Herb & supplement monograph

Uzara Drug Interactions, Uses, Effectiveness, Safety & More

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Uzara Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, most Uzara drug interactions are theoretical, but the risk is serious for anyone taking digoxin, a combination that is considered contraindicated. Only one interaction is rated major, and all the others are moderate concerns grounded in theory rather than proven human effects.

Interactions deserving the most attention

The clear standout is digoxin: Uzara works on the heart in a similar way, so taking both duplicates the effect and raises the risk of toxicity, and this is well documented in people. Next in importance are potassium-depleting diuretics such as furosemide or hydrochlorothiazide, along with overused stimulant laxatives, because losing potassium could in theory make Uzara's heart effects more dangerous. Similar theoretical concerns apply to quinine and to macrolide and tetracycline antibiotics.

What the rest of the list means

The long list of moderate interactions really reflects one theme: Uzara acts on the heart much like a cardiac glycoside, so any medicine that might deplete potassium or add to that effect gets flagged. Nearly all of these warnings come from theory or lab research rather than harm actually seen in people, so for someone not taking digoxin or at risk of low potassium, most combinations are unlikely to cause a meaningful problem.

Check your medications against Uzara

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

Interaction report

Drugs that interact with Uzara

133 medications have a known interaction with Uzara, graded by severity. Select any drug for the full evidence-based detail.

1 major interaction. These combinations can be clinically significant — best avoided, or used only with close professional supervision. Always check with your pharmacist before combining them with Uzara.

2,830 drugs
DigoxinDigitek, Lanoxicaps, Lanoxin› Acetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual› Acetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES› AcetazolamideAk-Zol, Diamox› Amiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic› Ammonium ChlorideAmmonium Chloride› Amphotericin, TetracyclineMysteclin-F› ArmodafinilNuvigil› Atenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic› Atenolol, ChlorthalidoneTenoretic› Azilsartan, ChlorthalidoneEdarbyclor› AzithromycinAzasite, Zithromax, Zmax› Benazepril, HydrochlorothiazideLotensin HCT› BendroflumethiazideAprinox, Naturetin, Neo-NaClex› Bendroflumethiazide, NadololCorzide› Bendroflumethiazide, PotassiumCentyl K, Neo-NaClex-K› Bendroflumethiazide, Rauwolfia SerpentinaRauzide› BenzthiazideExna› BisacodylDulcolax, Gentlax› Bisacodyl, DocusateDulcolax Laxative Tabs› Bismuth Subsalicylate, Metronidazole, TetracyclineHelidac› Bisoprolol, HydrochlorothiazideZiac› BumetanideBurinex› Bumetanide, PotassiumBurinex K› Caffeine, Potassium Salicylate, SalicylamideTrim-Elim› Candesartan Cilexetil, HydrochlorothiazideAtacand HCT› Captopril, HydrochlorothiazideAcezide, Capozide› CasanthranolDoxidan Liquid Gels› Casanthranol, DocusateDoxidan› Casanthranol, Docusate PotassiumDialose Plus›
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 Uzara 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 Uzara affects

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

All 6 drug categories Uzara interacts with
Digoxin (lanoxin)Diuretic DrugsMacrolide AntibioticsQuinineStimulant LaxativesTetracycline Antibiotics
Digoxin (Lanoxin)

Using uzara with digoxin is contraindicated due to therapeutic duplication and an increased risk of cardiac glycoside toxicity.

Likelihood Likely Evidence D
Diuretic Drugs

Theoretically, concomitant use of potassium-depleting diuretics and uzara can increase the risk of cardiac glycoside toxicity due to potassium depletion. Some diuretics that can deplete potassium include chlorothiazide (Diuril), chlorthalidone (Thalitone), furosemide (Lasix), hydrochlorothiazide (HCTZ, Hydrodiuril, Microzide), and others.

Likelihood Possible Evidence D
Macrolide Antibiotics

Theoretically, concomitant use may increase risk of cardiac glycoside toxicity.

Likelihood Possible Evidence D
Quinine

Theoretically, concomitant use of quinine and uzara can increase the risk of cardiac toxicity.

Likelihood Possible Evidence D
Stimulant Laxatives

Theoretically, overuse or misuse of stimulant laxatives can increase the risk of cardiac glycoside toxicity due to potassium depletion.

Likelihood Possible Evidence D
Tetracycline Antibiotics

Theoretically, concomitant use may increase risk of cardiac glycoside toxicity.

Likelihood Possible Evidence D
Monograph

Uzara: Uses, Safety & Side Effects

The bottom line

Uzara is a traditional African root remedy used mainly for diarrhea and stomach cramps. Because it contains cardiac glycosides that can affect the heart, it should be used cautiously and for short periods only. Talk to a pharmacist or doctor before using it, especially if you have heart problems, are pregnant, or take heart medications.

Scientific name
Xysmalobium undulatum
Family
Apocynaceae
Part used
Dried root
Common forms
Liquid extract, tincture, tablets, drops
People commonly use it for
  • Diarrhea
  • Stomach cramps
  • Menstrual cramps (dysmenorrhea)
  • Headaches
  • Digestive upset

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

Safety at a glance
OverallUse caution

It contains heart-active compounds and should only be used short-term and with professional guidance.

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

Uzara is a herbal remedy made from the dried root of Xysmalobium undulatum, a plant that grows in southern and eastern Africa. It has a long history of traditional use among people in this region.

Traditionally, the root has been used for digestive complaints, especially diarrhea and stomach cramps. It is also used in some cultures for headaches and painful menstrual periods. Today it is sold in some countries as drops, tinctures, or tablets, often marketed for short-term relief of diarrhea.

How it works

The Uzara root contains cardiac glycosides (sometimes called uzarin and related compounds). These are the same general type of compound found in some heart medications.

For diarrhea, Uzara is thought to slow down the movement and activity of the gut, which may reduce cramping and the frequency of loose stools. Some laboratory research suggests it may relax smooth muscle in the digestive tract.

It is important to know that much of this understanding comes from laboratory and traditional use rather than large human studies. The cardiac glycosides also mean the herb can potentially affect the heart, which is a key safety concern.

Effectiveness

Does Uzara 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 Uzara, 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 Dysmenorrhea
Rating & evidence shown verbatim from Natural Medicines

A preliminary clinical study in women with primary dysmenorrhea shows that taking uzara 80 mg every 8 hours for 2 doses and then 40 mg every 8 hours for up to 5 days during symptomatic menstrual cramps seems to reduce pain comparably to taking ibuprofen 400 mg every 6 hours. However, this study was not sufficiently powered to detect a difference between treatment groups.

Sources Ref 99458

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

Uzara contains cardiac glycosides, compounds that can act on the heart. Because of this, it should be used cautiously, in low amounts, and only for short periods.

People with heart disease, irregular heartbeats, or low potassium levels should avoid Uzara or use it only under medical supervision. The same goes for anyone taking heart medications.

Pregnancy and breastfeeding: There is not enough reliable safety information. To be safe, Uzara should be avoided during pregnancy and while breastfeeding.

Children, older adults, and people with kidney problems should also be cautious. Always check with a pharmacist or doctor before using Uzara, and stop using it if you feel unwell.

Side effects

When used short-term and in small amounts, Uzara is generally tolerated by many people. Mild side effects can include nausea, stomach discomfort, or other digestive complaints.

Because the root contains heart-active compounds, larger amounts or long-term use could potentially cause heart rhythm changes, such as a slow or irregular heartbeat. Signs of a possible overdose can include nausea, vomiting, dizziness, vision changes, or an unusual heartbeat. Seek medical care if these occur.

Uzara: Reported Adverse Effects

Documented safety reports on Uzara from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Orally, uzara seems to be generally well-tolerated when used at doses of up to 120 mg daily for up to 5 days in healthy patients. However, use of larger doses, use over an extended period of time, or use in patients with pre-existing cardiovascular disease can result in cardiotoxic effects. Intravenously, deaths have occurred after administration of uzara products.

  1. Abd-El-Maeboud KH, Kortam MA, Ali MS, Ibrahim MI, Mohamed RM. A preliminary pilot randomized crossover study of uzara (Xysmalobium undulatum) versus ibuprofen in the treatment of primary dysmenorrhea. PLoS One. 2014;9(8):e104473.
  2. Schmiedl S, Ritter A, Szymanski J, et al. Cardiovascular effects, pharmacokinetics and cross-reactivity in digitalis glycoside immunoassays of an antidiarrheal uzara root extract. Int J Clin Pharmacol Ther. 2012;50(10):729-40.
  3. Thürmann PA, Neff A, Fleisch J. Interference of Uzara glycosides in assays of digitalis glycosides. Int J Clin Pharmacol Ther. 2004;42(5):281-4.
  4. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
Reports by condition
Arrhythmia Cardiovascular

Orally, uzara can cause cardiotoxic effects, especially in patients with pre-existing cardiovascular disease. In one case report, a 68-year-old female with diabetes and hypertension was admitted to the emergency room with reduced left-ventricular function, pulmonary edema, and arrhythmia. The woman had taken three doses of 30 drops of uzara each containing 22 mg glycosides, which was considered the likely cause of the cardiotoxic effects. She also had elevated serum digoxin levels, which was attributed to the use of uzara.

  1. Thürmann PA, Neff A, Fleisch J. Interference of Uzara glycosides in assays of digitalis glycosides. Int J Clin Pharmacol Ther. 2004;42(5):281-4.
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.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no well-established standard dose for Uzara, and products vary in strength. The right amount depends on the specific preparation, such as drops, tincture, or tablets.

The safest approach is to follow the directions on the product label and use it only for short periods. Do not exceed the recommended amount, since higher doses raise the risk of heart-related side effects. Check with a pharmacist or doctor before starting, especially if you have any health conditions or take other medicines.

Pregnancy & Breastfeeding

Uzara & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Uzara & 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 7 references that drive our Uzara 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. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
  2. Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
  3. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  4. Burnham TH, ed. Drug Facts and Comparisons, Updated Monthly. Facts and Comparisons, St. Louis, MO.
  5. Abd-El-Maeboud KH, Kortam MA, Ali MS, Ibrahim MI, Mohamed RM. A preliminary pilot randomized crossover study of uzara (Xysmalobium undulatum) versus ibuprofen in the treatment of primary dysmenorrhea. PLoS One. 2014;9(8):e104473. PubMed
  6. Schmiedl S, Ritter A, Szymanski J, et al. Cardiovascular effects, pharmacokinetics and cross-reactivity in digitalis glycoside immunoassays of an antidiarrheal uzara root extract. Int J Clin Pharmacol Ther. 2012;50(10):729-40. PubMed
  7. Thürmann PA, Neff A, Fleisch J. Interference of Uzara glycosides in assays of digitalis glycosides. Int J Clin Pharmacol Ther. 2004;42(5):281-4. 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

Pharmacist Counseling Corner

Uzara: Common Questions

What is Uzara used for, and does it work?
People use Uzara 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 Uzara interact with prescription medications?
Yes. We list 133 medications with a known interaction with Uzara, including 1 rated major. Use the checker above to see how Uzara interacts with a specific drug.
How are Uzara 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 Uzara 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 Uzara 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 Uzara used for?
Uzara is a traditional African root remedy used mainly for diarrhea and stomach cramps. Some people also use it for menstrual cramps and headaches, though the evidence for these uses is limited.
Is Uzara safe?
It may be reasonably tolerated when used short-term in small amounts, but it contains heart-active compounds (cardiac glycosides). It should be used cautiously and is not recommended for people with heart problems without medical advice.
Can I take Uzara if I am pregnant or breastfeeding?
No. There is not enough safety information, so Uzara is best avoided during pregnancy and breastfeeding.
How long can I take Uzara?
Uzara is meant for short-term use. If your diarrhea lasts more than a couple of days, or you have fever, blood in the stool, or signs of dehydration, stop and see a healthcare provider.

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

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