Herb & supplement monograph

Rehmannia Drug Interactions, Uses, Effectiveness, Safety & More

Check Rehmannia against your medication

Add one medication
Rehmannia
+
Start typing any prescription or over-the-counter drug name.
Reviewed by licensed pharmacists Sourced from Natural Medicines

Rehmannia 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 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.

Interactions deserving the most attention

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.

What the rest of the list means

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.

Check your medications against Rehmannia

Based on HelloPharmacist’s Rehmannia interaction data and reviewed under our editorial standards.

Interaction report

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.

2,830 drugs
AcarboseGlucobay, Prandase, Precose› AcebutololRhotral, Sectral› AcetazolamideAk-Zol, Diamox› AcetohexamideDymelor› AlbiglutideTanzeum› AliskirenTekturna› AlogliptinNesina› Alogliptin, MetforminKazano› Alogliptin, PioglitazoneOseni› AmbrisentanLetairis, Volibris› AmilorideAmilamont, Midamor› Amiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic› AmlodipineNorliqva› Amlodipine BenzoateKaterzia› Amlodipine BesilateIstin› Amlodipine BesylateNorvasc› Amlodipine Besylate, BenazeprilLotrel› Amlodipine, CelecoxibConsensi› Ammonium ChlorideAmmonium Chloride› Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi› AprocitentanTryvio› AtenololAtenix, Tenormin› Atenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic› Atenolol, ChlorthalidoneTenoretic› AzilsartanEdarbi› Azilsartan, ChlorthalidoneEdarbyclor› BenazeprilLotensin› Benazepril, HydrochlorothiazideLotensin HCT› BendroflumethiazideAprinox, Naturetin, Neo-NaClex› Bendroflumethiazide, NadololCorzide›
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 Rehmannia 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 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.

All 2 drug categories Rehmannia interacts with
Antidiabetes DrugsAntihypertensive Drugs
Antidiabetes Drugs

Theoretically, rehmannia might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal research shows that rehmannia may have hypoglycemic effects.

Likelihood Possible Evidence D
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).

Likelihood Possible Evidence D
Monograph

Rehmannia: Uses, Safety & Side Effects

The bottom line

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
People commonly use it for
  • 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.

Safety at a glance
OverallUse caution

Generally used in traditional medicine, but human safety data are limited and quality varies between products.

PregnancyInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full pregnancy detail
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

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.

Effectiveness

Does Rehmannia work?

Evidence overview · 9 uses evaluated
1 Possibly effective 8 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.
Possibly Effective Chronic kidney disease (CKD)
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral rehmannia is beneficial in patients with aplastic anemia.

Insufficient Reliable Evidence To Rate Atopic disease
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral rehmannia root extract is beneficial in patients with obesity.

Insufficient Reliable Evidence To Rate Osteoporosis
Rating & evidence shown verbatim from Natural Medicines

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)
Rating & evidence shown verbatim from Natural Medicines

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.

Pregnancy & Breastfeeding

Rehmannia & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Rehmannia & 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 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.

  1. 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
  2. Zhang RX, Li MX, Jia ZP. Rehmannia glutinosa: review of botany, chemistry and pharmacology. J Ethnopharmacol 2008;117(2):199-214. PubMed
  3. 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.
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 Rehmannia

869 products in our database contain Rehmannia. Open any to see its full ingredient list and every drug interaction we check.

50+ Women's Daily by ecoNugenics Capsule 240 Vegetarian Capsule(s) View ingredients & interactions 999 Gastro Instant Granules by Ron Teeguarden's Dragon Herbs Powder 7.05 Ounce(s) · 200 Gram(s) View ingredients & interactions A.J.'s Ultra Multi without Iron by Altrum Nutrition Tablet Or Pill 180 Tablet(s) View ingredients & interactions Absent Period by Merry Women Clinic Tablet Or Pill 150 Tablet(s) View ingredients & interactions Abundant Yin Teapills Da Bu Yin Wan by Plum Flower Tablet Or Pill 200 Pill(s) · 1.2 Ounce(s) · 34 Gram(s) View ingredients & interactions AC-Q by Health Concerns Capsule 90 Capsule(s) View ingredients & interactions AC-Q by Health Concerns Capsule 90 Capsule(s) View ingredients & interactions AC-Q Tabs Siler by Health Concerns Tablet Or Pill 90 Tablet(s) View ingredients & interactions Acneed by Merry Clinic Tablet Or Pill 180 Tablet(s) View ingredients & interactions Acneed by Merry Clinic Capsule 150 Capsule(s) View ingredients & interactions Adrenal by Ancient Nutrition Capsule 60 Capsule(s) View ingredients & interactions Adrenal & Cortisol Support by Dr. Berg Capsule 90 Vegetarian Capsule(s) View ingredients & interactions Adrenal & Cortisol Support by Dr. Berg's Capsule 90 Veggie Capsule(s) View ingredients & interactions Adrenal & Cortisol Support by Dr. Berg Capsule 60 Capsule(s) View ingredients & interactions Adrenaplex by Terry Naturally Capsule 60 Capsule(s) View ingredients & interactions Adrenaplex by EuroMedica Capsule 120 Capsule(s) View ingredients & interactions Adrenaplex by EuroMedica Capsule 60 Capsule(s) View ingredients & interactions Adrenaplex by Terry Naturally Capsule 120 Capsule(s) View ingredients & interactions Adrenaplex by Terry Naturally Capsule 120 Capsule(s) View ingredients & interactions AdrenoMend by Douglas Laboratories Capsule 120 Vegetarian Capsule(s) View ingredients & interactions After The Flow by Bioray Liquid 4 fl. Oz. · 118 mL View ingredients & interactions After The Flow by Bioray Liquid 2 fl. Oz. · 59 mL View ingredients & interactions Alive & Well by Pure Action Capsule 60 Capsule(s) View ingredients & interactions AllTonic by ActiveHerb Capsule 80 Veggie Capsule(s) View ingredients & interactions
Pharmacist Counseling Corner

Rehmannia: Common Questions

What is Rehmannia used for, and does it work?
People use Rehmannia for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Rehmannia for Chronic kidney disease (CKD). For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Rehmannia interact with prescription medications?
Yes. We list 258 medications with a known interaction with Rehmannia. Use the checker above to see how Rehmannia interacts with a specific drug.
How are Rehmannia 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 Rehmannia 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 Rehmannia 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 Rehmannia used for?
It is used in Traditional Chinese Medicine as a 'tonic' for the kidneys, adrenal glands, and blood, and people also take it for fatigue, inflammation, and allergies. These are traditional uses, and strong scientific proof that it works is lacking.
Is Rehmannia safe to take?
It has been used traditionally for a long time and is generally well tolerated short-term, but reliable human safety data are limited. Talk with a pharmacist or doctor first, especially if you have a health condition or take other medicines.
Can I take Rehmannia during pregnancy or while breastfeeding?
There is not enough safety information, so it is best to avoid Rehmannia during pregnancy and breastfeeding.
What are the most common side effects?
The most likely side effects are mild digestive issues such as upset stomach, bloating, or loose stools. Allergic reactions are possible but uncommon.

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

Have a question about Rehmannia?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist