Birch Ingredients & Drug Interactions
by Herbal Terra
What is this page for?
First and foremost: checking Birch 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 is a dietary supplement by Herbal Terra 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 Leaf Extract, Dry. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Birch by Herbal Terra
Ask about any prescription or over-the-counter medication and we check it for interactions with Birch by Herbal Terra — 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 by Herbal Terra
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 leaf extract in dried form. The liquid base includes alcohol, water, and glycerin as inactive ingredients.
Does it work?
Not established
The evidence for birch leaf extract isn't established in our data. Claims about joint pain, hair loss (alopecia), and dandruff all have insufficient reliable evidence to rate.
That doesn't mean it doesn't work — it means the research we hold doesn't support those uses yet.
How safe is it?
Well-documented data
Birch is generally well tolerated in food-like amounts, but allergy and quality concerns warrant caution. Birch and birch pollen can cause allergic reactions in some people; a case of allergic contact dermatitis has been reported from topical birch bark extract, and crushed leaves or fresh sap can also trigger skin reactions.
The safety data advises against use during pregnancy and while breastfeeding.
Meds to double-check
Minor interactions only
If you take diuretic drugs (water pills for blood pressure, heart conditions, or fluid retention), double-check this product with us before starting — birch may theoretically interfere with how they work.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Only minor medication interactions are documented, and safety information is well characterized.
Birch leaf extract may appeal to you if you're interested in traditional herbal approaches to joint or scalp health, but the evidence isn't there yet. If you take diuretics (water pills), check with us first.
Pregnant or nursing? Skip this one — there isn't enough safety data.
Talk to your pharmacist about whether it fits your routine.
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 Dec 21, 2024.
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, straight from the product label.
| Brand | Herbal Terra |
|---|---|
| Barcode (UPC) | 7386004833978 |
| Net contents | 2 Fluid Ounce(s); 60 mL |
| Market status | On market |
| Date entered into DSLD | Dec 21, 2024 |
| DSLD ID | 324812 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Sugar 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 by Herbal Terra, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Birch Leaf 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.
Suggested/Recommended/Usage/Directions
Shake well before use. Adults take up to 30 drops (1 mL, one full squeeze of the dropper bulb) in 3-4 fl. oz. of juice or water up to 4 times a day.
Precautions
We recommend to seek expert medical advice before taking. May have contraindications and cause adverse reaction.
Consult a physician before giving to children under 18, before using during pregnancy, if nursing, or if you are on any medications.
Consult a physician before giving to children under 18, before using during pregnancy, if nursing, or if you are on any medications. Keep out of the reach of children!
Do not use if you are allergic to any ingredients.
Storage
Store in a cool, dry, dark place.
FDA Disclaimer Statement
This product has not been evaluated by the FDA and is not intended to diagnose, treat, cure or prevent any disease.
Formulation
cGMP Made in compliance with cGMP 21 CFR 111 in an FDA registered and inspected facility.
Sugar free
Expertly extracted 100% natural Premium product
Organic alcohol
No artificial ingredients, color additives, fillers or binders.
Natural Gluten free
Formula
Betula pendula
Organic alcohol
FDA Statement of Identity
Herbal Supplement
Seals/Symbols
Made in USA
General Statements
Organic raw material.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Birch by Herbal Terra 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 by Herbal Terra
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 mL Dosage formLiquid Servings per container60 Amounts shown are per serving.
Birch Leaf 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 Leaf Extract, Dry monograph & interactionsOther (inactive) ingredients: Alcohol, Water, Glycerin. These complete the product’s ingredient list but are not active constituents.
Birch by Herbal Terra Drug Interactions
HelloPharmacist Interaction Report
Birch Leaf Extract by Herbal Terra has one documented interaction type to watch for.
The extract may theoretically interfere with diuretic therapy (water pills) — this is a Minor interaction, meaning the effect is modest but worth knowing about.
Read the full breakdown — every affected drug type, severity by severity
If you take a diuretic for blood pressure, heart conditions, or fluid buildup, let us know before you start this supplement. We can check your specific medication against our database below.
Already taking your medication and want to add birch? Run it through the tool on this page first — that's the safest move.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Birch?
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 interact with 75 drugs. Click any drug to see the details.
1 of the 1 ingredient in Birch interact with drugs. Each result below shows which ingredient is responsible. Birch Leaf Extract, Dry
Ethacrynic AcidEdecrin
How Ethacrynic Acid interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Ethacrynic Acid interactionFosinopril, HydrochlorothiazideMonopril HCT
How Fosinopril, Hydrochlorothiazide interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Fosinopril, Hydrochlorothiazide interactionFurosemideLasix
How Furosemide interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Furosemide interactionFurosemide, PotassiumDiumide-K Continus, Lasikal
How Furosemide, Potassium interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Furosemide, Potassium interactionGuanethidine, HydrochlorothiazideEsimil
How Guanethidine, Hydrochlorothiazide interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Guanethidine, Hydrochlorothiazide interactionHydralazine, HydrochlorothiazideApresazide, Apresoline-Esidrix
How Hydralazine, Hydrochlorothiazide interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydralazine, Hydrochlorothiazide interactionHydralazine, Hydrochlorothiazide, ReserpineSer-Ap-Es, Unipres, Uniserp
How Hydralazine, Hydrochlorothiazide, Reserpine interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydralazine, Hydrochlorothiazide, Reserpine interactionHydrochlorothiazideAquazide, Aquazide H, Esidrix, HCTZ, Hydro, Hydro-D +3 more
How Hydrochlorothiazide interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide interactionHydrochlorothiazide, IrbesartanAvalide
How Hydrochlorothiazide, Irbesartan interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Irbesartan interactionHydrochlorothiazide, LabetalolTrandate HCT
How Hydrochlorothiazide, Labetalol interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Labetalol interactionHydrochlorothiazide, LisinoprilPrinzide, Zestoretic
How Hydrochlorothiazide, Lisinopril interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Lisinopril interactionHydrochlorothiazide, Losartan PotassiumHyzaar
How Hydrochlorothiazide, Losartan Potassium interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Losartan Potassium interactionHydrochlorothiazide, MethyldopaAldoril 15, Aldoril 25, Aldoril D30, Methazide
How Hydrochlorothiazide, Methyldopa interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Methyldopa interactionHydrochlorothiazide, MetoprololLopressor HCT
How Hydrochlorothiazide, Metoprolol interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Metoprolol interactionHydrochlorothiazide, MoexiprilUniretic
How Hydrochlorothiazide, Moexipril interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Moexipril interactionHydrochlorothiazide, PindololViskazide
How Hydrochlorothiazide, Pindolol interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Pindolol interactionHydrochlorothiazide, PropranololInderide
How Hydrochlorothiazide, Propranolol interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Propranolol interactionHydrochlorothiazide, QuinaprilAccuretic
How Hydrochlorothiazide, Quinapril interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Quinapril interactionHydrochlorothiazide, ReserpineHydropres, Serpasil-Esidrix, Serpasil-Esidrix #1, Serpasil-Esidrix #2
How Hydrochlorothiazide, Reserpine interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Reserpine interactionHydrochlorothiazide, SpironolactoneAldactazide, Aldactide 25, Aldactide 50, Spirozine
How Hydrochlorothiazide, Spironolactone interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Spironolactone interactionHydrochlorothiazide, TimololTimolide
How Hydrochlorothiazide, Timolol interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Timolol interactionHydrochlorothiazide, TriamtereneDyazide, Maxzide, Maxzide-25, Triamzide, Triazide
How Hydrochlorothiazide, Triamterene interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Triamterene interactionHydrochlorothiazide, ValsartanDiovan HCT
How Hydrochlorothiazide, Valsartan interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydrochlorothiazide, Valsartan interactionHydroflumethiazideSaluron
How Hydroflumethiazide interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydroflumethiazide interactionHydroflumethiazide, ReserpineSalutensin, Salutensin-Demi
How Hydroflumethiazide, Reserpine interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Hydroflumethiazide, Reserpine interactionIndapamideLozide, Lozol
How Indapamide interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Indapamide interactionIrbesartan, HydrochlorothiazideCoAprovel
How Irbesartan, Hydrochlorothiazide interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Irbesartan, Hydrochlorothiazide interactionMannitolBronchitol, Osmitrol
How Mannitol interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Mannitol interactionMethazolamideNeptazane
How Methazolamide interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Methazolamide interactionMethyclothiazideAquatensen, Enduron
How Methyclothiazide interacts with Birch — through 1 ingredient. Tap an ingredient for the detail:
Birch Leaf Extract, DryDiuretic Drugs Minor
Interaction Summary
Theoretically, birch might interfere with diuretic therapy.
Read the full Birch Leaf Extract, Dry + Methyclothiazide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Birch 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 Leaf Extract, Dry
Diuretic Drugs
Theoretically, birch might interfere with diuretic therapy.
Brand information
Manufacturer and brand details for Birch, from the product label.
Herbal Terra
See all Herbal Terra products- Name
- Herbal Terra LLC
- Phone Number
- +18083857868
- Web Address
- herbalterra.com
Birch by Herbal Terra: Common Questions
Does Birch by Herbal Terra interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take birch if I'm pregnant or breastfeeding?
Will birch cause an allergic reaction?
Does this product work for joint pain?
What's in the liquid besides birch?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Birch 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’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Birch'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