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 Bark 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 has one active ingredient: birch bark extract (in dried form). Birch bark has been used traditionally for joint support and scalp health, though the evidence for these uses isn't established in our data.
The liquid also contains alcohol, water, and glycerin as inactive ingredients that help deliver and preserve the extract.
Does it work?
Couldn't assess
The evidence we hold on birch bark extract for joint pain, alopecia (hair loss), and dandruff is insufficient to rate — meaning there isn't enough reliable data to say whether it works for these purposes. If you're considering it for one of these reasons, talk with your pharmacist or doctor about what the current research supports.
How safe is it?
Well-documented data
Birch is generally well tolerated in food-like amounts, but allergies and product quality are worth being cautious about. Birch and birch pollen can trigger allergic reactions in some people.
There's also a reported case of allergic contact dermatitis (a skin rash) from a cream containing 5% birch bark extract, and crushed birch leaves or fresh birch sap may cause similar reactions in sensitive individuals. The safety data doesn't support use during pregnancy or while breastfeeding — talk with your doctor or pharmacist if either applies to you.
Meds to double-check
Minor interactions only
If you take diuretic drugs (water pills), double-check this product with your pharmacist — birch might theoretically interfere with how they work, though the risk is minor. No other medication interactions are documented for this ingredient in our data.
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 Liquid might appeal to someone looking for a traditional herbal option for joint or scalp support, but the evidence for these uses isn't established. If you take diuretic medications, check with us before starting.
Birch allergy is real, so watch for any rash or allergic signs. Talk to your pharmacist before you begin, especially if you're pregnant, breastfeeding, or on any medications.
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 Nov 22, 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) | 7386004831998 |
| Net contents | 2 Fluid Ounce(s); 60 mL |
| Market status | On market |
| Date entered into DSLD | Nov 22, 2024 |
| DSLD ID | 324813 |
| 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 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.
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 alba
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 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 by Herbal Terra Drug Interactions
HelloPharmacist Interaction Report
Birch Liquid by Herbal Terra contains birch bark extract, which has one documented interaction with medications.
The main concern is with diuretic drugs (water pills) — birch might theoretically interfere with how they work, though this is rated as a minor interaction.
Read the full breakdown — every affected drug type, severity by severity
No other medication interactions are documented in our data for this ingredient. That said, absence of documented interactions isn't a guarantee none exist.
Run your exact medications through the interaction checker on this page before you start.
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 Bark Extract, Dry
Methyclothiazide, PargylineEutron
How Methyclothiazide, Pargyline interacts with Birch — 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 + Methyclothiazide, Pargyline interactionMethyclothiazide, ReserpineDiutensen-R
How Methyclothiazide, Reserpine interacts with Birch — 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 + Methyclothiazide, Reserpine interactionMetolazoneDiulo, Mykrox, Zaroxolyn
How Metolazone interacts with Birch — 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 + Metolazone interactionPolythiazideRenese
How Polythiazide interacts with Birch — 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 + Polythiazide interactionPolythiazide, PrazosinMinizide
How Polythiazide, Prazosin interacts with Birch — 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 + Polythiazide, Prazosin interactionPolythiazide, ReserpineRenese R
How Polythiazide, Reserpine interacts with Birch — 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 + Polythiazide, Reserpine interactionQuinethazoneHydromox
How Quinethazone interacts with Birch — 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 + Quinethazone interactionQuinethazone, ReserpineHydromox R
How Quinethazone, Reserpine interacts with Birch — 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 + Quinethazone, Reserpine interactionReserpine, TrichlormethiazideMetatensin #2, Metatensin #4, Naquival
How Reserpine, Trichlormethiazide interacts with Birch — 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 + Reserpine, Trichlormethiazide interactionSacubitril, ValsartanEntresto
How Sacubitril, Valsartan interacts with Birch — 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 + Sacubitril, Valsartan interactionSpironolactoneAldactone, Carospir, Spiroton
How Spironolactone interacts with Birch — 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 + Spironolactone interactionTheobromineTheobromine
How Theobromine interacts with Birch — 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 + Theobromine interactionTorsemideDemadex, Soaanz
How Torsemide interacts with Birch — 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 + Torsemide interactionTrichlormethiazideAq 4B Aquazide, Marazide II, Metahydrin, Naqua
How Trichlormethiazide interacts with Birch — 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 + Trichlormethiazide interactionUreaUreaphil
How Urea interacts with Birch — 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 + Urea 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 Bark 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 this while pregnant or breastfeeding?
What's the risk of an allergic reaction?
Does this actually work for joint pain or hair loss?
What am I actually taking — is it just extract?
I take a water pill for blood pressure — is this okay?
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