Rehmannia Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Rehmannia interacts with medications. The heart of this page is the interaction list — every drug Rehmannia is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Rehmannia is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Rehmannia against your medication
Add one medicationRehmannia Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Rehmannia drug interaction appears low for most people, though two medication groups deserve awareness. None of the listed interactions are rated major, and all of them rest on animal or laboratory research rather than studies in people.
The combinations that matter most involve diabetes medications and blood pressure medications. Animal research suggests rehmannia may lower blood sugar, so pairing it with diabetes drugs could theoretically push blood sugar too low. Similar research suggests it may lower blood pressure, partly by acting on a system the body uses to regulate it, which could add to the effect of blood pressure drugs. Because both blood sugar and blood pressure are closely monitored, even a modest added effect could matter for some people.
The long list of interacting medications comes almost entirely from these two broad drug groups, so the number looks larger than the actual concern. Every interaction here is theoretical, drawn from animal or lab findings, and none has been confirmed to cause meaningful problems in people.
Based on HelloPharmacist’s Rehmannia interaction data and reviewed under our editorial standards.
Drugs that interact with Rehmannia
258 medications have a known interaction with Rehmannia, graded by severity. Select any drug for the full evidence-based detail.
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Tell us the medications you take and we’ll check each one against Rehmannia using our pharmacist-reviewed interaction data.
AI summaries are generated from our Rehmannia interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
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 Rehmannia combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Rehmannia affects
Every type of medication (drug category) Rehmannia is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Antidiabetes Drugs
Theoretically, rehmannia might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal research shows that rehmannia may have hypoglycemic effects.
Antihypertensive Drugs
Theoretically, rehmannia might increase the risk of hypotension when taken with antihypertensive drugs.
Animal research shows that rehmannia may have hypotensive effects. Laboratory research shows that formulations of dried and processed rehmannia root inhibit angiotensin-converting enzyme (ACE).
Rehmannia: Uses, Safety & Side Effects
Rehmannia is a root used for centuries in Traditional Chinese Medicine, often to 'tonify' the kidneys and support energy or blood health. Human evidence for most modern uses is limited, so it should be viewed as unproven rather than reliable. Talk with a pharmacist or doctor before trying it, especially if you are pregnant, breastfeeding, or take other medicines.
- Scientific name
- Rehmannia glutinosa
- Family
- Orobanchaceae
- Part used
- Root (raw or steam-prepared)
- Common forms
- Dried root, decoctions/teas, capsules, tinctures, and ingredient in multi-herb formulas
- Kidney and adrenal support
- Anemia and blood building (traditional)
- Inflammatory conditions
- Allergies
- Fatigue and aging-related complaints
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally used in traditional medicine, but human safety data are limited and quality varies between products.
Insufficient reliable information available; avoid using.
Read the full pregnancy detailInsufficient reliable information available; avoid using.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Rehmannia comes from the root of Rehmannia glutinosa, a flowering plant native to China and parts of East Asia. It is one of the most commonly used herbs in Traditional Chinese Medicine (TCM), where it is often called Di Huang.
The root is used in two main forms. The raw or dried root is considered 'cooling,' while the steam-prepared (sometimes wine-processed) root is considered 'warming' and is used for different traditional purposes. Rehmannia is rarely used alone; it usually appears as part of multi-herb formulas.
Today people take it as dried root, teas or decoctions, capsules, and tinctures, often for energy, kidney support, or as a 'blood tonic.'
How it works
Rehmannia root contains several types of compounds that researchers have studied, including iridoid glycosides (such as catalpol), sugars called polysaccharides, and other plant chemicals. In laboratory and animal studies, some of these compounds appear to have anti-inflammatory and antioxidant activity, and may affect the immune system or blood sugar.
Researchers have also looked at whether Rehmannia influences hormone-related and adrenal pathways, which may be the basis for its traditional 'tonic' uses. However, these mechanisms are mostly based on cell and animal research and have not been clearly proven to produce the same effects in people.
Does Rehmannia work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Possibly Effective Chronic kidney disease (CKD)
Oral rehmannia acteosides might reduce proteinuria when used in conjunction with angiotensin II receptor blockers in patients with CKD.
Also studied for 8 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Aplastic anemia
It is unclear if oral rehmannia is beneficial in patients with aplastic anemia.
Insufficient Reliable Evidence To Rate Atopic disease
Although there has been interest in using oral rehmannia for atopic disease, there is insufficient reliable information about the clinical effects of rehmannia for this purpose.
Insufficient Reliable Evidence To Rate Diabetes
Although there has been interest in using oral rehmannia for diabetes, there is insufficient reliable information about the clinical effects of rehmannia for this purpose.
Insufficient Reliable Evidence To Rate Diabetic nephropathy
Oral rehmannia has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Metabolic syndrome
Although there has been interest in using oral rehmannia for metabolic syndrome, there is insufficient reliable information about the clinical effects of rehmannia for this purpose.
Insufficient Reliable Evidence To Rate Obesity
It is unclear if oral rehmannia root extract is beneficial in patients with obesity.
Insufficient Reliable Evidence To Rate Osteoporosis
Although there has been interest in using oral rehmannia for osteoporosis, there is insufficient reliable information about the clinical effects of rehmannia for this purpose.
Insufficient Reliable Evidence To Rate Rheumatoid arthritis (RA)
Although there has been interest in using oral rehmannia for RA, there is insufficient reliable information about the clinical effects of rehmannia for this purpose.
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
Rehmannia has a long history of traditional use and is generally considered to be reasonably well tolerated when used short-term in typical herbal amounts. Still, good-quality human safety data are limited, and herbal products can vary a lot in strength and purity.
Use extra caution if you have diabetes (because of possible effects on blood sugar), digestive problems, or any chronic illness. People who are very weak, have loose stools, or poor digestion are traditionally advised to use it carefully.
Pregnancy and breastfeeding: There is not enough reliable safety information, so it is best to avoid Rehmannia if you are pregnant or breastfeeding. Always talk with your pharmacist or doctor before starting any herbal supplement, especially if you take other medicines or have a health condition.
Side effects
Reported side effects are not well documented in high-quality studies. The most likely issues are mild digestive complaints such as stomach upset, bloating, loose stools, or diarrhea, particularly with larger amounts.
As with any herbal product, allergic reactions are possible. Stop using it and seek medical care if you notice rash, itching, swelling, or trouble breathing. Because supplement quality varies, choosing products from reputable manufacturers may lower the risk of contamination.
Dosing
There is no official, well-established standardized dose for Rehmannia. Traditional use varies widely depending on the form (raw versus prepared root), whether it is a tea, capsule, or tincture, and whether it is part of a larger herbal formula.
The safest approach is to follow the directions on the product label and not exceed them. Because doses and concentrations differ between brands, check with a pharmacist or knowledgeable healthcare provider before starting, especially if you take other medicines or have a medical condition.
Rehmannia & Pregnancy
Rehmannia & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 3 references that drive our Rehmannia 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.
- Zhang R, Zhou J, Jia Z, et al. Hypoglycemic effect of Rehmannia glutinosa oligosaccharide in hyperglycemic and alloxan-induced diabetic rats and its mechanism. J Ethnopharmacol 2004;90:39-43. PubMed
- Zhang RX, Li MX, Jia ZP. Rehmannia glutinosa: review of botany, chemistry and pharmacology. J Ethnopharmacol 2008;117(2):199-214. PubMed
- Chao CH, Hsu JL, Chen MF, et al. Anti-hypertensive effects of Radix Rehmanniae and its active ingredients. Nat Prod Res. 2020;34(11):1547-1552.
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
Brands that make products with Rehmannia
98 brands in our database make a supplement containing Rehmannia.
Supplement products with Rehmannia
869 products in our database contain Rehmannia. Open any to see its full ingredient list and every drug interaction we check.
Rehmannia: Common Questions
What is Rehmannia used for, and does it work?
Does Rehmannia interact with prescription medications?
How are Rehmannia interactions rated?
Is it safe to take Rehmannia with my medications?
Where does this Rehmannia interaction information come from?
What is Rehmannia used for?
Is Rehmannia safe to take?
Can I take Rehmannia during pregnancy or while breastfeeding?
What are the most common side effects?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Rehmannia
A rotating sample of real supplements in our database that list Rehmannia — open any to see its full ingredients and every drug interaction we check.
- Rehmannia 4:1 Extract Powder by TerraVita Premium Collection
- Six Flavor Teapills by Plum Flower
- Four Things Combination by Ron Teeguarden's Dragon Herbs
- Marrow Plus by Health Concerns
- Formula H by Health Concerns
- An Shen Bu Xin Wan SpiritCalm 200 mg by Guang Ci Tang
- Tran-Q by Metagenics
- Kidney Bladder by New Sun
- Return to Spring Teapills by Plum Flower
- Shiitake Mushroom Supreme by Planetary Herbals
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