Bladder Health Ingredients & Drug Interactions
by Emerald Labs
What is this page for?
First and foremost: checking Bladder Health 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
Bladder Health is a dietary supplement by Emerald Labs with 6 active ingredients. Its ingredients are commonly taken for heart and cholesterol support, antioxidant support, liver health (fatty liver).Based on those ingredients, 935 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are PACran, Horsetail, Tocotriene Complex. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Bladder Health by Emerald Labs
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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 Bladder Health by Emerald Labs
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
Partial disclosure
Bladder Health contains 6 ingredients. The active ones are Tocotriene Complex (a form of vitamin E), Pumpkin seed extract, Urox Blend, Lindera aggregata, Horsetail, and PACran (cranberry).
The product also contains a vegetable capsule as an inactive ingredient. Each of these plays a role in supporting bladder function, though the strength of the evidence varies.
Pumpkin seed extract is possibly effective for benign prostatic hyperplasia (BPH), and cranberry is possibly effective for urinary tract infections (UTIs). The others have insufficient evidence for their intended use, or we lack reliable data on their effectiveness.
Does it work?
Moderate evidence
The evidence for this product's ingredients is mixed. Cranberry (PACran) is possibly effective for urinary tract infections, making it the strongest-supported ingredient here.
Pumpkin seed extract is possibly effective for benign prostatic hyperplasia (enlarged prostate). For the other ingredients — Tocotriene Complex, Horsetail, and the two we cannot fully assess (Lindera aggregata and Cratevox) — we either lack sufficient reliable evidence or hold no data on file to rate their effectiveness for bladder health.
How safe is it?
Well-documented data
Orally, the ingredients in this product are generally well tolerated. Cranberry and pumpkin products are well tolerated as food or supplement doses, though large amounts of cranberry juice can cause diarrhea and gastrointestinal upset.
Horsetail has limited clinical safety data; the most common side effects reported are abdominal bloating, increased bowel movements, and nausea. Long-term safety at supplement doses is not well established for tocotrienols, and crude horsetail can contain thiaminase, which may lead to thiamine deficiency with prolonged use — though Canadian products are required to be certified free of this.
For pregnancy, there is not enough safety data for horsetail or pumpkin seed concentrates, so they should be avoided unless your doctor approves. Tocotrienols should be avoided during pregnancy.
Cranberry in normal food amounts is likely fine, but concentrated supplements have not been well studied during pregnancy or breastfeeding — check with your provider before using.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you take any of these: nucleoside reverse transcriptase inhibitors (NRTIs) or efavirenz (HIV medications), blood thinners or antiplatelet drugs, antidiabetes drugs, diuretics, lithium, or medications affected by liver metabolism like atorvastatin or nifedipine. Horsetail and cranberry may change how these drugs work.
No interactions are documented for the ingredients we could not check.
The bottom line
Scorecard at a glancePartially disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product may be worth considering if you're dealing with urinary tract infections (cranberry is possibly effective) or prostate concerns (pumpkin seed extract is possibly effective). However, if you take any prescription medications — especially blood thinners, HIV drugs, diabetes medications, diuretics, or lithium — check your exact medications with the tool on this page before starting.
Talk it over with your doctor or pharmacist, particularly if you're pregnant, breastfeeding, or taking long-term medications.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 6 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Feb 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 Bladder Health, straight from the product label.
| Brand | Emerald Labs |
|---|---|
| Barcode (UPC) | 743650003648 |
| Net contents | 60 Vegetable Cap(s) |
| Market status | On market |
| Date entered into DSLD | Feb 22, 2024 |
| DSLD ID | 302539 |
| Product type | Botanical With Nutrients |
| 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 Bladder Health by Emerald Labs, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Tocotriene Complex | 50 mg | -- |
| Pumpkin seed extract | 100 mg | -- |
| Urox Blend | 840 mg | -- |
| Lindera aggregata | 0 NP | -- |
| Horsetail | 0 NP | -- |
| Cratevox | 0 NP | -- |
| PACran | 50 mg | -- |
Other ingredients: Vegetable Capsule
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.
Formula
Urox is a proprietary blend of clinically-proven herbal plant ingredients combined with pumpkin seed extract and PACran, which may help to support muscle tone and ease the discomfort associated with overactive frequency and urgency in both men and women. 1. Schoendorfer et al. BMC-CAM, 2018.
Bladder Health for Men & Women with Urox Blend + PACran and Pumpkin Seed
Bladder Health for Men & Women with Urox Blend + PACran and Pumpkin Seed
With Urox With PACran Standardized Extract
General Statements
Emerald Labs is family owned and operated since our beginnings in 1996. We are committed to providing your family with additive-free formulas and superior nutrient forms in therapeutic amounts.
Doctor-Formulated
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 disease.
Brand IP Statement(s)
PACran is a Registered trademark of Decas Botanical Synergies Urox an Cratevox are trademarks of Seipel Group Pty Ltd. U.S. Patent No. 9,452,191. Canadian Patent Pending No. 2859462 Copyright 2021 Emerald Labs, Inc. Emerald Labs The Additive-Free Company
Formulation
Clinical Potency
Made with Non-GMO Ingredients No Magnesium Stearate Gluten-Free
Vegan Formula
This product is free of: Corn protein, milk, salt, yeast, soy, added sugar, wheat, artificial flavors and preservatives.
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Suggested Use: Adults, take two (2) capsules daily with food or as directed by a health care practitioner.
Precautions
Keep out of reach of children.
Do not use if safety seal on cap or printed inner seal is missing or broken.
Consult a physician if pregnant, lactating, currently on prescription medication or diagnosed with a medical condition.
Storage
Store in a cool, dry place.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Bladder Health by Emerald Labs 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 Bladder Health by Emerald Labs
These are the 6 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule Servings per container30 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.
Tocotriene Complex
Interacts with122 drugs
Tocotrienols are a less common form of vitamin E with strong antioxidant activity studied mostly for cholesterol, liver, and heart health. Early resea...
Tocotriene Complex monograph & interactionsPumpkin seed extract
Interacts with1 drug
Pumpkin is a nutritious squash, and its seeds and seed oil are the parts most often used as supplements, mainly for urinary and prostate symptoms. The...
Pumpkin seed extract monograph & interactionsUrox Blend
- › Lindera aggregata
- › Horsetail
- › Cratevox
PACran
Interacts with712 drugs
Cranberry is best known for helping to prevent repeated urinary tract infections (UTIs) in some people, and the evidence here is moderate but mixed. I...
PACran monograph & interactionsOther (inactive) ingredients: Vegetable Capsule. These complete the product’s ingredient list but are not active constituents.
Bladder Health by Emerald Labs Drug Interactions
HelloPharmacist Interaction Report
Bladder Health by Emerald Labs contains several ingredients with documented interactions.
The most serious concern involves horsetail, which at Moderate severity may interfere with nucleoside reverse transcriptase inhibitors (NRTIs) — a class of HIV medications — and with efavirenz specifically, potentially reducing their effectiveness. In two case reports, patients taking horsetail supplements alongside antiretroviral therapy developed detectable viral loads.
Read the full breakdown — every affected drug type, severity by severity
Additionally, horsetail may interact with antidiabetes drugs and diuretics at Moderate severity, raising the risk of low blood sugar (hypoglycemia) and potassium loss respectively. Horsetail and pumpkin seed extract may both increase lithium levels at Moderate severity, potentially requiring a dose adjustment.
Cranberry (PACran) interacts with several medication types: cytochrome P450 substrates like atorvastatin and nifedipine at Moderate severity, warfarin (a blood thinner) at Moderate severity, and diclofenac (an anti-inflammatory) at Minor severity.
Tocotriene Complex has a Minor interaction with anticoagulants and antiplatelets, theoretically increasing bleeding risk, though this has not been reported in humans. Altogether, these interactions span 936 individual medications.
We could not check Lindera aggregata and Cratevox — we hold no data for those. Use the medication search tool on this page to check your exact prescriptions before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Bladder Health?
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 Bladder Health interact with 935 drugs. Click any drug to see the details.
4 of the 6 ingredients in Bladder Health interact with drugs. Each result below shows which ingredient is responsible. PACran Horsetail Tocotriene Complex Pumpkin seed extract
AbciximabReoPro
How Abciximab interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Bladder Health — through 2 ingredients. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Abrocitinib interactionPacranCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Pacran + Abrocitinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Acetaminophen, Aspirin interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Bladder Health — through 2 ingredients. Tap an ingredient for the detail:
PacranCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Pacran + Acetaminophen, Ibuprofen interactionTocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Acetaminophen, Ibuprofen interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Acetylsalicylic Acid interactionAerosphere Budesonide, Formoterol Fumarate, GlycopyrrolateBreztri
How Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
PacranCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Pacran + Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interactionAgomelatineValdoxan
How Agomelatine interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
PacranCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates.
Read the full Pacran + Agomelatine interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Anisindione interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Antithrombin Iii interactionArgatrobanArgatroban
How Argatroban interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Argatroban interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, ButalbitalAxotal
How Aspirin, Butalbital interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Butalbital interactionAspirin, Calcium Carbonate, Magnesium Carbonate, Magnesium OxideBufferin
How Aspirin, Calcium Carbonate, Magnesium Carbonate, Magnesium Oxide interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Calcium Carbonate, Magnesium Carbonate, Magnesium Oxide interactionAspirin, CarisoprodolSoma Compound
How Aspirin, Carisoprodol interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Carisoprodol interactionAspirin, Carisoprodol, Codeine PhosphateSoma Compound w/ Codeine
How Aspirin, Carisoprodol, Codeine Phosphate interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Carisoprodol, Codeine Phosphate interactionAspirin, Citric Acid, Sodium BicarbonateAlka-Seltzer Pain Reliever and Antacid
How Aspirin, Citric Acid, Sodium Bicarbonate interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Citric Acid, Sodium Bicarbonate interactionAspirin, Codeine PhosphateAspirin w/ Codeine
How Aspirin, Codeine Phosphate interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Codeine Phosphate interactionAspirin, Codeine Phosphate, MethocarbamolRobaxisal C
How Aspirin, Codeine Phosphate, Methocarbamol interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Codeine Phosphate, Methocarbamol interactionAspirin, Codeine Phosphate, PhenobarbitalPhenaphen
How Aspirin, Codeine Phosphate, Phenobarbital interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Codeine Phosphate, Phenobarbital interactionAspirin, Diphenhydramine, PhenylpropanolamineAlka Seltzer Plus Night Time Effervescent
How Aspirin, Diphenhydramine, Phenylpropanolamine interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Diphenhydramine, Phenylpropanolamine interactionAspirin, DipyridamoleAggrenox, Asasantin Retard
How Aspirin, Dipyridamole interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Dipyridamole interactionAspirin, Ethoheptazine, MeprobamateEquagesic
How Aspirin, Ethoheptazine, Meprobamate interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Ethoheptazine, Meprobamate interactionAspirin, MeprobamateMicrainin
How Aspirin, Meprobamate interacts with Bladder Health — through 1 ingredient. Tap an ingredient for the detail:
Tocotriene ComplexAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotriene Complex + Aspirin, Meprobamate interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Bladder Health 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.
PACran
Atorvastatin (Lipitor)
Theoretically, cranberry might increase levels and adverse effects of atorvastatin.
In one case report, a patient taking atorvastatin experienced upper back pain, rhabdomyolysis, and abnormal liver function after drinking cranberry juice 16 ounces daily for 2 weeks. Theoretically, this may have been caused by inhibition of cytochrome P450 3A4 (CYP3A4) enzymes by cranberry juice, as atorvastatin is a CYP3A4 substrate. Creatinine kinase and liver enzymes normalized within 2 weeks of stopping cranberry juice. Patients taking atorvastatin should avoid large quantities of cranberry juice.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, cranberry might increase the levels and adverse effects of CYP3A4 substrates.
A case of upper back pain, rhabdomyolysis, and abnormal liver function has been reported for a patient taking atorvastatin, a CYP3A4 substrate, in combination with cranberry juice 16 ounces daily for 2 weeks. Creatinine kinase and liver enzymes normalized within 2 weeks of stopping cranberry juice. Also, animal research suggests that cranberry juice, administered intraduodenally 30 minutes prior to nifedipine, a CYP3A4 substrate, inhibits nifedipine metabolism and increases the area under the concentration-time curve by 1.6-fold compared to control.
Nifedipine (Procardia)
Theoretically, cranberry might increase the levels and adverse effects of nifedipine.
Animal research suggests that cranberry juice, administered intraduodenally 30 minutes prior to nifedipine treatment, inhibits nifedipine metabolism and increases the area under the concentration-time curve by 1.6-fold compared to control. This interaction has not been reported in humans.
Warfarin (Coumadin)
Theoretically, cranberry might increase the levels and adverse effects of warfarin. However, research is conflicting.
There is contradictory evidence about the effect of cranberry juice on warfarin. Case reports have linked cranberry juice consumption to increases in the international normalized ratio (INR) in patients taking warfarin, resulting in severe spontaneous bleeding and excessive postoperative bleeding. Daily consumption of cranberry sauce for one week has also been linked to an increase in INR in one case report. In a small study in healthy young males, taking a high dose of 3 grams of cranberry juice concentrate capsules, equivalent to 57 grams of fruit daily, for 2 weeks produced a 30% increase in the area under the INR-time curve after a single 25-mg dose of warfarin. However, 3 very small clinical studies in patients stabilized on warfarin reported that cranberry juice 250 mL once or twice daily for 7 days (27% cranberry juice or pure cranberry juice) or 240 mL once daily for 14 days does not significantly increase INR or affect plasma warfarin levels. The reasons for these discrepant findings are unclear. It is possible that the form and dose of cranberry may play a role, as cranberry extracts and juices contain different constituents. Additionally, an in vitro study evaluating 5 different cranberry juices found varying effects, with only a cranberry concentrate, and not diluted cranberry juices, inhibiting CYP2C9. However, this concentrate did not inhibit CYP2C9 activity in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, cranberry might increase the levels and adverse effects of CYP2C9 substrates. However, research is conflicting.
There is contradictory evidence about the effect of cranberry on CYP2C9 enzymes. In vitro evidence suggests that flavonoids in cranberry inhibit CYP2C9 enzymes. However, clinical research shows that cranberry juice does not significantly affect the levels, metabolism, or elimination of the CYP2C9 substrates flurbiprofen or diclofenac. Also, in patients stabilized on warfarin, drinking cranberry juice 250 mL daily for 7 days does not significantly increase the anticoagulant activity of warfarin, a CYP2C9 substrate. Additional pharmacokinetic research shows that cranberry juice does not increase peak plasma concentrations or area under the concentration-time curve of warfarin.
Diclofenac (Voltaren, Others)
Theoretically, cranberry might modestly increase the levels and adverse effects of diclofenac.
In vitro evidence suggests that cranberry juice inhibits diclofenac metabolism by human liver microsomes. However, drinking cranberry juice does not seem to affect diclofenac metabolism in humans.
Horsetail
Antidiabetes Drugs
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Equisetum myriochaetum has demonstrated hypoglycemic activity in clinical research. In an animal diabetic model, Equisetum giganteum had hypoglycemic effects. It is unclear whether other horsetail species have hypoglycemic effects.
Diuretic Drugs
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Laboratory research shows that various species of horsetail have diuretic properties. Due to its diuretic effects, there has been concern that taking horsetail along with potassium-depleting diuretics might increase the risk for hypokalemia. However, pharmacokinetic research in humans shows that taking horsetail 900 mg daily for 4 days does not affect urinary excretion of electrolytes, including potassium and sodium, despite having a diuretic effect similar to taking hydrochlorothiazide 25 mg daily. It is unclear if taking horsetail for a longer duration would affect electrolyte levels. Until more is known, use with caution.
Efavirenz (Sustiva)
Theoretically, horsetail might decrease the levels and clinical effects of efavirenz.
In two case reports, patients were found to have detectable viral loads when taking horsetail-containing supplements along with an antiretroviral regimen that included efavirenz. In one case, the antiretroviral regimen included zidovudine, lamivudine, and efavirenz; in the other case, the regimen consisted of emtricitabine, tenofovir disoproxil fumarate, and efavirenz. One month after discontinuing horsetail, the viral loads became undetectable in both cases. The exact mechanism of this interaction is unknown. It is also unclear if this interaction is specific to efavirenz or if it is related to various components of antiretroviral therapy.
Lithium
Theoretically, horsetail might increase the levels and adverse effects of lithium.
Animal research suggests that horsetail has diuretic properties. Theoretically, due to these potential diuretic effects, horsetail might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.
Nucleoside Reverse Transcriptase Inhibitors (Nrtis)
Theoretically, horsetail might decrease the levels and clinical effects of NRTIs.
In two case reports, patients were found to have detectable viral loads when taking horsetail-containing supplements along with an antiretroviral therapy. In one case, the antiretroviral regimen included zidovudine, lamivudine, and efavirenz; in the other case, the regimen consisted of emtricitabine, tenofovir disoproxil fumarate, and efavirenz. One month after discontinuing the supplement, the viral loads became undetectable in both cases. The exact mechanism of these interactions is unknown. It is also unclear if these interactions are specific to NRTIs or if they are related to various components of antiretroviral therapy.
Tocotriene Complex
Anticoagulant/Antiplatelet Drugs
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding. However, this has not been reported in humans.
Taking tocotrienols orally inhibits experimentally-induced platelet aggregation in humans. Theoretically tocotrienols might increase the risk of bleeding if taken with antiplatelet or anticoagulant drugs. However, tocotrienols 400-800 mg daily have been used with aspirin and/or clopidogrel for 1 year with no clear cumulative antiplatelet effects and no reports of bleeding.
Pumpkin seed extract
Lithium
Pumpkin might reduce excretion and increase levels of lithium.
Pumpkin is thought to have diuretic properties. Theoretically, this might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.
Brand information
Manufacturer and brand details for Bladder Health, from the product label.
Emerald Labs
See all Emerald Labs products- Name
- Emerald Labs
- Street Address
- 20600 Belshaw Ave.
- City
- Carson
- State
- CA
- ZipCode
- 90746
- Phone Number
- 800-436-4366
- Web Address
- www.emeraldlabs.com
Bladder Health by Emerald Labs: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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 Bladder Health’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Tocotrienols
Interacts with 122 drugsTocotrienols are a less common form of vitamin E with strong antioxidant activity studied mostly for cholesterol, liver, and heart health. Early research is interesting but far from conclusi...
Read the full Tocotrienols monograph → Herb & supplement monographPumpkin
Interacts with 1 drugPumpkin is a nutritious squash, and its seeds and seed oil are the parts most often used as supplements, mainly for urinary and prostate symptoms. The evidence for these uses is limited and...
Read the full Pumpkin monograph → Herb & supplement monographHorsetail
Interacts with 188 drugsHorsetail is a traditional herb most often used as a mild diuretic and for hair, nail, and bone support, but high-quality human evidence is limited. It can cause thiamine (vitamin B1) loss w...
Read the full Horsetail monograph → Herb & supplement monographCranberry
Interacts with 712 drugsCranberry is best known for helping to prevent repeated urinary tract infections (UTIs) in some people, and the evidence here is moderate but mixed. It is not a reliable treatment for an act...
Read the full Cranberry monograph →Sources & How We Checked
Bladder Health'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 56 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.
Tocotrienols 4 references
- Mensink RP, van Houwelingen AC, Kromhout D, Hornstra G. A vitamin E concentrate rich in tocotrienols had no effect on serum lipids, lipoproteins, or platelet function in men with mildly elevated serum lipid concentrations. Am J Clin Nutr 1999;69:213-9. PubMed
- Baumann LS, Spencer JS. The effects of topical vitamin E on the cosmetic appearance of scars. Dermatol Surg 1999;25:311-5. PubMed
- Khoo TL, Halim AS, Zakaria Z, Mat Saad AZ, Wu LY, Lau HY. A prospective, randomised, double-blinded trial to study the efficacy of topical tocotrienol in the prevention of hypertrophic scars. J Plast Reconstr Aesthet Surg. 2011 Jun;64(6):e137-45. Epub 201 PubMed
- Slivka A, Rink C, Paoletto D, Sen CK. Platelet function in stroke/transient ischemic attack patients treated with tocotrienol. FASEB J. 2020;34(9):11838-11843. PubMed
Pumpkin 5 references
- Marks L, Partin AW, Epstein JI, et al. Effects of a saw palmetto herbal blend in men with symptomatic benign prostatic hyperplasia. J Urol 2000;163:1451-6. DOI
- Cho YH, Lee SY, Jeong DW, et al. Effect of pumpkin seed oil on hair growth in men with androgenetic alopecia: a randomized, double-blind, placebo-controlled trial. Evid Based Complement Alternat Med 2014;2014:549721. PubMed
- Vahlensieck W, Theurer C, Pfitzer E, Patz B, Banik N, Engelmann U. Effects of pumpkin seed in men with lower urinary tract symptoms due to benign prostatic hyperplasia in the one-year, randomized, placebo-controlled GRANU study. Urol Int 2015;94(3):286-95 PubMed
- Assouly P. Hair loss associated with cucurbit poisoning. JAMA Dermatol. 2018 May 1;154(5):617-618. PubMed
- Gawryjolek J, Ludwig H, Zbikowska-Götz M, Bartuzi Z, Krogulska A. Anaphylaxis after consumption of pumpkin seeds in a 2-y-old child tolerant to its pulp: A case study. Nutrition 2021;89:111272. PubMed
Horsetail 14 references
- Sudan BJ. Seborrhoeic dermatitis induced by nicotine of horsetails (Equisetum arvense L.). Contact Dermatitis 1985;13:201-2.
- Perez Gutierrez RM, Laguna GY, Walkowski A. Diuretic activity of Mexican equisetum. J Ethnopharmacol 1985;14:269-72. PubMed
- Lemus I, Garcia R, Erazo S, et al. Diuretic activity of an Equisetum bogotense tea (Platero herb): evaluation in healthy volunteers. J Ethnopharmacol 1996;54:55-8. PubMed
- Revilla MC, Andrade-Cetto A, Islas S, Wiedenfeld H. Hypoglycemic effect of Equisetum myriochaetum aerial parts on type 2 diabetic patients. J Ethnopharmacol 2002;81:117-20. PubMed
- Tiktinskii, O. L. and Bablumian, I. A. [Therapeutic action of Java tea and field horsetail in uric acid diathesis]. Urol.Nefrol.(Mosk) 1983;3(1):47-50.
- Henderson JA, Evans EV, and McIntosh RA. The antithiamine action of Equisetum. J Amer Vet Med Assoc 1952;120:375-378.
- Carneiro DM, Freire RC, Honório TC, Zoghaib I, Cardoso FF, Tresvenzol LM, de Paula JR, Sousa AL, Jardim PC, da Cunha LC. Randomized, Double-Blind Clinical Trial to Assess the Acute Diuretic Effect of Equisetum arvense (Field Horsetail) in Healthy Voluntee
- Klnçalp S, Ekiz F, Basar Ö, Coban S, Yüksel O. Equisetum arvense (Field Horsetail)-induced liver injury. Eur J Gastroenterol Hepatol. 2012 Feb;24(2):213-4. PubMed
- Ortega García JA, Angulo MG, Sobrino-Najul EJ, Soldin OP, Mira AP, Martínez-Salcedo E, Claudio L. Prenatal exposure of a girl with autism spectrum disorder to 'horsetail' (Equisetum arvense) herbal remedy and alcohol: a case report. J Med Case Rep. 2011 M PubMed
- Cordova E, Morganti L, Rodriguez C. Possible Drug-Herb Interaction between Herbal Supplement Containing Horsetail (Equisetum arvense) and Antiretroviral Drugs. J Int Assoc Provid AIDS Care. 2017;16(1):11-13.
- García Gavilán MD, Moreno García AM, Rosales Zabal JM, Navarro Jarabo JM, Sánchez Cantos A. Case of drug-induced acute pancreatitis produced by horsetail infusions. Rev Esp Enferm Dig. 2017 Apr;109(4):301-304. PubMed
- Vieira GT, de Oliveira TT, Carneiro MAA, et al. Antidiabetic effect of Equisetum giganteum L. extract on alloxan-diabetic rabbit. J Ethnopharmacol. 2020;260:112898. PubMed
- Health Canada. Organism-Equisetum arvense. Available at: http://webprod.hc-sc.gc.ca/nhpid-bdipsn/ingredReq.do?id=6117&lang=eng. Accessed 21-July 2021.
- Bates D, Duong TB, Kheyson S, Moore K. Hyponatremia Secondary to Decreased Oral Intake and SIADH and Possibly Exacerbated by Horsetail (Equisetum arvense). Can J Hosp Pharm 2021;74(4):386-389. PubMed
Cranberry 33 references
- Anon. Possible interaction between warfarin and cranberry juice. Current Problems in Pharmacovigilance 2003;29:8. PubMed
- Greenblatt DJ, von Moltke LL, Perloff ES, et al. Interaction of flurbiprofen with cranberry juice, grape juice, tea, and fluconazole: in vitro and clinical studies. Clin Pharmacol Ther 2006;79:125-33. PubMed
- Hodek P, Trefil P, Stiborova M. Flavonoids-potent and versatile biologically active compounds interacting with cytochromes P450. Chem Biol Interact 2002;139:1-21.. PubMed
- Grant P. Warfarin and cranberry juice: An interaction? J Heart Valve Dis 2004;13:25-6.
- Suvarna R, Pirmohamed M, Henderson L. Possible interaction between warfarin and cranberry juice. BMJ 2003;327:1454. PubMed
- Li Z, Seeram NP, Carpenter CL, et al. Cranberry does not affect prothrombin time in male subjects on warfarin. J Am Diet Assoc 2006;106:2057-61. PubMed
- Lilja JJ, Backman JT, Neuvonen PJ. Effects of daily ingestion of cranberry juice on the pharmacokinetics of warfarin, tizanidine, and midazolam - probes of CYP2C9, CYP1A2 and CYP3A4. Clin Pharmacol The 2007:81:833-9. PubMed
- Wing DA, Rumney PJ, Preslicka CW, Chung JH. Daily cranberry juice for the prevention of asymptomatic bacteriuria in pregnancy: a randomized, controlled pilot study. J Urol 2008;180:1367-72. PubMed
- Mohammed Abdul MI, Jiang X, Williams KM, et al. Pharmacodynamic interaction of warfarin with cranberry but not with garlic in healthy subjects. Br J Pharmacol 2008;154:1691-700. PubMed
- McMurdo MET, Argo I, Phillips G, et al. Cranberry or trimethoprim for the prevention of recurrently urinary tract infections? A randomized controlled trial in older women. J Antimicrob Chemother 2009;63:389-95.
- Mergenhagen KA, Sherman O. Elevated International Normalized Ratio after concurrent ingestion of cranberry sauce and warfarin. Am J Health-Syst Pharm 2008;65:2113-6. PubMed
- Ansell J, McDonough M, Zhao Y, et al. The absence of an interaction between warfarin and cranberry juice: a randomized, double-blind trial. J Clin Pharmacol 2009;49:824-30. PubMed
- Haber SL, Cauthon KA, Raney EC. Cranberry and warfarin interaction: a case report and review of the literature. Consult Pharm 2012;27:58-65. PubMed
- Hamann GL, Campbell JD, George CM. Warfarin-cranberry juice interaction. Ann Pharmacother 2011;45:e17. PubMed
- Roberts D, Flanagan P. Case report: Cranberry juice and warfarin. Home Healthc Nurse 2011;29:92-7.
- Garcia-Calatayud, S., Larreina Cordoba, J. J., and Lozano De La Torre MJ. [Severe cranberry juice poisoning]. An.Esp.Pediatr. 2002;56(1):72-73.
- Patel, D. A., Gillespie, B., Sobel, J. D., Leaman, D., Nyirjesy, P., Weitz, M. V., and Foxman, B. Risk factors for recurrent vulvovaginal candidiasis in women receiving maintenance antifungal therapy: results of a prospective cohort study. Am J Obstet.Gy PubMed
- Isele, H. [Fatal bleeding under warfarin plus cranberry juice. Is it due to salicylic acid?]. MMW.Fortschr.Med 3-11-2004;146(11):13.
- Linsenmeyer, T. A., Harrison, B., Oakley, A., Kirshblum, S., Stock, J. A., and Millis, S. R. Evaluation of cranberry supplement for reduction of urinary tract infections in individuals with neurogenic bladders secondary to spinal cord injury. A prospecti
- McMurdo, M. E., Bissett, L. Y., Price, R. J., Phillips, G., and Crombie, I. K. Does ingestion of cranberry juice reduce symptomatic urinary tract infections in older people in hospital? A double-blind, placebo-controlled trial. Age Ageing 2005;34(3):256- PubMed
- Sylvan, L. and Justice, N. P. Possible interaction between warfarin and cranberry juice. Am Fam.Physician 9-15-2005;72(6):1000.
- Niklasson, A. and Andren, L. [Interaction between Waran and cranberry juice]. Lakartidningen 3-15-2006;103(11):853-854.
- Rindone, J. P. and Murphy, T. W. Warfarin-cranberry juice interaction resulting in profound hypoprothrombinemia and bleeding. Am J Ther 2006;13(3):283-284. PubMed
- Uesawa, Y. and Mohri, K. Effects of cranberry juice on nifedipine pharmacokinetics in rats. J Pharm Pharmacol 2006;58(8):1067-1072. PubMed
- Valentova, K., Stejskal, D., Bednar, P., Vostalova, J., Cihalik, C., Vecerova, R., Koukalova, D., Kolar, M., Reichenbach, R., Sknouril, L., Ulrichova, J., and Simanek, V. Biosafety, antioxidant status, and metabolites in urine after consumption of dried
- Royer, D. J., George, J. N., and Terrell, D. R. Thrombocytopenia as an adverse effect of complementary and alternative medicines, herbal remedies, nutritional supplements, foods, and beverages. Eur J Haematol 2010;84(5):421-429. PubMed
- Stapleton, A. E., Dziura, J., Hooton, T. M., Cox, M. E., Yarova-Yarovaya, Y., Chen, S., and Gupta, K. Recurrent urinary tract infection and urinary Escherichia coli in women ingesting cranberry juice daily: a randomized controlled trial. Mayo.Clin.Proc. PubMed
- Doad GJ, Kabange W. Cranberry juice, atorvastatin and back pain. J Med Assoc Ga 2014;103(1):14.
- Griffiths AP, Beddall A, Pegler S. Fatal haemopericardium and gastrointestinal haemorrhage due to possible interaction of cranberry juice with warfarin. J R Soc Promot Health 2008;128(6):324-6. PubMed
- Mellen CK, Ford M, Rindone JP. Effect of high-dose cranberry juice on the pharmacodynamics of warfarin in patients. Br J Clin Pharmacol 2010;70(1):139-42. PubMed
- Ushijima K, Tsuruoka S, Tsuda H, Hasegawa G, Obi Y, Kaneda T, Takahashi M, Maekawa T, Sasaki T, Koshimizu TA, Fujimura A. Cranberry juice suppressed the diclofenac metabolism by human liver microsomes, but not in healthy human subjects. Br J Clin Pharmaco PubMed
- Ngo N, Brantley SJ, Carrizosa DR, et al. The warfarin-cranberry juice interaction revisited: A systematic in vitro-in vivo evaluation. J Exp Pharmacol. 2010;2010(2):83-91.
- Williams G, Stothart CI, Hahn D, Stephens JH, Craig JC, Hodson EM. Cranberries for preventing urinary tract infections. Cochrane Database Syst Rev 2023;11(11):CD001321. 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