Boldo and Fringe Ingredients & Drug Interactions
by Herbal Terra
What is this page for?
First and foremost: checking Boldo and Fringe 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
Boldo and Fringe is a dietary supplement by Herbal Terra with 2 active ingredients. Its ingredients are commonly taken for indigestion and bloating, mild constipation, liver and gallbladder support.Based on those ingredients, 482 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are wild harvested Boldo (Peumus boldus) dried leaf extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Boldo and Fringe by Herbal Terra
Ask about any prescription or over-the-counter medication and we check it for interactions with Boldo and Fringe 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 Boldo and Fringe 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
Low disclosure
Boldo and Fringe contains 2 active ingredients: wild harvested boldo leaf extract and wild harvested Fringe Tree bark extract. Boldo has traditionally been used for gallbladder and digestive support, while Fringe Tree has a long history in herbal practice, though human safety and effectiveness data remain very limited for both.
The product also contains menstruum as an inactive ingredient (a liquid vehicle for the herbal extracts).
Does it work?
Couldn't assess
The evidence on boldo for its common uses — gallbladder disease, kidney stones, joint pain, and benign prostatic hyperplasia — is insufficient to rate in our data. Similarly, no effectiveness ratings are on file for Fringe Tree.
This doesn't mean these herbs don't work; it means the clinical evidence hasn't been fully established by the standards we hold.
How safe is it?
Well-documented data
When used in food amounts, boldo is generally well tolerated. In medicinal doses, however, it can cause abdominal pain, nausea, and vomiting as common side effects, and liver damage (hepatotoxicity) as a serious but rare concern — the ascaridole in boldo is a documented liver toxin.
Boldo is considered unsafe in pregnancy because it may stimulate the uterus, and there isn't enough safety data to recommend it while breastfeeding. Fringe Tree has very limited human safety information available, so it should be used cautiously and under professional guidance; it's also best avoided during pregnancy and breastfeeding due to lack of reliable safety data.
Meds to double-check
Moderate interaction found
Before taking this product, check with your doctor or pharmacist if you're on any blood thinners (anticoagulants or antiplatelet drugs) like warfarin, lithium for mood disorders, tacrolimus after a transplant, or any medication known to affect your liver. Boldo interacts with these at Moderate severity.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product is not for everyone. If you take blood thinners, lithium, tacrolimus, or drugs that stress your liver, you need to discuss it with your doctor or pharmacist before starting.
It's not recommended during pregnancy or breastfeeding. Because boldo can cause liver problems even in otherwise healthy people, keep an eye on how you feel — abdominal pain, nausea, or yellowing of skin or eyes warrant stopping it and calling your doctor right away.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Sep 25, 2020.
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 Boldo and Fringe, straight from the product label.
| Brand | Herbal Terra |
|---|---|
| Barcode (UPC) | 0606595869055 |
| Net contents | 4 Fluid Ounce(s); 120 mL |
| Market status | On market |
| Date entered into DSLD | Sep 25, 2020 |
| DSLD ID | 234057 |
| 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 Boldo and Fringe by Herbal Terra, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Herbal Extracts Blend | 970 mg | -- |
| wild harvested Boldo (Peumus boldus) dried leaf extract | 0 NP | -- |
| wild harvested Fringe Tree (Chionanthus virginicus) dried bark extract | 0 NP | -- |
Other ingredients: Menstruum
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
Wild harvested: Boldo (Peumus boldus) dried leaf Origin: Chile. Fringe tree (Chionanthus virginicus) dried bark. Origin: USA.
Suggested/Recommended/Usage/Directions
Direction 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. We recommend to seek expert medical advice before taking this or any other herbal supplements.
FDA Disclaimer Statement
Notice This product has not been evaluated by the FDA and is not intended to diagnose, treat, cure, or prevent any disease.
Formulation
Manufactured in the USA in an FDA registered facility
Sugar free
Dried herb/menstruum ratio: 1:3 Expertly extracted Laboratory tested 330 mg/1 mL Premium product Super concentrated liquid herbal extract
Non GMO
No artificial ingredients, GMO, gluten, color additives, fillers, preservatives or binders. Natural Gluten Free
Precautions
Caution May have contraindications.
Do not use if you are allergic to any ingredients.
Consult a physician before using during pregnancy, if nursing, or if you are on any medications.
Keep out of the reach of children.
Storage
Store in a cool, dry, dark place.
FDA Statement of Identity
Herbal Supplement
Seals/Symbols
Made in USA FDA registered facility Natural Gluten Free 100% Natural guaranteed
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Boldo and Fringe 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 Boldo and Fringe by Herbal Terra
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 mL Dosage formLiquid Servings per container120 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.
Proprietary Herbal Extracts Blend
Other (inactive) ingredients: Menstruum. These complete the product’s ingredient list but are not active constituents.
Boldo and Fringe by Herbal Terra Drug Interactions
HelloPharmacist Interaction Report
Boldo and Fringe by Herbal Terra contains boldo leaf extract, which interacts with a notable number of medications.
The most serious concern is with hepatotoxic drugs (those that can harm the liver) — boldo itself contains ascaridole, a known liver toxin, and combining it with other liver-damaging substances raises the risk of liver injury. Cases of elevated liver enzymes and jaundice have been reported with boldo use.
Read the full breakdown — every affected drug type, severity by severity
Boldo also carries Moderate-severity interactions with blood thinners (anticoagulants/antiplatelet drugs) and warfarin specifically, where it may increase bleeding risk. It can raise lithium levels by reducing how your kidneys clear it, potentially causing lithium toxicity.
Additionally, boldo may lower tacrolimus (an immunosuppressant used after transplants) to unsafe levels, risking transplant rejection.
Fringe Tree bark extract has no interactions documented in our data. However, we could not check how many individual medications across both ingredients are affected — the data shows these interactions span 483 individual medications.
Use the medication checker on this page to verify any drugs you're taking before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Boldo and Fringe?
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 Boldo and Fringe interact with 482 drugs. Click any drug to see the details.
1 of the 2 ingredients in Boldo and Fringe interact with drugs. Each result below shows which ingredient is responsible. wild harvested Boldo (Peumus boldus) dried leaf extract
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Abacavir, Lamivudine interactionAbciximabReoPro
How Abciximab interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking boldo with anticoagulant/antiplatelet drugs might increase the risk of bleeding.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Abciximab interactionAbiraterone
How Abiraterone interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking boldo with anticoagulant/antiplatelet drugs might increase the risk of bleeding.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking boldo with anticoagulant/antiplatelet drugs might increase the risk of bleeding.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractAnticoagulant/antiplatelet Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with anticoagulant/antiplatelet drugs might increase the risk of bleeding.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Boldo and Fringe — through 1 ingredient. Tap an ingredient for the detail:
Wild Harvested Boldo (peumus Boldus) Dried Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Read the full Wild Harvested Boldo (peumus Boldus) Dried Leaf Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Boldo and Fringe 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.
wild harvested Boldo (Peumus boldus) dried leaf extract
Anticoagulant/Antiplatelet Drugs
Theoretically, taking boldo with anticoagulant/antiplatelet drugs might increase the risk of bleeding.
Animal and in vitro research shows that boldine, a constituent of boldo, has antiplatelet activity. In one case report, an adult taking a combination of boldo and fenugreek with warfarin experienced an increase in international normalized ratio (INR); however, it is unclear if this effect was due to boldo, fenugreek, the combination, or another factor.
Hepatotoxic Drugs
Theoretically, taking boldo with hepatotoxic drugs might increase the risk of hepatic injury and disease.
Boldo leaf contains ascaridole, a known liver toxin. Many cases of hepatotoxicity, including elevated liver transaminase levels and jaundice, have been reported in patients taking boldo.
Lithium
Theoretically, taking boldo with lithium might increase the levels and clinical effects of lithium.
Boldo is believed to have diuretic effects. Theoretically, these diuretic effects might reduce the excretion of lithium. The dose of lithium might need to be decreased.
Tacrolimus (Prograf)
Taking boldo with tacrolimus may decrease the levels and clinical effects of tacrolimus, potentially increasing the risk of transplant rejection.
In one case report, a patient with a long-term history of stable tacrolimus levels developed subtherapeutic levels after taking boldo 300 mg twice daily orally for several weeks. Tacrolimus levels returned to normal after discontinuing boldo. However, the mechanism of this interaction is unclear.
Warfarin (Coumadin)
A combination of boldo and fenugreek was thought to be associated with an increased international normalized ratio (INR) in a female on warfarin. It is not clear if boldo, fenugreek, or the combination played a role in this interaction. Therefore, boldo may have additive effects with warfarin.
Brand information
Manufacturer and brand details for Boldo and Fringe, from the product label.
Boldo and Fringe by Herbal Terra: Common Questions
Does Boldo and Fringe 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 are the most common side effects?
Does this product actually work for gallbladder problems or kidney stones?
Why is liver damage a concern with boldo?
How much do we know about Fringe Tree's safety?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Boldo and Fringe 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 Boldo and Fringe’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Boldo
Interacts with 482 drugsBoldo is a South American shrub whose leaves are traditionally used for digestive and gallbladder complaints, but good human evidence is very limited. The leaves and oil contain ascaridole,...
Read the full Boldo monograph → Herb & supplement monographFringetree
Fringetree is a North American shrub whose root and stem bark have long been used in traditional herbal medicine, mainly for liver, gallbladder, and digestive complaints. There is very littl...
Read the full Fringetree monograph →Sources & How We Checked
Boldo and Fringe'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 12 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.
Boldo 10 references
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- Lambert J, Cormier J. Potential interaction between warfarin and boldo-fenugreek. Pharmacotherapy 2001;21:509-12. PubMed
- Piscaglia F, Leoni S, Venturi A, et al. Caution in the use of boldo in herbal laxatives: a case of hepatotoxicity. Scand J Gastroenterol 2005;40:236-9. PubMed
- Agarwal SC, Crook JR, Pepper CB. Herbal remedies -- how safe are they? A case report of polymorphic ventricular tachycardia/ventricular fibrillation induced by herbal medication used for obesity. Int J Cardiol 2006;106:260-1. PubMed
- Teng, C. M., Hsueh, C. M., Chang, Y. L., Ko, F. N., Lee, S. S., and Liu, K. C. Antiplatelet effects of some aporphine and phenanthrene alkaloids in rabbits and man. J Pharm Pharmacol 1997;49(7):706-711. PubMed
- Carbajal R, Yisfalem A, Pradhan N, et al. Case report: Boldo (Peumus boldus) and tacrolimus interaction in a renal transplant patient. Transplant Proc 2014;46(7):2400-2. PubMed
- Almeida ER, Melo AM, Xavier H. Toxicological evaluation of the hydro-alcohol extract of the dry leaves of Peumus boldus and boldine in rats. Phytother Res 2000;14(2):99-102. DOI
- Ribeiro RJ, Silvestre C, Duarte C. Hidden risks of alternative medicines: a case of boldo-induced hepatotoxicity. J Diet Suppl 2017;14(2):186-90. PubMed
- Oliveira Sá A, Pimentel T, Oliveira N. Boldo-Induced Hepatotoxicity: A Case of Unexplained Jaundice. Eur J Case Rep Intern Med 2020;7(12):002116. PubMed
- Valdes R, Feuereisen A, Bellinghausen M. Allergic Contact Dermatitis to Boldo. Dermatitis 2021;32(2):e31-e32. PubMed
Fringetree 2 references
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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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