Herb & supplement monograph

Job's Tears Drug Interactions, Uses, Effectiveness, Safety & More

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Reviewed by licensed pharmacists Sourced from Natural Medicines

Job's Tears Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Job's Tears drug interaction appears low for most people, since no interaction is rated major and none has been confirmed in human studies. Every listed interaction is rated moderate, and the documentation for each comes from animal or early lab research rather than well-controlled human trials.

Interactions deserving the most attention

The combinations worth the most attention involve medicines where small changes matter. Animal research suggests Job's Tears may help the gut absorb more of certain drugs, raising their blood levels; this could be meaningful for theophylline, which has a narrow safety margin, and for diltiazem, a blood pressure medicine. Early evidence also hints that Job's Tears may lower blood sugar, so people taking diabetes medications such as insulin or glyburide should watch for signs of low blood sugar.

What the rest of the list means

A long list of interacting medications can look worrying, but here it mostly reflects one broad theoretical concern applied to many drugs at once. These predictions come from animal and preliminary studies, and none of the effects has been shown to cause meaningful problems in people so far.

Check your medications against Job's Tears

Based on HelloPharmacist’s Job's Tears interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Job's Tears

128 medications have a known interaction with Job's Tears, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AcarboseGlucobay, Prandase, Precose› Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief› Acetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu› Acetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu› Acetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief› Acetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength› Acetaminophen, ChlorzoxazoneAcetazone Forte, Extra Strength Tylenol Aches & Strains, Parafon Forte› Acetaminophen, Chlorzoxazone, CodeineAcetazone Forte C8, Parafon Forte C8› Acetaminophen, DextromethorphanTylenol Cough Ex Strength› Acetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil› Acetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A› Acetaminophen, Dextromethorphan, Guaifenesin, PhenylpropanolamineAnatuss› Acetaminophen, Dextromethorphan, Guaifenesin, PseudoephedrineRobitussin Cold, Severe Cold, Suphedrine Cold/Cough› Acetaminophen, Dextromethorphan, Phenylpropanolamine, PyrilamineTheracaps› Acetaminophen, Dextromethorphan, PseudoephedrineAlka-Seltzer PLUS Flu Liquid Gels, Non Aspirin Cold Caps, Tylenol Cold, Tylenol Flu Daytime Ex Strength, Tylenol Flu Ex Strength› AcetohexamideDymelor› AlbiglutideTanzeum› AlogliptinNesina› Alogliptin, MetforminKazano› Alogliptin, PioglitazoneOseni› Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi› Brompheniramine, Dextromethorphan, PhenylephrineDimetapp DM› Buproprion, DextromethorphanAuvelity› CanagliflozinInvokana› Canagliflozin, MetforminInvokamet› Canagliflozin, Metformin HydrochlorideInvokamet XR› Chlorpheniramine Maleate, Dextromethorphan HydrobromideCoricidin HBP Cough & Cold, Coricidin II Cough & Cold, Pediatric Vicks Formula 44m Cough & Cold Relief› ChlorpropamideChlorpropam, Diabinese› ChlorzoxazoneParaflex, Parafon Forte DSC› DapagliflozinFarxiga›
Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction 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.
  • Possible. 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
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Job's Tears combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Job's Tears affects

Every type of medication (drug category) Job's Tears is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 5 drug categories Job's Tears interacts with
Antidiabetes DrugsChlorzoxazone (parafon Forte, Paraflex)Dextromethorphan (robitussin Dm, Others)Diltiazem (cardizem, Others)Theophylline
Antidiabetes Drugs

Preliminary evidence shows that constituents of Job's tears might have hypoglycemic effects. Theoretically, concomitant use with drugs that decrease blood glucose levels might increase the risk of hypoglycemia. Some antidiabetes drugs include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), chlorpropamide (Diabinese), glipizide (Glucotrol), tolbutamide (Orinase), and others.

Likelihood Possible Evidence D
Chlorzoxazone (Parafon Forte, Paraflex)

Animal research suggests that Job's tears might enhance absorption of chlorzoxazone in the small intestine. Single dose and short-term oral administration of Job's tears bran ethanolic extract along with oral administration of a five-drug cocktail containing chlorzoxazone increases chlorzoxazone peak plasma concentration and area under the plasma concentration-time curve (AUC) without altering major cytochrome P450 activities in the liver. This effect has not been reported in humans.

Likelihood Possible Evidence D
Dextromethorphan (Robitussin Dm, Others)

Animal research suggests that Job's tears might enhance absorption of dextromethorphan in the small intestine. Single dose oral administration of Job's tears bran ethanolic extract along with oral administration of a five-drug cocktail containing dextromethorphan increases dextromethorphan area under the plasma concentration-time curve (AUC) without altering major cytochrome P450 activities in the liver. This effect has not been reported in humans.

Likelihood Possible Evidence D
Diltiazem (Cardizem, Others)

Animal research suggests that Job's tears might enhance absorption of diltiazem in the small intestine. Single dose oral administration of Job's tears bran ethanolic extract along with oral administration of a five-drug cocktail containing diltiazem increases diltiazem peak plasma concentration and area under the plasma concentration-time curve (AUC) without altering major cytochrome P450 activities in the liver. This effect has not been reported in humans.

Likelihood Possible Evidence D
Theophylline

Animal research suggests that Job's tears might enhance absorption of theophylline in the small intestine. Single dose and short-term oral administration of Job's tears bran ethanolic extract along with oral administration of a five-drug cocktail containing theophylline increases theophylline peak plasma concentration and area under the plasma concentration-time curve (AUC) without altering major cytochrome P450 activities in the liver. This effect has not been reported in humans.

Likelihood Possible Evidence D
Monograph

Job's Tears: Uses, Safety & Side Effects

The bottom line

Job's Tears is a grain-like seed long used as a food and in traditional medicine, especially in East Asia. While it is generally safe as a food and is being studied for possible effects on metabolism, inflammation, and immunity, strong human evidence for its health claims is limited. Talk with your pharmacist or doctor before using concentrated supplements, especially during pregnancy.

Scientific name
Coix lacryma-jobi
Family
Poaceae
Part used
Seeds (grain/kernel), sometimes root
Common forms
Whole grain, cooked food, tea, powder, capsules, flour
People commonly use it for
  • Digestive support
  • Skin health and smoothness
  • Mild swelling or water retention
  • General nourishing food/tonic
  • Joint discomfort (traditional use)

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally safe as a cooked food, but concentrated supplement evidence is limited.

PregnancyBest avoided

Traditionally avoided in pregnancy and human safety data are lacking.

BreastfeedingInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Jump to a section

Overview

Job's Tears (Coix lacryma-jobi) is a tall grass that produces hard, bead-like seeds. The plant is native to parts of Asia and is now grown in many warm regions around the world. The shiny seeds were historically strung into beads, which is how the plant got its name.

As a food, the polished grain is cooked much like barley or rice and used in soups, porridges, teas, and desserts, especially in China, Korea, Japan, and Southeast Asia. In traditional Chinese medicine the seed (often called "yi yi ren") is used for digestion, dampness or swelling, and skin concerns.

How it works

Job's Tears seeds contain starch, protein, fiber, and various plant compounds. Researchers have studied substances such as coixenolide and coixol, along with antioxidants and certain fatty acids, for possible anti-inflammatory and immune-related effects.

It is important to know that much of this is based on test-tube and animal research. These early findings suggest possible mechanisms, but they do not confirm that eating the grain or taking a supplement produces the same effects in people.

Effectiveness

Does Job's Tears work?

Evidence overview · 1 use evaluated
1 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

For Job's Tears, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 1 condition — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Hyperlipidemia
Rating & evidence shown verbatim from Natural Medicines

Preliminary evidence shows that consuming Job's tears 60 grams daily in place of rice for 4 weeks can significantly lower total and low-density lipoprotein (LDL) cholesterol in patients with hyperlipidemia. More evidence is needed to rate Job's tears for this use.

Sources Ref 15368

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

Job's Tears is widely eaten as a food and is generally well tolerated in normal food amounts. Concentrated extracts and supplements have not been studied as carefully, so their long-term safety is less certain.

People with grain or grass allergies should be cautious. Those with diabetes or who take blood-sugar–lowering treatment should monitor closely, since the grain may affect blood sugar. Pregnant people should avoid Job's Tears beyond ordinary culinary amounts, because it has traditionally been avoided in pregnancy and human safety data are lacking. During breastfeeding, stick to normal food amounts and check with your clinician before using supplements. Always talk with a pharmacist or doctor before starting any concentrated product.

Side effects

As a food, Job's Tears rarely causes problems for most people. Possible mild effects include digestive upset, bloating, or gas, especially when eaten in large amounts.

Allergic reactions are possible in people sensitive to grains or grasses. If you notice rash, itching, swelling, or trouble breathing, stop using it and seek medical care.

Dosing

There is no established standardized dose for Job's Tears as a supplement. As a food, it is simply cooked and eaten like other whole grains.

For capsules, powders, or teas, follow the directions on the product label, since strengths vary widely between products. Because a proven effective and safe supplement dose has not been set, check with your pharmacist or doctor before using concentrated forms.

Pregnancy & Breastfeeding

Job's Tears & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 3 references that drive our Job's Tears monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Chiang W, Cheng C, Chiang M, Chung KT. Effects of dehulled adlay on the culture count of some microbiota and their metabolism in the gastrointestinal tract of rats. J Agric Food Chem 2000;48:829-32. PubMed
  2. Yu YM, Chang WC, Liu CS, Tsai CM. Effect of young barley leaf extract and adlay on plasma lipids and LDL oxidation in hyperlipidemic smokers. Biol Pharm Bull 2004;27:802-5. PubMed
  3. Yao HT, Lin JH, Liu YT, Li ML, Chiang W. Food-Drug Interaction between the Adlay Bran Oil and Drugs in Rats. Nutrients 2019;11(10):2473. PubMed
Keep reading

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.

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

Product directory

Supplement products with Job's Tears

111 products in our database contain Job's Tears. Open any to see its full ingredient list and every drug interaction we check.

Zi Sheng Teapills by Plum Flower Tablet Or Pill 1.2 oz. · 33 g · 200 Pill(s) View ingredients & interactions Zi Sheng Teapills by Plum Flower Tablet Or Pill 200 Pill(s) · 1.2 Ounce(s) · 34 Gram(s) View ingredients & interactions Zi Sheng Wan by Min Shan Tablet Or Pill 1.2 Ounce(s) · 34 Gram(s) · 200 Pill(s) View ingredients & interactions Astra 18 Diet by Health Concerns Tablet Or Pill 90 Tablet(s) Off market View ingredients & interactions Chinese Kidney Activator by Nature's Sunshine Capsule 100 VegCap(s) Off market View ingredients & interactions Chzyme by Health Concerns Tablet Or Pill 90 Tablet(s) Off market View ingredients & interactions Curing Pills by Plum Flower Capsule 30 Capsule(s) · 0.53 Oz(s) · 15 Gram(s) Off market View ingredients & interactions Curing Pills by Plum Flower Capsule 30 Capsule(s) · 0.48 Oz(s) · 13.6 Gram(s) Off market View ingredients & interactions Digestive Comfort by Planetary Herbals Tablet Or Pill 16 Tablet(s) Off market View ingredients & interactions Four Marvel Teapills Si Miao Wan by Plum Flower Tablet Or Pill 1.2 oz. · 33 g · 200 Pill(s) Off market View ingredients & interactions Four Marvel Teapills Si Miao Wan by Plum Flower Tablet Or Pill 200 Pill(s) · 1.2 oz. · 33 Gram(s) Off market View ingredients & interactions Job's Tears by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL Off market View ingredients & interactions Job's Tears by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL Off market View ingredients & interactions Job's Tears Non-Alcohol by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL Off market View ingredients & interactions Job's Tears Non-Alcohol by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL Off market View ingredients & interactions Joint Inflammation Teapills by Plum Flower Brand Tablet Or Pill 1.2 oz. · 33 Gram(s) · 200 Pill(s) Off market View ingredients & interactions Joint Inflammation Teapills Guan Jie Yan Wan by Plum Flower Tablet Or Pill 1.2 oz. · 33 g · 200 Pill(s) Off market View ingredients & interactions Joint Obstruction Teapills by Plum Flower Brand Tablet Or Pill 1.2 Ounce(s) · 33 Gram(s) · 200 Pill(s) Off market View ingredients & interactions Joint Obstruction Teapills Guan Jie Yan Wan by Plum Flower Tablet Or Pill 200 Pill(s) · 1.2 oz. · 33 Gram(s) Off market View ingredients & interactions Kidney Activator by Nature's Sunshine Capsule 30 Capsule(s) Off market View ingredients & interactions Magma Plus by Green Foods Powder 5.3 Oz(s) · 150 Gram(s) Off market View ingredients & interactions Magma Plus by Green Foods Powder 10.6 Oz(s) · 300 Gram(s) Off market View ingredients & interactions ProstaCaid by ecoNugenics Capsule 120 Vegetable Capsule(s) Off market View ingredients & interactions ProstaCaid by ecoNugenics Capsule 120 Vegetarian Capsule(s) Off market View ingredients & interactions
Pharmacist Counseling Corner

Job's Tears: Common Questions

What is Job's Tears used for, and does it work?
People use Job's Tears for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Job's Tears interact with prescription medications?
Yes. We list 128 medications with a known interaction with Job's Tears. Use the checker above to see how Job's Tears interacts with a specific drug.
How are Job's Tears interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Job's Tears with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Job's Tears interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Job's Tears used for?
It is used both as a grain-like food and, in traditional medicine, for digestion, skin health, and mild swelling. Strong scientific proof for its health benefits is still limited.
Is Job's Tears safe to eat?
For most people the cooked grain is generally safe as a food. Concentrated supplements are less studied, so use them cautiously and check with a healthcare professional.
Can I take Job's Tears during pregnancy?
It is best to avoid Job's Tears beyond ordinary food amounts during pregnancy, since it has traditionally been avoided and safety data are lacking.
How is Job's Tears usually taken?
Most commonly it is cooked like barley or rice in soups, porridges, and teas. It is also sold as a powder, flour, or capsule supplement.

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

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