugated Estrogens, Meprobamate page lists 187 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 152 moderate · 32 minor.

From our pharmacist’s overview on the Conjugated Estrogens, Meprobamate page

“If you take conjugated estrogens with meprobamate (PMB), a combination that pairs hormone replacement with a sedative, treat this list as a real safety check, not background noise. Three of the 187 entries on file rate major, and they pull in different directions.”

Reviewed by 2 · Jul 18, 2026

Open the Conjugated Estrogens, Meprobamate interaction page

One more smart check

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

We hold 439 real supplement products containing Wild Cherry, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Wild Cherry. Your product may carry other ingredients that interact with Conjugated Estrogens, Meprobamate too, on top of Wild Cherry — 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 Wild Cherry and Conjugated Estrogens, Meprobamate 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 Wild Cherry
Top 25%

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

29 days ago today
Medication Conjugated Estrogens, Meprobamate
Steady interest

#2,436 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 Wild Cherry

What is Wild Cherry?

Wild Cherry
  • Cough
  • Bronchitis and respiratory irritation
  • Sore throat
  • Digestive upset and diarrhea
  • Flavoring agent

Wild cherry bark is a traditional cough remedy found in many old-fashioned cough syrups and lozenges, but there is little modern scientific evidence proving it works. The bark, leaves, and seeds naturally contain cyanide-producing compounds, so it should be used only in properly prepared products and avoided in large amounts. Talk with a pharmacist or doctor before using it, especially during pregnancy or for children.

Read the full Wild Cherry monograph & all interactions
Keep checking

Other Drugs & Wild Cherry

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

0Major
642Moderate
0Minor
2,187No known interaction
Moderate

642 interactions

Showing 60 of 642 moderate interactions — see all 642 on the Wild Cherry page.

No interaction 2,187 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 Wild Cherry and Conjugated Estrogens, Meprobamate Together: Common Questions

Can you take Wild Cherry with Conjugated Estrogens, Meprobamate?
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 Wild Cherry and Conjugated Estrogens, Meprobamate 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 Conjugated Estrogens, Meprobamate and Wild Cherry?

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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.