Cold Season Protection Ingredients & Drug Interactions
by Hawaii Pharm
What is this page for?
First and foremost: checking Cold Season Protection 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
Cold Season Protection is a dietary supplement by Hawaii Pharm with 3 active ingredients. Its ingredients are commonly taken for irritable bowel syndrome (ibs), indigestion and gas, nausea.Based on those ingredients, 1,265 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Goldenseal Leaf Extract, Dry, Eucalyptus Leaf Extract, Dry, Raw, Peppermint Leaf Extract, Dry, Raw. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Cold Season Protection by Hawaii Pharm
Ask about any prescription or over-the-counter medication and we check it for interactions with Cold Season Protection 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 Cold Season Protection 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
Low disclosure
Cold Season Protection contains three active ingredients: peppermint leaf extract, goldenseal leaf extract, and eucalyptus leaf extract. The product also contains alcohol, water, and glycerin as inactive ingredients.
Each extract brings its own traditional role — peppermint is commonly used for digestive comfort, goldenseal has a long history in herbal practice, and eucalyptus is traditionally used for respiratory support.
Does it work?
Not established
The evidence for this product's ingredients is mixed. Peppermint leaf is likely effective for irritable bowel syndrome (IBS) and possibly effective for indigestion, nausea from chemotherapy, and certain procedural-related discomfort.
Goldenseal and eucalyptus leaf, on the other hand, have insufficient reliable evidence for most of their traditional uses — the data we hold doesn't establish how well they work for acne, hay fever, asthma, bronchitis, or other common reasons people try them. If you're looking for established benefits, peppermint's track record for IBS and digestive issues is the strongest here.
How safe is it?
Well-documented data
Peppermint leaf is likely safe during pregnancy and lactation and is generally well tolerated when taken orally. The most common side effects are mild — abdominal pain, belching, dry mouth, heartburn, and nausea — though rare cases of allergic reactions including anaphylaxis have been reported.
Goldenseal carries important cautions: it should be avoided during pregnancy because berberine (its active compound) may harm the fetus and could trigger contractions, and it should also be avoided while breastfeeding because berberine may pass to your infant. Eucalyptus leaf is likely safe in pregnancy and lactation, but the undiluted oil can be toxic if swallowed, causing serious effects like shallow breathing and seizures.
Since this is a diluted extract in liquid form, the risk is lower, but concentrated eucalyptus oil should never be taken by mouth. All three ingredients are generally well tolerated at normal use levels, though human safety data for goldenseal beyond short-term use are limited.
Meds to double-check
Moderate interaction found
Before taking Cold Season Protection, double-check these medication types with your pharmacist: drugs metabolized by CYP2D6 (affecting goldenseal), antidiabetes drugs (glucose-lowering risk from both goldenseal and eucalyptus), antihypertensive drugs (blood pressure drop risk from goldenseal), anticoagulants and antiplatelet drugs (bleeding risk from goldenseal), CNS depressants (increased sedation from goldenseal), and drugs metabolized by CYP2C9, CYP2C19, and CYP3A4 enzymes (level increases from all three ingredients). Also mention cyclosporine if you take it.
Use the medication checker above to search your exact prescriptions.
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.
Cold Season Protection is a three-ingredient herbal blend with a solid track record for peppermint but limited evidence for its other components. The real concern here is drug interactions — goldenseal and peppermint both affect how your liver processes medications, which can raise their blood levels.
If you take any prescription medications, especially for blood pressure, blood clotting, diabetes, or mood, check each one with the tool on this page before you start. Talk to your pharmacist or doctor if you're pregnant, breastfeeding, or have seizure history.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 25, 2025.
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 Cold Season Protection, straight from the product label.
| Brand | Hawaii Pharm |
|---|---|
| Barcode (UPC) | 840253661395 |
| Net contents | 4 Fluid Ounce(s); 120 mL |
| Market status | On market |
| Date entered into DSLD | Jun 25, 2025 |
| DSLD ID | 331812 |
| 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 Cold Season Protection by Hawaii Pharm, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Extract Blend | 983 mg | -- |
| Peppermint Leaf Extract, Dry, Raw | 0 NP | -- |
| Goldenseal Leaf Extract, Dry | 0 NP | -- |
| Eucalyptus Leaf Extract, Dry, Raw | 0 NP | -- |
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. Keep out of the reach of children!
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.
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.
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.
Formulation
Made in USA, Hawaii
Organic Alcohol Based
Only natural ingredients Identity and purity is laboratory verified
All the raw materials are gluten-free by their nature No artificial colors, flavors, or preservatives
Formula
Organic Alcohol Based
FDA Statement of Identity
Herbal Supplement
General Statements
Extraction rate: about 1/3-4 (up to 333 mg of dry raw material per 1 mL of extract). Scan this QR code to get 15% discount on your next purchase Limited time deal
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Cold Season Protection 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 Cold Season Protection by Hawaii Pharm
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 mL Dosage formLiquid Servings per container120 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Proprietary Extract Blend
Other (inactive) ingredients: Alcohol, Water, Glycerin. These complete the product’s ingredient list but are not active constituents.
Cold Season Protection by Hawaii Pharm Drug Interactions
HelloPharmacist Interaction Report
Cold Season Protection by Hawaii Pharm contains three active ingredients, and two of them — peppermint leaf extract and goldenseal leaf extract — have documented interactions with medications.
The most serious finding involves goldenseal and a broad range of drug-metabolizing enzymes. Goldenseal inhibits multiple pathways in your liver (CYP2D6, CYP2C9, and CYP3A4), which can raise the blood levels of drugs processed through these routes.
It may also increase the sedative effects of CNS depressants (drugs that slow your nervous system), lower your blood pressure further if you're on antihypertensive medications, and theoretically increase bleeding risk with anticoagulants (blood thinners) or antiplatelet drugs, though human cases haven't been reported.
Read the full breakdown — every affected drug type, severity by severity
Peppermint leaf extract also inhibits liver enzymes (CYP2C19, CYP2C9, and CYP3A4), potentially raising levels of medications metabolized by these pathways. In one human study, a 600 mg dose of peppermint oil increased levels of felodipine, a blood pressure medication.
Peppermint may also increase cyclosporine (an immunosuppressant) levels. These effects are theoretically possible but haven't been seen in real-world use yet.
Eucalyptus leaf extract carries Moderate-severity interactions with several drug types: it may raise levels of drugs metabolized by CYP1A2, CYP2C19, CYP2C9, and CYP3A4 enzymes, increase the risk of low blood sugar (hypoglycemia) with diabetes medications, and theoretically reduce the effectiveness of amphetamines or pentobarbital, though these last two are based on animal inhalation studies.
Altogether, these interactions span 1,250 individual medications. Before you start this product, use the medication checker on this page to verify your specific prescriptions.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Cold Season Protection?
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 Cold Season Protection interact with 1,265 drugs. Click any drug to see the details.
3 of the 3 ingredients in Cold Season Protection interact with drugs. Each result below shows which ingredient is responsible. Goldenseal Leaf Extract, Dry Eucalyptus Leaf Extract, Dry, Raw Peppermint Leaf Extract, Dry, Raw
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Eucalyptus Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Ado-trastuzumab Emtansine interactionGoldenseal Leaf Extract, DryCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Goldenseal might increase serum levels of drugs metabolized by CYP3A4.
Read the full Goldenseal Leaf Extract, Dry + Ado-trastuzumab Emtansine interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Cold Season Protection — through 1 ingredient. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, goldenseal might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Goldenseal Leaf Extract, Dry + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Goldenseal might increase serum levels of drugs metabolized by CYP3A4.
Read the full Goldenseal Leaf Extract, Dry + Abemaciclib interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Abemaciclib interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Peppermint Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Abiraterone interactionGoldenseal Leaf Extract, DryCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Goldenseal might increase serum levels of drugs metabolized by CYP3A4.
Read the full Goldenseal Leaf Extract, Dry + Abiraterone interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Eucalyptus Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Abiraterone Acetate interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Abiraterone Acetate interactionGoldenseal Leaf Extract, DryCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Goldenseal might increase serum levels of drugs metabolized by CYP3A4.
Read the full Goldenseal Leaf Extract, Dry + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryAnticoagulant/antiplatelet Drugs, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, goldenseal might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Goldenseal Leaf Extract, Dry + Abrocitinib interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP2C19 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Abrocitinib interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 2c19 (cyp2c19) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP2C9 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Peppermint Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acalabrutinib interactionGoldenseal Leaf Extract, DryCytochrome P450 3a4 (cyp3a4) Substrates, P-glycoprotein Substrates Moderate
Interaction Summary
Goldenseal might increase serum levels of drugs metabolized by CYP3A4.
Read the full Goldenseal Leaf Extract, Dry + Acalabrutinib interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Cold Season Protection — through 2 ingredients. Tap an ingredient for the detail:
Eucalyptus Leaf Extract, Dry, RawAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, eucalyptus leaf might increase the risk of hypoglycemia.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acarbose interactionGoldenseal Leaf Extract, DryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, goldenseal might increase the risk of hypoglycemia when used with antidiabetes drugs.
Read the full Goldenseal Leaf Extract, Dry + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Cold Season Protection — through 1 ingredient. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, goldenseal might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Goldenseal Leaf Extract, Dry + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Cold Season Protection — through 1 ingredient. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, goldenseal might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Goldenseal Leaf Extract, Dry + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Cold Season Protection — through 1 ingredient. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCns Depressants Moderate
Interaction Summary
Theoretically, goldenseal might increase the sedative effects of CNS depressants.
Read the full Goldenseal Leaf Extract, Dry + Acepromazine interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Eucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Aspirin interactionGoldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Aspirin interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryAnticoagulant/antiplatelet Drugs, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, goldenseal might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Aspirin, Caffeine interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Aspirin, Caffeine interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Eucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionGoldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Butalbital interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Butalbital interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Eucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Butalbital, Caffeine interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Butalbital, Caffeine interactionGoldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Peppermint Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Butalbital, Caffeine, Codeine interactionGoldenseal Leaf Extract, DryCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants +2 Moderate
Interaction Summary
Goldenseal might increase serum levels of drugs metabolized by CYP2D6.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Butalbital, Caffeine, Codeine interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Butalbital, Codeine interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Butalbital, Codeine interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Eucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Butalbital, Codeine Phosphate interactionGoldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Butalbital, Codeine Phosphate interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCns Depressants, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, goldenseal might increase the sedative effects of CNS depressants.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + 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 Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +2 Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Caffeine, Codeine interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Codeine interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Eucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Codeine, Salicylamide interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Codeine, Salicylamide interactionGoldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +2 Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Goldenseal might increase serum levels of drugs metabolized by CYP2D6.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Caffeine, Dihydrocodeine interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Dihydrocodeine interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Caffeine, Isometheptene interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Isometheptene interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Eucalyptus Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Pyrilamine interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Caffeine, Pyrilamine interactionGoldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +2 Moderate
Interaction Summary
Goldenseal might increase serum levels of drugs metabolized by CYP2D6.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Peppermint Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionGoldenseal Leaf Extract, DryCytochrome P450 2e1 (cyp2e1) Substrates, Dextromethorphan (robitussin Dm, Others) +2 Moderate
Interaction Summary
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Cold Season Protection — through 3 ingredients. Tap an ingredient for the detail:
Goldenseal Leaf Extract, DryCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Goldenseal might increase serum levels of drugs metabolized by CYP2D6.
Read the full Goldenseal Leaf Extract, Dry + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionPeppermint Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Read the full Peppermint Leaf Extract, Dry, Raw + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionEucalyptus Leaf Extract, Dry, RawCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
Read the full Eucalyptus Leaf Extract, Dry, Raw + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Cold Season Protection 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.
Goldenseal Leaf Extract, Dry
Anticoagulant/Antiplatelet Drugs
Theoretically, goldenseal might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Goldenseal contains berberine. In vitro and animal research shows that berberine can inhibit platelet aggregation. However, this effect has not been reported in humans.
Antidiabetes Drugs
Theoretically, goldenseal might increase the risk of hypoglycemia when used with antidiabetes drugs.
Goldenseal contains berberine. Clinical research shows that berberine can lower blood glucose levels. However, this effect has not been reported with goldenseal.
Antihypertensive Drugs
Theoretically, goldenseal might increase the risk of hypotension when taken with antihypertensive drugs.
Goldenseal contains berberine. Animal research shows that berberine can have hypotensive effects. Also, an analysis of clinical research shows that taking berberine in combination with amlodipine can lower systolic and diastolic blood pressure when compared with amlodipine alone. However, this effect has not been reported with goldenseal.
Cns Depressants
Theoretically, goldenseal might increase the sedative effects of CNS depressants.
Goldenseal contains berberine. Animal research shows that berberine can have sedative effects. However, this effect has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2C9.
In vitro research shows that goldenseal root extract can modestly inhibit CYP2C9. This effect may be due to its alkaloid constituents, hydrastine and berberine. However, this effect has not been reported in humans.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Goldenseal might increase serum levels of drugs metabolized by CYP2D6.
Clinical and in vitro research shows that goldenseal can significantly inhibit CYP2D6 enzymes, potentially increasing levels of drugs metabolized by CYP2D6.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Theoretically, goldenseal might increase serum levels of drugs metabolized by CYP2E1.
In vitro research shows that goldenseal root extract can inhibit the activity of CYP2E1. However, this effect has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Goldenseal might increase serum levels of drugs metabolized by CYP3A4.
Most clinical and in vitro research shows that goldenseal inhibits CYP3A4 enzyme activity and increases serum levels of CYP3A4 substrates, such as midazolam. However, in one small clinical study, goldenseal did not affect the levels of indinavir, a CYP3A4 substrate, in healthy volunteers. This is likely due to the fact that indinavir has a high oral bioavailability, making it an inadequate probe for CYP3A4 interactions and/or that it is primarily metabolized by hepatic CYP3A, while goldenseal has more potential to inhibit intestinal CYP3A enzyme activity. Both goldenseal extract and its isolated constituents berberine and hydrastine inhibit CYP3A, with hydrastine possibly having more inhibitory potential than berberine.
Dextromethorphan (Robitussin Dm, Others)
Theoretically, goldenseal might increase serum levels of dextromethorphan.
Goldenseal contains berberine. A small clinical study shows that berberine can inhibit cytochrome P450 2D6 (CYP2D6) activity and reduce the metabolism of dextromethorphan.
Digoxin (Lanoxin)
Goldenseal might increase serum levels of digoxin, although this effect is unlikely to be clinically significant.
Clinical research shows that goldenseal modestly increases digoxin peak levels by about 14% in healthy volunteers. However, goldenseal does not seem to affect other pharmacokinetic parameters such as area under the curve (AUC). This suggests that goldenseal does not cause a clinically significant interaction with digoxin. Digoxin is a P-glycoprotein substrate. Some evidence suggests that goldenseal constituents might affect P-glycoprotein; however, it is unclear whether these constituents inhibit or induce P-glycoprotein.
Losartan (Cozaar)
Theoretically, goldenseal might decrease the conversion of losartan to its active form.
Goldenseal contains berberine. A small clinical study shows that berberine inhibits cytochrome P450 2C9 (CYP2C9) activity and reduces the metabolism of losartan. However, this effect has not been reported with goldenseal.
Metformin (Glucophage)
Theoretically, goldenseal might reduce blood levels of metformin.
In vitro research shows that goldenseal extract decreases the bioavailability of metformin, likely by interfering with transport, intestinal permeability, or other processes involved in metformin absorption. It is unclear which, if any, of metformin's transporters are inhibited by goldenseal. Goldenseal does not appear to alter the clearance or half-life of metformin.
P-Glycoprotein Substrates
Theoretically, goldenseal might increase or decrease serum levels of P-glycoprotein (P-gp) substrates.
There is conflicting evidence about the effect of goldenseal on P-gp. In vitro research suggests that berberine, a constituent of goldenseal, modestly inhibits P-gp efflux. Other evidence suggests that berberine induces P-gp. In healthy volunteers, goldenseal modestly increases peak levels of the P-gp substrate digoxin by about 14%. However, it does not seem to affect other pharmacokinetic parameters such as area under the curve (AUC). This suggests that goldenseal is not a potent inhibitor of P-gp-mediated drug efflux. Until more is known, goldenseal should be used cautiously with P-gp substrates.
Pentobarbital (Nembutal)
Theoretically, goldenseal might increase the sedative effects of pentobarbital.
Animal research shows that berberine, a constituent of goldenseal, can prolong pentobarbital-induced sleeping time. However, this effect has not been reported with goldenseal.
Tacrolimus (Prograf)
Theoretically, goldenseal might increase serum levels of tacrolimus.
Goldenseal contains berberine. In a 16-year-old patient with idiopathic nephrotic syndrome who was being treated with tacrolimus 6.5 mg twice daily, intake of berberine 200 mg three times daily increased the blood concentration of tacrolimus from 8 to 22 ng/mL. Following a reduction of tacrolimus dosing to 3 mg daily, blood levels of tacrolimus decreased to 12 ng/mL.
Oseltamivir (Tamiflu)
Theoretically, goldenseal might reduce the therapeutic effects of oseltamivir by decreasing its conversion to its active form.
In vitro evidence suggests that goldenseal reduces the formation of the active compound from the prodrug oseltamivir. The mechanism of action and clinical relevance is unclear.
Eucalyptus Leaf Extract, Dry, Raw
Amphetamines
Theoretically, inhaling eucalyptol may reduce the effectiveness of amphetamines.
Animal research suggests that inhaling eucalyptol may reduce the levels of amphetamines in the blood.
Antidiabetes Drugs
Theoretically, eucalyptus leaf might increase the risk of hypoglycemia.
Animal research suggests that eucalyptus leaf might have hypoglycemic activity, and might have additive effects when used with antidiabetes drugs.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, eucalyptus might increase the levels of CYP1A2 substrates.
In vitro research suggests that eucalyptus oil might inhibit CYP1A2, although this has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, eucalyptus might increase the levels of CYP2C19 substrates.
In vitro research suggests that eucalyptus oil might inhibit CYP2C19, although this has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, eucalyptus might increase the levels of CYP2C9 substrates.
In vitro research suggests that eucalyptus oil might inhibit CYP2C9, although this has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, eucalyptus might increase the levels of CYP3A4 substrates.
In vitro research suggests that eucalyptus oil might inhibit CYP3A4, although this has not been reported in humans.
Pentobarbital (Nembutal)
Theoretically, inhaling eucalyptol might reduce the effectiveness of pentobarbital.
Animal research suggests that inhaling eucalyptol reduces the level of pentobarbital that reaches the brain.
Peppermint Leaf Extract, Dry, Raw
Cyclosporine (Neoral, Sandimmune)
Theoretically, peppermint oil might increase the levels and adverse effects of cyclosporine.
In animal research, peppermint oil inhibits cyclosporine metabolism and increases cyclosporine levels. Inhibition of cytochrome P450 3A4 (CYP3A4) may be partially responsible for this interaction. An interaction between peppermint oil and cyclosporine has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, peppermint might increase the levels of CYP2C19 substrates.
In vitro research shows that peppermint oil inhibits CYP2C19. So far, this interaction has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, peppermint might increase the levels of CYP2C9 substrates.
In vitro research shows that peppermint oil inhibits CYP2C9. So far, this interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, peppermint might increase the levels of CYP3A4 substrates.
Clinical research in healthy volunteers shows that a single dose of peppermint oil 600 mg inhibits CYP3A4 enzymes and increases the AUC of felodipine, a CYP3A4 substrate. However, in vitro research suggests that peppermint oil only inhibits CYP3A4 at very high concentrations.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, peppermint might increase the levels of CYP1A2 substrates.
In vitro and animal research shows that peppermint oil and peppermint leaf inhibit CYP1A2. However, in clinical research, peppermint tea did not significantly affect the metabolism of caffeine, a CYP1A2 substrate. It is possible that the 6-day duration of treatment may have been too short to identify a difference.
Brand information
Manufacturer and brand details for Cold Season Protection, 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
- 888-542-9244
- Web Address
- Hawaiipharm.com
Cold Season Protection by Hawaii Pharm: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Cold Season Protection is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Cold Season Protection’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Peppermint
Interacts with 796 drugsPeppermint is a popular herb with the best evidence supporting enteric-coated peppermint oil for easing IBS symptoms. It is generally well tolerated for most adults, but it can cause heartbu...
Read the full Peppermint monograph → Herb & supplement monographGoldenseal
Interacts with 1,237 drugsGoldenseal is a popular North American herb that contains berberine, a compound studied for antimicrobial effects. However, strong human evidence for its many traditional uses is largely lac...
Read the full Goldenseal monograph → Herb & supplement monographEucalyptus
Interacts with 878 drugsEucalyptus is best known for its strong-smelling oil used in vapor rubs, inhalants, and lozenges to ease coughs and congestion. It may provide mild, short-term relief of cold symptoms, but t...
Read the full Eucalyptus monograph →Sources & How We Checked
Cold Season Protection'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 98 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.
Peppermint 41 references
- Liu JH, Chen GH, Yeh HZ, et al. Enteric-coated peppermint-oil capsules in the treatment of irritable bowel syndrome: a prospective, randomized trial. J Gastroenterol 1997;32:765-8. PubMed
- Pittler MH, Ernst E. Peppermint oil for irritable bowel syndrome: a critical review and metaanalysis. Am J Gastroenterol 1998;93:1131-5. PubMed
- Kline RM, Kline JJ, Di Palma J, Barbero GJ. Enteric-coated, pH-dependent peppermint oil capsules for the treatment of irritable bowel syndrome in children. J Pediatr 2001;138:125-8. PubMed
- Madisch A, Heydenreich CJ, Wieland V, et al. Treatment of functional dyspepsia with a fixed peppermint oil and caraway oil combination preparation as compared to cisapride. A multicenter, reference-controlled, double-blind equivalence study. Arzneimittel
- May B, Kuntz HD, Kieser M, Kohler S. Efficacy of a fixed peppermint oil/caraway oil combination in non-ulcer dyspepsia. Arzneimittelforschung 1996;46:1149-53.
- Micklefield GH, Greving I, May B. Effects of peppermint oil and caraway oil on gastroduodenal motility. Phytother Res 2000;14:20-3. DOI
- Morton CA, Garioch J, Todd P, et al. Contact sensitivity to menthol and peppermint in patients with intra-oral symptoms. Contact Dermatitis 1995;32:281-4. PubMed
- May B, Kohler S, Schneider B. Efficacy and tolerability of a fixed combination of peppermint oil and caraway oil in patients suffering from functional dyspepsia. Aliment Pharmacol Ther 2000;14:1671-7. PubMed
- Nash P, Gould SR, Bernardo DE. Peppermint oil does not relieve the pain of irritable bowel syndrome. Br J Clin Pract 1986;40:292-3. DOI
- Rees WD, Evans BK, Rhodes J. Treating irritable bowel syndrome with peppermint oil. Br Med J 1979;2:835-6. PubMed
- Davies SJ, Harding LM, Baranowski AP. A novel treatment of postherpetic neuralgia using peppermint oil. Clin J Pain 2002;18:200-2. PubMed
- Weston CF. Anal burning and peppermint oil. Postgrad Med J 1987;63:717. PubMed
- Dresser GK, Wacher V, Wong S, et al. Evaluation of peppermint oil and ascorbyl palmitate as inhibitors of cytochrome P4503A4 activity in vitro and in vivo. Clin Pharmacol Ther 2002;72:247-55. PubMed
- Wacher VJ, Wong S, Wong HT. Peppermint oil enhances cyclosporine oral bioavailability in rats: comparison with D-alpha-tocopheryl poly(ethylene glycol 1000) succinate (TPGS) and ketoconazole. J Pharm Sci 2002;91:77-90.
- Lawson MJ, Knight RE, Tran K, et al. Failure of enteric-coated peppermint oil in the irritable bowel syndrome: a randomized double-blind crossover study. J Gastroenterol Hepatol 1988;3:235-8. DOI
- 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
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