Yerba Mate + Ambrisentan
Ambrisentan brand names: Letairis, Volibris.
Yerba Mate has a minor interaction with Ambrisentan. Theoretically, yerba mate might increase the levels and clinical effects of CYP3A4 substrates.
Read the full interaction reportYerba Mate and Ambrisentan
Here is the interaction we found between these two, with the evidence behind it.
CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES
Why this applies to Ambrisentan
Ambrisentan falls under CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES — the group Yerba Mate interacts with.
In vitro research shows that yerba mate extract inhibits CYP3A4 enzymes. Theoretically, taking yerba mate may increase levels and adverse effects of CYP3A4 substrates.
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.
Here's the gist with ambrisentan (Letairis) and yerba mate. Your liver uses an enzyme called CYP3A4 to help clear ambrisentan from your body. In a test tube, compounds in yerba mate appear to slow that enzyme down a little. In theory, that could let ambrisentan build up slightly, which might nudge up its usual effects like swelling in your legs or feet (fluid retention), headache, flushing, or a stuffy nose.
The good news: this is based only on lab data, not real people, and it's rated as a minor concern. For most folks, an occasional cup of mate is unlikely to cause trouble. Caffeine from mate doesn't make ambrisentan stronger by itself. Still, it never hurts to mention your mate habit to your pharmacist or doctor, since they're watching you closely with this lung condition.
- Feltrin C, Farias IV, Sandjo LP, Reginatto FH, Simões CMO. Effects of Standardized Medicinal Plant Extracts on Drug Metabolism Mediated by CYP3A4 and CYP2D6 Enzymes. Chem Res Toxicol 2020;33(9):2408-2419. PubMed
What These Ratings Mean
Every interaction above is graded three ways — here’s the key to each label.
Clinically significant. Avoid the combination, or use only under close professional supervision.
Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.
Generally not serious. Be aware of it and mention it to your pharmacist.
- 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.
- 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.
Yerba Mate Also Interacts With Other Medications
Yerba Mate has 8 major, 505 moderate, 572 minor known drug interactions in our database — the Ambrisentan one above is one of them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Yerba Mate
We haven’t checked that one against Yerba Mate yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Yerba Mate. Pick one to open its full report.
See Every Supplement That Interacts With Ambrisentan
This page covers Yerba Mate only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ambrisentan page lists 256 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), American Hellebore (major), American Mistletoe (major), Beer (major) and Grapefruit (major).
By severity: 9 major · 210 moderate · 37 minor.
Taking Yerba Mate as Part of a Dietary Supplement Product? Check It for Interactions
We hold 68 real supplement products containing Yerba Mate, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Yerba Mate. Your product may carry other ingredients that interact with Ambrisentan too, on top of Yerba Mate — and those would not show on this page. Find your product and we’ll check every ingredient on its label:
Where Yerba Mate and Ambrisentan 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.
#1,100 of 1,452 supplements looked up here in the last 7 days
#1,564 of 2,830 medications looked up here in the last 7 days
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.
About Yerba Mate
What is Yerba Mate?
- Energy and alertness
- Weight loss
- Mental focus
- Digestive support
- Antioxidant support
Yerba mate is a caffeine-containing herbal beverage from South America that is widely enjoyed for its stimulating, coffee-like effects. While it is rich in antioxidants and is being studied for weight, blood sugar, and cholesterol, strong human evidence for most health claims is limited. Drinking very hot mate over many years has been linked to higher risk of certain cancers, so enjoy it warm and in moderation.
About Ambrisentan
What Is Ambrisentan Used For?
Brand names: Letairis, Volibris
Ambrisentan tablets and Letairis tablets are both used to treat pulmonary arterial hypertension (PAH, WHO Group 1) — a condition where the blood pressure in the arteries leading to the lungs is dangerously high. Both are approved to help adults exercise better and slow the worsening of PAH.
Both ambrisentan tablets and Letairis are also approved to be used together with tadalafil (another PAH medicine) to further reduce the risk of disease progression, lower the chance of hospitalization for worsening PAH, and improve exercise ability. Most of the clinical evidence was in patients with mild-to-moderate symptoms and PAH caused by unknown or inherited causes, or PAH linked to connective tissue diseases.
Other Drugs & Yerba Mate
Browse every other medication we’ve checked against Yerba Mate — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
8 interactions
- Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate ›
- Ephedrine, Guaifenesin (otc Drug) ›
- Ephedrine, Hydroxyzine, Theophylline ›
- Ephedrine, Phenobarbital, Potassium Iodide, Theophylline ›
- Aminophylline, Amobarbital, Ephedrine ›
- Dyphylline, Ephedrine, Guaifenesin, Phenobarbital ›
- Ephedrine, Guaifenesin, Phenobarbital, Theophylline ›
- Ephedrine, Phenobarbital, Theophylline ›
505 interactions
- Diclofenac Sodium ›
- Theophylline ›
- Ibuprofen ›
- Salbutamol Sulfate ›
- Phentermine ›
- Aspirin ›
- Methylphenidate ›
- Naproxen ›
- Estradiol ›
- Minocycline ›
- Hydrochlorothiazide ›
- Verapamil ›
- Phenylpropanolamine ›
- Flurazepam ›
- Triazolam ›
- Ciprofloxacin ›
- Nicotine ›
- Phenytoin ›
- Temazepam ›
- Carbamazepine ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Nitrazepam ›
- Phenylephrine ›
- Pseudoephedrine ›
- Albuterol ›
- Amphetamine ›
- Conjugated Estrogens ›
- Diazepam ›
- Diethylpropion ›
- Ketoprofen ›
- Ofloxacin ›
- Selegiline ›
- Terbutaline ›
- Trichlormethiazide ›
- Adenosine (prescription Drug) ›
- Bendroflumethiazide ›
- Bivalirudin ›
- Caffeine (otc Drug) ›
- Cimetidine ›
- Clobazam ›
- Clonazepam ›
- Clorazepate ›
- Levofloxacin ›
- Metolazone ›
- Midazolam ›
- Modafinil ›
- Oxymetazoline Hydrochloride ›
- Phenobarbital ›
- Riluzole ›
- Spironolactone ›
- Valproic Acid ›
- Warfarin Sodium ›
- Acetazolamide ›
- Alprazolam ›
- Amphetamine Sulfate ›
- Bromfenac Sodium ›
- Caffeine (prescription Drug) ›
- Chlorthalidone ›
- Clozapine ›
Showing 60 of 505 moderate interactions — see all 505 on the Yerba Mate page.
572 interactions
- Diltiazem ›
- Nifedipine ›
- Hydrocortisone ›
- Insulin (rdna) ›
- Erythromycin ›
- Lidocaine ›
- Norethindrone ›
- Testosterone ›
- Levonorgestrel ›
- Prednisone ›
- Quinidine ›
- Cyclosporine ›
- Dexamethasone ›
- Glyburide ›
- Insulin (pork) ›
- Zopiclone ›
- Colchicine ›
- Fentanyl ›
- Oxybutynin ›
- Prednisolone ›
- Tacrolimus ›
- Budesonide ›
- Clindamycin ›
- Dextromethorphan ›
- Doxorubicin ›
- Fluticasone ›
- Insulin (human) ›
- Miconazole ›
- Buprenorphine ›
- Everolimus ›
- Ivabradine ›
- Medroxyprogesterone ›
- Medroxyprogesterone Acetate ›
- Rifampin ›
- Testosterone Undecanoate ›
- Acarbose ›
- Aripiprazole ›
- Ciclesonide ›
- Cyclobenzaprine ›
- Dapsone ›
- Erythromycin Ethylsuccinate ›
- Erythromycin Stearate ›
- Etoposide ›
- Fluticasone Propionate ›
- Hydroxyzine ›
- Insulin Glargine ›
- Isoniazid ›
- Itraconazole ›
- Nicardipine ›
- Omeprazole ›
- Pantoprazole ›
- Paroxetine ›
- Progesterone (prescription Drug) ›
- Semaglutide ›
- Tramadol ›
- Zolpidem ›
- Abiraterone Acetate ›
- Almotriptan ›
- Amiodarone ›
- Aprepitant ›
Showing 60 of 572 minor interactions — see all 572 on the Yerba Mate page.
No interaction 1,744 drugs checked — show the list
We also checked Yerba Mate against these medications and found no known interaction in our sources. Open any page to confirm.
- Levothyroxine ›
- Metoprolol ›
- Ivermectin ›
- Rosuvastatin ›
- Acetaminophen ›
- Valacyclovir ›
- Docusate ›
- Hydroxyurea ›
- Sumatriptan ›
- Propranolol ›
- Acyclovir ›
- Bupropion ›
- Amoxicillin ›
- Lisinopril ›
- Bendamustine ›
- Doxycycline ›
- Lamotrigine ›
- Fluoxetine ›
- Methotrexate ›
- Acetaminophen, Codeine ›
- Gabapentin ›
- Pregabalin ›
- Isotretinoin ›
- Azithromycin ›
- Methylene Blue ›
- Duloxetine ›
- Bisoprolol ›
- Levothyroxine, Liothyronine ›
- Acetaminophen, Oxycodone ›
- Cyclopentolate ›
- Candesartan Cilexetil ›
- Cephalexin ›
- Roxithromycin ›
- Pegunigalsidase Alfa-iwxj ›
- Acetaminophen, Dextromethorphan, Doxylamine ›
- Daptomycin ›
- Hexobarbitone ›
- Valsartan ›
- Levothyroxine Sodium ›
- Levetiracetam ›
- Mitomycin ›
- Minoxidil ›
- Cefaclor ›
- Factor 7a ›
- Carbidopa, Levodopa ›
- Thyroid Hormone ›
- Ezetimibe ›
- Levodopa ›
- Vancomycin ›
- Venlafaxine ›
- Dirithromycin ›
- Procainamide ›
- Lenvatinib ›
- Phentermine, Topiramate ›
- Azelaic Acid ›
- Bentoquatam ›
- Nortriptyline ›
- Amoxicillin, Clavulanate Potassium ›
- Hydroxychloroquine ›
- Digoxin ›
Showing the 60 most looked-up of 1,744 medications checked with no known interaction — see the full Yerba Mate list.
Sources & How We Checked
Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference for vitamins, herbs and supplements — the basis for our interaction data.
- MedlinePlus, U.S. National Library of Medicine — NIH consumer drug information, used for the medication overviews.
- NIH Dietary Supplement Label Database (DSLD) — Official supplement product labels.
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
Ambrisentan Is Linked to Lower Levels of One Nutrient
Natural Medicines records Ambrisentan as a medicine that can lower these. This is not an interaction with Yerba Mate — it is a separate effect of the medicine, and it is a reason some people are advised to supplement rather than to avoid one:
Read the full Ambrisentan nutrient depletion report ›
Depletion records come from the licensed Natural Medicines database. Do not start a supplement on the strength of this page — ask your pharmacist or doctor whether it applies to you.
Taking Yerba Mate and Ambrisentan Together: Common Questions
Can you take Yerba Mate with Ambrisentan?
How serious is the Yerba Mate and Ambrisentan interaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Still Have a Question About Ambrisentan and Yerba Mate?
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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.