Atrantil Ingredients & Drug Interactions
by Atrantil
What is this page for?
First and foremost: checking Atrantil against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Atrantil is a dietary supplement by Atrantil with 3 active ingredients. Its ingredients are commonly taken for chronic venous insufficiency, leg swelling and heaviness, varicose veins.Based on those ingredients, 863 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Peppermint leaf (Mentha haplocalyx) extract, Horse Chestnut extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Atrantil by Atrantil
Ask about any prescription or over-the-counter medication and we check it for interactions with Atrantil by Atrantil — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of Atrantil by Atrantil
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Low disclosure
Atrantil contains three active ingredients in a proprietary blend: horse chestnut heartwood extract, quebracho heartwood extract, and peppermint leaf extract. Horse chestnut is used traditionally for vein health.
Peppermint has a track record in digestive comfort and nausea. Quebracho is included in the blend, though we hold limited data on it here.
The capsule itself is made from vegetable material, and the inactive ingredients are microcrystalline cellulose, magnesium stearate, and silicon dioxide.
Does it work?
Strong evidence
Peppermint leaf in Atrantil is likely effective for irritable bowel syndrome (IBS) and possibly effective for indigestion, nausea from chemotherapy, colon spasm during medical procedures, and side effects from endoscopy. Horse chestnut is possibly effective for chronic venous insufficiency (poor circulation in the legs) but hasn't shown reliable evidence for hemorrhoids, IBS, or kidney stones.
We don't have effectiveness data for quebracho in our system.
How safe is it?
Well-documented data
Horse chestnut seed extract that's been properly processed is generally well tolerated, but raw plant parts are toxic. Common side effects from the extract include dizziness, stomach upset, headache, and itching.
Rare cases of serious heart problems and calf spasms have been reported. Horse chestnut is not safe in pregnancy or while breastfeeding.
Peppermint leaf is likely safe during pregnancy and breastfeeding in food amounts, though concentrated supplements should be avoided without approval from your provider. Orally, peppermint is generally well tolerated, with occasional reports of stomach pain, anal burning, belching, diarrhea, dry mouth, heartburn, nausea, and vomiting.
One case of severe allergic reaction (anaphylaxis) to peppermint candy has been reported, and in large amounts, it can cause chemical burns.
Meds to double-check
Moderate interaction found
Before you start Atrantil, check your medications against these drug types: blood thinners and antiplatelet drugs (like warfarin, aspirin, clopidogrel); medications broken down by CYP3A4, CYP2C9, and CYP2C19 liver enzymes; and cyclosporine. These are the ones with documented Moderate interactions.
Use the medication checker on this page with your exact drug names.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with clinical evidence supporting its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Atrantil may help with IBS and digestion thanks to peppermint, and horse chestnut for leg circulation, but it's not right for everyone. If you take blood thinners, antiplatelet drugs, cyclosporine, or medications metabolized by your liver's CYP enzymes, check with your pharmacist first.
Avoid it if you're pregnant or breastfeeding. Talk to your pharmacist about whether this product fits your medicines and health situation.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Apr 25, 2019.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Atrantil, straight from the product label.
| Brand | Atrantil |
|---|---|
| Barcode (UPC) | 863594000142 |
| Net contents | 90 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Apr 25, 2019 |
| DSLD ID | 202128 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Atrantil by Atrantil, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 550 mg | -- |
| Quebracho (Quebracho colorado) Heartwood extract | 0 NP | -- |
| Horse Chestnut extract | 0 NP | -- |
| Peppermint leaf (Mentha haplocalyx) extract | 0 NP | -- |
Other ingredients: Microcrystalline Cellulose, Vegetable capsule, Magnesium Stearate, Silicon Dioxide
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
General Statements
A 1st First in class Atrantil is unlike any other product. It is a unique combination of polyphenol extracts that work together to relieve digestive issues and provide digestive support. Targeted treatment Atrantil targets the small bowel to provide relief where it is needed, where digestive issues begin. Intestinal support Atrantil reduces overall gut irritation and helps with gut motility. ORAC Powerful antioxidant combination Atrantil provides protection from cellular damage caused by oxidation. Everyday support Atrantil is ideal for every day, overall digestive support of both the small bowel and the colon. Gastroenterologist innovation Atrantil was developed by a board certified gastroenterologist for treatment of digestive issues.
Gastroenterologist developed Promotes overall digestive health
Relief From Occasional: Bloating Abdominal discomfort Change in bowel habits
90 capsules (275 mg) / 45 day supply
Facebook YouTube Twitter Pinterest
Ahh-tran-teal What makes Atrantil unique? Atrantil was researched and created by a board certified gastroenterologist to provide overall digestive health and successfully help those suffering from bloating and abdominal discomfort. Providing safe and reliable bowel support is our priority, and as shown through studies, Atrantil can deliver daily relief. Atrantil is a one of a kind botanical blend of polyphenols to help those suffering from bloating and abdominal discomfort while protecting overall digestive health. Complete digestive defense- Targets problem bacteria at its source, in the small bowel, and provides support for the colon. Stay healthy- Over 80% of the immune system is in the gut. Gut microflora balance is essential to good health. Atrantil contains essential flavonoids and polyphenols, helping the body maintain its balance.
Made in the USA in a cGMP and UL certified facility, Atrantil provides confidence. Learn more at Atrantil.com 100% satisfaction guarantee
Seals/Symbols
NSF Certified for Sport
FDA Statement of Identity
Dietary supplement
Formula
Contains: Tree nut.
Precautions
Contains: Tree nut.
Caution: Not to be taken by pregnant or nursing mothers or by anyone with an allergy to any of this product’s ingredients.
Caution: Not to be taken by pregnant or nursing mothers or by anyone with an allergy to any of this product’s ingredients.
Keep out of reach of children.
If you take other medications, please consult with your doctor or qualified health care professional before using Atrantil.
Formulation
Free Of: Milk, eggs, peanuts, gluten, soy, and shellfish.
Have confidence Atrantil is gluten-free, non GMO and Vegan delivering only the purest ingredients and best in manufacturing.
Have confidence Atrantil is gluten-free, non GMO and Vegan delivering only the purest ingredients and best in manufacturing.
Suggested/Recommended/Usage/Directions
Suggested Use: Take 2 capsules per day up to 3x per day, with food.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Atrantil by Atrantil label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Atrantil by Atrantil
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule Servings per container45 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Proprietary Blend
- › Quebracho (Quebracho colorado) Heartwood extract
- › Horse Chestnut extract
- › Peppermint leaf (Mentha haplocalyx) extract
Other (inactive) ingredients: Microcrystalline Cellulose, Vegetable capsule, Magnesium Stearate, Silicon Dioxide. These complete the product’s ingredient list but are not active constituents.
Atrantil by Atrantil Drug Interactions
HelloPharmacist Interaction Report
Atrantil contains three ingredients, and two of them have documented interactions with medications.
Horse chestnut extract carries a Moderate interaction with blood thinners and antiplatelet drugs (like warfarin, aspirin, and clopidogrel), where it may increase bleeding risk through its own antiplatelet effects — though this hasn't been proven in humans yet.
Read the full breakdown — every affected drug type, severity by severity
Peppermint leaf extract interacts with several drug-metabolizing enzymes in your liver. It may increase levels of medications broken down by CYP3A4, CYP2C9, and CYP2C19 enzymes (all Moderate severity), as well as cyclosporine, a common transplant drug.
A smaller concern (Minor) exists with CYP1A2 substrates, though a clinical study of peppermint tea and caffeine showed no real effect.
We could not check Quebracho heartwood extract — we hold no interaction data for it.
Altogether, these interactions span 851 individual medications. Use the checker below to see if any of your prescriptions are affected.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Atrantil?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Atrantil interact with 863 drugs. Click any drug to see the details.
2 of the 3 ingredients in Atrantil interact with drugs. Each result below shows which ingredient is responsible. Peppermint leaf (Mentha haplocalyx) extract Horse Chestnut extract
AvanafilStendra
How Avanafil interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Avanafil interactionAvapritinibAyvakit
How Avapritinib interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Avapritinib interactionAvatrombopag MaleateDoptelet
How Avatrombopag Maleate interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Avatrombopag Maleate interactionAxitinibInlyta
How Axitinib interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Axitinib interactionAzelastine Hydrochloride, Fluticasone PropionateDymista
How Azelastine Hydrochloride, Fluticasone Propionate interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Azelastine Hydrochloride, Fluticasone Propionate interactionAzilsartanEdarbi
How Azilsartan interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP2C9 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP2C9 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Azilsartan, Chlorthalidone interactionBazedoxifene Acetate, Conjugated EstrogensDuavee
How Bazedoxifene Acetate, Conjugated Estrogens interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Bazedoxifene Acetate, Conjugated Estrogens interactionBeclometasone DipropionateBecotide
How Beclometasone Dipropionate interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Beclometasone Dipropionate interactionBeclomethasoneBeclovent, Vanceril
How Beclomethasone interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Beclomethasone interactionBeclomethasone DipropionateQNASL, Qvar
How Beclomethasone Dipropionate interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Beclomethasone Dipropionate interactionBedaquilineSirturo
How Bedaquiline interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Bedaquiline interactionBelladonna Alkaloids, Chlorpheniramine, Phenylephrine, PhenylpropanolamineRespa ARM
How Belladonna Alkaloids, Chlorpheniramine, Phenylephrine, Phenylpropanolamine interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Belladonna Alkaloids, Chlorpheniramine, Phenylephrine, Phenylpropanolamine interactionBelladonna Alkaloids, Ergotamine Tartrate, PhenobarbitalBel Tabs, Bellamine-S, Bellaphen-S, Duragal S, Phenarbal S, Spastrin
How Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Caffeine, Ergotamine, PentobarbitalMicomp PB
How Belladonna, Caffeine, Ergotamine, Pentobarbital interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Belladonna, Caffeine, Ergotamine, Pentobarbital interactionBelladonna, Ergotamine Tartrate, Phenobarbital
How Belladonna, Ergotamine Tartrate, Phenobarbital interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Belladonna, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Ergotamine, PhenobarbitalBellergal-S
How Belladonna, Ergotamine, Phenobarbital interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Belladonna, Ergotamine, Phenobarbital interactionBellafoline, Caffeine, Ergotamine Tartrate, PentobarbitalCafergot PB
How Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital interactionBelumosudil MesylateRezurock
How Belumosudil Mesylate interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Belumosudil Mesylate interactionBelzutifanWelireg
How Belzutifan interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 2c19 (cyp2c19) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP2C19 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Belzutifan interactionBenzhydrocodone, AcetaminophenApadaz
How Benzhydrocodone, Acetaminophen interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Benzhydrocodone, Acetaminophen interactionBepridilVascor
How Bepridil interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Bepridil interactionBetrixabanBevyxxa
How Betrixaban interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Horse Chestnut ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Horse chestnut may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Horse Chestnut Extract + Betrixaban interactionBexaroteneTargretin
How Bexarotene interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Bexarotene interactionBictegravir, Emtricitabine, Tenofovir AlafenamideBiktarvy
How Bictegravir, Emtricitabine, Tenofovir Alafenamide interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Bictegravir, Emtricitabine, Tenofovir Alafenamide interactionBivalirudinAngiomax, Angiomax Rtu, Angiox
How Bivalirudin interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Horse Chestnut ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Horse chestnut may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Horse Chestnut Extract + Bivalirudin interactionBoceprevirVictrelis
How Boceprevir interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Boceprevir interactionBosentanTracleer
How Bosentan interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP2C9 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Bosentan interactionBosutinibBosulif
How Bosutinib interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Bosutinib interactionBrentuximab VedotinAdcetris
How Brentuximab Vedotin interacts with Atrantil — through 1 ingredient. Tap an ingredient for the detail:
Peppermint Leaf (mentha Haplocalyx) ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf (mentha Haplocalyx) Extract + Brentuximab Vedotin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Atrantil with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Peppermint leaf (Mentha haplocalyx) extract
Cyclosporine (Neoral, Sandimmune)
Theoretically, peppermint oil might increase the levels and adverse effects of cyclosporine.
In animal research, peppermint oil inhibits cyclosporine metabolism and increases cyclosporine levels. Inhibition of cytochrome P450 3A4 (CYP3A4) may be partially responsible for this interaction. An interaction between peppermint oil and cyclosporine has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, peppermint might increase the levels of CYP2C19 substrates.
In vitro research shows that peppermint oil inhibits CYP2C19. So far, this interaction has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, peppermint might increase the levels of CYP2C9 substrates.
In vitro research shows that peppermint oil inhibits CYP2C9. So far, this interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Clinical research in healthy volunteers shows that a single dose of peppermint oil 600 mg inhibits CYP3A4 enzymes and increases the AUC of felodipine, a CYP3A4 substrate. However, in vitro research suggests that peppermint oil only inhibits CYP3A4 at very high concentrations.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
In vitro and animal research shows that peppermint oil and peppermint leaf inhibit CYP1A2. However, in clinical research, peppermint tea did not significantly affect the metabolism of caffeine, a CYP1A2 substrate. It is possible that the 6-day duration of treatment may have been too short to identify a difference.
Horse Chestnut extract
Anticoagulant/Antiplatelet Drugs
Horse chestnut may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Horse chestnut contains the constituent esculin which has been shown to have antithrombotic effects. Therefore, horse chestnut might have antiplatelet effects. This has not been shown in humans.
Brand information
Manufacturer and brand details for Atrantil, from the product label.
Atrantil
See all Atrantil products- Name
- KBS Research, Inc.
- Street Address
- 15770 N. Dallas Parkway Suite 550
- City
- Dallas
- State
- TX
- ZipCode
- 75248
- Phone Number
- 214-984-3724
- Web Address
- www.Atrantil.com
Atrantil by Atrantil: Common Questions
Does Atrantil by Atrantil interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is Atrantil safe to take while pregnant or breastfeeding?
What's horse chestnut actually used for?
Does peppermint really help with IBS?
What side effects might I get from Atrantil?
What is quebracho in this supplement?
Can I take Atrantil if I'm on a blood thinner?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Atrantil is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Atrantil’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Horse Chestnut
Interacts with 122 drugsHorse chestnut seed extract is most often used for chronic venous insufficiency, where standardized products may help reduce leg swelling, pain, and heaviness. Raw, unprocessed horse chestnu...
Read the full Horse Chestnut monograph → Herb & supplement monographPeppermint
Interacts with 798 drugsPeppermint is a popular herb with the best evidence supporting enteric-coated peppermint oil for easing IBS symptoms. It is generally well tolerated for most adults, but it can cause heartbu...
Read the full Peppermint monograph →Sources & How We Checked
Atrantil's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 62 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Horse Chestnut 21 references
- Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
- Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Greeske K, Pohlmann BK. Horse chestnut seed extract-an effective therapy principle in general practice. Drug therapy of chronic venous insufficiency. Fortschr Med 1996;114:196-200.
- Robbers JE, Tyler VE. Tyler's Herbs of Choice: The Therapeutic Use of Phytomedicinals. New York, NY: The Haworth Herbal Press, 1999.
- Takegoshi K, Tohyama T, Okuda K, et al. A case of Venoplant-induced hepatic injury. Gastroenterol Jpn 1986;21:62-5.
- Jaspersen-Schib R, Theus L, Guirguis-Oeschger M, et al. [Serious plant poisonings in Switzerland 1966-1994. Case analysis from the Swiss Toxicology Information Center]. Schweiz Med Wochenschr 1996;126:1085-98.
- Popp W, Horak F, Jager S, et al. Horse chestnut (Aesculus hippocastanum) pollen: a frequent cause of allergic sensitization in urban children. Allergy 1992;47:380-3.
- Diaz-Perales A, Collada C, Blanco C, et al. Cross-reactions in the latex-fruit syndrome: A relevant role of chitinases but not of complex asparagine-linked glycans. J Allergy Clin Immunol 1999;104:681-7. PubMed
- Blanco C, Diaz-Perales A, Collada C, et al. Class I chitinases as potential panallergens involved in the latex-fruit syndrome. J Allergy Clin Immunol 1999;103:507-13. PubMed
- Comaish JS, Kersey PJ. Contact dermatitis to extract of horse chestnut (esculin). Contact Dermatitis 1980;6:150-1. PubMed
- Pittler MH, Ernst E. Horse chestnut seed extract for chronic venous insufficiency (Cochrane Review). In: The Cochrane Library, Issue 3, 2004. Chichester, UK: John Wiley & Sons, Ltd. PubMed
- Ottillinger, B. and Greeske, K. Rational therapy of chronic venous insufficiency--chances and limits of the therapeutic use of horse-chestnut seeds extract. BMC.Cardiovasc.Disord. 2001;1(1):5. PubMed
- Pittler, M. H. and Ernst, E. Horse chestnut seed extract for chronic venous insufficiency. Cochrane.Database.Syst.Rev. 2004;(2):CD003230. PubMed
- Fang, Y., Zhao, L., Yan, F., Xia, X., Xu, D., and Cui, X. Escin improves sperm quality in male patients with varicocele-associated infertility. Phytomedicine. 2010;17(3-4):192-196. PubMed
- De Smet, P. A., Van den Eertwegh, A. J., Lesterhuis, W., and Stricker, B. H. Hepatotoxicity associated with herbal tablets. BMJ 7-13-1996;313(7049):92.
- Rehn, D., Unkauf, M., Klein, P., Jost, V., and Lucker, P. W. Comparative clinical efficacy and tolerability of oxerutins and horse chestnut extract in patients with chronic venous insufficiency. Arzneimittelforschung 1996;46(5):483-487.
- Edem E, Kahyaoglu B, Çakar MA. Acute Effusive Pericarditis due to Horse Chestnut Consumption. Am J Case Rep. 2016;17:305-8. PubMed
- Costa Santos D, Lérias G, Madruga I. Drug-induced Liver Injury Due to a Horse Chestnut Dietary Supplement. Eur J Case Rep Intern Med 2021;8(3):002389. PubMed
- Yi HY, Lee JY. Poisoning due to consumption of horse chestnut seed. Clin Exp Emerg Med 2021;8(4):333-335. PubMed
Peppermint 41 references
- Liu JH, Chen GH, Yeh HZ, et al. Enteric-coated peppermint-oil capsules in the treatment of irritable bowel syndrome: a prospective, randomized trial. J Gastroenterol 1997;32:765-8. PubMed
- Pittler MH, Ernst E. Peppermint oil for irritable bowel syndrome: a critical review and metaanalysis. Am J Gastroenterol 1998;93:1131-5. PubMed
- Kline RM, Kline JJ, Di Palma J, Barbero GJ. Enteric-coated, pH-dependent peppermint oil capsules for the treatment of irritable bowel syndrome in children. J Pediatr 2001;138:125-8. PubMed
- Madisch A, Heydenreich CJ, Wieland V, et al. Treatment of functional dyspepsia with a fixed peppermint oil and caraway oil combination preparation as compared to cisapride. A multicenter, reference-controlled, double-blind equivalence study. Arzneimittel
- May B, Kuntz HD, Kieser M, Kohler S. Efficacy of a fixed peppermint oil/caraway oil combination in non-ulcer dyspepsia. Arzneimittelforschung 1996;46:1149-53.
- Micklefield GH, Greving I, May B. Effects of peppermint oil and caraway oil on gastroduodenal motility. Phytother Res 2000;14:20-3. DOI
- Morton CA, Garioch J, Todd P, et al. Contact sensitivity to menthol and peppermint in patients with intra-oral symptoms. Contact Dermatitis 1995;32:281-4. PubMed
- May B, Kohler S, Schneider B. Efficacy and tolerability of a fixed combination of peppermint oil and caraway oil in patients suffering from functional dyspepsia. Aliment Pharmacol Ther 2000;14:1671-7. PubMed
- Nash P, Gould SR, Bernardo DE. Peppermint oil does not relieve the pain of irritable bowel syndrome. Br J Clin Pract 1986;40:292-3. DOI
- Rees WD, Evans BK, Rhodes J. Treating irritable bowel syndrome with peppermint oil. Br Med J 1979;2:835-6. PubMed
- Davies SJ, Harding LM, Baranowski AP. A novel treatment of postherpetic neuralgia using peppermint oil. Clin J Pain 2002;18:200-2. PubMed
- Weston CF. Anal burning and peppermint oil. Postgrad Med J 1987;63:717. PubMed
- Dresser GK, Wacher V, Wong S, et al. Evaluation of peppermint oil and ascorbyl palmitate as inhibitors of cytochrome P4503A4 activity in vitro and in vivo. Clin Pharmacol Ther 2002;72:247-55. PubMed
- Wacher VJ, Wong S, Wong HT. Peppermint oil enhances cyclosporine oral bioavailability in rats: comparison with D-alpha-tocopheryl poly(ethylene glycol 1000) succinate (TPGS) and ketoconazole. J Pharm Sci 2002;91:77-90.
- Lawson MJ, Knight RE, Tran K, et al. Failure of enteric-coated peppermint oil in the irritable bowel syndrome: a randomized double-blind crossover study. J Gastroenterol Hepatol 1988;3:235-8. DOI
- Unger M, Frank A. Simultaneous determination of the inhibitory potency of herbal extracts on the activity of six major cytochrome P450 enzymes using liquid chromatography/mass spectrometry and automated online extraction. Rapid Commun Mass Spectrom 2004;1 PubMed
- Maliakal PP, Wanwimolruk S. Effect of herbal teas on hepatic drug metabolizing enzymes in rats. J Pharm Pharmacol 2001;53:1323-9. PubMed
- Rogers SN, Pahor AL. A form of stomatitis induced by excessive peppermint consumption. Dent Update 1995;22:36-7.
- Cappello G, Spezzaferro M, Grossi L, et al. Peppermint oil (Mintoil) in the treatment of irritable bowel syndrome: a prospective double blind placebo-controlled randomized trial. Dig Liver Dis 2007;39:530-6. PubMed
- Moghadam BK, Gier R, and Thurlow T. Extensive oral mucosal ulcerations caused by misuse of a commercial mouthwash. Cutis 1999;64:131-134.
- Andersen, K. E. Contact allergy to toothpaste flavors. Contact Dermatitis 1978;4(4):195-198. PubMed
- Barnard, D. R. Repellency of essential oils to mosquitoes (Diptera: Culicidae). J Med Entomol. 1999;36(5):625-629. PubMed
- Tamir, S., Davidovich, Z., Attal, P., and Eliashar, R. Peppermint oil chemical burn. Otolaryngol.Head Neck Surg. 2005;133(5):801-802. PubMed
- Kalavala, M., Hughes, T. M., Goodwin, R. G., Anstey, A. V., and Stone, N. M. Allergic contact dermatitis to peppermint foot spray. Contact Dermatitis 2007;57(1):57-58. PubMed
- Vermaat, H., van Meurs, T., Rustemeyer, T., Bruynzeel, D. P., and Kirtschig, G. Vulval allergic contact dermatitis due to peppermint oil in herbal tea. Contact Dermatitis 2008;58(6):364-365. PubMed
- Merat, S., Khalili, S., Mostajabi, P., Ghorbani, A., Ansari, R., and Malekzadeh, R. The effect of enteric-coated, delayed-release peppermint oil on irritable bowel syndrome. Dig.Dis.Sci. 2010;55(5):1385-1390. PubMed
- Tran, A., Pratt, M., and DeKoven, J. Acute allergic contact dermatitis of the lips from peppermint oil in a lip balm. Dermatitis 2010;21(2):111-115. DOI
- Hitz, Lindenmuller, I and Lambrecht, J. T. Oral care. Curr Probl.Dermatol 2011;40:107-115.
- Shavakhi, A., Ardestani, S. K., Taki, M., Goli, M., and Keshteli, A. H. Premedication with peppermint oil capsules in colonoscopy: a double blind placebo-controlled randomized trial study. Acta Gastroenterol Belg 2012;75(3):349-353.
- Lech, Y., Olesen, K. M., Hey, H., Rask-Pedersen, E., Vilien, M., and Ostergaard, O. [Treatment of irritable bowel syndrome with peppermint oil. A double- blind study with a placebo]. Ugeskr.Laeger 10-3-1988;150(40):2388-2389.
- Parys, B. T. Chemical burns resulting from contact with peppermint oil mar: a case report. Burns Incl.Therm.Inj. 1983;9(5):374-375. PubMed
- Bayat R, Borici-Mazi R. A case of anaphylaxis to peppermint. Allergy Asthma Clin Immunol. 2014;10(1):6. PubMed
- Rich G, Shah A, Koloski N, et al. A randomized placebo-controlled trial on the effects of Menthacarin, a proprietary peppermint- and caraway-oil-preparation, on symptoms and quality of life in patients with functional dyspepsia. Neurogastroenterol Motil 2 PubMed
- Douros A, Bronder E, Andersohn F, et al. Herb-Induced Liver Injury in the Berlin Case-Control Surveillance Study. Int J Mol Sci 2016;17(1). PubMed
- Begas E, Tsioutsiouliti A, Kouvaras E, et al. Effects of peppermint tea consumption on the activities of CYP1A2, CYP2A6, Xanthine Oxidase, N-acetyltranferase-2 and UDP-glucuronosyltransferases-1A1/1A6 in healthy volunteers. Food Chem Toxicol 2017;100:80-9 PubMed
- Cash BD, Epstein MS, Shah SM. A Novel Delivery System of Peppermint Oil Is an Effective Therapy for Irritable Bowel Syndrome Symptoms. Dig Dis Sci 2016;61(2):560-71. PubMed
- Elsaie LT, El Mohsen AM, Ibrahim IM, Mohey-Eddin MH, Elsaie ML. Effectiveness of topical peppermint oil on symptomatic treatment of chronic pruritus. Clin Cosmet Investig Dermatol 2016;9:333-8. PubMed
- Wu J, Xu R, Zhan R, et al. Effective symptomatic treatment for severe and intractable pruritus associated with severe burn-induced hypertrophic scars: A prospective, multicenter, controlled trial. Burns 2016;42(5):1059-66. PubMed
- Weerts ZZRM, Masclee AAM, Witteman BJM, et al. Efficacy and safety of peppermint oil in a randomized, double-blind trial of patients with irritable bowel syndrome. Gastroenterology. 2020;158(1):123-136. PubMed
- Nee J, Ballou S, Kelley JM, et al. Peppermint Oil Treatment for Irritable Bowel Syndrome: A Randomized Placebo-Controlled Trial. Am J Gastroenterol 2021;116(11):2279-2285. PubMed
- Ingrosso MR, Ianiro G, Nee J, et al. Systematic review and meta-analysis: efficacy of peppermint oil in irritable bowel syndrome. Aliment Pharmacol Ther 2022;56(6):932-41. PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC