Serene Spirit Teapills Ingredients & Drug Interactions
by Plum Flower
What is this page for?
First and foremost: checking Serene Spirit Teapills 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
Serene Spirit Teapills is a dietary supplement by Plum Flower with 6 active ingredients. Its ingredients are commonly taken for anti-aging and longevity, hair graying and hair loss, general tonic for vitality.Based on those ingredients, 1,429 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Polygonum multiflorum Stem Extract, Ziziphus jujuba Fruit Extract, Poria cocos Sclerotium Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Serene Spirit Teapills by Plum Flower
Ask about any prescription or over-the-counter medication and we check it for interactions with Serene Spirit Teapills by Plum Flower — 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 Serene Spirit Teapills by Plum Flower
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
Serene Spirit Teapills contains six active ingredients in a proprietary blend. The main component is fo-ti stem extract (also called He shou wu), a traditional herb; the other actives are extracts from wheat fruit, poria mushroom sclerotium, jujube fruit, lily bulb, and Albizia julibrissin bark.
The product also contains several inactive ingredients: dextrin, magnesium silicate, activated charcoal, china wax, and wheat.
Does it work?
Not established
The evidence we hold for Serene Spirit Teapills does not establish effectiveness for any condition. Fo-ti is listed for age-related cognitive decline, Alzheimer disease, hair loss (androgenic alopecia), osteoporosis, and heart disease — but all carry an Insufficient Reliable Evidence rating.
Poria mushroom extract is similarly unrated for cancer, fatigue, dementia, diabetes, diabetic kidney disease, and diarrhea. No effectiveness data are on file for the wheat fruit, jujube, lily bulb, or Albizia ingredients.
Traditional use does not equal proven benefit in clinical trials.
How safe is it?
Well-documented data
Fo-ti is the key safety concern in this product. It has been linked to around 450 documented cases of liver injury — ranging from hepatitis to cirrhosis — in people of all ages and at varying doses and formulation types, both processed and unprocessed.
Gastrointestinal side effects (stomach pain, diarrhea, nausea, vomiting) are most common, especially with unprocessed fo-ti. Poria mushroom is generally well tolerated based on traditional use, though human safety data are limited; rare allergic reactions including allergic rhinitis and asthma have been reported.
Albizia julibrissin has limited human safety data as well. None of these ingredients should be used during pregnancy — safety is not established.
Fo-ti, poria, and Albizia are all best avoided while breastfeeding due to insufficient safety information.
Meds to double-check
Moderate interaction found
Before taking Serene Spirit Teapills, double-check with your pharmacist if you take blood thinners or antiplatelet drugs (especially warfarin), heart medications like digoxin, sedatives or other CNS depressants, anti-inflammatory drugs like sulindac, anticholinergic or cholinergic medications, diuretics, or any drugs metabolized by your liver — the interactions are Moderate and documented.
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.
This product may appeal to those interested in traditional herbal support, but it carries real risks that demand careful consideration. If you take a blood thinner, heart medication, sedative, diuretic, or any prescription drug, talk to your pharmacist before trying it — the interactions are documented and potentially serious.
Liver safety is a significant concern with fo-ti. Because this is not an urgent medical need with proven benefit, pregnancy and breastfeeding are contraindications.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 5 of 6 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 20, 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 Serene Spirit Teapills, straight from the product label.
| Brand | Plum Flower |
|---|---|
| Barcode (UPC) | 739934833834 |
| Net contents | 1.2 Ounce(s); 34 Gram(s); 200 Pill(s) |
| Market status | On market |
| Date entered into DSLD | Jun 20, 2024 |
| DSLD ID | 310587 |
| Product type | Botanical |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Serene Spirit Teapills by Plum Flower, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Extract Blend | 1360 mg | -- |
| Polygonum multiflorum Stem Extract | 0 NP | -- |
| Triticum aestivum Fruit Extract | 0 NP | -- |
| Poria cocos Sclerotium Extract | 0 NP | -- |
| Ziziphus jujuba Fruit Extract | 0 NP | -- |
| Lilium brownii Bulb Extract | 0 NP | -- |
| Albizia julibrissin Bark Extract | 0 NP | -- |
Other ingredients: Dextrin, Magnesium Silicate, Hydrated, Carbon, Activated, China Wax, Wheat
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.
General Statements
Gan Mai Da Zao Wan
Foci Pharmaceutical 1929
FDA Statement of Identity
Herbal Supplement
Precautions
Contains wheat
Caution during pregnancy
Keep out of reach of children
Suggested/Recommended/Usage/Directions
Take 8 pills 3 times daily or as directed by your health care practitioner
Formulation
US owned & operated since 1969. Made in China in partnership with the award winning Lanzhou Foci Pharmaceutical Co. Ltd.
No pharmaceuticals or dyes Unsulfured
Plum Flower Quality Guarantee Preservative-free herbs when available Scientifically authenticated herbs Microbial and heavy metal tested Produced at a Good Manufacturing Practices (GMP) certified factory
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Serene Spirit Teapills by Plum Flower 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 Serene Spirit Teapills by Plum Flower
These are the 6 active ingredients this product is made of. Select any to open its full monograph.
Serving size8 Pill(s) Dosage formTablet Or Pill Servings per container25 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 Extract Blend
- › Polygonum multiflorum Stem Extract
- › Triticum aestivum Fruit Extract
- › Poria cocos Sclerotium Extract
- › Ziziphus jujuba Fruit Extract
- › Lilium brownii Bulb Extract
- › Albizia julibrissin Bark Extract
Other (inactive) ingredients: Dextrin, Magnesium Silicate, Hydrated, Carbon, Activated, China Wax, Wheat. These complete the product’s ingredient list but are not active constituents.
Serene Spirit Teapills by Plum Flower Drug Interactions
HelloPharmacist Interaction Report
Serene Spirit Teapills by Plum Flower contains several ingredients with documented interactions to medications.
The most serious concern is fo-ti (Polygonum multiflorum), which carries a Moderate risk with blood thinners like warfarin — it has been linked to acute liver failure that reduced clotting factors and caused one patient's blood-thinning level (INR) to spike dangerously to 14.98 after 90 days of use. Fo-ti also interacts Moderately with anticoagulant and antiplatelet drugs more broadly, and with digoxin (a heart medication), where it may trigger low potassium and heart toxicity, especially if the raw form is used.
Read the full breakdown — every affected drug type, severity by severity
Fo-ti carries additional Moderate interactions with sulindac (an anti-inflammatory), several liver-metabolized drugs (CYP2C8 and CYP2B6 substrates), stimulant laxatives, and diuretic drugs — the last two because unprocessed fo-ti can cause diarrhea and laxative effects, which may worsen electrolyte loss. Poria mushroom extract and Albizia julibrissin both have Moderate interactions with sedatives and related CNS depressants, potentially increasing their effects.
Poria mushroom may also interfere with anticholinergic or cholinergic medications. We could not check interactions for wheat fruit, jujube fruit, or lily bulb extracts.
Altogether, these interactions span 1,407 individual medications. If you take any prescription medication — especially blood thinners, heart drugs, sedatives, or diuretics — search your exact medications using the checker on this page before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Serene Spirit Teapills?
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 Serene Spirit Teapills interact with 1,429 drugs. Click any drug to see the details.
5 of the 6 ingredients in Serene Spirit Teapills interact with drugs. Each result below shows which ingredient is responsible. Polygonum multiflorum Stem Extract Ziziphus jujuba Fruit Extract Poria cocos Sclerotium Extract Triticum aestivum Fruit Extract Albizia julibrissin Bark Extract
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + 6-mercaptopurine interactionAdo-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Polygonum Multiflorum Stem Extract + Ado-trastuzumab Emtansine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Abacavir, Lamivudine interactionAbciximabReoPro
How Abciximab interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Fo-ti has been linked to cases of acute liver failure which can decrease clotting factor production and increase the effects of anticoagulants.
Read the full Polygonum Multiflorum Stem Extract + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Polygonum Multiflorum Stem Extract + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Polygonum Multiflorum Stem Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, fo-ti may increase the levels and clinical effects of drugs metabolized by CYP2C9.
Read the full Polygonum Multiflorum Stem Extract + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Polygonum Multiflorum Stem Extract + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Serene Spirit Teapills — through 3 ingredients. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractAntidiabetes Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Polygonum Multiflorum Stem Extract + Acarbose interactionTriticum Aestivum Fruit ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking wheatgrass with antidiabetes drugs might lower blood glucose levels and increase the risk of hypoglycemia.
Read the full Triticum Aestivum Fruit Extract + Acarbose interactionZiziphus Jujuba Fruit ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, zizyphus might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Ziziphus Jujuba Fruit Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Serene Spirit Teapills — through 1 ingredient. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Fo-ti has been linked to cases of acute liver failure which can decrease clotting factor production and increase the effects of anticoagulants.
Read the full Polygonum Multiflorum Stem Extract + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Serene Spirit Teapills — through 3 ingredients. Tap an ingredient for the detail:
Albizia Julibrissin Bark ExtractCns Depressants Moderate
Interaction Summary
Animal research suggests that certain constituents from Albizia julibrissin flowers can potentiate pentobarbital-induced sleeping time in mice.
Read the full Albizia Julibrissin Bark Extract + Acepromazine interactionZiziphus Jujuba Fruit ExtractCns Depressants Moderate
Interaction Summary
Theoretically, zizyphus might cause additive sedative effects when taken with CNS depressants.
Read the full Ziziphus Jujuba Fruit Extract + Acepromazine interactionPoria Cocos Sclerotium ExtractAnticholinergic Drugs, Cns Depressants Moderate
Interaction Summary
Theoretically, poria mushroom might decrease the clinical effects of anticholinergic drugs.
Read the full Poria Cocos Sclerotium Extract + Acepromazine interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Serene Spirit Teapills — through 3 ingredients. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Serene Spirit Teapills — through 3 ingredients. Tap an ingredient for the detail:
Triticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Aspirin interactionPolygonum Multiflorum Stem ExtractAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Fo-ti has been linked to cases of acute liver failure which can decrease clotting factor production and increase the effects of anticoagulants.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Aspirin interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Serene Spirit Teapills — through 3 ingredients. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Aspirin, Caffeine interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Aspirin, Caffeine interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Serene Spirit Teapills — through 3 ingredients. Tap an ingredient for the detail:
Triticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionPolygonum Multiflorum Stem ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, fo-ti might increase or decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Serene Spirit Teapills — through 3 ingredients. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Butalbital interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Butalbital interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Serene Spirit Teapills — through 3 ingredients. Tap an ingredient for the detail:
Triticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Butalbital, Caffeine interactionPolygonum Multiflorum Stem ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Butalbital, Caffeine interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Serene Spirit Teapills — through 5 ingredients. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates +2 Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionPoria Cocos Sclerotium ExtractCns Depressants Moderate
Interaction Summary
Theoretically, taking poria mushroom extract may enhance the therapeutic and adverse effects of sedatives.
Read the full Poria Cocos Sclerotium Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionZiziphus Jujuba Fruit ExtractCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might cause additive sedative effects when taken with CNS depressants.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAlbizia Julibrissin Bark ExtractCns Depressants Moderate
Interaction Summary
Animal research suggests that certain constituents from Albizia julibrissin flowers can potentiate pentobarbital-induced sleeping time in mice.
Read the full Albizia Julibrissin Bark Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Serene Spirit Teapills — through 5 ingredients. Tap an ingredient for the detail:
Albizia Julibrissin Bark ExtractCns Depressants Moderate
Interaction Summary
Animal research suggests that certain constituents from Albizia julibrissin flowers can potentiate pentobarbital-induced sleeping time in mice.
Read the full Albizia Julibrissin Bark Extract + Acetaminophen, Butalbital, Codeine interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Butalbital, Codeine interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Butalbital, Codeine interactionPolygonum Multiflorum Stem ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Hepatotoxic Drugs +1 Moderate
Interaction Summary
Theoretically, fo-ti may increase the levels and clinical effects of drugs metabolized by CYP2D6.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Butalbital, Codeine interactionPoria Cocos Sclerotium ExtractCns Depressants Moderate
Interaction Summary
Theoretically, taking poria mushroom extract may enhance the therapeutic and adverse effects of sedatives.
Read the full Poria Cocos Sclerotium Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Serene Spirit Teapills — through 5 ingredients. Tap an ingredient for the detail:
Ziziphus Jujuba Fruit ExtractCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might cause additive sedative effects when taken with CNS depressants.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionPolygonum Multiflorum Stem ExtractHepatotoxic Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionPoria Cocos Sclerotium ExtractCns Depressants Moderate
Interaction Summary
Theoretically, taking poria mushroom extract may enhance the therapeutic and adverse effects of sedatives.
Read the full Poria Cocos Sclerotium Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAlbizia Julibrissin Bark ExtractCns Depressants Moderate
Interaction Summary
Animal research suggests that certain constituents from Albizia julibrissin flowers can potentiate pentobarbital-induced sleeping time in mice.
Read the full Albizia Julibrissin Bark Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Serene Spirit Teapills — through 5 ingredients. Tap an ingredient for the detail:
Albizia Julibrissin Bark ExtractCns Depressants Moderate
Interaction Summary
Animal research suggests that certain constituents from Albizia julibrissin flowers can potentiate pentobarbital-induced sleeping time in mice.
Read the full Albizia Julibrissin Bark Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionPolygonum Multiflorum Stem ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs +2 Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionPoria Cocos Sclerotium ExtractCns Depressants, Anticholinergic Drugs Moderate
Interaction Summary
Theoretically, taking poria mushroom extract may enhance the therapeutic and adverse effects of sedatives.
Read the full Poria Cocos Sclerotium Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit 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 Serene Spirit Teapills — through 5 ingredients. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Hepatotoxic Drugs +2 Moderate
Interaction Summary
Theoretically, fo-ti may increase the levels and clinical effects of drugs metabolized by CYP2D6.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Caffeine, Codeine interactionZiziphus Jujuba Fruit ExtractCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might cause additive sedative effects when taken with CNS depressants.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Caffeine, Codeine interactionPoria Cocos Sclerotium ExtractCns Depressants Moderate
Interaction Summary
Theoretically, taking poria mushroom extract may enhance the therapeutic and adverse effects of sedatives.
Read the full Poria Cocos Sclerotium Extract + Acetaminophen, Caffeine, Codeine interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Caffeine, Codeine interactionAlbizia Julibrissin Bark ExtractCns Depressants Moderate
Interaction Summary
Animal research suggests that certain constituents from Albizia julibrissin flowers can potentiate pentobarbital-induced sleeping time in mice.
Read the full Albizia Julibrissin Bark Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Serene Spirit Teapills — through 5 ingredients. Tap an ingredient for the detail:
Triticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAlbizia Julibrissin Bark ExtractCns Depressants Moderate
Interaction Summary
Animal research suggests that certain constituents from Albizia julibrissin flowers can potentiate pentobarbital-induced sleeping time in mice.
Read the full Albizia Julibrissin Bark Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionPolygonum Multiflorum Stem ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionPoria Cocos Sclerotium ExtractCns Depressants Moderate
Interaction Summary
Theoretically, taking poria mushroom extract may enhance the therapeutic and adverse effects of sedatives.
Read the full Poria Cocos Sclerotium Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionZiziphus Jujuba Fruit ExtractCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might cause additive sedative effects when taken with CNS depressants.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Serene Spirit Teapills — through 5 ingredients. Tap an ingredient for the detail:
Ziziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionPolygonum Multiflorum Stem ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
Theoretically, fo-ti may increase the levels and clinical effects of drugs metabolized by CYP2D6.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionPoria Cocos Sclerotium ExtractCns Depressants Moderate
Interaction Summary
Theoretically, taking poria mushroom extract may enhance the therapeutic and adverse effects of sedatives.
Read the full Poria Cocos Sclerotium Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAlbizia Julibrissin Bark ExtractCns Depressants Moderate
Interaction Summary
Animal research suggests that certain constituents from Albizia julibrissin flowers can potentiate pentobarbital-induced sleeping time in mice.
Read the full Albizia Julibrissin Bark Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Serene Spirit Teapills — through 3 ingredients. Tap an ingredient for the detail:
Triticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Caffeine, Isometheptene interactionPolygonum Multiflorum Stem ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Caffeine, Isometheptene interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Serene Spirit Teapills — through 4 ingredients. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Caffeine, Pyrilamine interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Caffeine, Pyrilamine interactionPoria Cocos Sclerotium ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, poria mushroom might decrease the clinical effects of anticholinergic drugs.
Read the full Poria Cocos Sclerotium Extract + Acetaminophen, Caffeine, Pyrilamine interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Serene Spirit Teapills — through 4 ingredients. Tap an ingredient for the detail:
Polygonum Multiflorum Stem ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Polygonum Multiflorum Stem Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionTriticum Aestivum Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Triticum Aestivum Fruit Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionPoria Cocos Sclerotium ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, poria mushroom might decrease the clinical effects of anticholinergic drugs.
Read the full Poria Cocos Sclerotium Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionZiziphus Jujuba Fruit ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Ziziphus Jujuba Fruit Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Serene Spirit Teapills 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.
Polygonum multiflorum Stem Extract
Anticoagulant/Antiplatelet Drugs
Fo-ti has been linked to cases of acute liver failure which can decrease clotting factor production and increase the effects of anticoagulants. In one case, a patient who had been stable on warfarin presented with acute hepatitis and an INR elevated to 14.98. The patient had been taking fo-ti for 90 days prior to admission. Discontinuation of warfarin and fo-ti lead to a decrease in the INR and full recovery. Theoretically, concomitant use of fo-ti with anticoagulant or antiplatelet drugs may increase the risk of bleeding in some patients. Until more is known, monitor patients taking fo-ti and drugs that affect bleeding.
Some of these drugs include aspirin, clopidogrel (Plavix), dalteparin (Fragmin), dipyridamole (Persantine), enoxaparin (Lovenox), heparin, ticlopidine (Ticlid), warfarin (Coumadin), and others.
Antidiabetes Drugs
Theoretically, fo-ti might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Fo-ti reportedly has hypoglycemic effects.
Contraceptive Drugs
Theoretically, taking large amounts of fo-ti might interfere with contraceptive drugs due to competition for estrogen receptors.
In vitro research suggests that fo-ti extract has estrogenic activity.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, fo-ti might increase or decrease the levels and clinical effects of drugs metabolized by CYP1A2.
In vitro research suggests that fo-ti might inhibit CYP1A2. Additionally, in vitro research suggests that the degree of CYP1A2 inhibition depends on the type of fo-ti extract (i.e., the raw plant leads to greater inhibition than extensively processed extracts). However, in an animal study, an aqueous extract of fo-ti inhibited CYP1A2 while an alcoholic extract of fo-ti induced CYP1A2. Induction or inhibition of CYP1A2 by fo-ti has not been reported in humans.
Cytochrome P450 2B6 (Cyp2B6) Substrates
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP2B6.
Animal research suggests that fo-ti might inhibit CYP2B6. One in vitro study suggests that the degree of CYP2B6 inhibition may depend on the type of fo-ti extract (i.e., the raw plant leads to greater inhibition than extensively processed extracts). However, this interaction has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, fo-ti may increase the levels and clinical effects of drugs metabolized by CYP2C19.
Animal and in vitro research suggests that fo-ti may inhibit CYP2C19. An in vitro study suggests that the degree of CYP2C19 inhibition may depend on the type of fo-ti extract (i.e., the raw plant leads to greater inhibition than extensively processed extracts). However, this interaction has not been reported in humans.
Cytochrome P450 2C8 (Cyp2C8) Substrates
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP2C8.
In vitro research suggests that fo-ti might inhibit CYP2C8. However, this interaction has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, fo-ti may increase the levels and clinical effects of drugs metabolized by CYP2C9.
Animal and in vitro research suggests that fo-ti may inhibit CYP2C9. However, this interaction has not been reported in humans.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, fo-ti may increase the levels and clinical effects of drugs metabolized by CYP2D6.
Animal research suggests that fo-ti might inhibit CYP2D6. Additionally, an in vitro study suggests that the degree of CYP2D6 inhibition may depend on the type of fo-ti extract (i.e., the raw plant leads to greater inhibition than extensively processed extracts). However, this interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, fo-ti might increase the levels and clinical effects of drugs metabolized by CYP3A4.
In vitro research suggests that fo-ti might inhibit CYP3A4. One in vitro study suggests that the degree of CYP3A4 inhibition may depend on the type of fo-ti extract (i.e., the raw plant leads to greater inhibition than extensively processed extracts). However, this evidence conflicts with animal research suggesting that fo-ti does not inhibit CYP3A4. This interaction has not been reported in humans.
Digoxin (Lanoxin)
Theoretically, fo-ti, particularly raw fo-ti root, might increase the risk of hypokalemia and cardiotoxicity when taken with digoxin.
Raw fo-ti root contains anthraquinone derivatives, which might have stimulant laxative effects. In vitro research shows that fermented and processed fo-ti root have reduced laxative effects compared with raw fo-ti root.
Diuretic Drugs
Theoretically, fo-ti, particularly raw fo-ti root, might increase the risk of hypokalemia when taken with diuretic drugs.
Raw fo-ti root contains anthraquinone derivatives, which might have stimulant laxative effects and compound diuretic-induced potassium loss. In vitro research shows that fermented and processed fo-ti root have reduced laxative effects compared with raw fo-ti root.
Estrogens
Theoretically, taking large amounts of fo-ti might interfere with hormone replacement therapy through competition for estrogen receptors.
In vitro research suggests that fo-ti extract has estrogenic activity.
Hepatotoxic Drugs
Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.
Fo-ti has been linked to liver damage in many reports.
Stimulant Laxatives
Theoretically, fo-ti, particularly raw fo-ti root, might increase the risk of fluid and electrolyte depletion when taken with stimulant laxatives.
Raw fo-ti root contains anthraquinone derivatives, which might have stimulant laxative effects. However, in vitro research shows that fermented and processed fo-ti root have reduced laxative effects compared with raw fo-ti root.
Sulindac (Clinoril)
Theoretically, fo-ti might increase or decrease the levels and clinical effects of sulindac.
Animal research suggests that the type of fo-ti extract might affect the levels of sulindac differently; the raw plant may increase levels, but processed parts may decrease levels. Induction or inhibition of CYP1A2 by fo-ti has not been reported in humans.
Warfarin (Coumadin)
Theoretically, fo-ti might increase the effects and adverse effects of warfarin.
Fo-ti may have stimulant laxative effects and cause diarrhea, especially when the raw or unprocessed fo-ti root is used. Diarrhea can increase the effects of warfarin, increase international normalized ratio (INR), and increase the risk of bleeding. Also, fo-ti has been linked to cases of acute liver failure which can decrease clotting factor production and increase the effects of warfarin. In one case, a patient who had been stable on warfarin presented with acute hepatitis and an INR elevated to 14.98. The patient had been taking fo-ti for 90 days prior to admission. Discontinuation of warfarin and fo-ti lead to a decrease in the INR and full recovery.
Ziziphus jujuba Fruit Extract
Antidiabetes Drugs
Theoretically, zizyphus might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal research shows that zizyphus has hypoglycemic activity. However, a small clinical study shows that zizyphus fruit powder does not reduce fasting blood glucose levels in patients with type 2 diabetes.
Cns Depressants
Theoretically, zizyphus might cause additive sedative effects when taken with CNS depressants.
Some animal research has found that various parts of zizyphus have sedative effects. However, other animal research shows that zizyphus plant extract does not alter sleep parameters when used in combination with pentobarbital.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, zizyphus might decrease the levels and clinical effects of drugs metabolized by CYP1A2.
Animal research shows that zizyphus induces CYP1A2 enzymes. However, this effect has not been reported in humans.
Poria cocos Sclerotium Extract
Anticholinergic Drugs
Theoretically, poria mushroom might decrease the clinical effects of anticholinergic drugs.
In animal research, poria mushroom essential oil reduces acetylcholinesterase activity. This interaction has not been shown in humans.
Cholinergic Drugs
Theoretically, poria mushroom might have additive effects when used with cholinergic drugs.
In animal research, poria mushroom essential oil reduces acetylcholinesterase activity. This interaction has not been shown in humans.
Cns Depressants
Theoretically, taking poria mushroom extract may enhance the therapeutic and adverse effects of sedatives.
Animal research shows that poria mushroom extract has sedative properties. This interaction has not been shown in humans.
Triticum aestivum Fruit Extract
Antidiabetes Drugs
Theoretically, taking wheatgrass with antidiabetes drugs might lower blood glucose levels and increase the risk of hypoglycemia.
Animal research shows that taking wheatgrass stimulates the release of insulin from beta-cells and lowers blood glucose.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, wheatgrass might decrease the levels and clinical effects of CYP1A2 substrates.
In vitro research shows that wheatgrass induces CYP1A2 enzymes.
Albizia julibrissin Bark Extract
Cns Depressants
Animal research suggests that certain constituents from Albizia julibrissin flowers can potentiate pentobarbital-induced sleeping time in mice. Theoretically, Albizia julibrissin might enhance the therapeutic and adverse effects of CNS depressants.
Some CNS depressants include pentobarbital (Nembutal), phenobarbital (Luminal), secobarbital (Seconal), clonazepam (Klonopin), lorazepam (Ativan), zolpidem (Ambien), and others.
Brand information
Manufacturer and brand details for Serene Spirit Teapills, from the product label.
Plum Flower
- Name
- Mayway Herbs
- City
- Oakland
- State
- CA
- Web Address
- www.plumflowerherbs.com
Serene Spirit Teapills by Plum Flower: 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 Serene Spirit Teapills’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Fo-ti
Interacts with 1,257 drugsFo-ti (He Shou Wu) is a root used in traditional Chinese medicine, often promoted for healthy aging and hair. High-quality human evidence for these benefits is limited, and processed Fo-ti h...
Read the full Fo-ti monograph → Herb & supplement monographWheatgrass
Interacts with 272 drugsWheatgrass is the young grass of the wheat plant, taken as a juice or powder, and is mainly used as a concentrated source of vitamins and plant nutrients. Solid scientific evidence for most...
Read the full Wheatgrass monograph → Herb & supplement monographPoria Mushroom
Interacts with 417 drugsPoria mushroom (Fu Ling) is a fungus long used in Traditional Chinese Medicine, mainly as a mild diuretic and digestive and calming aid. Modern scientific evidence in humans is very limited,...
Read the full Poria Mushroom monograph → Herb & supplement monographZizyphus
Interacts with 469 drugsZizyphus (jujube) is an edible fruit and traditional remedy used mainly for sleep, anxiety, and digestion. The fruit is a nutritious food, but human evidence for its medicinal benefits is li...
Read the full Zizyphus monograph → Herb & supplement monographAlbizia Julibrissin
Interacts with 248 drugsAlbizia julibrissin (Persian silk tree, He Huan) is a plant used in traditional Chinese medicine, mainly the flower and bark, for calming the mind, lifting mood, and easing sleep problems. H...
Read the full Albizia Julibrissin monograph →Sources & How We Checked
Serene Spirit Teapills'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 52 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.
Fo-ti 28 references
- Foster S, Tyler VE. Tyler's Honest Herbal: A Sensible Guide to the Use of Herbs and Related Remedies. 3rd ed., Binghamton, NY: Haworth Herbal Press, 1993.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Covington TR, et al. Handbook of Nonprescription Drugs. 11th ed. Washington, DC: American Pharmaceutical Association, 1996.
- Park GJ, Mann SP, Ngu MC. Acute hepatitis induced by Shou-Wu-Pian, a herbal product derived from Polygonum multiflorum. J Gastroenterol Hepatol 2001;16:115-7.
- But PP, Tomlinson B, Lee KL. Hepatitis related to the Chinese medicine Shou-wu-pian manufactured from Polygonum multiflorum. Vet Hum Toxicol 1996;38:280-2.
- Oerter Klein KO, Janfaza M, Wong JA, Chang RJ. Estrogen bioactivity in Fo-Ti and other herbs used for their estrogen-like effects as determined by a recombinant cell bioassay. J Clin Endocrinol Metab 2003;88:4077-9.. PubMed
- Unger M, Frank A. Simultaneous determination of the inhibitory potency of herbal extracts on the activity of six major cytochrome P450 enzymes using liquid chromatography/mass spectrometry and automated online extraction. Rapid Commun Mass Spectrom 2004;1 PubMed
- UK Medicines and Healthcare Products Regulatory Agency. Polygonum multiflorum and liver reactions. April 2006. Available at: www.mhra.gov.uk/home/idcplg?IdcService= SS_GET_PAGE&useSecondary=true&ssDocName= CON2023590&ssTargetNodeId= 833 (Accessed 10 May 2
- Panis B, Wong DR, Hooymans PM, De Smet PA, Rosias PP. Recurrent toxic hepatitis in a Caucasian girl related to the use of Shou-Wu-Pian, a Chinese herbal preparation. J Pediatr Gastroenterol Nutr 2005;41:256-8. PubMed
- Mazzanti G, Battinelli L, Daniele C, et al. New case of acute hepatitis following the consumption of Shou Wu Pian, a Chinese herbal product derived from Polygonum multiflorum. Ann Intern Med 2004;140:E589-90.
- Cardenas A, Restrepo JC, Sierra F, Correa G. Acute hepatitis due to shen-min: a herbal product derived from Polygonum multiflorum. J Clin Gastroenterol 2006;40:629-32. PubMed
- Zhang CZ, Wang SX, Zhang Y, et al. In vitro estrogenic activities of Chinese medicinal plants traditionally used for the management of menopausal symptoms. J Ethnopharmacol 2005;98:295-300. PubMed
- Laird AR, Ramchandani N, deGoma EM, et al. Acute hepatitis associated with the use of an herbal supplement (Polygonum multiflorum) mimicking iron-overload syndrome. J Clin Gastroenterol 2008;42:861-2. PubMed
- Jung KA, Min HJ, Yoo SS, et al. Drug-Induced Liver Injury: Twenty Five Cases of Acute Hepatitis Following Ingestion of Polygonum multiflorum Thunb. Gut Liver 2011;5(4):493-9. PubMed
- Kang, S. C., Lee, C. M., Choi, H., Lee, J. H., Oh, J. S., Kwak, J. H., and Zee, O. P. Evaluation of oriental medicinal herbs for estrogenic and antiproliferative activities. Phytother Res 2006;20(11):1017-1019. PubMed
- Yuen, M. F., Tam, S., Fung, J., Wong, D. K., Wong, B. C., and Lai, C. L. Traditional Chinese medicine causing hepatotoxicity in patients with chronic hepatitis B infection: a 1-year prospective study. Aliment.Pharmacol.Ther 10-15-2006;24(8):1179-1186. PubMed
- Zhang, L., Yang, X., Sun, Z., and Qu, Y. [Retrospective study of adverse events of Polygonum multiflorum and risk control]. Zhongguo Zhong.Yao Za Zhi. 2009;34(13):1724-1729.
- Bae, S. H., Kim, D. H., Bae, Y. S., Lee, K. J., Kim, D. W., Yoon, J. B., Hong, J. H., and Kim, S. H. [Toxic hepatitis associated with Polygoni multiflori]. Korean J.Hepatol. 2010;16(2):182-186. PubMed
- Furukawa, M., Kasajima, S., Nakamura, Y., Shouzushima, M., Nagatani, N., Takinishi, A., Taguchi, A., Fujita, M., Niimi, A., Misaka, R., and Nagahara, H. Toxic hepatitis induced by show-wu-pian, a Chinese herbal preparation. Intern.Med. 2010;49(15):1537-1 PubMed
- McGuffin, M., Hobbs, C., Upton, R., and Goldberg, A. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC;1997.
- Dong H, Slain D, Cheng J, Ma W, Liang W. Eighteen cases of liver injury following ingestion of Polygonum multiflorum. Complement Ther Med 2014;22(1):70-4. PubMed
- Lei X, Chen J, Ren J, et al. Liver damage associated with Polygonum multiflorum Thunb.: a systematic review of case reports and case series. Evid Based Complement Alternat Med 2015;2015:459749.
- Ma KF, Zhang XG, Jia HY. CYP1A2 polymorphism in Chinese patients with acute liver injury induced by Polygonum multiflorum. Genet Mol Res 2014;13(3):5637-43. PubMed
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