Birch Bark 450 mg 4:1 Extract Ingredients & Drug Interactions
by TerraVita Premium Collection
What is this page for?
First and foremost: checking Birch Bark 450 mg 4:1 Extract 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
Birch Bark 450 mg 4:1 Extract is a dietary supplement by TerraVita Premium Collection with 1 active ingredient. Its ingredients are commonly taken for urinary tract and 'flushing' support, joint pain and arthritis, mild fluid retention (diuretic).Based on those ingredients, 75 medications have a known interaction with it, the most serious rated minor. The ingredients most likely to interact are Birch Bark Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Birch Bark 450 mg 4:1 Extract by TerraVita Premium Collection
Ask about any prescription or over-the-counter medication and we check it for interactions with Birch Bark 450 mg 4:1 Extract by TerraVita Premium Collection — 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
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HelloPharmacist Scorecard of Birch Bark 450 mg 4:1 Extract by TerraVita Premium Collection
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
Full disclosure
This product contains one active ingredient: birch bark extract, a concentrated form of birch bark in a 4:1 ratio. The capsule itself is made from gelatin and water, which are inactive ingredients that help deliver the extract.
Does it work?
Couldn't assess
The evidence for birch bark in treating joint pain, hair loss (alopecia), and dandruff is insufficient to rate — meaning we don't have reliable data showing whether it works for these uses. That doesn't mean it doesn't work; it means the studies aren't there yet to prove it does.
How safe is it?
Well-documented data
Birch bark extract is generally well tolerated in amounts you'd get from food, though allergy and product-quality concerns warrant caution. Birch and birch pollen can trigger allergic reactions in some people, and a case of allergic contact dermatitis has been reported from topical birch bark extract cream.
The safety data advises against birch supplements during pregnancy and breastfeeding, so if you're pregnant or nursing, talk with your doctor or pharmacist before taking this.
Meds to double-check
Minor interactions only
Double-check any diuretic drugs (water pills) you take before starting this product — birch bark extract may interfere with how they work. No other medication interactions are documented for the ingredient we could check.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Only minor medication interactions are documented, and safety information is well characterized.
Birch Bark by TerraVita may be worth trying if you're interested in herbal joint support and have no known birch pollen allergy — but the evidence for its effectiveness isn't established. Check your diuretic medications on this page first, and confirm with your doctor or pharmacist before you start, especially if you're pregnant, breastfeeding, or prone to allergies.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Apr 21, 2023.
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 Birch Bark 450 mg 4:1 Extract, straight from the product label.
| Brand | TerraVita Premium Collection |
|---|---|
| Barcode (UPC) | 064435191870 |
| Net contents | 100 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Apr 21, 2023 |
| DSLD ID | 287732 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Birch Bark 450 mg 4:1 Extract by TerraVita Premium Collection, sourced from the NIH Dietary Supplement Label Database.
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.
FDA Statement of Identity
A Dietary Supplement
Brand IP Statement(s)
Copyright 2017 TerraVita - Distributed by ZooScape LLC, All Rights Reserved.
Suggested/Recommended/Usage/Directions
Directions Take 1 capsule, 3 times daily, with meals.
General Statements
TerraVita is an exclusive line of premium natural products that use the finest, purest and most potent ingredients in the world. TerraVita's hallmarks are the highest possible standards of purity, potency, stability and freshness. All products are prepared with the greatest quality control, from raw materials through the entire manufacturing process, right up to the moment your product is sealed for freshness and shipped to you.
Please recycle!
FDA Disclaimer Statement
Statements not evaluated by FDA. Product 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.
Birch Bark 450 mg 4:1 Extract by TerraVita Premium Collection 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 Birch Bark 450 mg 4:1 Extract by TerraVita Premium Collection
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container100 Amounts shown are per serving.
Birch Bark Extract
Interacts with75 drugs
Birch is a tree whose leaves, bark, and sap are used in traditional remedies, most often as a mild diuretic or for joint and urinary complaints. Solid...
Birch Bark Extract monograph & interactionsOther (inactive) ingredients: Gelatin, Water. These complete the product’s ingredient list but are not active constituents.
Birch Bark 450 mg 4:1 Extract by TerraVita Premium Collection Drug Interactions
HelloPharmacist Interaction Report
Birch Bark 450 mg 4:1 Extract by TerraVita Premium Collection has documented interactions with one medication type.
Birch bark extract may theoretically interfere with how diuretic drugs (water pills) work — a Minor interaction. If you take a diuretic for blood pressure or fluid buildup, run it through the checker on this page before you start birch, and let your doctor or pharmacist know you're considering it.
Read the full breakdown — every affected drug type, severity by severity
Additionally, we hold no documented interactions with other common medications. Altogether, these interactions span 75 individual medications.
Use the search tool below to confirm your specific prescriptions aren't affected.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Birch Bark 450 mg 4:1 Extract?
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 Birch Bark 450 mg 4:1 Extract interact with 75 drugs. Click any drug to see the details.
1 of the 1 ingredient in Birch Bark 450 mg 4:1 Extract interact with drugs. Each result below shows which ingredient is responsible. Birch Bark Extract
Acetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Acetaminophen, Pamabrom, Pyrilamine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Acetazolamide interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Amiloride, Hydrochlorothiazide interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Ammonium Chloride interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Atenolol, Chlorthalidone interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Azilsartan, Chlorthalidone interactionBenazepril, HydrochlorothiazideLotensin HCT
How Benazepril, Hydrochlorothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Benazepril, Hydrochlorothiazide interactionBendroflumethiazideAprinox, Naturetin, Neo-NaClex
How Bendroflumethiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Bendroflumethiazide interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Bendroflumethiazide, Nadolol interactionBendroflumethiazide, PotassiumCentyl K, Neo-NaClex-K
How Bendroflumethiazide, Potassium interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Bendroflumethiazide, Potassium interactionBendroflumethiazide, Rauwolfia SerpentinaRauzide
How Bendroflumethiazide, Rauwolfia Serpentina interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Bendroflumethiazide, Rauwolfia Serpentina interactionBenzthiazideExna
How Benzthiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Benzthiazide interactionBisoprolol, HydrochlorothiazideZiac
How Bisoprolol, Hydrochlorothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Bisoprolol, Hydrochlorothiazide interactionBumetanideBurinex
How Bumetanide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Bumetanide interactionBumetanide, PotassiumBurinex K
How Bumetanide, Potassium interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Bumetanide, Potassium interactionCaffeine, Potassium Salicylate, SalicylamideTrim-Elim
How Caffeine, Potassium Salicylate, Salicylamide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Caffeine, Potassium Salicylate, Salicylamide interactionCandesartan Cilexetil, HydrochlorothiazideAtacand HCT
How Candesartan Cilexetil, Hydrochlorothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Candesartan Cilexetil, Hydrochlorothiazide interactionCaptopril, HydrochlorothiazideAcezide, Capozide
How Captopril, Hydrochlorothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Captopril, Hydrochlorothiazide interactionChlorothiazideDiuril
How Chlorothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Chlorothiazide interactionChlorothiazide, MethyldopaAldochlor, Aldoclor 150, Aldoclor 250
How Chlorothiazide, Methyldopa interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Chlorothiazide, Methyldopa interactionChlorothiazide, ReserpineDiupres
How Chlorothiazide, Reserpine interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Chlorothiazide, Reserpine interactionChlorthalidoneHygroton, Thalitone
How Chlorthalidone interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Chlorthalidone interactionChlorthalidone, ClonidineClorpres, Combipres
How Chlorthalidone, Clonidine interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Chlorthalidone, Clonidine interactionCryptenamine, MethyclothiazideDiutensen
How Cryptenamine, Methyclothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Cryptenamine, Methyclothiazide interactionCyclothiazideAnhydron, Fluidil
How Cyclothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Cyclothiazide interactionDeserpidine, HydrochlorothiazideOreticyl, Oreticyl Forte
How Deserpidine, Hydrochlorothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Deserpidine, Hydrochlorothiazide interactionDeserpidine, MethyclothiazideEnduronyl, Enduronyl Forte
How Deserpidine, Methyclothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Deserpidine, Methyclothiazide interactionEnalapril Maleate, HydrochlorothiazideVaseretic
How Enalapril Maleate, Hydrochlorothiazide interacts with Birch Bark 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract + Enalapril Maleate, Hydrochlorothiazide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Birch Bark 450 mg 4:1 Extract with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Birch Bark Extract
Diuretic Drugs
Theoretically, birch might interfere with diuretic therapy.
Brand information
Manufacturer and brand details for Birch Bark 450 mg 4:1 Extract, from the product label.
TerraVita Premium Collection
See all TerraVita Premium Collection products- Name
- TerraVita Fine Whole Herbs
- City
- Brampton
- State
- Ontario
Birch Bark 450 mg 4:1 Extract by TerraVita Premium Collection: Common Questions
Does Birch Bark 450 mg 4:1 Extract by TerraVita Premium Collection interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm pregnant or breastfeeding?
Who shouldn't take birch bark?
Does this actually work for joint pain or hair loss?
What's in this besides birch?
Can birch extract cause a reaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Birch Bark 450 mg 4:1 Extract 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 Birch Bark 450 mg 4:1 Extract’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Birch Bark 450 mg 4:1 Extract'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 4 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.
Birch 4 references
- Robbers JE, Tyler VE. Tyler's Herbs of Choice: The Therapeutic Use of Phytomedicinals. New York, NY: The Haworth Herbal Press, 1999.
- Lahti, A. and Hannuksela, M. Immediate contact allergy to birch leaves and sap. Contact Dermatitis 1980;6(7):464-465. PubMed
- Allam JP, Wuestenberg E, Wolf H, et al. Immunologic response and safety in birch pollen sublingual versus oral vestibule immunotherapy: a pilot study. J Allergy Clin Immunol. 2014;133(6):1757-9.e3. PubMed
- Meyer-Hoffert U, Brasch J. Allergic contact dermatitis caused by betulin-containing triterpene extract from the outer bark of birch (Betula alba). Contact Dermatitis. 2013;68(6):382-3.
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