Uzara Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Uzara interacts with medications. The heart of this page is the interaction list — every drug Uzara is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Uzara 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
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Add one medicationUzara Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based 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.
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.
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.
Based on HelloPharmacist’s Uzara interaction data and reviewed under our editorial standards.
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.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Uzara using our pharmacist-reviewed interaction data.
AI summaries are generated from our Uzara 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 Uzara 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 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.
Digoxin (Lanoxin)
Using uzara with digoxin is contraindicated due to therapeutic duplication and an increased risk of cardiac glycoside toxicity.
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.
Macrolide Antibiotics
Theoretically, concomitant use may increase risk of cardiac glycoside toxicity.
Quinine
Theoretically, concomitant use of quinine and uzara can increase the risk of cardiac toxicity.
Stimulant Laxatives
Theoretically, overuse or misuse of stimulant laxatives can increase the risk of cardiac glycoside toxicity due to potassium depletion.
Tetracycline Antibiotics
Theoretically, concomitant use may increase risk of cardiac glycoside toxicity.
Uzara: Uses, Safety & Side Effects
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
- Diarrhea
- Stomach cramps
- Menstrual cramps (dysmenorrhea)
- Headaches
- Digestive upset
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
It contains heart-active compounds and should only be used short-term and with professional guidance.
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
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.
Does Uzara work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
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
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.
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.
- 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.
- 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.
- 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.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
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.
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.
Uzara & Pregnancy
Uzara & Breastfeeding
© 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.
- Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
- Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Burnham TH, ed. Drug Facts and Comparisons, Updated Monthly. Facts and Comparisons, St. Louis, MO.
- 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
- 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
- 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
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
Uzara: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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