Chitrak Ingredients & Drug Interactions
by Hawaii Pharm
What is this page for?
First and foremost: checking Chitrak 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
Chitrak is a dietary supplement by Hawaii Pharm with 1 active ingredient. Its ingredients are commonly taken for digestive complaints and poor appetite, skin conditions and wounds (applied to the skin), joint pain and swelling.Based on those ingredients, 1,097 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Chitrak Root Extract, Dry. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Chitrak by Hawaii Pharm
Ask about any prescription or over-the-counter medication and we check it for interactions with Chitrak by Hawaii Pharm — 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 Chitrak by Hawaii Pharm
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
Chitrak contains one active ingredient: Chitrak Root Extract in a dry form, delivered as a liquid. The extract is prepared with alcohol, water, and glycerin as inactive ingredients.
Does it work?
Couldn't assess
The evidence we hold rates asthma as having insufficient reliable evidence to evaluate this ingredient's effectiveness. We don't have other effectiveness data on file for Chitrak.
How safe is it?
Some data gaps
Chitrak contains plumbagin, a compound that can irritate your skin and digestive tract and may be toxic at higher doses — so use caution. The safety data advises against it during pregnancy, as it has traditionally been used to cause abortion.
There isn't enough safety information to recommend it while breastfeeding either, so talk with your doctor or pharmacist if you're pregnant or nursing before considering this product.
Meds to double-check
Moderate interaction found
Before taking Chitrak, double-check these medication types with your doctor or pharmacist: drugs broken down by CYP2D6, CYP1A2, CYP2C9, or CYP3A4 enzymes (a very long list including certain antidepressants, pain relievers, and statins); blood thinners and antiplatelet drugs; hormone therapy; immunosuppressive medications; and diabetes medications. Because the interaction has not been reported in humans, the risk is theoretical — but the potential is real.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and some safety-information gaps remain.
Chitrak may be of interest to someone exploring traditional uses, but its broad interaction profile — affecting how your body processes over 1,000 medications — makes it a product you'll want to clear with your own doctor or pharmacist first. Anyone on prescription drugs, blood thinners, hormone therapy, immunosuppressants, or diabetes medications should be especially careful.
Pregnant and breastfeeding individuals should avoid it entirely.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Oct 24, 2023.
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 Chitrak, straight from the product label.
| Brand | Hawaii Pharm |
|---|---|
| Barcode (UPC) | 840253613998 |
| Net contents | 4 Fluid Ounce(s); 120 mL |
| Market status | On market |
| Date entered into DSLD | Oct 24, 2023 |
| DSLD ID | 301464 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Chitrak by Hawaii Pharm, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Chitrak Root Extract, Dry | 983 mg | -- |
Other ingredients: Alcohol, Water, Glycerin
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Brand IP Statement(s)
Hawaii Pharm Herbal Extract Highest quality since 2008
Suggested/Recommended/Usage/Directions
Suggested use: Shake well before using. For adults add about 20-30 drops (0.7-1 mL, one full squeeze of the dropper bulb) to some juice or water, up to 4 times a day.
Precautions
Warning: We recommend to seek expert medical advice before taking.
Do not use if you are allergic to any ingredients.
Consult your physician before giving to children under 18, during pregnancy, if nursing or taking medications.
Consult your physician before giving to children under 18, during pregnancy, if nursing or taking medications.
May affect the ability to drive and operate machinery. May have contraindications, can cause side effects and adverse reactions. Do not use if seal is broken or missing.
Keep out of the reach of children!
Storage
Store in a cool dry place.
Seals/Symbols
cGMP Made in compliance with cGMP 21 CFR 111 in an FDA registered and inspected facility.
Organic Alcohol Based USA Made in United States of America
FDA Disclaimer Statement
This product has not been evaluated by the FDA and is not intended to diagnose, treat, cure or prevent any disease.
General Statements
Scan this QR-code to get 15% discount on your next purchase. Limited time deal.
Formula
Plumbago zeylanica
Organic Alcohol Based
Formulation
Only natural ingredients Purity is laboratory tested and verified
All the raw materials are gluten-free by their nature No artificial colors, flavors, or preservatives
Not tested on animals
Organic Alcohol Based
Made in USA, Hawaii
FDA Statement of Identity
Herbal Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Chitrak by Hawaii Pharm 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 Chitrak by Hawaii Pharm
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size0.7 mL Dosage formLiquid Servings per container120 Amounts shown are per serving.
Chitrak Root Extract, Dry
Interacts with1,097 drugs
Ceylon Leadwort (Plumbago zeylanica) is a plant long used in Ayurvedic and other traditional medicine systems, mainly for digestion, skin problems, an...
Chitrak Root Extract, Dry monograph & interactionsOther (inactive) ingredients: Alcohol, Water, Glycerin. These complete the product’s ingredient list but are not active constituents.
Chitrak by Hawaii Pharm Drug Interactions
HelloPharmacist Interaction Report
Chitrak by Hawaii Pharm is a single-ingredient liquid extract that interacts with a significant number of medications.
The main concern is how its active compound, plumbagin, affects the way your body breaks down drugs — specifically through several liver enzymes (CYP2D6, CYP1A2, CYP2C9, and CYP3A4). If you take medications metabolized by any of these pathways, Chitrak could raise their levels in your bloodstream, potentially making them stronger or causing side effects.
Read the full breakdown — every affected drug type, severity by severity
The extract also carries moderate concerns with blood thinners and antiplatelet drugs (like warfarin or aspirin) — it may increase bleeding risk, though this hasn't been confirmed in humans yet. Additionally, it may interfere with hormone therapy, immunosuppressive medications, and blood sugar control.
Because plumbagin can inhibit multiple metabolic pathways, the list of affected medications is extensive.
Altogether, these interactions span 1,098 individual medications. Before you start this product, check your exact medications with the tool on this page or talk with your doctor or pharmacist to see if any of yours are affected.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Chitrak?
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 Chitrak interact with 1,097 drugs. Click any drug to see the details.
1 of the 1 ingredient in Chitrak interact with drugs. Each result below shows which ingredient is responsible. Chitrak Root Extract, Dry
Acetaminophen, MethocarbamolRobaxacet
How Acetaminophen, Methocarbamol interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 1A2 (CYP1A2) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Methocarbamol interactionAcetaminophen, OrphenadrineOrfenagesic
How Acetaminophen, Orphenadrine interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 2b6 (cyp2b6) Substrates +1 Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2E1 (CYP2E1) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Orphenadrine interactionAcetaminophen, OxycodonePercocet, Roxicet, Tylox, Xartemis XR
How Acetaminophen, Oxycodone interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2D6 (CYP2D6) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Oxycodone interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2E1 (CYP2E1) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Pamabrom, Pyrilamine interactionAcetaminophen, PentazocineTalacen
How Acetaminophen, Pentazocine interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 1A2 (CYP1A2) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Pentazocine interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2E1 (CYP2E1) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAcetaminophen, PhenylpropanolamineTetra Caps
How Acetaminophen, Phenylpropanolamine interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 1A2 (CYP1A2) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Phenylpropanolamine interactionAcetaminophen, Phenylpropanolamine, PhenyltoloxamineSinubid
How Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2E1 (CYP2E1) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interactionAcetaminophen, PhenyltoloxaminePercogesic, Relagesic
How Acetaminophen, Phenyltoloxamine interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 1A2 (CYP1A2) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Phenyltoloxamine interactionAcetaminophen, Phenyltoloxamine, SalicylamideLobac
How Acetaminophen, Phenyltoloxamine, Salicylamide interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2E1 (CYP2E1) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Phenyltoloxamine, Salicylamide interactionAcetaminophen, PropoxypheneDarvocet-N 100, Darvocet-N 50, E-Lor, Wygesic
How Acetaminophen, Propoxyphene interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2D6 (CYP2D6) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Propoxyphene interactionAcetaminophen, PseudoephedrineChildren's Tylenol Sinus, Dristan N.D., Non-Aspirin Sinus, Ornex, Ornex-Max, Sinutab +5 more
How Acetaminophen, Pseudoephedrine interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2E1 (CYP2E1) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Pseudoephedrine interactionAcetaminophen, Pseudoephedrine, TriprolidineActifed Plus ES
How Acetaminophen, Pseudoephedrine, Triprolidine interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 1A2 (CYP1A2) in vitro.
Read the full Chitrak Root Extract, Dry + Acetaminophen, Pseudoephedrine, Triprolidine interactionAcetohexamideDymelor
How Acetohexamide interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryAntidiabetes Drugs Moderate
Interaction Summary
Ceylon leadwort root extract has been shown to both increase and decrease blood glucose levels in animal research.
Read the full Chitrak Root Extract, Dry + Acetohexamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
There is some concern that Ceylon leadwort might potentiate the effects of anticoagulant and antiplatelet drugs and possibly increase the risk of bleeding.
Read the full Chitrak Root Extract, Dry + Acetylsalicylic Acid interactionAdagrasibKrazati
How Adagrasib interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 3A4 (CYP3A4) in vitro.
Read the full Chitrak Root Extract, Dry + Adagrasib interactionAdalimumabHumira
How Adalimumab interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryImmunosuppressants Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research.
Read the full Chitrak Root Extract, Dry + Adalimumab interactionAdalimumab-adazHyrimoz
How Adalimumab-adaz interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryImmunosuppressants Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research.
Read the full Chitrak Root Extract, Dry + Adalimumab-adaz interactionAdalimumab-adbmCyltezo
How Adalimumab-adbm interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryImmunosuppressants Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research.
Read the full Chitrak Root Extract, Dry + Adalimumab-adbm interactionAdalimumab-afzbAbrilada
How Adalimumab-afzb interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryImmunosuppressants Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research.
Read the full Chitrak Root Extract, Dry + Adalimumab-afzb interactionAdalimumab-attoAmjevita
How Adalimumab-atto interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryImmunosuppressants Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research.
Read the full Chitrak Root Extract, Dry + Adalimumab-atto interactionAdalimumab-bwwdHadlima
How Adalimumab-bwwd interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryImmunosuppressants Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research.
Read the full Chitrak Root Extract, Dry + Adalimumab-bwwd interactionAdalimumab-fkjpHulio
How Adalimumab-fkjp interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryImmunosuppressants Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research.
Read the full Chitrak Root Extract, Dry + Adalimumab-fkjp interactionAerosphere Budesonide, Formoterol Fumarate, GlycopyrrolateBreztri
How Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2C9 (CYP2C9) in vitro.
Read the full Chitrak Root Extract, Dry + Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interactionAgomelatineValdoxan
How Agomelatine interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 1A2 (CYP1A2) in vitro.
Read the full Chitrak Root Extract, Dry + Agomelatine interactionAlbiglutideTanzeum
How Albiglutide interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryAntidiabetes Drugs Moderate
Interaction Summary
Ceylon leadwort root extract has been shown to both increase and decrease blood glucose levels in animal research.
Read the full Chitrak Root Extract, Dry + Albiglutide interactionAlefaceptAmevive
How Alefacept interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryImmunosuppressants Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research.
Read the full Chitrak Root Extract, Dry + Alefacept interactionAlemtuzumabCampath
How Alemtuzumab interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryImmunosuppressants Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research.
Read the full Chitrak Root Extract, Dry + Alemtuzumab interactionAlfentanilAlfenta
How Alfentanil interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 3A4 (CYP3A4) in vitro.
Read the full Chitrak Root Extract, Dry + Alfentanil interactionAlfuzosinUroxatral
How Alfuzosin interacts with Chitrak — through 1 ingredient. Tap an ingredient for the detail:
Chitrak Root Extract, DryCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 3A4 (CYP3A4) in vitro.
Read the full Chitrak Root Extract, Dry + Alfuzosin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Chitrak 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.
Chitrak Root Extract, Dry
Anticoagulant/Antiplatelet Drugs
There is some concern that Ceylon leadwort might potentiate the effects of anticoagulant and antiplatelet drugs and possibly increase the risk of bleeding. Ceylon leadwort root extract has been shown to decrease platelet adhesion and prolong bleeding in animals. However, this effect has not yet been demonstrated in humans. Until more is known, use cautiously in patients taking anticoagulant or antiplatelet drugs. Some of these drugs include aspirin, clopidogrel (Plavix), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, ticlopidine (Ticlid), warfarin (Coumadin), and others.
Antidiabetes Drugs
Ceylon leadwort root extract has been shown to both increase and decrease blood glucose levels in animal research. This effect has not yet been demonstrated in humans. Theoretically, Ceylon leadwort might reduce or potentiate the effects of antidiabetes drugs. Monitor blood glucose levels closely. Medication dose adjustments may be necessary. Some antidiabetes drugs include glimepiride (Amaryl), glyburide (Diabeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), and others.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 1A2 (CYP1A2) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP1A2. Some substrates of CYP1A2 include clozapine (Clozaril), cyclobenzaprine (Flexeril), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), mexiletine (Mexitil), olanzapine (Zyprexa), pentazocine (Talwin), propranolol (Inderal), tacrine (Cognex), zileuton (Zyflo), zolmitriptan (Zomig), and others.
Cytochrome P450 2B6 (Cyp2B6) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2B6 (CYP2B6) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP2B6. Drugs that are metabolized by CYP2B6 include ketamine (Ketalar), phenobarbital, orphenadrine (Norflex), secobarbital (Seconal), and dexamethasone (Decadron).
Cytochrome P450 2C9 (Cyp2C9) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2C9 (CYP2C9) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP2C9. Drugs that are metabolized by CYP2C9 include celecoxib (Celebrex), diclofenac (Voltaren), fluvastatin (Lescol), glipizide (Glucotrol), ibuprofen (Advil, Motrin), irbesartan (Avapro), losartan (Cozaar), phenytoin (Dilantin), piroxicam (Feldene), tamoxifen (Nolvadex), tolbutamide (Tolinase), torsemide (Demadex), and S-warfarin (Coumadin).
Cytochrome P450 2D6 (Cyp2D6) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2D6 (CYP2D6) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP2D6. Some drugs metabolized by CYP2D6 include amitriptyline (Elavil), codeine, desipramine (Norpramin), flecainide (Tambocor), fluoxetine (Prozac), ondansetron (Zofran), tramadol (Ultram), and others.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2E1 (CYP2E1) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP2E1. Some drugs metabolized by CYP2E1 include acetaminophen, chlorzoxazone (Parafon Forte), ethanol, theophylline, and anesthetics such as enflurane (Ethrane), halothane (Fluothane), isoflurane (Forane), methoxyflurane (Penthrane).
Cytochrome P450 3A4 (Cyp3A4) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 3A4 (CYP3A4) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP3A4. Some drugs metabolized by CYP3A4 include lovastatin (Mevacor), clarithromycin (Biaxin), indinavir (Crixivan), sildenafil (Viagra), triazolam (Halcion), and numerous others.
Estrogens
Laboratory research suggests that Ceylon leadwort root extract has anti-estrogenic activity. Theoretically, Ceylon leadwort may interfere with hormone therapy.
Immunosuppressants
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research. Theoretically, Ceylon leadwort might interfere with immunosuppressive therapy. Immunosuppressant drugs include azathioprine (Imuran), basiliximab (Simulect), cyclosporine (Neoral, Sandimmune), daclizumab (Zenapax), muromonab-CD3 (OKT3, Orthoclone OKT3), mycophenolate (CellCept), tacrolimus (FK506, Prograf), sirolimus (Rapamune), prednisone (Deltasone, Orasone), corticosteroids (glucocorticoids), and others.
Brand information
Manufacturer and brand details for Chitrak, from the product label.
Hawaii Pharm
See all Hawaii Pharm products- Name
- Hawaii Pharm LLC
- Street Address
- 510 Sumner St. Ste. 613
- City
- Honolulu
- State
- HI
- ZipCode
- 96817
- Phone Number
- 888-854-2924
- Web Address
- www.hawaiipharm.com
Chitrak by Hawaii Pharm: Common Questions
Does Chitrak by Hawaii Pharm interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is Chitrak safe to take during pregnancy?
Can I take Chitrak while breastfeeding?
What does plumbagin do, and why should I be concerned about it?
Does Chitrak actually work for asthma?
What's in Chitrak besides the root extract?
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The Full Monographs Behind Chitrak’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Chitrak'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 10 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.
Ceylon Leadwort 10 references
- Mandavkar, YD, Jalalpure, SS. A comprehensive review on Plumbago zeylanica Linn. African J. Pharmacy and Pharmacology. 2011;5(25):2738-2747. DOI
- Kumar SS, Shanmugasundaram KR. Amrita Bindu-an antioxidant inducer therapy in asthma children. J. Ethnopharmacol. 2004;90:105-114. PubMed
- Sandeep G, Dheeraj A, Sharma NK, Jhade D, Bharti A. Effect of plumbagin free alcohol extract of Plumbago zeylanica Linn. root on reproductive system of female Wistar rats. Asian Pac J Trop Med. 2011 Dec;4(12):978-84. PubMed
- Vijayakumar R, Senthilvelan M, Ravindran R, Devi RS. Plumbago zeylanica action on blood coagulation profile with and without blood volume reduction. Vascul Pharmacol. 2006 Aug;45(2):86-90. PubMed
- Olagunju JA, Jobi AA, Oyedapo OO. An investigation into the biochemical basis of the observed hyperglycaemia in rats treated with ethanol root extract of plumbago zeylanica. Phytother Res. 1999 Jun;13(4):346-8.
- Chen A, Zhou X, Tang S, Liu M, Wang X. Evaluation of the inhibition potential of plumbagin against cytochrome P450 using LC-MS/MS and cocktail approach. Sci Rep. 2016 Jun 22;6:28482. PubMed
- Sunil C, Duraipandiyan V, Agastian P, Ignacimuthu S. Antidiabetic effect of plumbagin isolated from Plumbago zeylanica L. root and its effect on GLUT4 translocation in streptozotocin-induced diabetic rats. Food Chem Toxicol. 2012 Dec;50(12):4356-63. PubMed
- Checker R, Sharma D, Sandur SK, Khanam S, Poduval TB. Anti-inflammatory effects of plumbagin are mediated by inhibition of NF-kappaB activation in lymphocytes. Int Immunopharmacol. 2009 Jul;9(7-8):949-58. PubMed
- Jia Y, Jing J, Bai Y, Li Z, Liu L, Luo J, Liu M, Chen H. Amelioration of experimental autoimmune encephalomyelitis by plumbagin through down-regulation of JAK-STAT and NF-?B signaling pathways. PLoS One. 2011;6(10):e27006. PubMed
- Poosarla A, D N R, Athota RR, Sunkara VG. Modulation of T cell proliferation and cytokine response by Plumbagin, extracted from Plumbago zeylanica in collagen induced arthritis. BMC Complement Altern Med. 2011 Nov 16;11:114. PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC