Birch Betula alba Ingredients & Drug Interactions
by Hawaii Pharm
What is this page for?
First and foremost: checking Birch Betula alba 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 Betula alba is a dietary supplement by Hawaii Pharm 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, Dry. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Birch Betula alba by Hawaii Pharm
Ask about any prescription or over-the-counter medication and we check it for interactions with Birch Betula alba by Hawaii Pharm — 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 Betula alba by Hawaii Pharm
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 (Betula alba). Birch has been used traditionally for various purposes, though the evidence supporting those uses isn't established in the data we hold.
The liquid also includes alcohol, water, and glycerin as inactive ingredients to preserve and deliver the extract.
Does it work?
Couldn't assess
We don't have reliable evidence to rate birch bark extract for joint pain, alopecia (hair loss), or dandruff — the conditions it's marketed for. That doesn't mean it doesn't work, just that the scientific evidence we hold is insufficient to say either way.
How safe is it?
Well-documented data
Birch is generally well tolerated in food-like amounts, but quality and allergic reaction concerns warrant caution. Birch and birch pollen can trigger allergies in sensitive people.
There's also a documented case of allergic contact dermatitis (skin irritation) from a birch bark extract cream, linked to the compound betulin — and fresh birch leaves or sap may cause the same reaction on skin. The safety data advises against use during pregnancy, and it's best avoided while breastfeeding as well, since safety hasn't been established in that setting.
Meds to double-check
Minor interactions only
If you take diuretic drugs (water pills), check with your doctor or pharmacist before starting — birch may theoretically interfere with how they work.
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 extract is generally well tolerated but has limited evidence for the conditions it's used for. If you have a birch pollen allergy or sensitive skin, take extra caution.
Anyone taking diuretics should check with their doctor or pharmacist before starting this product. Pregnant or breastfeeding — talk it over with your doctor or pharmacist first.
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 Oct 24, 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 Betula alba, straight from the product label.
| Brand | Hawaii Pharm |
|---|---|
| Barcode (UPC) | 840253606495 |
| Net contents | 4 Fluid Ounce(s); 120 mL |
| Market status | On market |
| Date entered into DSLD | Oct 24, 2023 |
| DSLD ID | 301270 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten 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 Birch Betula alba by Hawaii Pharm, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Birch Bark Extract, Dry | 983 mg | -- |
Other ingredients: Alcohol, Water, Glycerin
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.
Brand IP Statement(s)
Hawaii Pharm Herbal Extract Highest quality since 2008
Suggested/Recommended/Usage/Directions
Suggested use: Shake well before using. For adults add about 20-30 drops (0.7-1 mL, one full squeeze of the dropper bulb) to some juice or water, up to 4 times a day.
Precautions
Warning: We recommend to seek expert medical advice before taking.
Do not use if you are allergic to any ingredients.
Consult your physician before giving to children under 18, during pregnancy, if nursing or taking medications.
Consult your physician before giving to children under 18, during pregnancy, if nursing or taking medications.
May affect the ability to drive and operate machinery. May have contraindications, can cause side effects and adverse reactions. Do not use if seal is broken or missing.
Keep out of the reach of children!
Storage
Store in a cool dry place.
Seals/Symbols
cGMP Made in compliance with cGMP 21 CFR 111 in an FDA registered and inspected facility.
Organic Alcohol Based USA Made in United States of America
FDA Disclaimer Statement
This product has not been evaluated by the FDA and is not intended to diagnose, treat, cure or prevent any disease.
General Statements
Scan this QR-code to get 15% discount on your next purchase. Limited time deal.
Formula
Betula alba
Organic Alcohol Based
Formulation
Only natural ingredients Purity is laboratory tested and verified
All the raw materials are gluten-free by their nature No artificial colors, flavors, or preservatives
Not tested on animals
Organic Alcohol Based
Made in USA, Hawaii
FDA Statement of Identity
Herbal Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Birch Betula alba by Hawaii Pharm 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 Betula alba by Hawaii Pharm
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size0.7 mL Dosage formLiquid Servings per container120 Amounts shown are per serving.
Birch Bark Extract, Dry
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, Dry monograph & interactionsOther (inactive) ingredients: Alcohol, Water, Glycerin. These complete the product’s ingredient list but are not active constituents.
Birch Betula alba by Hawaii Pharm Drug Interactions
HelloPharmacist Interaction Report
Hawaii Pharm's Birch Betula alba is a single-ingredient liquid extract that has one documented drug interaction.
Birch bark extract may theoretically interfere with diuretic drugs (water pills) — a Minor interaction that could affect how well these medications work to remove fluid from your body.
Read the full breakdown — every affected drug type, severity by severity
No interactions are documented with other medication types in our data. That said, we held interaction data for only this one ingredient, so if you take any prescription medications, run them through the search tool on this page before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Birch Betula alba?
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 Betula alba interact with 75 drugs. Click any drug to see the details.
1 of the 1 ingredient in Birch Betula alba interact with drugs. Each result below shows which ingredient is responsible. Birch Bark Extract, Dry
Acetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Acetaminophen, Pamabrom, Pyrilamine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Acetazolamide interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Amiloride, Hydrochlorothiazide interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Ammonium Chloride interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Atenolol, Chlorthalidone interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Azilsartan, Chlorthalidone interactionBenazepril, HydrochlorothiazideLotensin HCT
How Benazepril, Hydrochlorothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Benazepril, Hydrochlorothiazide interactionBendroflumethiazideAprinox, Naturetin, Neo-NaClex
How Bendroflumethiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Bendroflumethiazide interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Bendroflumethiazide, Nadolol interactionBendroflumethiazide, PotassiumCentyl K, Neo-NaClex-K
How Bendroflumethiazide, Potassium interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Bendroflumethiazide, Potassium interactionBendroflumethiazide, Rauwolfia SerpentinaRauzide
How Bendroflumethiazide, Rauwolfia Serpentina interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Bendroflumethiazide, Rauwolfia Serpentina interactionBenzthiazideExna
How Benzthiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Benzthiazide interactionBisoprolol, HydrochlorothiazideZiac
How Bisoprolol, Hydrochlorothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Bisoprolol, Hydrochlorothiazide interactionBumetanideBurinex
How Bumetanide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Bumetanide interactionBumetanide, PotassiumBurinex K
How Bumetanide, Potassium interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Bumetanide, Potassium interactionCaffeine, Potassium Salicylate, SalicylamideTrim-Elim
How Caffeine, Potassium Salicylate, Salicylamide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Caffeine, Potassium Salicylate, Salicylamide interactionCandesartan Cilexetil, HydrochlorothiazideAtacand HCT
How Candesartan Cilexetil, Hydrochlorothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Candesartan Cilexetil, Hydrochlorothiazide interactionCaptopril, HydrochlorothiazideAcezide, Capozide
How Captopril, Hydrochlorothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Captopril, Hydrochlorothiazide interactionChlorothiazideDiuril
How Chlorothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Chlorothiazide interactionChlorothiazide, MethyldopaAldochlor, Aldoclor 150, Aldoclor 250
How Chlorothiazide, Methyldopa interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Chlorothiazide, Methyldopa interactionChlorothiazide, ReserpineDiupres
How Chlorothiazide, Reserpine interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Chlorothiazide, Reserpine interactionChlorthalidoneHygroton, Thalitone
How Chlorthalidone interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Chlorthalidone interactionChlorthalidone, ClonidineClorpres, Combipres
How Chlorthalidone, Clonidine interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Chlorthalidone, Clonidine interactionCryptenamine, MethyclothiazideDiutensen
How Cryptenamine, Methyclothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Cryptenamine, Methyclothiazide interactionCyclothiazideAnhydron, Fluidil
How Cyclothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Cyclothiazide interactionDeserpidine, HydrochlorothiazideOreticyl, Oreticyl Forte
How Deserpidine, Hydrochlorothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Deserpidine, Hydrochlorothiazide interactionDeserpidine, MethyclothiazideEnduronyl, Enduronyl Forte
How Deserpidine, Methyclothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Deserpidine, Methyclothiazide interactionEnalapril Maleate, HydrochlorothiazideVaseretic
How Enalapril Maleate, Hydrochlorothiazide interacts with Birch Betula alba — through 1 ingredient. Tap an ingredient for the detail:
Birch Bark Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Bark Extract, Dry + Enalapril Maleate, Hydrochlorothiazide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Birch Betula alba 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, Dry
Diuretic Drugs
Theoretically, birch might interfere with diuretic therapy.
Brand information
Manufacturer and brand details for Birch Betula alba, from the product label.
Hawaii Pharm
See all Hawaii Pharm products- Name
- Hawaii Pharm LLC
- Street Address
- 510 Sumner St. Ste. 613
- City
- Honolulu
- State
- HI
- ZipCode
- 96817
- Phone Number
- 888-854-2924
- Web Address
- www.hawaiipharm.com
Birch Betula alba by Hawaii Pharm: Common Questions
Does Birch Betula alba by Hawaii Pharm interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Does birch extract actually work for joint pain or hair loss?
Can I use this if I have a birch pollen allergy?
Is it safe to use while pregnant or breastfeeding?
Can this cause a skin reaction?
What's in the liquid besides the birch extract?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Birch Betula alba 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 Betula alba’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Birch Betula alba'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