What Supplements Interact with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr brand name: Vicks Formula 44M Cough, Cold & Flu Relief. Every interaction below applies to the brands too.
Drug–supplement interaction data sourced from Natural Medicines Pro, the licensed clinical database from TRC Healthcare / Therapeutic Research, with additional analysis by the HelloPharmacist Pharmacist Team. Our sources · Editorial policy
What is this page for?
One answer, for one medication: what supplements and herbal products interact with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr? Every vitamin, herb, and supplement ingredient we’ve checked against it is on this page, ranked by severity, each linking to the full report for that exact pair.
This page covers supplement interactions only — to check Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr against your other medications, use the drug–drug interaction checker. Educational information from our licensed clinical databases, not medical advice. Our editorial policy
What is this?
The interaction data in the HelloPharmacist supplement database is licensed from Natural Medicines Pro by TRC Healthcare (Therapeutic Research). HelloPharmacist pharmacists often add our own analysis and context on top of that licensed data — such as this Bottom Line summary and the notes on individual interaction pages — and any such commentary is noted as ours.A three-drug cold formula like Vicks Formula 44M (acetaminophen, chlorpheniramine, and dextromethorphan) gives supplements three separate targets, so its interaction list warrants real vigilance, starting with the ten major-rated entries. The dominant patterns track each ingredient. Alcohol adds to the liver strain acetaminophen can already cause. Herbs with anticholinergic activity pile extra drowsiness, dry mouth, and blurred vision onto the antihistamine. Serotonin-active supplements can nudge dextromethorphan toward serotonin syndrome, a dangerous overload of that brain chemical.
The largest share of entries simply change how the liver processes these drugs, with grapefruit raising levels and St. John's wort lowering them. Since this is short-term cold and flu relief, the simplest answer is often pausing the supplement, or the drink, until you finish the medicine. The full tally runs to 275 ingredients, 220 of them moderate and 45 minor, alongside those ten major.
This box checks one ingredient at a time (like turmeric or magnesium). Taking a supplement product with a whole label of ingredients? Search the product instead — we check every ingredient on it ↓
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr: Top Interactions at a Glance
The Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr supplement & herbal interactions people checked most in the last 24 hours, colored by severity. Tap any ingredient to open the full report for that pair.
Showing the 12 highest-ranked of 275 interacting ingredients — plus 1,177 more checked with no known interaction. See the complete ranked list.
The Most-Checked Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr Combinations Today
The Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr + supplement pages people viewed most in the last 24 hours (resets at midnight). Open any card for the full report.
High-dose vitamin C might slightly prolong the clearance of acetaminophen.
Read the full interaction Moderate Likelihood Possible Beet + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBriTheoretically, beet might increase the levels of CYP3A4 substrates.
Read the full interaction Minor Likelihood Possible Vitamin D + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBriVitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
Read the full interaction Moderate Likelihood Possible Cranberry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBriTheoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full interaction Minor Likelihood Possible Aloe + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBriTheoretically, aloe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full interaction Moderate Likelihood Possible Alfalfa + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBriTheoretically, concomitant use of alfalfa with photosensitizing drugs might have additive effects.
Read the full interactionEvery Supplement Checked Against Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr
All 1,452 ingredients in our database, ranked by severity — 275 with a Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interaction on file and 1,177 with none found. Filter by severity or search any ingredient; hover the for what each ingredient is.
Looking for an interaction with a specific supplement product? Search products instead ↓
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GrapefruitCitrus Paradisi Likely
What it is: Grapefruit is a nutritious citrus fruit rich in vitamin C and other nutrients, and it is generally safe to eat.
Grapefruit juice can increase levels of drugs metabolized by CYP3A4.
Read the full Grapefruit + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSiberian Cocklebur Likely
What it is: Siberian cocklebur is a fruit used in traditional Chinese and other Asian herbal medicine, mainly for nasal congestion, sinus issues, and al...
Siberian cocklebur can adversely affect the kidney.
Read the full Siberian Cocklebur + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionActivated CharcoalActivated Carbon, animal Charcoal, carbo Vegetabilis, +13 more Probable
What it is: Activated charcoal is a highly porous form of carbon that can bind certain substances in the gut, and it is used in hospitals to treat some...
Activated charcoal reduces systemic exposure to many drugs, including those that undergo enterohepatic recirculation, regardless of the route of administration.
Read the full Activated Charcoal + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBeer Probable
What it is: Beer is an alcoholic beverage that contains some minerals, B vitamins, and plant compounds from hops and grain, but it is not a health suppl...
Concomitant use of alcohol with hepatotoxic drugs may increase the risk of hepatotoxicity.
Read the full Beer + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHenbaneHyoscyamus Niger, beleño, devil's Eye, +11 more Probable
What it is: Henbane is a highly poisonous plant containing potent alkaloids like hyoscyamine and scopolamine, and even small amounts can cause serious o...
Concomitant use of henbane can have additive anticholinergic effects and adverse effects with amantadine, antihistamines, atropine, belladonna alkaloids, hyoscyamine, phenothiazines, procainamide, scopolamine, and tricyclic antidepressants.
Read the full Henbane + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionLithiumCarbonate De Lithium, citrate De Lithium, lithium Aspartate, +8 more Probable
What it is: Lithium is a naturally occurring metal that, in prescription form (lithium carbonate or citrate), is an FDA-approved, well-proven treatment...
Theoretically, taking lithium supplements with serotonergic drugs might both mask and increase the risk of serotonin syndrome.
Read the full Lithium + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionScopoliaScopolia Carniolica, belladonna Scopola, escopolia, +6 more Probable
What it is: Scopolia is a poisonous plant in the nightshade family that contains powerful anticholinergic alkaloids like atropine, hyoscyamine, and scop...
The alkaloid constituents of scopolia, including hyoscyamine, scopolamine, and atropine, could potentiate the effects and adverse effects of anticholinergic drugs.
Read the full Scopolia + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSt. John's WortHypericum Perforatum, amber Touch-and-heal, barbe De Saint-jean, +13 more Probable
Wine Probable
What it is: Wine is an alcoholic beverage made from fermented grapes and is not a true dietary supplement or medicine.
Concomitant use of alcohol with hepatotoxic drugs may increase the risk of hepatotoxicity.
Read the full Wine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAsarabaccaAsarum Europaeum, asara, asari Herba, +12 more Possible
What it is: Asarabacca is a European woodland plant traditionally used to clear the nose, cause sweating, or trigger vomiting, but it is rarely used tod...
Asarabacca, a herbaceous plant, is often contaminated with aristolochic acid, a compound known for its nephrotoxic effects.
Read the full Asarabacca + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAyahuascaAppane, ayahoasca, caapi, +19 more Probable
What it is: Ayahuasca is a powerful psychoactive brew that combines a DMT-containing plant with a vine that allows the DMT to take effect, causing inten...
Theoretically, ayahuasca might increase plasma concentrations of CYP2D6 substrates.
Read the full Ayahuasca + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBelladonna Probable
What it is: Belladonna is a highly toxic plant whose alkaloids (like atropine and scopolamine) are powerful medicines used only in carefully controlled,...
Belladonna may increase the risk of adverse effects when used concomitantly with anticholinergic drugs.
Read the full Belladonna + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBergamotCitrus Bergamia, aceite De Bergamota, bergamot, +8 more Probable
What it is: Bergamot is a Mediterranean citrus fruit, and its standardized extract is most often used to support cholesterol and heart health, with some...
Theoretically, topical bergamot essential oil might increase the risk of side effects when used along with photosensitizing drugs.
Read the full Bergamot + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBetel Nut Probable
What it is: Betel nut is the seed of the areca palm and is chewed by millions of people across Asia and the Pacific as a stimulant.
In vitro and animal research suggests that betel nut extract can inhibit acetylcholinesterase activity.
Read the full Betel Nut + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBrussels Sprout Probable
What it is: Brussels sprouts are a nutritious cruciferous vegetable rich in fiber, vitamin C, vitamin K, and plant compounds called glucosinolates.
A cabbage and Brussels sprout-containing diet seems to boost elimination through glucuronide conjugation.
Read the full Brussels Sprout + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCabbageBrassica Oleracea, cabbage Leaf, chou, +13 more Probable
What it is: Cabbage is a nutritious, low-calorie vegetable that is safe to eat as food and is sometimes applied to the skin as a leaf wrap for breast en...
Theoretically, cabbage might increase clearance and decrease the effects of drugs metabolized through glucuronide conjugation.
Read the full Cabbage + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCannabidiol (cbd) Probable
What it is: CBD is a compound from the cannabis (hemp) plant that does not cause a 'high.' It has strong evidence only for certain rare seizure disorder...
Cannabidiol may increase levels of drugs metabolized by CYP1A2.
Read the full Cannabidiol (cbd) + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionChenopodium OilAceite De Paico, aceite De Quenopodio, american Wormseed, +15 more Probable
What it is: Chenopodium oil is a strong-smelling essential oil from the epazote plant that was historically used to treat intestinal worms.
Theoretically, concomitant use of chenopodium oil with other photosensitizing drugs can increase the risk of adverse effects.
Read the full Chenopodium Oil + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionChlorophyllChlorophylle, chlorophylle A, chlorophylle B, +3 more Probable
What it is: Chlorophyll is the green pigment found in plants and algae, and supplements often use a stable form called chlorophyllin.
Theoretically, concomitant use of chlorophyll with photosensitizing drugs may have additive effects.
Read the full Chlorophyll + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionChlorophyllinChloresium, chlorophylline, chlorophylline De Cuivre Sodique, +6 more Probable
What it is: Chlorophyllin is a water-soluble, semi-synthetic form of chlorophyll most often used to help control body and fecal odor and to support woun...
Theoretically, concomitant use of chlorophyllin with photosensitizing drugs may have additive effects.
Read the full Chlorophyllin + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCoffee CharcoalCafé Arabica, café Carbonisé, café Robusta, +5 more Probable
What it is: Coffee charcoal is made by roasting green coffee beans until they turn black, creating a charcoal-like material used traditionally for diarr...
Coffee charcoal can reduce the absorption of orally administered drugs and should be separated from oral drug administration by at least two hours.
Read the full Coffee Charcoal + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionDatura Wrightii Probable
What it is: Datura wrightii (sacred datura or jimsonweed relative) is a highly poisonous desert plant that has been used in some traditional and ceremon...
Datura wrightii contains atropine and scopolamine, as well as other tropane alkaloids with anticholinergic activity.
Read the full Datura Wrightii + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionEuropean MandrakeMandragora Officinarum, alraunwurzel, mandragora, +7 more Probable
What it is: European mandrake is a highly toxic plant from the nightshade family that was used in ancient and medieval times as a sedative and pain reli...
Theoretically, concurrent use might increase absorption of some drugs because of inhibited gastrointestinal (GI) motility caused by European mandrake.
Read the full European Mandrake + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionEvodia Probable
What it is: Evodia is a fruit used in traditional Chinese medicine, most often for digestive complaints, headaches, and menstrual pain.
Evodia might reduce the levels and clinical effects of CYP1A2 substrates through induction of CYP1A2.
Read the full Evodia + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGarlicAllium Sativum, aged Black Garlic Extract, aged Garlic Extract, +16 more Probable
What it is: Garlic is a common food and supplement that may modestly help with blood pressure and cholesterol, though the evidence is mixed and effects...
Garlic might increase levels of drugs metabolized by CYP2E1.
Read the full Garlic + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGlucomannanGlucomanano, glucomannane, konjac, +1 more Probable
What it is: Glucomannan is a soluble fiber from the konjac root that swells into a gel in your stomach, which may help with mild weight loss, constipati...
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGoldensealHydrastis Canadensis, chinese Goldenseal, eye Balm, +14 more Probable
What it is: Goldenseal is a popular North American herb that contains berberine, a compound studied for antimicrobial effects.
Goldenseal might increase serum levels of drugs metabolized by CYP2D6.
Read the full Goldenseal + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGuggulCommiphora Wightii, devadhupa, gomme Guggul, +17 more Probable
What it is: Guggul is a gum resin from the Commiphora wightii tree, long used in Ayurvedic medicine for cholesterol, joint, and skin problems.
Theoretically, guggul might reduce the effects of CYP3A4 substrates.
Read the full Guggul + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionKavaPiper Methysticum, ava Pepper, ava Root, +20 more Probable
What it is: Kava is a Pacific Island plant traditionally used to promote relaxation and ease anxiety, and some studies suggest it may help mild anxiety.
Kava might increase levels of CYP2E1 substrates.
Read the full Kava + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMasterwortHeracleum Sphondylium, berce Commune, berce Laineuse, +9 more Probable
What it is: Masterwort (Heracleum sphondylium), a plant in the carrot family, has a long folk-medicine history for digestion, nerves, and skin.
The use of masterwort in conjunction with photosensitizing drugs is contraindicated due to the potential for additive photosensitizing effects.
Read the full Masterwort + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMelatoninN-acetyl-5-methoxytryptamine Probable
What it is: Melatonin is a hormone your body makes naturally to help control your sleep-wake cycle, and the supplement form is widely used to help with...
Theoretically, melatonin might increase levels of drugs metabolized by CYP1A2.
Read the full Melatonin + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionResveratrolExtrait De Vin, extrait De Vin Rouge, kojo-kon, +16 more Probable
What it is: Resveratrol is a plant compound found in red grapes, berries, and peanuts that is popular for heart health, anti-aging, and antioxidant supp...
Resveratrol might increase levels of drugs metabolized by CYP2E1.
Read the full Resveratrol + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSchisandraSchisandra Chinensis, bac Ngu Vi Tu, baie De Schisandra, +10 more Probable
What it is: Schisandra is a traditional Chinese medicine berry used as an adaptogen for stress, fatigue, and liver support.
Schisandra can increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Schisandra + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSyrian Rue Probable
What it is: Syrian Rue (Peganum harmala) is a traditional plant whose seeds contain potent compounds called harmala alkaloids, including MAO-inhibiting...
Theoretically, Syrian rue might increase the levels and clinical effects of drugs metabolized by CYP2D6.
Read the full Syrian Rue + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionTree Turmeric Probable
What it is: Tree turmeric (Berberis aristata) is a shrub used in traditional Indian (Ayurvedic) medicine, valued mainly for its berberine content.
Theoretically, tree turmeric might increase the levels and clinical effects of drugs that are substrates of CYP3A4.
Read the full Tree Turmeric + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionWild CarrotDaucus Carota, beesnest Plant, bird's Nest Root, +10 more Probable
What it is: Wild carrot is a traditional herb (the wild ancestor of the garden carrot) used mostly for urinary, digestive, and menstrual complaints.
Theoretically, concomitant use might result in increased photosensitivity.
Read the full Wild Carrot + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionYohimbePausinystalia Yohimbe, 11-hydroxy Yohimbine, coryanthe Yohimbe, +7 more Probable
What it is: Yohimbe is a West African tree bark that contains yohimbine, a compound mainly promoted for erectile dysfunction and as an aphrodisiac.
CYP2D6 inhibitors may increase the levels and adverse effects of yohimbine, a constituent of yohimbe.
Read the full Yohimbe + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interaction1,3-dmaaDmaa, dimethylamylamine Possible
What it is: DMAA (1,3-dimethylamylamine) is a synthetic stimulant that was sold in pre-workout and weight-loss supplements but has been linked to seriou...
1,3-DMAA strongly inhibits cytochrome P450 2D6 (CYP2D6) enzymes in vitro.
Read the full 1,3-dmaa + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interaction5-htp5 Hydroxy-tryptophan, 5 Hydroxy-tryptophane, 5-hydroxytryptophan, +9 more Possible
What it is: 5-HTP is a compound your body uses to make serotonin, and people take it as a supplement hoping to improve mood, sleep, and headaches.
Combining serotonergic drugs with 5-HTP might cause additive serotonergic effects.
Read the full 5-htp + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAcacia RigidulaVachellia Rigidula, acacia Rigidula, acaciopsis Rigidula, +3 more Possible
What it is: Acacia rigidula is a shrub from Texas and Mexico that is marketed in weight-loss and energy supplements.
Theoretically, Acacia rigidula products that are adulterated with beta-methylphenylethylamine (BMPEA) might increase the levels of CYP2D6 substrates.
Read the full Acacia Rigidula + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAcetyl-l-carnitineAcetil-l-carnitina, acetyl Carnitine, acétyl Carnitine, +6 more Possible
What it is: Acetyl-L-carnitine is a form of the amino acid carnitine that the body uses to help produce energy in cells.
Theoretically, acetyl-L-carnitine might increase the risk of serotonergic side effects, including serotonin syndrome and cerebral vasoconstrictive disorders, when taken with serotonergic drugs.
Read the full Acetyl-l-carnitine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionActive Hexose Correlated Compound (ahcc) Possible
What it is: AHCC is a proprietary mushroom-derived supplement promoted mainly for immune support and to help people tolerate cancer treatment.
Theoretically, AHCC might increase levels of drugs metabolized by CYP2D6.
Read the full Active Hexose Correlated Compound (ahcc) + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAdrafinilAdrafinilum, benzhydryl Sulfinyl Acetyl Hydroxamic Acid, crl-40028, +1 more Possible
What it is: Adrafinil is a synthetic compound that the body converts into modafinil, a prescription wakefulness-promoting drug.
Theoretically, adrafinil might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Adrafinil + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAfrican Wild Potato Possible
What it is: African Wild Potato (Hypoxis hemerocallidea) is a southern African plant traditionally used as a tonic and for immune, prostate, and inflamm...
In vitro research shows that African wild potato extract inhibits cytochrome P450 1A2 (CYP1A2).
Read the full African Wild Potato + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAlfalfaMedicago Sativa, feuille De Luzerne, grand Trèfle, +9 more Possible
What it is: Alfalfa is a nutrient-rich legume that people use for high cholesterol, menopause symptoms, and general wellness, but solid human evidence f...
Theoretically, concomitant use of alfalfa with photosensitizing drugs might have additive effects.
Read the full Alfalfa + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAmerican ElderSambucus Canadensis, american Elderberry, common Elderberry, +9 more Possible
What it is: American elder is a North American plant whose cooked, ripe berries and flowers are used mainly for colds, flu, and general immune support.
Theoretically, taking American elder might increase levels of CYP3A4 substrates.
Read the full American Elder + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAngel's TrumpetBrugmansia Species, devil's Trumpet, floripondio, +5 more Possible
What it is: Angel's Trumpet is a highly poisonous ornamental plant that contains powerful toxins like scopolamine and atropine.
Concomitant use may increase anticholinergic effects and adverse effects.
Read the full Angel's Trumpet + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAngelica ArchangelicaAmerican Angelica, angelicae Fructus, angelicae Herba, +12 more Possible
What it is: Angelica archangelica is a tall aromatic herb used traditionally for digestive complaints, poor appetite, and to flavor foods and liqueurs.
Angelica archangelica, whether ingested or applied to the skin, has the potential to induce photosensitivity reactions.
Read the full Angelica Archangelica + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAristolochiaAristolochia Auricularia, birthwort, guan Mu Tong, +15 more Possible
What it is: Aristolochia contains aristolochic acid, a potent toxin linked to severe kidney damage and cancer, and it is not safe to take.
Aristolochia is nephrotoxic.
Read the full Aristolochia + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionArrachChenopodium Vulvaria, arroche Puante, chénopode Fétide, +11 more Possible
What it is: Arrach (Chenopodium vulvaria) is a strong-smelling European herb that has been used in traditional folk medicine, mainly for menstrual and n...
Theoretically, concomitant use of arrach can increase risk of adverse effects, as unspecified Chenopodium species are associated with photosensitivity.
Read the full Arrach + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAshitabaAngelica Keiskei, angelica, ashitaba Du Japon, +6 more Possible
What it is: Ashitaba is a leafy plant from Japan that is eaten as a vegetable and taken as a supplement for general health, antioxidant, and heart benef...
In vitro research shows that ashitaba extract inhibits cytochrome P450 (CYP) 1A2.
Read the full Ashitaba + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAshwagandhaWithania Somnifera, ajagandha, amangura, +17 more Possible
What it is: Ashwagandha is an Ayurvedic herb most often taken to help with stress, anxiety, and sleep, and some small studies suggest it may help, thoug...
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Ashwagandha + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAstaxanthinAstaxanthine, astaxantina, dihydroxy-3, +6 more Possible
What it is: Astaxanthin is a reddish carotenoid pigment with strong antioxidant activity in the lab, and it is widely promoted for skin, eye, heart, and...
Theoretically, astaxanthin may decrease levels of drugs metabolized by CYP3A4.
Read the full Astaxanthin + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBacopaBacopa Monnieri, andri, brahmi, +11 more Possible
What it is: Bacopa is an Ayurvedic herb most often used for memory and thinking.
Theoretically, bacopa might increase the levels and adverse effects of CYP1A2 substrates.
Read the full Bacopa + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBaikal SkullcapScutellaria Baicalensis, baikal Scullcap, baikal Skullcap Root, +16 more Possible
What it is: Baikal skullcap is a traditional Chinese herb (Huang Qin) used for inflammation, allergies, and infections, with active compounds like baica...
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Baikal Skullcap + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBeetBeta Vulgaris, beet Greens, beet Juice, +19 more Possible
What it is: Beet, especially beetroot juice, is a nitrate-rich food that may modestly lower blood pressure and slightly improve exercise performance in...
Theoretically, beet might increase the levels of CYP3A4 substrates.
Read the full Beet + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBerberineAlcaloïde De Berbérine, berberina, berbérine, +5 more Possible
What it is: Berberine is a yellow plant compound that has shown promise for lowering blood sugar and cholesterol in some studies, but the quality of res...
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBeta-methylphenethylamine (bmpea) Possible
What it is: Beta-methylphenethylamine (BMPEA) is a synthetic stimulant chemically similar to amphetamine that has been found in some weight-loss and spo...
Theoretically, BMPEA might increase the levels and clinical effects of CYP2D6 substrates.
Read the full Beta-methylphenethylamine (bmpea) + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBilberryVaccinium Myrtillus, airelle, arándano, +16 more Possible
What it is: Bilberry is a blueberry-like fruit rich in antioxidant plant compounds called anthocyanins, and it has a long history of traditional use for...
Theoretically, bilberry fruit extract might decrease levels of drugs metabolized by CYP2E1.
Read the full Bilberry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBiofeedback Possible
What it is: Biofeedback is a mind-body technique, not an herb or supplement.
There is some concern that electroencephalogram (EEG) biofeedback might lower the seizure threshold in some patients.
Read the full Biofeedback + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBishop's WeedAmmi Majus, Élevé, ammi Inodore, +12 more Possible
What it is: Bishop's Weed (Ammi majus) is a flowering plant whose seeds contain natural light-sensitizing compounds called psoralens, which have been st...
Bishop's weed constituents seem to cause photosensitivity.
Read the full Bishop's Weed + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBitter OrangeCitrus Aurantium, aurantii Fructus, aurantium, +17 more Possible
What it is: Bitter orange is a citrus fruit whose extracts contain synephrine, a mild stimulant often added to weight-loss and energy supplements.
Bitter orange might increase levels of drugs metabolized by CYP3A4.
Read the full Bitter Orange + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBlack CohoshActaea Racemosa, baie D'actée, baneberry, +10 more Possible
What it is: Black cohosh is a North American plant most often used to ease menopause symptoms like hot flashes, but the research is mixed and far from s...
Some research suggests that black cohosh might inhibit CYP2D6, but there is conflicting evidence.
Read the full Black Cohosh + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBlack Hoof MushroomPhellinus Linteus, black Hoof Fungus, mesima, +5 more Possible
What it is: Black Hoof Mushroom (Phellinus linteus) is a medicinal mushroom long used in East Asian traditional medicine, mainly for immune support.
Theoretically, black hoof mushroom might increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Hoof Mushroom + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBlack PepperPiper Nigrum, black Peppercorn, extrait De Poivre, +23 more Possible
What it is: Black pepper is a common kitchen spice that is generally safe in the amounts used in food.
Theoretically, black pepper might increase levels of drugs metabolized by CYP2D6.
Read the full Black Pepper + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBlack SeedNigella Sativa, black Caraway, black Cumin, +18 more Possible
What it is: Black seed (Nigella sativa) is a traditional spice and remedy that has been studied for asthma, blood sugar, cholesterol, and blood pressure...
Theoretically, combining serotonergic drugs with black seed might increase the risk of serotonergic side effects, including serotonin syndrome and cerebral vasoconstrictive disorders.
Read the full Black Seed + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBog Labrador TeaRhododendron Groenlandicum, bog Tea, continental Tea, +12 more Possible
What it is: Bog Labrador tea is a wetland shrub whose leaves have long been brewed as a traditional beverage and folk remedy, especially among Indigenou...
In vitro research shows that aqueous and ethanolic extracts of Bog Labrador tea leaves can increase the concentration of cytochrome P450 3A4 (CYP3A4) enzymes.
Read the full Bog Labrador Tea + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBoldoPeumus Boldus, boldine, boldo Folium, +4 more Possible
What it is: Boldo is a South American shrub whose leaves are traditionally used for digestive and gallbladder complaints, but good human evidence is ver...
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Boldo + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBoswellia SerrataBoswellia Serrata, arbre à Oliban Indien, boswella, +10 more Possible
What it is: Boswellia serrata is a tree resin used in traditional medicine, mainly for joint pain and inflammation.
Theoretically, Boswellia serrata might increase the levels of CYP2D6 substrates.
Read the full Boswellia Serrata + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBoxwoodBuxus Sempervirens, bois D'artois, bois Béni, +15 more Possible
What it is: Boxwood is an evergreen shrub whose leaves have been used in folk medicine, most notably in some early studies looking at HIV.
Evidence from in vitro research suggests that boxwood extract can inhibit acetylcholinesterase activity.
Read the full Boxwood + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBreadfruit Possible
What it is: Breadfruit is a starchy tropical fruit eaten as a staple food, and its leaves are used in traditional medicine for conditions like high bloo...
Breadfruit might increase the levels of drugs metabolized by uridine diphosphoglucuronosyl transferase (UGT).
Read the full Breadfruit + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBroccoli Possible
What it is: Broccoli is a nutritious cruciferous vegetable rich in fiber, vitamins, and plant compounds like sulforaphane that have drawn scientific int...
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBuchuAgathosma Betulina, anysboegoe, barasmae Folium, +12 more Possible
What it is: Buchu is a fragrant South African shrub whose leaves are traditionally used for urinary and bladder complaints and as a diuretic.
Buchu contains pulegone, a known hepatotoxin.
Read the full Buchu + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBulbine Natalensis Possible
What it is: Bulbine natalensis is a South African plant marketed mainly as a testosterone-boosting and libido supplement, but the human evidence is esse...
Theoretically, Bulbine natalensis stem might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Bulbine Natalensis + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCajeput OilMelaleuca Leucadendra, aceite De Cajeput, cajeputi Aetheroleum, +10 more Possible
What it is: Cajeput oil is an aromatic essential oil traditionally used for aches, congestion, and minor skin complaints, but solid human evidence for t...
Evidence from in vitro research suggests that cajeput leaf extract can inhibit cytochrome P450 2D6 (CYP2D6) by approximately 30%.
Read the full Cajeput Oil + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCalamusAcorus Calamus, acore Calame, acore Odorant, +20 more Possible
What it is: Calamus is a swamp plant with a long history in Ayurvedic and traditional Chinese medicine, mostly for digestive and nervous-system complain...
Theoretically, taking calamus with drugs metabolized by CYP2D6 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Calamus + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCalcium D-glucarate Possible
What it is: Calcium D-glucarate is a supplement form of a natural compound found in fruits and vegetables that is promoted for 'detoxification' and help...
Theoretically, calcium D-glucarate might increase the clearance of drugs that undergo glucuronidation.
Read the full Calcium D-glucarate + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCamphor Possible
What it is: Camphor is a strong-smelling compound from the camphor tree (or made synthetically) that is used in many topical rub-on products for muscle...
Theoretically, concomitant use of camphor with other hepatotoxic drugs might increase the risk of liver damage.
Read the full Camphor + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCannabinol (cbn) Possible
What it is: Cannabinol (CBN) is a minor cannabinoid found in the cannabis plant, often marketed as a 'sleep' aid, but solid human research is very limit...
Theoretically, cannabinol might increase the levels and clinical effects of CYP2E1 substrates.
Read the full Cannabinol (cbn) + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCannabisCannabis Sativa, anashca, banji, +25 more Possible
What it is: Cannabis contains many active compounds, mainly THC (which causes a 'high') and CBD (which does not).
Theoretically, cannabis may increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cannabis + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCassia CinnamonCinnamomum Aromaticum, bastard Cinnamon, chinese Cinnamon, +1 more Possible
What it is: Cassia cinnamon is the common, inexpensive cinnamon used in cooking, and it is also taken as a supplement, most often for blood sugar suppor...
Theoretically, large doses of cassia cinnamon might cause additive effects when used with hepatotoxic drugs.
Read the full Cassia Cinnamon + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCat's ClawGriffe Du Chat, hawk's Claw, liane Du Pérou, +4 more Possible
What it is: Cat's claw is a South American vine traditionally used for inflammation, joint pain, and immune support.
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCatechuBlack Catechu, acacia Catechu: Acacia à Cachou, acacia Catechu Heartwood Extract, +17 more Possible
What it is: Catechu is an astringent extract made from the heartwood of the Acacia (Senegalia) catechu tree, used traditionally for mouth sores, sore th...
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Catechu + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCauliflower Possible
What it is: Cauliflower is a nutritious cruciferous vegetable that provides vitamin C, fiber, and plant compounds called glucosinolates.
Preliminary clinical evidence suggests that eating cruciferous vegetables, including broccoli, cauliflower, daikon radish sprouts, and cabbage, can increase cytochrome P450 1A2 (CYP1A2) activity by 14% to 27%.
Read the full Cauliflower + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCeleryApium Graveolens, ache Des Marais, ajamoda, +13 more Possible
What it is: Celery is a common vegetable that is also taken as a seed extract or oil supplement, mainly for blood pressure, fluid retention, and joint d...
Theoretically, celery might increase levels of drugs metabolized by CYP1A2.
Read the full Celery + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCeylon Leadwort Possible
What it is: Ceylon Leadwort (Plumbago zeylanica) is a plant long used in Ayurvedic and other traditional medicine systems, mainly for digestion, skin pr...
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2D6 (CYP2D6) in vitro.
Read the full Ceylon Leadwort + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionChanca PiedraPhyllanthus Niruri, amli, arranca-pedras, +16 more Possible
What it is: Chanca piedra is a tropical herb traditionally used as a 'stone breaker' for kidney and gallstones, and for liver and urinary health.
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionChaparralLarrea Divaricata, creosote Bush, créosotier, +4 more Possible
What it is: Chaparral is a desert shrub long used in traditional medicine, but there is no reliable proof it treats any condition.
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionChlorellaChlorella Pyrenoidosa, algue Verte D'eau Douce, bulgarian Chlorella, +12 more Possible
What it is: Chlorella is a nutrient-rich freshwater green algae taken as a supplement for general wellness, immune support, and 'detox.' Some small stud...
Theoretically, chlorella might have additive effects with photosensitizing drugs.
Read the full Chlorella + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionChokeberryAronia Arbutifolia, aronia Melanocarpa, aronia Nigra, +1 more Possible
What it is: Chokeberry (aronia) is a dark berry rich in antioxidants called polyphenols, and it's widely eaten as juice, jam, and supplements.
Theoretically, chokeberry might increase levels of drugs metabolized by CYP3A4.
Read the full Chokeberry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCilantro Possible
What it is: Cilantro is the leafy part of the Coriandrum sativum plant and is widely eaten as a food, where it is considered safe for most people.
Evidence from in vitro research suggests that coriandrin, a constituent of cilantro, has photosensitizing effects.
Read the full Cilantro + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCinchonaCinchona Calisaya, arbol De La Quina, bois Aux Fièvres, +14 more Possible
What it is: Cinchona bark is the natural source of quinine and has been used for centuries to treat malaria and fever, but the bark itself is not standa...
Theoretically, taking cinchona might inhibit cytochrome P450 2D6 (CYP2D6) and increase levels of drugs metabolized by this enzyme.
Read the full Cinchona + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCloveSyzygium Aromaticum, bourgeon Floral De Clou De Girofle, bouton Floral De Clou De Girofle, +12 more Possible
What it is: Clove is a common cooking spice that is also used in traditional medicine, especially as a topical numbing agent for tooth pain thanks to it...
Theoretically, concomitant use of clove may increase levels of drugs metabolized by CYP2D6.
Read the full Clove + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionClubmossLycopodium Clavatum, club Moss, common Clubmoss, +12 more Possible
What it is: Clubmoss (Lycopodium clavatum) is a primitive plant with a long history in folk medicine and homeopathy, but there is very little reliable h...
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Clubmoss + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionColeus6beta, 17beta-acetoxy-8, 13-epoxy-1alpha, +15 more Possible
What it is: Coleus is a plant from the mint family whose root contains a compound called forskolin, often marketed for weight loss, asthma, and heart he...
Theoretically, taking coleus might decrease serum levels of drugs metabolized by CYP3A4.
Read the full Coleus + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionComfreySymphytum Officinale, ass Ear, beinwellwurzel, +15 more Possible
What it is: Comfrey is a traditional herb used mainly on the skin for bruises, sprains, and joint pain, and some topical products show modest benefit fo...
Theoretically, comfrey might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Comfrey + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCorianderCoriandrum Sativum, coriander Essential Oil, coriandre, +5 more Possible
What it is: Coriander (also called cilantro) is a common cooking herb and spice that has long been used in traditional medicine for digestive complaints...
Theoretically, coriander might increase the risk of photosensitivity when taken with photosensitizing drugs.
Read the full Coriander + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCorkwood Tree Possible
What it is: Corkwood Tree (Duboisia myoporoides) is an Australian plant best known as a commercial source of powerful tropane alkaloids like scopolamine...
Theoretically, corkwood tree might increase the risk of adverse anticholinergic effects when taken with anticholinergic drugs.
Read the full Corkwood Tree + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCorydalis Yanhusuo Possible
What it is: Corydalis yanhusuo is a traditional Chinese herb used mainly for pain.
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP2D6.
Read the full Corydalis Yanhusuo + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCranberryVaccinium Macrocarpon, agrio, american Cranberry, +16 more Possible
What it is: Cranberry is best known for helping to prevent repeated urinary tract infections (UTIs) in some people, and the evidence here is moderate bu...
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Read the full Cranberry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCubebsPiper Cubeba, cubeb, cubeb Berries, +14 more Possible
What it is: Cubebs are spicy, peppery berries from a vine in the pepper family that have long been used in traditional medicine for coughs, digestion, a...
Several compounds isolated from cubebs can inhibit cytochrome P450 3A4 (CYP3A4) in vitro.
Read the full Cubebs + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionDandelionTaraxacum Officinale, blowball, cankerwort, +17 more Possible
What it is: Dandelion is a common plant used in food and traditional medicine, often promoted as a natural 'water pill' and digestive aid.
Theoretically, dandelion might increase levels of drugs metabolized by CYP1A2.
Read the full Dandelion + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionDanshenSalvia Bowleyana, ch'ih Shen, chinese Red Sage, +15 more Possible
What it is: Danshen is a root used in traditional Chinese medicine, mainly for heart and circulation problems.
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Danshen + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionDelta-9-tetrahydrocannabinol (thc)Bho, black Glass, budder, +9 more Possible
What it is: THC is the main mind-altering compound in cannabis and is best known for causing a 'high.' A prescription form (dronabinol) is approved for...
Theoretically, THC might decrease the levels and clinical effects of CYP2E1 substrates.
Read the full Delta-9-tetrahydrocannabinol (thc) + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionDendrobium Possible
What it is: Dendrobium is a group of orchids long used in traditional Chinese medicine, often to moisten the body and as a general tonic.
The dendrobium constituent dendrobine is reported to have convulsant effects.
Read the full Dendrobium + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionDevil's ClawHarpagophytum Procumbens, devils Claw, devil's Claw Root, +9 more Possible
What it is: Devil's claw is a southern African plant used mainly for arthritis and back pain, and some studies suggest it may help ease these types of d...
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionDhea3b-hydroxy-androst-5-ene-17-one, 3betahydroxy-androst-5-ene-17-one, androstenolone, +4 more Possible
What it is: DHEA is a natural hormone that the body makes and that declines with age, and it is sold as a supplement claiming many benefits.
Theoretically, DHEA might increase the levels of drugs metabolized by CYP3A4.
Read the full Dhea + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionDiosmin Possible
What it is: Diosmin is a citrus-derived flavonoid most often used for vein-related problems such as chronic venous insufficiency and hemorrhoids, and it...
Theoretically, diosmin might inhibit the metabolism of CYP3A4 substrates.
Read the full Diosmin + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionEchinaceaAmerican Cone Flower, black Sampson, black Susans, +7 more Possible
What it is: Echinacea is a popular herb taken to help prevent or shorten the common cold, but study results are mixed and the overall benefit appears sm...
Echinacea might inhibit the metabolism of CYP1A2 and increase plasma levels of some drugs.
Read the full Echinacea + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionEleutheroEleutherococcus Senticosus, acanthopanax Obovatus, ciwujia Root, +13 more Possible
What it is: Eleuthero is an herb traditionally used as an 'adaptogen' to fight fatigue, boost energy, and help the body handle stress.
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleuthero + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionEnglish IvyHedera Helix, common Ivy, gum Ivy, +9 more Possible
What it is: English ivy leaf extract is most commonly used in cough and cold syrups to help loosen mucus and ease coughing, and it is a popular ingredie...
Theoretically, English ivy might increase the levels of drugs metabolized by CYP2D6.
Read the full English Ivy + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionEphedraEphedra Distachya, belcho, cao Mahuang, +13 more Possible
What it is: Ephedra (ma huang) contains powerful stimulants like ephedrine that affect the heart and nervous system.
Theoretically, ephedra might decrease levels of drugs metabolized by CYP1A2.
Read the full Ephedra + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionEpistane Possible
What it is: Epistane is a synthetic anabolic steroid (a methylated 'designer steroid'), not a true dietary supplement or herb, even though it has been s...
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Epistane + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionErgotClaviceps Purpurea, cockspur Rye, cornezuelo, +7 more Possible
What it is: Ergot is a toxic fungus that grows on rye and contains powerful chemicals (ergot alkaloids) that strongly narrow blood vessels and squeeze t...
Certain ergot alkaloids, such as dihydroergotamine, act as serotonin agonists.
Read the full Ergot + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionEucalyptusEucalyptus Globulus, blue Gum, blue Mallee, +13 more Possible
What it is: Eucalyptus is best known for its strong-smelling oil used in vapor rubs, inhalants, and lozenges to ease coughs and congestion.
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionEuropean BarberryBerberis Vulgaris, agracejo, barberry, +15 more Possible
What it is: European barberry is a shrub whose root, bark, and berries contain berberine, a bitter plant alkaloid that has been studied mostly in isolat...
Theoretically, European barberry might increase the levels and clinical effects of CYP3A4 substrates.
Read the full European Barberry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionFalse UnicornChamaelirium Luteum, alétris, blazing Star, +9 more Possible
What it is: False Unicorn is a North American plant whose root has long been used in traditional medicine for women's reproductive and menstrual concern...
In vitro, false unicorn extract inhibits cytochrome P450 2D6 (CYP2D6) activity.
Read the full False Unicorn + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionFennelFoeniculum Vulgare, adas, almindelig Fennikel, +20 more Possible
What it is: Fennel is a Mediterranean herb widely used as a food and spice, and traditionally taken for digestive complaints, colic, and menstrual cramp...
Theoretically, fennel might increase levels of drugs metabolized by CYP3A4.
Read the full Fennel + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionFermented Wheat Germ Extract Possible
What it is: Fermented wheat germ extract is a supplement made by fermenting wheat germ with yeast, and it is most often marketed for people going throug...
Theoretically, concomitant use of fermented wheat germ extract with serotonergic medications may increase the risk of serotonergic adverse effects.
Read the full Fermented Wheat Germ Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionFever BarkAlstonia Constricta, alstonia Bark, australian Febrifuge, +10 more Possible
What it is: Fever bark is the bark of the Australian tree Alstonia constricta, used in traditional medicine for fever, diarrhea, and infections.
Theoretically, fever bark might increase the levels and clinical effects of CYP2D6 substrates.
Read the full Fever Bark + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionFeverfewTanacetum Parthenium, altamisa, bachelor's Buttons, +13 more Possible
What it is: Feverfew is a daisy-family herb best known for migraine prevention, where some studies suggest it may modestly lower how often migraines occ...
Theoretically, feverfew might increase levels of drugs metabolized by CYP2D6.
Read the full Feverfew + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionFig Possible
What it is: Fig (Ficus carica) is a common fruit that has long been used as a gentle food remedy for constipation, and its leaves are used traditionally...
Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.
Read the full Fig + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionFo-ti Possible
What it is: Fo-ti (He Shou Wu) is a root used in traditional Chinese medicine, often promoted for healthy aging and hair.
Theoretically, fo-ti may increase the levels and clinical effects of drugs metabolized by CYP2D6.
Read the full Fo-ti + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGarciniaGarcinia Gummi-gutta, acide Hydroxycitrique, ahc, +11 more Possible
What it is: Garcinia is a tropical fruit whose rind contains hydroxycitric acid (HCA), widely marketed for weight loss and appetite control.
Theoretically, combining garcinia with other serotonergic drugs might increase the risk of serotonergic side effects, including serotonin syndrome.
Read the full Garcinia + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGerman ChamomileMatricaria Recutita, blue Chamomile, camomèle, +12 more Possible
What it is: German chamomile is a widely used herbal remedy taken mainly as a tea for calming, sleep, and digestive complaints.
Theoretically, German chamomile might inhibit CYP2D6 and increase levels of drugs metabolized by these enzymes.
Read the full German Chamomile + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGingerZingiber Officinale, african Ginger, ardraka, +21 more Possible
What it is: Ginger is a widely used culinary spice with a long history in traditional medicine, and it has the strongest evidence for helping with nause...
Ginger might increase or decrease the levels of CYP3A4 substrates.
Read the full Ginger + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGinkgoGinkgo Biloba, abricot Argenté Japonais, adiantifolia, +13 more Possible
What it is: Ginkgo is one of the world's most popular herbal supplements, mostly taken to support memory and circulation.
Theoretically, taking ginkgo with drugs that lower the seizure threshold might increase the risk for convulsions.
Read the full Ginkgo + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGojiLycium Chinense, lycium Barbarum, barberry Matrimony Vine, +15 more Possible
What it is: Goji berries are a nutritious fruit rich in antioxidants, vitamins, and plant polysaccharides, and they are safe for most people as a food.
Theoretically, goji berry might inhibit CYP2D6 and reduce metabolism of CYP2D6 substrates.
Read the full Goji + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGoldthreadCoptis Chinensis, cankerroot, chinese Coptis, +13 more Possible
What it is: Goldthread is a traditional Chinese and East Asian herb whose root is rich in berberine, a compound being studied for blood sugar, cholester...
There's very preliminary evidence that berberine, a constituent of goldthread, might inhibit cytochrome P450 3A4 (CYP3A4) enzyme.
Read the full Goldthread + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGotu KolaCentella Asiatica, asiatic Pennywort, brahma-buti, +12 more Possible
What it is: Gotu kola is a traditional Ayurvedic and Asian herb that people use for wound healing, circulation, skin problems, and as a calming or memor...
Theoretically, taking gotu kola with hepatotoxic drugs might have additive adverse effects.
Read the full Gotu Kola + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGrapeVitis Vinifera, activin, black Grape Raisins, +10 more Possible
What it is: Grapes and grape products like grape seed extract contain antioxidant compounds such as resveratrol and proanthocyanidins that may support h...
Theoretically, grape seed extract may increase the levels of CYP2D6 substrates.
Read the full Grape + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGreater CelandineChelidonium Majus, bai Qu Cai, celandine, +9 more Possible
What it is: Greater celandine is a traditional herb most often promoted for digestive and gallbladder complaints, but solid human evidence for any use i...
Research in vitro shows that chelidonine, a constituent of greater celandine, inhibits cytochrome P450 2D6 (CYP2D6) enzyme activity.
Read the full Greater Celandine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGriffonia SimplicifoliaBandeiraea Simplicifolia Possible
What it is: Griffonia simplicifolia is a West African shrub whose seeds are a natural source of 5-HTP, a building block of the brain chemical serotonin.
Theoretically, taking Griffonia simplicifolia seed extract with dextromethorphan might increase the risk of serotonergic adverse effects, such as serotonin syndrome and cerebral vasoconstrictive disorders such as Call-Fleming syndrome.
Read the full Griffonia Simplicifolia + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGuar GumDietary Fiber, farine De Guar, fibre Alimentaire, +10 more Possible
What it is: Guar gum is a soluble, gel-forming fiber from the guar bean that may modestly help with cholesterol, blood sugar, and bowel regularity.
Guar gum might reduce the absorption of some oral drugs, potentially decreasing their effectiveness.
Read the full Guar Gum + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGum ArabicAcacia, acacia Gum, arabic Gum, +16 more Possible
What it is: Gum arabic is a soluble dietary fiber from the acacia tree that is widely used as a safe food additive and is sometimes taken as a supplemen...
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Arabic + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGymnemaGymnema Sylvestre, gimnema, gur-mar, +14 more Possible
What it is: Gymnema is an Ayurvedic herb best known for possibly helping lower blood sugar and reducing the taste of sweetness on the tongue.
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHawaiian Baby WoodroseArgyreia Nervosa, baby Hawaiian Woodrose, baby Woodrose, +11 more Possible
What it is: Hawaiian Baby Woodrose seeds contain LSD-like compounds and are most often used recreationally to cause hallucinations, not as a safe or pro...
Theoretically, concomitant use may increase the risk for serotonergic adverse effects.
Read the full Hawaiian Baby Woodrose + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHemp AgrimonyEupatorium Cannabinum, alpenkraut, cañamazo, +15 more Possible
What it is: Hemp agrimony is a traditional European herb that has been used for digestion, colds, and as a general tonic, but there is very little relia...
Hemp agrimony contains hepatotoxic pyrrolizidine alkaloids (PA).
Read the full Hemp Agrimony + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHigenamine Possible
What it is: Higenamine is a plant-based stimulant compound added to many weight-loss and pre-workout supplements, but there is very little human evidenc...
Theoretically, higenamine might increase the levels and clinical effects of drugs metabolized by CYP2D6.
Read the full Higenamine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHorny Goat WeedEpimedium Grandiflorum, barrenwort, Épimède, +10 more Possible
What it is: Horny goat weed (Epimedium) is a traditional Chinese herb most often marketed for low libido and erectile problems, but solid human evidence...
Theoretically, horny goat weed might increase the effects and side effects of CYP1A2 substrates.
Read the full Horny Goat Weed + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHu Zhang Possible
What it is: Hu Zhang (Japanese knotweed root) is a traditional Chinese herb that is one of the richest natural sources of resveratrol and emodin.
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Hu Zhang + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHuperzine AHupa, huperzina A, huperzine, +3 more Possible
What it is: Huperzine A is a purified compound from a Chinese clubmoss that acts like a mild cholinesterase inhibitor, similar in mechanism to some pres...
Theoretically, huperzine A might decrease the effects of anticholinergic drugs.
Read the full Huperzine A + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionIbogaTabernanthe Iboga, bois Sacré, eboka Possible
What it is: Iboga is a Central African shrub whose root bark contains ibogaine, a powerful hallucinogenic compound studied mainly for addiction.
Theoretically, taking iboga with serotonergic drugs might increase levels of serotonin, resulting in additive effects with serotonergic drugs.
Read the full Iboga + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionIndian Long PepperPiper Longum, bi Ba, bi Bo, +17 more Possible
What it is: Indian long pepper (pippali) is a spice long used in Ayurvedic medicine and is best known for its piperine content, which may increase how w...
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Indian Long Pepper + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionIndian SnakerootRauvolfia Serpentina, ajmaline, alseroxylon, +16 more Possible
What it is: Indian snakeroot is a traditional Ayurvedic plant that contains reserpine, a compound with real blood-pressure-lowering and sedative effects...
Theoretically, Indian snakeroot might inhibit CYP2D6 enzymes and reduce the metabolism of CYP2D6 substrates.
Read the full Indian Snakeroot + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionIndole-3-carbinol Possible
What it is: Indole-3-carbinol (I3C) is a compound formed when you eat cruciferous vegetables like broccoli and cabbage, and it is sold as a supplement m...
Theoretically, indole-3-carbinol might increase the metabolism of CYP1A2 substrates and lower serum concentrations.
Read the full Indole-3-carbinol + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionIpriflavone7-isopropoxyisoflavone, ipriflavona Possible
What it is: Ipriflavone is a synthetic isoflavone studied mainly for bone health and osteoporosis, but high-quality research has not shown that it relia...
Ipriflavone is thought to competitively inhibit cytochrome P450 1A2 (CYP1A2).
Read the full Ipriflavone + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionJimson Weed Possible
What it is: Jimson Weed is a highly poisonous plant that contains powerful nerve-affecting compounds, and even small amounts can cause severe poisoning,...
Theoretically, jimson weed may increase anticholinergic effects and adverse effects.
Read the full Jimson Weed + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionJob's Tears Possible
What it is: Job's Tears is a grain-like seed long used as a food and in traditional medicine, especially in East Asia.
Animal research suggests that Job's tears might enhance absorption of dextromethorphan in the small intestine.
Read the full Job's Tears + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionKhellaAmmi Visnaga, ammi Daucoides, daucus Visnaga, +13 more Possible
What it is: Khella is a Mediterranean herb whose seeds contain compounds like khellin that may relax smooth muscle in the airways and blood vessels.
Theoretically, concomitant use might result in increased photosensitivity.
Read the full Khella + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionKratomMitragyna Speciosa, biak-biak, cratom, +16 more Possible
What it is: Kratom is a Southeast Asian plant whose leaves act on the brain's opioid receptors and can produce both stimulant-like and opioid-like effec...
Theoretically, taking kratom in combination with serotonergic drugs may increase levels of serotonin, increasing the risk of serotonin syndrome.
Read the full Kratom + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionKudzuPueraria Montana, bidarikand, bilaikanda, +18 more Possible
What it is: Kudzu is a fast-growing vine whose root has long been used in traditional Chinese medicine and is now studied mostly for reducing alcohol in...
Theoretically, concomitant use might have additive hepatotoxic effects.
Read the full Kudzu + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionL-tryptophanL-triptofano, l-trypt, l-tryptophane, +1 more Possible
What it is: L-tryptophan is an essential amino acid the body uses to make serotonin and melatonin, and people take it to support sleep and mood.
Theoretically, combining L-tryptophan with serotonergic drugs might cause additive serotonergic effects.
Read the full L-tryptophan + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionLemongrassCymbopogon Citratus, abafado, cana Santa, +17 more Possible
What it is: Lemongrass is a fragrant tropical grass widely used as a cooking herb, a tea, and an aromatherapy oil.
Theoretically, lemongrass might decrease the metabolism of CYP3A4 substrates.
Read the full Lemongrass + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionLentinanBeta-glucan Lentinan, lentinane, lentinus Edodes Polysaccharide, +4 more Possible
What it is: Lentinan is a beta-glucan polysaccharide from shiitake mushrooms that is studied mainly as an immune-modulating add-on to cancer chemotherap...
Laboratory research suggests that lentinan might increase the activity of cytochrome P450 2D6 (CYP2D6).
Read the full Lentinan + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionLicoriceGlycyrrhiza Echinate, alcacuz, bois Doux, +17 more Possible
What it is: Licorice root is a traditional remedy used for sore throats, coughs, and digestive complaints, but solid human evidence is limited for most...
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionLigandrol Possible
What it is: Ligandrol (LGD-4033) is a synthetic selective androgen receptor modulator (SARM), not a natural herb or approved dietary supplement.
Theoretically, concomitant use might have additive hepatotoxic effects.
Read the full Ligandrol + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionLight Therapy Possible
What it is: Light therapy uses controlled exposure to bright artificial light and is best supported for seasonal affective disorder, where it is a recog...
Light therapy may increase the risk for photosensitization.
Read the full Light Therapy + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionLimeCitrus Aurantifolia, adam's Apple, bara Nimbu, +11 more Possible
What it is: Lime is a common citrus fruit and a good natural source of vitamin C and plant antioxidants.
Theoretically, concomitant use of lime oil with photosensitizing drugs may increase the risk of phototoxicity.
Read the full Lime + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMace Possible
What it is: Mace is the lacy red covering of the nutmeg seed and comes from the same tree as nutmeg.
Animal research suggests that intraperitoneal injections of myristicin, a constituent of mace, can induce cytochrome P450 1A2 (CYP1A2) enzyme system.
Read the full Mace + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionManchurian Thorn Possible
What it is: Manchurian Thorn (Aralia elata) is a thorny shrub or small tree used in traditional East Asian medicine, mainly for blood sugar, joint pain,...
Animal research suggests that high doses of Manchurian thorn can induce liver damage.
Read the full Manchurian Thorn + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMarjoramOriganum Majorana, essence De Marjolaine, garden Marjoram, +12 more Possible
What it is: Marjoram is a Mediterranean kitchen herb related to oregano that is widely used in food and traditional medicine for digestive, sleep, and r...
In vitro research suggests that marjoram extract can inhibit acetylcholinesterase activity.
Read the full Marjoram + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMethoxylated Flavones Possible
What it is: Methoxylated flavones (often called polymethoxyflavones) are a group of plant compounds, found mainly in citrus peel, that include substance...
Some in vitro evidence suggests that methoxylated flavones might induce CYP1A2, possibly by increasing gene transcription.
Read the full Methoxylated Flavones + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMethylene Blue3, 7-bis (dimethylamino)-phenazathionium Chloride, Azul De Metileno, +8 more Possible
What it is: Methylene blue is a synthetic dye that is an FDA-approved prescription medicine for a rare blood disorder called methemoglobinemia, and it i...
Combining serotonergic drugs with methylene blue can cause additive serotonergic effects, including serotonin syndrome.
Read the full Methylene Blue + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMilk ThistleSilybum Marianum, artichaut Sauvage, blessed Milk Thistle, +12 more Possible
What it is: Milk thistle is a popular herbal supplement most often used for liver health, and its main active component is a group of compounds called s...
Theoretically, milk thistle might affect the clearance of drugs that undergo glucuronidation.
Read the full Milk Thistle + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMoringaMoringa Oleifera Possible
What it is: Moringa is a nutrient-rich plant whose leaves are widely used as a food and supplement, especially in parts of the world where malnutrition...
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMountain AshSorbus Aucuparia, arbre Aux Grives, corbier D'europe, +12 more Possible
What it is: Mountain ash (rowan) is a northern-hemisphere tree whose bright red berries are traditionally cooked into jams, syrups, and teas.
Taking large amounts of fresh mountain ash berries may cause kidney damage due to its parasorbic acid constituent.
Read the full Mountain Ash + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionN,n-dmpea Possible
What it is: N,N-DMPEA (N,N-dimethylphenethylamine) is a synthetic relative of phenethylamine sometimes marketed in stimulant or pre-workout supplements.
In vitro research shows that N,N-DMPEA strongly inhibits cytochrome P450 2D6 (CYP2D6).
Read the full N,n-dmpea + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionNeemAzadirachta Indica, arishta, arishtha, +18 more Possible
What it is: Neem is a tree from India used for centuries in traditional medicine, especially for skin, dental, and antimicrobial purposes.
Theoretically, neem leaf extract might increase the levels and clinical effects of CYP1A2 substrates.
Read the full Neem + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionNiacin3-pyridinecarboxylic Acid, vitamin B3 Possible
What it is: Niacin (vitamin B3) is an essential nutrient your body needs for energy and metabolism, and deficiency is uncommon in most developed countri...
Theoretically, concomitant use of niacin and hepatotoxic drugs might increase the risk of hepatotoxicity.
Read the full Niacin + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionNoniMorinda Citrifolia, ba Ji Tian, bois Douleur, +17 more Possible
What it is: Noni is a tropical fruit used widely in folk medicine and sold mostly as a juice or supplement, but solid human evidence for its many claime...
Theoretically, taking noni with hepatotoxic drugs might increase the risk of liver damage.
Read the full Noni + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionNutmegMyristica Fragrans, buah Pala, jaatipatree, +14 more Possible
What it is: Nutmeg is a popular cooking spice that has long been used in traditional medicine for digestion and other complaints, but there is little so...
Theoretically, nutmeg might decrease levels of drugs metabolized by CYP1A2.
Read the full Nutmeg + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionOnionAllium Cepa, allii Cepae Bulbus, cebolla, +9 more Possible
What it is: Onion is a common food with a long history in traditional medicine, and it contains antioxidants like quercetin and sulfur compounds.
Theoretically, taking onion might increase the levels and clinical effects of drugs metabolized by CYP2E1.
Read the full Onion + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionOregon GrapeMahonia Aquifolium, barberry, berberis, +13 more Possible
What it is: Oregon grape is a shrub whose root contains berberine and related compounds.
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP2D6.
Read the full Oregon Grape + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionOstarine Possible
What it is: Ostarine (also called MK-2866 or enobosarm) is an experimental, unapproved drug known as a SARM (selective androgen receptor modulator), not...
Theoretically, concomitant use with hepatotoxic drugs might increase the risk of adverse hepatotoxic effects.
Read the full Ostarine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPadang Cassia Possible
What it is: Padang Cassia is a type of cinnamon (Indonesian or Korintje cinnamon) grown mainly in Indonesia and used widely as a kitchen spice.
There is some concern that ingesting large amounts of Padang cassia might cause hepatotoxicity in some people.
Read the full Padang Cassia + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPanax GinsengAsian Ginseng, asiatic Ginseng, chinese Ginseng, +12 more Possible
What it is: Panax ginseng is a popular traditional herb used to boost energy, ease stress, and support overall wellness, though scientific evidence is m...
Theoretically, Panax ginseng might increase levels of drugs metabolized by CYP2D6.
Read the full Panax Ginseng + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPanax NotoginsengPanax Notoginseng, field Seven, noto-gin, +15 more Possible
What it is: Panax notoginseng (sanqi or tienchi ginseng) is a traditional Chinese herb most often used to help with bleeding, bruising, and circulation.
Theoretically, taking Panax notoginseng might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Panax Notoginseng + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionParsleyPetroselinum Crispum, common Parsley, garden Parsley, +16 more Possible
What it is: Parsley is a popular culinary herb that is safe to eat in normal food amounts and is a good source of vitamins K and C.
Theoretically, parsley might increase serum levels of CYP1A2 substrates.
Read the full Parsley + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPennyroyal Possible
What it is: Pennyroyal is a mint-family plant whose essential oil is highly toxic and has caused serious poisonings and deaths, especially when used to...
Concomitant use of pennyroyal essential oil and acetaminophen might increase the risk of acetaminophen-induced hepatotoxicity.
Read the full Pennyroyal + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPeonyPaeonia Lactiflora, bai Shao, chi Shao, +17 more Possible
What it is: Peony root is a traditional Chinese medicine herb often used for menstrual problems, cramps, and inflammation, frequently as part of combina...
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Peony + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPeppermintMentha X Piperita, black Peppermint, brandy Mint, +12 more Possible
What it is: Peppermint is a popular herb with the best evidence supporting enteric-coated peppermint oil for easing IBS symptoms.
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPhellodendronPhellodendron Amurense, amur Cork Bark, amur Cork Tree, +7 more Possible
What it is: Phellodendron is a traditional Chinese medicine bark (Huang Bai) that contains berberine and other plant compounds with antimicrobial and an...
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP2D6.
Read the full Phellodendron + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPhenethylamine (pea)2-phenylethanamine, methylphenylethylamine, pea Possible
What it is: Phenethylamine (PEA) is a natural compound made in the body and found in foods like chocolate; supplements are marketed for mood, focus, and...
Theoretically, combining serotonergic drugs with phenethylamine might increase the risk of serotonergic adverse effects.
Read the full Phenethylamine (pea) + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPhosphatidylserine Possible
What it is: Phosphatidylserine is a natural fat-like compound found in cell membranes, especially in the brain, and it is sold mainly to support memory...
Theoretically, phosphatidylserine might decrease the effectiveness anticholinergic drugs.
Read the full Phosphatidylserine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPomegranatePunica Granatum, anardana, dadim, +14 more Possible
What it is: Pomegranate is a nutrient-rich fruit that is high in antioxidants and is widely enjoyed as food and juice.
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPoria Mushroom Possible
What it is: Poria mushroom (Fu Ling) is a fungus long used in Traditional Chinese Medicine, mainly as a mild diuretic and digestive and calming aid.
Theoretically, poria mushroom might decrease the clinical effects of anticholinergic drugs.
Read the full Poria Mushroom + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPropolisAcide De Cire D'abeille, baume De Propolis, bee Glue, +12 more Possible
What it is: Propolis is a natural, resin-like substance made by bees that has antimicrobial and anti-inflammatory properties in lab studies.
Theoretically, high doses of propolis might increase blood levels of drugs metabolized by CYP2D6.
Read the full Propolis + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPsilocybin Possible
What it is: Psilocybin is a powerful psychedelic compound found in certain mushrooms and is being studied for hard-to-treat depression, anxiety, and add...
Theoretically, combining psilocybin with serotonergic drugs might cause additive serotonergic effects.
Read the full Psilocybin + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPurple Nut Sedge Possible
What it is: Purple nut sedge (Cyperus rotundus) is a common weed whose tubers have a long history in Ayurvedic, Chinese, and other traditional medicine...
In vitro, purple nut sedge dose-dependently inhibits acetylcholinesterase (AChE).
Read the full Purple Nut Sedge + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionQuercetin7-pentahydroxyflavone, bioflavonoid, bioflavonoid Complex, +9 more Possible
What it is: Quercetin is a plant flavonoid with antioxidant and anti-inflammatory properties found in many common foods and sold as a supplement.
Theoretically, concomitant use might increase the levels and adverse effects of CYP2D6 substrates.
Read the full Quercetin + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionRabdosia RubescensRabdosia Rubescens, bing Ling Cao, blushred Rabdosia, +5 more Possible
What it is: Rabdosia rubescens is a Chinese herb traditionally used for sore throats, inflammation, and infections, and its compound oridonin has drawn...
In vitro research shows that oridonin, a constituent of Rabdosia rubescens, induces cytochrome P450 3A4 (CYP3A4) enzyme.
Read the full Rabdosia Rubescens + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionRauvolfia Vomitoria Possible
What it is: Rauvolfia vomitoria is an African shrub whose root contains powerful alkaloids, including reserpine, that have historically been used for hi...
Theoretically, Rauvolfia vomitoria might increase the levels and clinical effects of CYP2D6 substrates.
Read the full Rauvolfia Vomitoria + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionRauwolscine Possible
What it is: Rauwolscine (alpha-yohimbine) is a stimulant alkaloid closely related to yohimbine that is marketed mainly in fat-burning and pre-workout su...
Theoretically, taking rauwolscine with seizure threshold lowering drugs might increase the risk of adverse convulsant effects.
Read the full Rauwolscine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionRed Yeast RiceMonascus Purpureus, cholestin, hong Qu, +19 more Possible
What it is: Red yeast rice contains monacolin K, which is chemically identical to the prescription statin lovastatin, and it can lower LDL ('bad') chole...
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionRhubarbRheum Officinale, chinese Rhubarb, da Huang, +13 more Possible
What it is: Rhubarb root has a long history of use as a laxative and in traditional Chinese medicine, and its edible stalks are a common food.
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Rhubarb + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionRooibosAspalathus Linearis, green Red Bush, infusion Rooibos, +9 more Possible
What it is: Rooibos is a caffeine-free herbal tea from South Africa that is rich in antioxidants and generally considered safe as a beverage.
Theoretically, taking rooibos with CYP2D6 substrates may increase the effects of CYP2D6 substrates.
Read the full Rooibos + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionRueRuta Graveolens, aruta, arvada, +17 more Possible
What it is: Rue is a strong-smelling herb from southern Europe with a long history in folk medicine, but there is very little reliable human research to...
Theoretically, rue might increase the risk for phototoxicity when used with photosensitizing drugs.
Read the full Rue + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSageSalvia Officinalis, broadleaf Sage, common Sage, +14 more Possible
What it is: Sage is a common kitchen herb that is generally safe in food amounts and is traditionally used for sore throats, digestion, sweating, and me...
Theoretically, sage might increase the levels and clinical effects of drugs metabolized by CYP2D6.
Read the full Sage + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSaigon Cinnamon Possible
What it is: Saigon cinnamon is a flavorful spice from a Cinnamomum tree grown mainly in Vietnam, and it is a type of 'cassia' cinnamon.
Theoretically, Saigon cinnamon might cause additive effects when used with hepatotoxic drugs.
Read the full Saigon Cinnamon + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSameS-adenosyl-l-methionine, ademetionine, adomet, +8 more Possible
What it is: SAM-e is a compound your body makes naturally that is sold as a supplement, most often for depression and osteoarthritis.
Taking SAMe with serotonergic drugs might increase the risk of serotonin syndrome and other serotonergic side effects.
Read the full Same + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSchizonepeta Possible
What it is: Schizonepeta is a mint-family herb long used in traditional Chinese medicine, usually as part of combination formulas for colds, fevers, and...
Animal research suggests that schizonepetin, a monoterpene constituent of schizonepeta, inhibits cytochrome P450 (CYP) 2D6.
Read the full Schizonepeta + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionShiitake Mushroom Possible
What it is: Shiitake is a popular edible mushroom that is nutritious and safe to eat as food for most people.
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Shiitake Mushroom + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSlippery ElmIndian Elm, moose Elm, olmo Americano, +7 more Possible
What it is: Slippery elm is a traditional herbal remedy made from the inner bark of a North American elm tree, used mainly to soothe sore throats and ir...
Theoretically, slippery elm may slow the absorption and reduce serum levels of oral drugs.
Read the full Slippery Elm + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSpearmintMentha Spicata, curled Mint, fish Mint, +16 more Possible
What it is: Spearmint is a common culinary mint that is generally safe in food and tea amounts.
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSulforaphane Possible
What it is: Sulforaphane is a natural compound found in broccoli and other cruciferous vegetables that has shown promising antioxidant and anti-inflamma...
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSweet AnnieArtemisia Annua, absinthe Sauvage, ajenjo Silvestre, +11 more Possible
What it is: Sweet Annie (Artemisia annua) is the source of artemisinin, a compound used in prescription antimalarial drugs.
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionSweet CloverMelilotus Officinalis, angipars, casse Lunettes, +14 more Possible
What it is: Sweet clover is a traditional European herb most often promoted for vein problems and leg swelling, but high-quality human evidence is limit...
Theoretically, concomitant use of sweet clover with hepatoxic drugs might increase the risk of hepatotoxicity.
Read the full Sweet Clover + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionTeazleDipsacus Fullonum, baignoire De Vénus, barber's Brush, +11 more Possible
What it is: Teazle (Dipsacus fullonum) is a spiky plant used in traditional and folk medicine, most notably as a tincture marketed for Lyme disease and...
In vitro research suggests that teazle extract can inhibit acetylcholinesterase activity.
Read the full Teazle + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionTerminaliaTerminalia Arjuna, abhaya, amandier Indien, +19 more Possible
What it is: Terminalia is a group of traditional Ayurvedic tree species (most notably Terminalia arjuna) used for heart, digestive, and general wellness...
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP2D6 substrates.
Read the full Terminalia + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionTestolone Possible
What it is: Testolone (RAD-140) is a synthetic experimental drug called a selective androgen receptor modulator (SARM), not a dietary supplement or herb...
Theoretically, concomitant use might have additive hepatotoxic effects.
Read the full Testolone + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionThuja Possible
What it is: Thuja, also called northern white cedar or arborvitae, is a tree whose leaf and oil have a long history in folk and homeopathic medicine, es...
Thuja products can contains significant amounts of thujone, a neurotoxin.
Read the full Thuja + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionThunder God VineTripterygium Wilfordii, huang-t'eng Ken, lei Gong Teng, +8 more Possible
What it is: Thunder God Vine is a Chinese herb studied mainly for rheumatoid arthritis and other autoimmune conditions, with some promising but limited...
Theoretically, thunder god vine might increase the levels and clinical effects of CYP1A2 substrates.
Read the full Thunder God Vine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionThymeThymus Vulgaris, farigoule, farigoulette, +14 more Possible
What it is: Thyme is a common kitchen herb that has long been used for coughs, sore throats, and digestive complaints.
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionTinospora Cordifolia Possible
What it is: Tinospora cordifolia, known as Guduchi or Giloy in Ayurvedic medicine, is a climbing plant traditionally used to support immunity and treat...
Theoretically, Tinospora cordifolia might increase levels of drugs metabolized by CYP2D6.
Read the full Tinospora Cordifolia + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionToothed ClubmossHuperzia Serrata, chinese Club Moss, huperazon, +4 more Possible
What it is: Toothed Clubmoss is a moss-like plant best known as the natural source of huperzine A, a compound studied mainly for memory and Alzheimer's...
In animal models, toothed clubmoss and huperzine A, an active constituent of toothed clubmoss, reversed cognitive deficits induced by scopolamine.
Read the full Toothed Clubmoss + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionTragacanthAdragante, astragale Adragant, astragale De Marseille, +14 more Possible
What it is: Tragacanth is a plant gum used mainly as a thickener and emulsifier in foods, cosmetics, and medicines, and traditionally to soothe the thro...
Theoretically, tragacanth might alter absorption of oral drugs.
Read the full Tragacanth + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionTurmericCurcuma Longa, curcuma, curcumae Longa, +17 more Possible
What it is: Turmeric is a popular spice whose main active compounds, curcuminoids, are studied mostly for inflammation and joint pain.
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionUva UrsiArctostaphylos Uva-ursi, arberry, arbousier, +16 more Possible
What it is: Uva ursi is a traditional herb used mainly for urinary tract infections, and its leaves contain a compound called arbutin that may have anti...
Theoretically, uva ursi may decrease the metabolism of CYP3A4 substrates.
Read the full Uva Ursi + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionValerianValeriana Officinalis, all-heal, amantilla, +10 more Possible
What it is: Valerian is an herb whose root is widely used as a natural sleep aid and for calming nerves.
Valerian might weakly inhibit glucuronidation and increase concentrations of drugs metabolized by UGT1A1 and UGT2B7.
Read the full Valerian + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionVitamin A Possible
What it is: Vitamin A is an essential nutrient important for vision, skin, immune function, and growth.
Theoretically, taking high doses of vitamin A in combination with other potentially hepatotoxic drugs might increase the risk of liver disease.
Read the full Vitamin A + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionVitamin EAlpha-tocopherol, beta-tocopherol, delta-tocopherol, +1 more Possible
What it is: Vitamin E is an essential fat-soluble vitamin and antioxidant that most people get in adequate amounts from a normal diet.
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Vitamin E + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionWheatgrassTriticum Aestivum, agropyre, blé En Herbe, +7 more Possible
What it is: Wheatgrass is the young grass of the wheat plant, taken as a juice or powder, and is mainly used as a concentrated source of vitamins and pl...
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Wheatgrass + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionWhite Pepper Possible
What it is: White pepper comes from the same plant as black pepper and is mostly used as a kitchen spice.
In vitro evidence suggests that some constituents of white pepper inhibit cytochrome P450 2D6 (CYP2D6).
Read the full White Pepper + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionWild CherryPrunus Serotine, american Black Cherry, bird Cherry, +12 more Possible
What it is: Wild cherry bark is a traditional cough remedy found in many old-fashioned cough syrups and lozenges, but there is little modern scientific...
In vitro research suggests that wild cherry can inhibit cytochrome P450 3A4 (CYP3A4) enzymes.
Read the full Wild Cherry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionWild LettuceLactuca Virosa, acrid Lettuce, allubbyne, +13 more Possible
What it is: Wild lettuce is a traditional herb used mainly for sleep, anxiety, and pain, but solid human research supporting these uses is very limited.
Studies report varying evidence on whether or not wild lettuce contains hyoscyamine, an anticholinergic drug.
Read the full Wild Lettuce + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionWinter Cherry Possible
What it is: Winter Cherry is another name for ashwagandha (Withania somnifera), an herb long used in Ayurvedic medicine, most often for stress, sleep, a...
In vitro, winter cherry extract inhibited levels of cytochrome P450 2E1 (CYP2E1).
Read the full Winter Cherry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionZedoary Possible
What it is: Zedoary is a ginger-family root used in traditional Asian and Indian medicine, mostly for digestion and as a spice.
Theoretically, zedoary might increase levels of drugs metabolized by CYP3A4.
Read the full Zedoary + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionZizyphusZiziphus Jujuba, anèbe, annab, +20 more Possible
What it is: Zizyphus (jujube) is an edible fruit and traditional remedy used mainly for sleep, anxiety, and digestion.
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Zizyphus + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGreen TeaCamellia Sinensis, green Sencha Tea, green Tea Extract, +17 more Unlikely
What it is: Green tea is a popular beverage rich in antioxidants called catechins, and drinking it in normal amounts is considered safe for most people.
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Green Tea + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionThyroid Extract Likely
What it is: Thyroid extract supplements are made from dried animal thyroid gland and may contain real thyroid hormones (T3 and T4), but the amounts in o...
Food and medications can interfere with thyroid hormone absorption.
Read the full Thyroid Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHibiscus SabdariffaHibiscus Sabdariffa, agua De Jamaica, ambashthaki, +16 more Probable
What it is: Hibiscus sabdariffa is a tart, cranberry-flavored plant most often consumed as a tea, and its best-studied use is for mildly lowering blood...
Theoretically, taking Hibiscus sabdariffa with acetaminophen might decrease the clinical effects of acetaminophen.
Read the full Hibiscus Sabdariffa + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionVitamin C Probable
What it is: Vitamin C (ascorbic acid) is an essential nutrient your body needs but cannot make, so you must get it from food or supplements.
High-dose vitamin C might slightly prolong the clearance of acetaminophen.
Read the full Vitamin C + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interaction1,3-dmba Possible
What it is: 1,3-DMBA is a synthetic stimulant chemically similar to the banned stimulant DMAA, and it is not a proven or safe dietary ingredient.
Theoretically, 1,3-DMBA might modestly increase the levels of CYP2D6 substrates.
Read the full 1,3-dmba + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAegeline Possible
What it is: Aegeline is a compound originally identified in the bael tree (Aegle marmelos) that gained attention because it was added to some weight-los...
Aegeline inhibits cytochrome P450 3A4 (CYP3A4) activity in vitro.
Read the full Aegeline + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAgarAgar-agar, agarose, agarose Gel, +17 more Possible
What it is: Agar is a plant-based gel made from red seaweed that is widely used as a vegetarian alternative to gelatin and as a source of dietary fiber.
Agar forms a thick gel, which may disrupt the absorption of nutrients and medications.
Read the full Agar + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAlginAlginate, alginate De Calcium, alginate De Magnésium, +12 more Possible
What it is: Algin (alginate) is a fiber-like substance from brown seaweed that is widely used as a thickener, gel, and binder in foods and medicines.
Theoretically, algin can alter the absorption of oral drugs.
Read the full Algin + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAloeAloe Vera, aloe Capensis, aloe Gel, +18 more Possible
What it is: Aloe vera gel is widely used on the skin for minor burns and irritation, and some research suggests it may help.
Theoretically, aloe might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Aloe + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAnisePimpinella Anisum, anis, anís, +14 more Possible
What it is: Anise is a fragrant, licorice-flavored seed used for centuries to ease digestion and soothe coughs.
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAtractylodesAtractylodes Lancea, amk, atr, +9 more Possible
What it is: Atractylodes is a root used for centuries in traditional Chinese, Japanese, and Thai medicine, mostly for digestive complaints and fatigue,...
Theoretically, atractylodes might decrease the levels of CYP1A2 substrates.
Read the full Atractylodes + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBaelAegle Marmelos, arbre De Bael, bael Tree, +16 more Possible
What it is: Bael is a fruit-bearing tree long used in traditional Indian (Ayurvedic) medicine, mostly for digestive problems like diarrhea and indigesti...
Bael extract and its constituent marmesinin inhibited cytochrome P450 1A2 (CYP1A2) activity in vitro.
Read the full Bael + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBlack PsylliumAfrican Plantain, brown Psyllium, dietary Fiber, +16 more Possible
What it is: Black psyllium is a soluble-fiber supplement made from the seeds of a Plantago plant, used mostly to ease constipation and support digestive...
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Black Psyllium + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBlond PsylliumPlantago Ovata, balle De Psyllium, blond Plantago, +14 more Possible
What it is: Blond psyllium is a soluble fiber from the seed husks of Plantago ovata, and it is one of the better-studied fiber supplements.
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Blond Psyllium + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionBroccoli Sprout Possible
What it is: Broccoli sprouts are young broccoli seedlings rich in a compound called sulforaphane, which is being studied for antioxidant, anti-inflammat...
Theoretically, broccoli sprout might reduce levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Sprout + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCarobCeratonia Siliqua, algarrobo, carob Flour, +16 more Possible
What it is: Carob is a Mediterranean tree whose pods are widely used as a caffeine-free, naturally sweet cocoa alternative and as a thickener (carob gum...
Theoretically, carob might also impair the absorption of oral drugs.
Read the full Carob + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCascara SagradaFrangula Purshiana, rhamnus Purshiana, bitter Bark, +13 more Possible
What it is: Cascara sagrada is a stimulant laxative made from the aged bark of a Pacific Northwest tree, used mainly for short-term relief of constipati...
Theoretically, cascara sagrada might decrease the effects of CYP3A4 substrates.
Read the full Cascara Sagrada + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionEurycoma LongifoliaAkar Pasak Bumi, ali's Umbrella, ali's Walking Stick, +17 more Possible
What it is: Eurycoma longifolia (tongkat ali) is a Southeast Asian herb most popular for supporting testosterone, libido, and male fertility, with some...
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Eurycoma Longifolia + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionFucus VesiculosusBlack Tang, bladder Fucus, bladder Wrack, +14 more Possible
What it is: Fucus vesiculosus (bladderwrack) is a brown seaweed rich in iodine that has been used traditionally for thyroid concerns, weight, and skin.
Theoretically, concomitant use of Fucus vesiculosus with CYP2D6 substrates might alter the effects of these substrates.
Read the full Fucus Vesiculosus + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionGlucosamine Possible
What it is: Glucosamine is a natural compound found in cartilage and joint fluid, and it is one of the most popular supplements for osteoarthritis, espe...
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHempCannabis Sativa, cheungsam, fiber Hemp, +14 more Possible
What it is: Hemp seeds and hemp seed oil are nutritious foods rich in protein, fiber, and healthy omega-3 and omega-6 fatty acids, and they are generall...
Theoretically, hemp might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Hemp + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHoneyBeri Honey, blossom Honey, buckwheat Honey, +13 more Possible
What it is: Honey is a natural food with some real, modest evidence for easing coughs and helping certain wounds, especially when special medical-grade...
Theoretically, honey might decrease levels of drugs metabolized by CYP3A4, but research is conflicting.
Read the full Honey + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHopsHumulus Lupulus, asperge Sauvage, common Hops, +13 more Possible
What it is: Hops are most often used for sleep and mild anxiety, frequently combined with valerian, but the human evidence is limited and not very stron...
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Hops + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHordenineAnhalinine Possible
What it is: Hordenine is a natural alkaloid found in barley and some cacti that is marketed as a stimulant for energy, focus, and fat loss, but solid hu...
Hordenine weakly inhibits cytochrome P450 2D6 (CYP2D6) enzymes in vitro.
Read the full Hordenine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionKaraya GumBassora Tragacanth, goma Karaya, gomme Karaya, +14 more Possible
What it is: Karaya gum is a natural plant gum from the Sterculia tree that is mostly used as a bulk-forming laxative and as a thickener or adhesive in f...
Co-administration of oral drugs with bulk forming laxatives such as karaya gum may decrease, increase, or have no effect on the absorption of drugs.
Read the full Karaya Gum + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMarshmallowAlthaea Officinalis, altea, alteia, +16 more Possible
What it is: Marshmallow root is a traditional herb rich in soothing, gel-like fibers called mucilage, which is why it has long been used for coughs, sor...
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPassion FlowerPassiflora Incarnata, apricot Vine, burucuya, +18 more Possible
What it is: Passion flower is a traditional calming herb that many people use for anxiety and sleep.
Theoretically, passion flower might decrease the effects of CYP3A4 substrates.
Read the full Passion Flower + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPuravive Possible
What it is: Puravive is a branded, multi-ingredient capsule marketed mainly for weight loss by claiming to boost brown fat activity, but there is no pub...
Puravive contains Panax ginseng.
Read the full Puravive + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionRhodiolaRhodiola Rosea, arctic Root, golden Root, +12 more Possible
What it is: Rhodiola is an herb traditionally used to fight fatigue and help the body cope with stress.
Theoretically, rhodiola might increase levels of drugs metabolized by CYP1A2.
Read the full Rhodiola + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionVitamin DErgocalciferol, cholecalciferol Possible
What it is: Vitamin D is a fat-soluble vitamin that helps your body absorb calcium and is important for healthy bones, muscles, and immune function.
Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
Read the full Vitamin D + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionXanthan GumBacterial Polysaccharide, corn Sugar Gum, goma Xantana, +7 more Possible
What it is: Xanthan gum is a fermentation-made fiber widely used to thicken and stabilize foods and to thicken liquids for people with swallowing diffic...
Theoretically, xanthan gum can alter the absorption of oral drugs due to its fiber qualities.
Read the full Xanthan Gum + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionYerba MateIlex Paraguariensis, chimarrao, green Mate, +14 more Possible
What it is: Yerba mate is a caffeine-containing herbal beverage from South America that is widely enjoyed for its stimulating, coffee-like effects.
Theoretically, yerba mate might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Yerba Mate + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionAsian Water PlantainAlisma Plantago-aquatica, dong Fang Ze Xie, jilgyeongitaegsa, +6 more Unlikely
What it is: Asian water plantain (Ze Xie) is a rhizome long used in traditional Chinese medicine, mainly as a diuretic and for fluid retention.
Studies on animals have shown that Asian water plantain extract, which contains triterpenoids, is generally safe at doses up to 1440 mg/kg orally daily and does not cause harm to the body.
Read the full Asian Water Plantain + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCalabar BeanPhysostigma Venenosum, chop Nut, esere Nut, +7 more Unlikely
What it is: Calabar bean is a highly poisonous West African seed that contains physostigmine, a powerful cholinesterase inhibitor.
Theoretically, taking calabar bean might reduce the effects of anticholinergic drugs.
Read the full Calabar Bean + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionChrysin Unlikely
What it is: Chrysin is a plant flavonoid sold mainly as a bodybuilding supplement claimed to raise testosterone or block estrogen, but human studies hav...
Theoretically, chrysin might increase levels of drugs metabolized by CYP1A2.
Read the full Chrysin + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionDeanol2-dimethyl Aminoethanol, cyclohexylpropionate De Déanol, deaner, +9 more Unlikely
What it is: Deanol (DMAE) is a compound related to choline that is marketed for memory, focus, and mood, but solid human evidence for most of these uses...
Theoretically, deanol might decrease the effectiveness of anticholinergic drugs.
Read the full Deanol + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionDiindolylmethaneDim Unlikely
What it is: Diindolylmethane (DIM) is a compound made when your body digests cruciferous vegetables, and it is sold as a supplement mainly for hormone b...
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionHumann Superbeets Heart Chews Unlikely
What it is: SuperBeets Heart Chews are a beetroot- and grape-seed-based supplement marketed to support healthy blood flow, blood pressure, and nitric ox...
Each serving of HumanN SuperBeets includes 150mg of grape seed extract (2 chews).
Read the full Humann Superbeets Heart Chews + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionJequirityAbrus Precatorius, bead Vine, black-eyed Susan, +19 more Unlikely
What it is: Jequirity (Abrus precatorius) is a tropical plant whose bright red, black-tipped seeds contain abrin, one of the most toxic plant proteins k...
In vitro research shows that jequirity extract inhibits CYP3A4 enzymes.
Read the full Jequirity + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionMommy's Bliss Gripe Water Unlikely
What it is: Mommy's Bliss Gripe Water is a sugar-free, alcohol-free liquid made with fennel and ginger that parents use to soothe gassy, colicky, or fus...
Mommy's Bliss Gripe Water contains fennel seed.
Read the full Mommy's Bliss Gripe Water + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionPolypodium Leucotomos Unlikely
What it is: Polypodium leucotomos is a fern extract taken by mouth, mostly studied as an add-on to (not a replacement for) sunscreen and for certain lig...
Theoretically, Polypodium leucotomos might increase levels of drugs metabolized by CYP3A4.
Read the full Polypodium Leucotomos + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionRed CloverTrifolium Pratense, beebread, clovone, +17 more Unlikely
What it is: Red clover is a plant rich in isoflavones (plant compounds with weak estrogen-like activity) that is most often used for menopause symptoms...
Theoretically, red clover might increase levels of drugs metabolized by CYP1A2; however, a small clinical study found no effect.
Read the full Red Clover + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionRosemaryRosmarinus Officinalis, alecrim, compass Plant, +14 more Unlikely
What it is: Rosemary is a fragrant Mediterranean herb that is safe and flavorful in normal food amounts.
Theoretically, rosemary might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Rosemary + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionTangerine Unlikely
What it is: Tangerine is a sweet citrus fruit that is a good source of vitamin C and other nutrients, and is widely enjoyed as food.
In vitro, tangeretin, a constituent of tangerine, induces a 52% increase in the metabolism of midazolam by cytochrome P450 3A4 (CYP3A4).
Read the full Tangerine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionTheanine Unlikely
What it is: Theanine (usually L-theanine) is an amino acid found naturally in tea leaves that many people take to feel calmer and less stressed without...
Clinical studies regarding the effects of L-theanine on serotonin levels are conflicting.
Read the full Theanine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionTurpentine OilPinus Palustris, aceite De Trementina, essence De Térébenthine, +9 more Unlikely
What it is: Turpentine oil is a strong-smelling pine resin product used mostly in tiny amounts in topical rubs for muscle aches and congestion.
There is some concern that turpentine oil can inhibit CYP1A2 enzyme activity by up to 90% via induction of inflammation and subsequent downregulation of CYP activity.
Read the full Turpentine Oil + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr interactionCan You Take It With Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
One-line answers, one card per combination — scroll through today’s 20 and tap any card for the full report. A different set rotates in daily until every combination has had its turn.
Can you take Vitamin C with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. High-dose vitamin C might slightly prolong the clearance of acetaminophen.
Full Vitamin C + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Beet with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, beet might increase the levels of CYP3A4 substrates.
Full Beet + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Vitamin D with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
Full Vitamin D + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Cranberry with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
Full Cranberry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Aloe with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, aloe might decrease the levels and clinical effects of CYP1A2 substrates.
Full Aloe + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Thunder God Vine with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, thunder god vine might increase the levels and clinical effects of CYP1A2 substrates.
Full Thunder God Vine + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Thyme with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Full Thyme + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Tinospora Cordifolia with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, Tinospora cordifolia might increase levels of drugs metabolized by CYP2D6.
Full Tinospora Cordifolia + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Toothed Clubmoss with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. In animal models, toothed clubmoss and huperzine A, an active constituent of toothed clubmoss, reversed cognitive deficits induced by scopol...
Full Toothed Clubmoss + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Tragacanth with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, tragacanth might alter absorption of oral drugs.
Full Tragacanth + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Turmeric with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Full Turmeric + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Uva Ursi with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, uva ursi may decrease the metabolism of CYP3A4 substrates.
Full Uva Ursi + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Valerian with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Valerian might weakly inhibit glucuronidation and increase concentrations of drugs metabolized by UGT1A1 and UGT2B7.
Full Valerian + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Vitamin A with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, taking high doses of vitamin A in combination with other potentially hepatotoxic drugs might increase the risk of liver disea...
Full Vitamin A + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Vitamin E with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Full Vitamin E + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Wheatgrass with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Full Wheatgrass + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take White Pepper with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. In vitro evidence suggests that some constituents of white pepper inhibit cytochrome P450 2D6 (CYP2D6).
Full White Pepper + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Wild Cherry with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. In vitro research suggests that wild cherry can inhibit cytochrome P450 3A4 (CYP3A4) enzymes.
Full Wild Cherry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Wild Lettuce with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Studies report varying evidence on whether or not wild lettuce contains hyoscyamine, an anticholinergic drug.
Full Wild Lettuce + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerCan you take Winter Cherry with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. In vitro, winter cherry extract inhibited levels of cytochrome P450 2E1 (CYP2E1).
Full Winter Cherry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr answerWhat 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 entry links to a full report with the clinical detail, likelihood, evidence level, and citations for that exact combination.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
How Does Our Interaction Checker Work?
Behind every verdict on this page is a category system. Our source database doesn’t document supplement interactions drug-by-drug — it documents them against groups of medications that behave the same way (for example, “drugs processed by the CYP3A4 liver enzyme” or “blood-thinning medications”).
So the check works in three steps: (1) Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr is classified into the pharmacology categories it belongs to, (2) every supplement interaction documented against any of those categories is inherited by Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, and (3) each ingredient keeps its own severity, likelihood, and evidence grades from the underlying record. That’s why one supplement can carry several records for one drug — it may interact through more than one category.
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr sits in 17 interaction categories. Open any one to see what the group means:
Cytochrome P450 3A4 (Cyp3A4) Substrates 121 ingredients
A drug-metabolism group: these medications are processed by the named liver enzyme (a cytochrome P450). Supplements that speed this enzyme up or slow it down can lower or raise the medication's levels in your body.
121 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Cytochrome P450 1A2 (Cyp1A2) Substrates 79 ingredients
A drug-metabolism group: these medications are processed by the named liver enzyme (a cytochrome P450). Supplements that speed this enzyme up or slow it down can lower or raise the medication's levels in your body.
79 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Cytochrome P450 2D6 (Cyp2D6) Substrates 60 ingredients
A drug-metabolism group: these medications are processed by the named liver enzyme (a cytochrome P450). Supplements that speed this enzyme up or slow it down can lower or raise the medication's levels in your body.
60 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Hepatotoxic Drugs 38 ingredients
Medications with known liver considerations. Supplements that can stress the liver add to the load.
38 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Anticholinergic Drugs 30 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
30 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Cytochrome P450 2E1 (Cyp2E1) Substrates 24 ingredients
A drug-metabolism group: these medications are processed by the named liver enzyme (a cytochrome P450). Supplements that speed this enzyme up or slow it down can lower or raise the medication's levels in your body.
24 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Photosensitizing Drugs 20 ingredients
Medications that make skin more sun-sensitive. Supplements with the same property can compound it.
20 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Serotonergic Drugs 20 ingredients
Medications that raise serotonin activity. Combining them with serotonin-active supplements can, in rare cases, push serotonin too high.
20 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Oral Drugs 17 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
17 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Glucuronidated Drugs 12 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
12 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Dextromethorphan (Robitussin Dm, Others) 9 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
9 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Acetaminophen (Tylenol, Others) 8 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
8 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Nephrotoxic Drugs 6 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
6 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Seizure Threshold Lowering Drugs 6 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
6 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Cytochrome P450 2D6 (Cyp2D6) Inhibitors 3 ingredients
A drug-metabolism group: these medications are processed by the named liver enzyme (a cytochrome P450). Supplements that speed this enzyme up or slow it down can lower or raise the medication's levels in your body.
3 of the supplement ingredients on this page reach Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Cytochrome P450 1A2 (Cyp1A2) Substrates 1 ingredient
A drug-metabolism group: these medications are processed by the named liver enzyme (a cytochrome P450). Supplements that speed this enzyme up or slow it down can lower or raise the medication's levels in your body.
1 of the supplement ingredient on this page reaches Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Serotonergic Drugs 1 ingredient
Medications that raise serotonin activity. Combining them with serotonin-active supplements can, in rare cases, push serotonin too high.
1 of the supplement ingredient on this page reaches Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr through this category.
Related: does Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr deplete any nutrients?
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr has 1 reported nutrient association in the research literature — see the Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr nutrient depletion report.
Take a Supplement Product? Check the Whole Bottle Against Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr
Most supplements are combination products — and the interaction may come from an ingredient you didn’t buy it for. Search any product below (or scan its label) and we’ll check every ingredient on it against Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr.
Search a supplement product
Type a product name, brand, or UPC — smart search across our full catalog.
Grounded search over our product catalog — every verdict comes from our interaction database, never AI guesswork. How we use AI
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Products that contain Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr-interacting ingredients
Real supplements from the NIH label database that contain the top interacting ingredients on this page — each one is worth a full label check before combining with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr.
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr & Supplements: Common Questions
What supplements interact with Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Which Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr supplement interactions are the most serious?
Can I take vitamins or supplements while on Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Do brands like Vicks Formula 44M Cough, Cold & Flu Relief have the same supplement interactions as Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr?
Where do these interaction ratings come from?
Does Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr deplete any vitamins or nutrients?
What about Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr and my other medications?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Where This Data Comes From — and Why You Can Trust It
🧪 Licensed clinical database
Every interaction verdict on this page comes from Natural Medicines Pro (TRC Healthcare / Therapeutic Research) — the same evidence-graded reference used by pharmacists and hospitals. We license this data directly; we do not scrape it, and no AI invents an interaction.
🧑⚕️ Pharmacist review
This page is curated and coded by Dr. Brian Staiger, PharmD, BCPS, Clinical Pharmacist, with additional analysis by the HelloPharmacist Pharmacist Team. Editorial commentary is ours; the licensed interaction records are shown as sourced.
🔄 Kept current
Our interaction database refreshes on a weekly cycle, and this page re-checks the live database every time it’s rebuilt — what you see reflects the database as of September 24, 2026.
🔍 Full transparency
How every dataset on this site is sourced, licensed, and updated is documented publicly: our data sources · editorial policy · how we use AI.
Educational information, not medical advice. An interaction being on file does not mean it will happen to you — and absence of one is not proof of safety. Never start or stop a medication or supplement without talking to your pharmacist or doctor.