Bladder Relief Ingredients & Drug Interactions
by IVL
What is this page for?
First and foremost: checking Bladder Relief 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 Relief is a dietary supplement by IVL with 3 active ingredients. Its ingredients are commonly taken for fluid retention (mild diuretic), urinary and bladder concerns, hair, skin, and nail support.Based on those ingredients, 188 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Horsetail aerial parts extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Bladder Relief by IVL
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HelloPharmacist Scorecard of Bladder Relief by IVL
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
Low disclosure
Bladder Relief contains three active ingredients: Cratevox Three-leaf Caper stem bark extract, a proprietary blend called Urox (which contains Lindera Root Extract), and Horsetail aerial parts extract. The product also includes inactive ingredients — hydroxypropyl methylcellulose, water, rice flour, and silica — which act as fillers and binders in the capsule.
Horsetail is traditionally used for urinary and kidney support. The other two active ingredients are part of the Urox blend, designed to target bladder function, though we don't have detailed breakdown data on their individual roles.
Does it work?
Not established
The evidence for this product's claimed uses isn't established in the data we hold. Horsetail has been studied for urinary incontinence, obesity, tonsillitis, and hair loss (androgenic alopecia), but the research is insufficient to rate whether it actually works for any of these conditions.
If you're considering Bladder Relief for a specific health concern, talk with your doctor about what the current evidence actually supports.
How safe is it?
Well-documented data
Horsetail is generally well tolerated for short-term use in healthy adults, but long-term use carries real risks that aren't fully understood. The most common side effects from oral horsetail in limited clinical trials are abdominal bloating, increased bowel movements, and nausea.
One concern is thiaminase — a substance in crude horsetail that can cause thiamine (vitamin B1) deficiency with prolonged use; however, Canadian horsetail products must be certified free from thiaminase-like activity. Horsetail should not be used during pregnancy or while breastfeeding — there isn't enough safety data, and the safety notes advise against it.
We hold no pregnancy or breastfeeding data for the Cratevox or Lindera ingredients. If you're pregnant, breastfeeding, or planning either, talk with your doctor or pharmacist before taking this product.
Meds to double-check
Moderate interaction found
Check with your doctor or pharmacist before taking this product if you're on antiretroviral therapy (especially NRTIs or efavirenz), antidiabetes drugs, diuretics, or lithium — all have documented Moderate interactions with horsetail. These are serious enough to warrant a conversation before you combine them.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
Bladder Relief may be worth considering if you're looking for short-term urinary support, but horsetail isn't proven effective for incontinence in the data we hold. The main caution is interactions with antiviral drugs (including HIV medications), antidiabetes drugs, diuretics, and lithium — all Moderate severity.
If you take any prescription medication, check it with the tool on this page and confirm with your doctor or pharmacist before starting.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 22, 2022.
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 Relief, straight from the product label.
| Brand | IVL |
|---|---|
| Barcode (UPC) | X002V8RZCV |
| Net contents | 60 Vegetarian Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Nov 22, 2022 |
| DSLD ID | 277916 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, 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 Bladder Relief by IVL, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Cratevox Three-leaf Caper (Crateva nurvala) stem bark extract | 0 NP | -- |
| Urox Proprietary Blend | 840 mg | -- |
| Lindera Root Extract | 0 NP | -- |
| Horsetail aerial parts extract | 0 NP | -- |
Other ingredients: Hydroxypropyl Methylcellulose, Water, Rice, Flour, Silica
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.
Formulation
formulated to help you control the urgency!
Bladder Relief is made using Urox, a unique patented Australian formula that has been shown in clinical research to support healthy bladder function and rejuvenate tone. The specialized herbal extracts have a long history of traditional herbal use for healthy bladder function. Results have been seen in 2-4 weeks and improves with extended use.
Vegan
Gluten free
Clinically researched urinary control Promotes bladder tone Supports healthy bladder function Promotes normal frequency
Suggested/Recommended/Usage/Directions
Suggested Use: Take two (2) capsules daily with food. For faster results, two capsules twice daily can be taken for the first month of use.
General Statements
365 day money-back guarantee
To reorder call: 800-218-1379
Seals/Symbols
Sourced from a GMP Certified Facility
Precautions
Please consult your healthcare practitioner before using any nutritional supplement, especially if you are taking medications on a regular basis, anticipate surgery, or are otherwise under medical supervision. Product not intended for use by children under 18 or those who are pregnant or lactating.
Product not intended for use by children under 18 or those who are pregnant or lactating.
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 any disease.
Brand IP Statement(s)
Copyright 2021 Youth Extension Solutions
US Patent No. 9,452,191 Urox and Cratevox are trademarks of Seipel Group Pty Ltd.
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Bladder Relief by IVL 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 Relief by IVL
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Vegetarian 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.
Urox Proprietary Blend
- › Cratevox Three-leaf Caper (Crateva nurvala) stem bark extract
- › Lindera Root Extract
- › Horsetail aerial parts extract
Other (inactive) ingredients: Hydroxypropyl Methylcellulose, Water, Rice, Flour, Silica. These complete the product’s ingredient list but are not active constituents.
Bladder Relief by IVL Drug Interactions
HelloPharmacist Interaction Report
Bladder Relief by IVL contains horsetail, which interacts with several medication categories.
The most serious concern is with antiviral medications — specifically nucleoside reverse transcriptase inhibitors (NRTIs) and efavirenz (Sustiva) — where horsetail may lower drug levels and reduce their effectiveness. Case reports documented patients with detectable viral loads while taking horsetail-containing supplements alongside these antiretrovirals.
Read the full breakdown — every affected drug type, severity by severity
Moderate interactions are documented with antidiabetes drugs (horsetail may increase the risk of low blood sugar), diuretics (a potassium-depleting interaction), and lithium (horsetail may increase lithium levels). We couldn't check the other two active ingredients — Cratevox Three-leaf Caper stem bark extract and Lindera Root Extract — because we hold no interaction data for them.
Although these concerns are theoretical in some cases, they're grounded in lab research and clinical reports. Altogether, these interactions span 188 individual medications.
Use the medication checker on this page to look up your specific drugs before starting this product, and talk with your doctor or pharmacist to confirm it's safe for you.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Bladder Relief?
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 Relief interact with 188 drugs. Click any drug to see the details.
1 of the 3 ingredients in Bladder Relief interact with drugs. Each result below shows which ingredient is responsible. Horsetail aerial parts extract
Abacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractNucleoside Reverse Transcriptase Inhibitors (nrtis) Moderate
Interaction Summary
Theoretically, horsetail might decrease the levels and clinical effects of NRTIs.
Read the full Horsetail Aerial Parts Extract + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractNucleoside Reverse Transcriptase Inhibitors (nrtis) Moderate
Interaction Summary
Theoretically, horsetail might decrease the levels and clinical effects of NRTIs.
Read the full Horsetail Aerial Parts Extract + Abacavir, Lamivudine interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail Aerial Parts Extract + Acarbose interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Acetaminophen, Pamabrom, Pyrilamine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail Aerial Parts Extract + Acetohexamide interactionAdefovirHepsera
How Adefovir interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractNucleoside Reverse Transcriptase Inhibitors (nrtis) Moderate
Interaction Summary
Theoretically, horsetail might decrease the levels and clinical effects of NRTIs.
Read the full Horsetail Aerial Parts Extract + Adefovir interactionAlbiglutideTanzeum
How Albiglutide interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail Aerial Parts Extract + Albiglutide interactionAlogliptinNesina
How Alogliptin interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail Aerial Parts Extract + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail Aerial Parts Extract + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail Aerial Parts Extract + Alogliptin, Pioglitazone interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Amiloride, Hydrochlorothiazide interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Ammonium Chloride interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail Aerial Parts Extract + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Atenolol, Chlorthalidone interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Azilsartan, Chlorthalidone interactionBenazepril, HydrochlorothiazideLotensin HCT
How Benazepril, Hydrochlorothiazide interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Benazepril, Hydrochlorothiazide interactionBendroflumethiazideAprinox, Naturetin, Neo-NaClex
How Bendroflumethiazide interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Bendroflumethiazide interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Bendroflumethiazide, Nadolol interactionBendroflumethiazide, PotassiumCentyl K, Neo-NaClex-K
How Bendroflumethiazide, Potassium interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Bendroflumethiazide, Potassium interactionBendroflumethiazide, Rauwolfia SerpentinaRauzide
How Bendroflumethiazide, Rauwolfia Serpentina interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Bendroflumethiazide, Rauwolfia Serpentina interactionBenzthiazideExna
How Benzthiazide interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Benzthiazide interactionBisoprolol, HydrochlorothiazideZiac
How Bisoprolol, Hydrochlorothiazide interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Bisoprolol, Hydrochlorothiazide interactionBumetanideBurinex
How Bumetanide interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Bumetanide interactionBumetanide, PotassiumBurinex K
How Bumetanide, Potassium interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Bumetanide, Potassium interactionCaffeine, Potassium Salicylate, SalicylamideTrim-Elim
How Caffeine, Potassium Salicylate, Salicylamide interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail Aerial Parts Extract + Caffeine, Potassium Salicylate, Salicylamide interactionCanagliflozinInvokana
How Canagliflozin interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail Aerial Parts Extract + Canagliflozin interactionCanagliflozin, MetforminInvokamet
How Canagliflozin, Metformin interacts with Bladder Relief — through 1 ingredient. Tap an ingredient for the detail:
Horsetail Aerial Parts ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Horsetail Aerial Parts Extract + Canagliflozin, Metformin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Bladder Relief 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.
Horsetail aerial parts extract
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.
Brand information
Manufacturer and brand details for Bladder Relief, from the product label.
IVL
See all IVL products- Name
- Independent Vital Life LLC
- Street Address
- PO Box 3520
- City
- Cottonwood
- State
- AZ
- ZipCode
- 86326
- Phone Number
- 800-218-1379
- Web Address
- www.IVL.com
Bladder Relief by IVL: Common Questions
Does Bladder Relief by IVL interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is horsetail safe to use long-term?
Can I take this if I'm pregnant or breastfeeding?
What are the side effects I might experience?
Does this product actually work for bladder incontinence?
What if I take lithium or a water pill — can I use this?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Bladder Relief 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 Bladder Relief’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Bladder Relief'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 14 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.
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
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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.
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