David Winston's Selection: Scudder's Alterative Ingredients & Drug Interactions
What is this page for?
First and foremost: checking David Winston's Selection: Scudder's Alterative 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
David Winston's Selection: Scudder's Alterative is a dietary supplement by Herbalist & Alchemist with 5 active ingredients. Its ingredients are commonly taken for constipation, digestive support, skin conditions.Based on those ingredients, 1,166 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Corydalis yanhusuo, Yellow Dock, Figwort. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against David Winston's Selection: Scudder's Alterative by Herbalist & Alchemist
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HelloPharmacist Scorecard of David Winston's Selection: Scudder's Alterative by Herbalist & Alchemist
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
Scudder's Alterative is a liquid blend of five herbal ingredients: Yellow Dock, Corydalis yanhusuo, Red Alder, Mayapple, and Figwort. The product also contains distilled water, ethyl alcohol (as a preservative and solvent), unrefined cane sugar, black cherry juice concentrate, and vegetable glycerin as inactive ingredients.
This is a traditional botanical formula — a "proprietary blend" means the exact amounts of each herb aren't disclosed, so the relative strength of each ingredient isn't transparent on the label.
Does it work?
Not established
The evidence we hold does not establish how well this product works. Corydalis yanhusuo has insufficient reliable evidence for the conditions commonly listed for it (headache, constipation, depression, indigestion).
Mayapple is likely effective for human papillomavirus (HPV) when used as a standardized topical prescription product, but this is a liquid herbal blend, not that kind of preparation. Yellow Dock, Figwort, and Red Alder have no effectiveness ratings in our data.
If you're considering this for a specific health concern, your pharmacist or doctor can help you weigh what's actually known.
How safe is it?
Well-documented data
Yellow Dock and Mayapple both carry serious safety concerns. Yellow Dock acts as a laxative and contains oxalates; the safety data advises against use during pregnancy and lactation, and it should be used short-term only.
Raw yellow dock leaves or rhizomes can cause calcium deficiency, kidney stones, and vomiting; very large amounts have been linked to breathing problems and death. Mayapple is toxic — the plant and crude resin are unsafe to take by mouth or apply topically without prescription supervision, and the safety data advises firmly against use in pregnancy and lactation because it can harm a developing baby and poison through breast milk.
Corydalis yanhusuo has limited human safety data and varying product quality; the safety data advises against use in pregnancy (likely unsafe) and breastfeeding (likely unsafe). Figwort and Red Alder have limited safety information — use short-term only.
This product is an ethanol-based liquid (it contains alcohol as a preservative), so keep that in mind if you avoid alcohol or take medications sensitive to it.
Meds to double-check
Major interaction found
Before taking this product, check with your pharmacist if you take any diuretics (water pills), digoxin (Lanoxin), warfarin (Coumadin) or other blood thinners, antiplatelet drugs like aspirin or clopidogrel, CNS depressants (sedatives, sleep aids, narcotic painkillers, alcohol), antihypertensive drugs (blood-pressure medications), antidiabetes drugs or metformin, medications broken down by your liver (CYP2D6, CYP2C9, or CYP3A4 substrates — a very large group), or lithium. The medication search tool on this page can check your specific drugs.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Major medication interactions have been identified, and safety information is well characterized.
This is a traditional herbal blend with significant interaction potential and serious safety concerns around some of its ingredients — particularly Mayapple, which is toxic, and Yellow Dock, which carries Major-severity medication risks. If you take any prescription medications (especially heart drugs, blood thinners, diabetes medications, psychiatric drugs, or blood-pressure medications), or if you're pregnant, nursing, or planning to become pregnant, talk with your pharmacist or doctor before using this product.
Even without medications, the toxicity profile of some ingredients here warrants caution.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Dec 14, 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 David Winston's Selection: Scudder's Alterative, straight from the product label.
| Brand | Herbalist & Alchemist |
|---|---|
| Barcode (UPC) | 667056125158 |
| Net contents | 2 Fluid Ounce(s); 60 mL |
| Market status | On market |
| Date entered into DSLD | Dec 14, 2023 |
| DSLD ID | 297466 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Kosher, Women (not pregnant or lactating) |
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 David Winston's Selection: Scudder's Alterative by Herbalist & Alchemist, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 1.5 mL | -- |
| Yellow Dock | 0 NP | -- |
| Corydalis yanhusuo | 0 NP | -- |
| Red Alder | 0 NP | -- |
| Mayapple | 0 NP | -- |
| Figwort | 0 NP | -- |
Other ingredients: distilled Water, Ethyl Alcohol, Cane Sugar, Unrefined, Black Cherry Juice Concentrate, Vegetable 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.
Formulation
Promotes Lymphatic, Liver, Bowel and Kidney Function
Certified Organic
Ecologically Harvested
FDA Statement of Identity
Herbal Supplement
Suggested/Recommended/Usage/Directions
Suggested use: 20-30 drops (1-1.5mL) in juice or water. Take 3 times per day. Shake well before using.
Precautions
Contraindications: Do not use during pregnancy, lactation or if you have diarrhea.
Use under the supervision of a qualified expert.
Keep out of children's reach
FDA Disclaimer Statement
This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
Formula
OK (Kosher)
Seals/Symbols
OK (Kosher)
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
David Winston's Selection: Scudder's Alterative by Herbalist & Alchemist 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 David Winston's Selection: Scudder's Alterative by Herbalist & Alchemist
These are the 5 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 mL Dosage formLiquid Servings per container40 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 Blend
- › Yellow Dock
- › Corydalis yanhusuo
- › Red Alder
- › Mayapple
- › Figwort
Other (inactive) ingredients: Distilled Water, Ethyl Alcohol, Cane Sugar, Unrefined, Black Cherry Juice Concentrate, Vegetable Glycerin. These complete the product’s ingredient list but are not active constituents.
David Winston's Selection: Scudder's Alterative by Herbalist & Alchemist Drug Interactions
HelloPharmacist Interaction Report
Scudder's Alterative by Herbalist & Alchemist contains five ingredients, two of which carry significant medication interactions.
Yellow dock, a primary component, poses Major-severity risks with diuretics and the heart medication digoxin (Lanoxin) by potentially lowering blood potassium and increasing digoxin toxicity — especially with long-term or heavy use. It also carries a Moderate risk with the blood thinner warfarin (Coumadin) through its laxative effects, which can increase bleeding risk.
Read the full breakdown — every affected drug type, severity by severity
Corydalis yanhusuo, another active ingredient, interacts Moderately with a broad range of drug classes. It may boost sedation when combined with CNS depressants (sleeping pills, painkillers, alcohol), add to the blood-pressure-lowering effects of antihypertensive drugs, and potentially raise levels of medications broken down by your liver (CYP2D6, CYP2C9, and CYP3A4 substrates — a large group including many statins, heart drugs, and psychiatric medications).
It also carries Moderate risk with blood thinners and antiplatelet drugs by increasing bleeding, with diabetes medications by raising low-blood-sugar risk, and specifically with metformin by increasing both its benefits and side effects.
Figwort adds Moderate interactions with diuretics (compounding potassium loss) and lithium (a psychiatric medication whose levels it may raise). Altogether, these interactions span 1,154 individual medications.
We could not check Red Alder for interactions — we hold no data for it. Use the medication checker below to see if any of your specific drugs are affected.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against David Winston's Selection: Scudder's Alterative?
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 David Winston's Selection: Scudder's Alterative interact with 1,166 drugs. Click any drug to see the details.
3 of the 5 ingredients in David Winston's Selection: Scudder's Alterative interact with drugs. Each result below shows which ingredient is responsible. Corydalis yanhusuo Yellow Dock Figwort
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Corydalis Yanhusuo + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Abemaciclib interactionAbiraterone
How Abiraterone interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoAnticoagulant/antiplatelet Drugs, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Corydalis Yanhusuo + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Corydalis Yanhusuo + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might have additive effects with antihypertensive drugs.
Read the full Corydalis Yanhusuo + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Corydalis Yanhusuo + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCns Depressants Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase the sedative effects of CNS depressants.
Read the full Corydalis Yanhusuo + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Corydalis Yanhusuo + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Corydalis Yanhusuo + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP2D6.
Read the full Corydalis Yanhusuo + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCns Depressants, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase the sedative effects of CNS depressants.
Read the full Corydalis Yanhusuo + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + 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 David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCns Depressants, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase the sedative effects of CNS depressants.
Read the full Corydalis Yanhusuo + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCns Depressants, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase the sedative effects of CNS depressants.
Read the full Corydalis Yanhusuo + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoDextromethorphan (robitussin Dm, Others), Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo may increase serum levels of dextromethorphan.
Read the full Corydalis Yanhusuo + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoDextromethorphan (robitussin Dm, Others), Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo may increase serum levels of dextromethorphan.
Read the full Corydalis Yanhusuo + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP2D6.
Read the full Corydalis Yanhusuo + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoDextromethorphan (robitussin Dm, Others), Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo may increase serum levels of dextromethorphan.
Read the full Corydalis Yanhusuo + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with David Winston's Selection: Scudder's Alterative — through 1 ingredient. Tap an ingredient for the detail:
Corydalis YanhusuoCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Read the full Corydalis Yanhusuo + Acetaminophen, Chlorpheniramine, Phenylephrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in David Winston's Selection: Scudder's Alterative 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.
Corydalis yanhusuo
Anticoagulant/Antiplatelet Drugs
Theoretically, Corydalis yanhusuo might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Corydalis yanhusuo contains berberine. In vitro and in vivo research suggest that berberine can inhibit platelet aggregation. Theoretically, Corydalis yanhusuo might also inhibit platelet aggregation.
Antidiabetes Drugs
Theoretically, Corydalis yanhusuo may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Corydalis yanhusuo contains berberine. Clinical research shows that berberine may lower blood glucose levels. Theoretically, Corydalis yanhusuo might also lower blood glucose levels.
Antihypertensive Drugs
Theoretically, Corydalis yanhusuo might have additive effects with antihypertensive drugs.
Corydalis yanhusuo contains berberine. Animal research suggests that berberine can have hypotensive effects. Also, a clinical study suggests that taking berberine in combination with amlodipine can lower systolic and diastolic blood pressure when compared with amlodipine alone. Theoretically, Corydalis yanhusuo might also reduce blood pressure.
Cns Depressants
Theoretically, Corydalis yanhusuo might increase the sedative effects of CNS depressants.
Corydalis yanhusuo contains berberine. Animal research suggests that berberine may have sedative effects. Theoretically, Corydalis yanhusuo might also have CNS depressants effects.
Cyclosporine (Neoral, Sandimmune)
Theoretically, Corydalis yanhusuo might increase blood levels of cyclosporine.
Corydalis yanhusuo contains berberine. Preliminary clinical research shows that berberine can reduce metabolism of cyclosporine and increase serum levels, likely through inhibition of cytochrome P450 3A4 (CYP3A4), which metabolizes cyclosporine. Theoretically, Corydalis yanhusuo might also reduce the metabolism of cyclosporine.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP2C9.
Corydalis yanhusuo contains berberine. Preliminary clinical research shows that berberine can inhibit CYP2C9. Theoretically, Corydalis yanhusuo might also inhibit CYP2C9.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP2D6.
Corydalis yanhusuo contains berberine. In vitro research and preliminary clinical evidence show that berberine can inhibit CYP2D6. Theoretically, Corydalis yanhusuo might also inhibit CYP2D6.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, Corydalis yanhusuo might increase serum levels of drugs metabolized by CYP3A4.
Corydalis yanhusuo contains berberine. In vitro research and preliminary clinical research show that berberine moderately inhibits CYP3A4. Theoretically, Corydalis yanhusuo might also inhibit CYP3A4.
Dextromethorphan (Robitussin Dm, Others)
Theoretically, Corydalis yanhusuo may increase serum levels of dextromethorphan.
Corydalis yanhusuo contains berberine. Preliminary clinical research shows that berberine can inhibit cytochrome P450 2D6 (CYP2D6) activity and reduce the metabolism of dextromethorphan. Theoretically, Corydalis yanhusuo may also inhibit the metabolism of dextromethorphan.
Losartan (Cozaar)
Theoretically, Corydalis yanhusuo might reduce the therapeutic effects of losartan by decreasing its conversion to its active form.
Corydalis yanhusuo contains berberine. Preliminary clinical research suggests that berberine can inhibit cytochrome P450 2C9 (CYP2C9) activity and reduce metabolism of losartan. Theoretically, Corydalis yanhusuo might also inhibit the metabolism of losartan.
Metformin (Glucophage)
Theoretically, Corydalis yanhusuo might increase the therapeutic and adverse effects of metformin.
Corydalis yanhusuo contains berberine. In vitro and animal studies show that berberine can increase the systemic exposure and half-life of metformin, potentially increasing metformin's effects and side effects. This interaction seems to be most apparent when berberine is administered 2 hours prior to metformin. Taking berberine and metformin at the same time does not appear to increase systemic exposure to metformin. It is unclear if Corydalis yanhusuo might have this same effect.
Midazolam (Versed)
Theoretically, Corydalis yanhusuo might reduce metabolism of midazolam, which might increase the risk of severe adverse effects.
Corydalis yanhusuo contains berberine. Preliminary clinical research shows that berberine can inhibit cytochrome P450 3A4 (CYP3A4) activity and reduce metabolism of midazolam. Theoretically, Corydalis yanhusuo might also inhibit the metabolism of midazolam.
Pentobarbital (Nembutal)
Theoretically, Corydalis yanhusuo might increase the sedative effect of pentobarbital.
Corydalis yanhusuo contains berberine. Animal research shows that berberine can prolong pentobarbital-induced sleeping time. Theoretically, Corydalis yanhusuo might increase the sedative effects of pentobarbital.
Tacrolimus (Prograf)
Theoretically, Corydalis yanhusuo might increase blood levels of tacrolimus.
Corydalis yanhusuo 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 the tacrolimus dose to 3 mg daily, blood levels of tacrolimus decreased to 12 ng/mL. It is unclear if Corydalis yanhusuo might have this same effect.
Yellow Dock
Digoxin (Lanoxin)
Theoretically, yellow dock might increase the risk of digoxin toxicity when used long-term or in large amount.
When yellow dock is used chronically or in large amounts, hypokalemia may occur. This might increase the toxic effects of digoxin.
Diuretic Drugs
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
When yellow dock is used chronically or in large amounts, hypokalemia may occur, and overuse of yellow dock might compound diuretic-induced potassium loss.
Warfarin (Coumadin)
Theoretically, the laxative effects of yellow dock might increase the effects of warfarin, including the risk of bleeding.
The anthraquinones in yellow dock have a mild stimulant laxative effect. Consuming excessive amounts can cause diarrhea. Diarrhea can increase the effects of warfarin, increase international normalized ratio (INR), and increase the risk of bleeding.
Figwort
Diuretic Drugs
Theoretically, overuse of figwort might compound diuretic-induced potassium loss. There is some concern that people taking figwort along with potassium depleting diuretics might have an increased risk for hypokalemia. Initiation of potassium supplementation or an increase in potassium supplement dose may be necessary for some patients. Some diuretics that can deplete potassium include chlorothiazide (Diuril), chlorthalidone (Thalitone), furosemide (Lasix), hydrochlorothiazide (HCTZ, Hydrodiuril, Microzide), and others.
Lithium
Figwort is thought to have diuretic properties. Theoretically, due to these potential diuretic effects, figwort might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.
Brand information
Manufacturer and brand details for David Winston's Selection: Scudder's Alterative, from the product label.
Herbalist & Alchemist
See all Herbalist & Alchemist products- Name
- Herbalist & Alchemist, Inc.
- City
- Washington
- State
- NJ
- ZipCode
- 07882
- Phone Number
- 800-611-8235
- Web Address
- www.herbalist-alchemist.com
David Winston's Selection: Scudder's Alterative by Herbalist & Alchemist: Common Questions
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The Full Monographs Behind David Winston's Selection: Scudder's Alterative’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Yellow Dock
Interacts with 78 drugsYellow dock is a traditional herb used mostly as a mild laxative and a digestive and skin tonic. Good-quality human studies are lacking, so its benefits are largely unproven, and its natural...
Read the full Yellow Dock monograph → Herb & supplement monographCorydalis Yanhusuo
Interacts with 1,160 drugsCorydalis yanhusuo is a traditional Chinese herb used mainly for pain. Some early laboratory and animal research suggests its compounds may affect pain and the nervous system, but high-quali...
Read the full Corydalis Yanhusuo monograph → Herb & supplement monographPodophyllum
Podophyllum (American mayapple) is a toxic plant whose resin contains podophyllotoxin, used in prescription topical products to treat warts. The raw plant and crude resin are poisonous if ta...
Read the full Podophyllum monograph → Herb & supplement monographFigwort
Interacts with 76 drugsFigwort is a traditional herb used mainly for skin problems and minor swelling, but solid human studies are lacking, so its benefits remain unproven. It is generally used short-term and topi...
Read the full Figwort monograph →Sources & How We Checked
David Winston's Selection: Scudder's Alterative'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 43 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.
Yellow Dock 8 references
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- 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.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Latif A, Fichadiya H, Abid F, Capo G. Herbal Teas and Thrombocytopenia: A Curious Case of Yellow Dock and Burdock-Induced Thrombocytopenia. Eur J Case Rep Intern Med 2022;9(3):003247. PubMed
Corydalis Yanhusuo 21 references
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Chan E. Displacement of bilirubin from albumin by berberine. Biol Neonate 1993;63:201-8. PubMed
- Janbaz KH, Gilani AH. Studies on preventive and curative effects of berberine on chemical-induced hepatotoxicity in rodents. Fitoterapia 2000;71:25-33.. PubMed
- Wu X, Li Q, Xin H, Yu A, Zhong M. Effects of berberine on the blood concentration of cyclosporin A in renal transplanted recipients: clinical and pharmacokinetic study. Eur J Clin Pharmacol 2005;61:567-72. PubMed
- Zhang Y, Li X, Zou D, et al. Treatment of type 2 diabetes and dyslipidemia with the natural plant alkaloid berberine. J Clin Endocrinol Metab 2008;93:2559-65. PubMed
- Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine 2000;7:273-82. PubMed
- Chatterjee P, Franklin MR. Human cytochrome p450 inhibition and metabolic-intermediate complex formation by goldenseal extract and its methylenedioxyphenyl components. Drug Metab Dispos 2003;31:1391-7. PubMed
- Shanbhag, S. M., Kulkarni, H. J., and Gaitonde, B. B. Pharmacological actions of berberine on the central nervous system. Jpn.J Pharmacol 1970;20(4):482-487. PubMed
- Wu, J. F. and Liu, T. P. [Effects of berberine on platelet aggregation and plasma levels of TXB2 and 6-keto-PGF1 alpha in rats with reversible middle cerebral artery occlusion]. Yao Xue.Xue.Bao. 1995;30(2):98-102.
- Peng, W. H., Hsieh, M. T., and Wu, C. R. Effect of long-term administration of berberine on scopolamine-induced amnesia in rats. Jpn J Pharmacol 1997;74(3):261-266. DOI
- Sabir M and Bhide NK. Study of some pharmacological actions of berberine. Ind J Physiol & Pharmac 1971;15(3):111-132.
- Tripathi YB and Shukla SD. Berberis artistata inhibits PAF induced aggregation of rabbit platelets. Phytotherapy Research 1996;10:628-630.
- Yin, J., Xing, H., and Ye, J. Efficacy of berberine in patients with type 2 diabetes mellitus. Metabolism 2008;57(5):712-717. PubMed
- Zhang, H., Wei, J., Xue, R., Wu, J. D., Zhao, W., Wang, Z. Z., Wang, S. K., Zhou, Z. X., Song, D. Q., Wang, Y. M., Pan, H. N., Kong, W. J., and Jiang, J. D. Berberine lowers blood glucose in type 2 diabetes mellitus patients through increasing insulin re
- Guo, Y., Chen, Y., Tan, Z. R., Klaassen, C. D., and Zhou, H. H. Repeated administration of berberine inhibits cytochromes P450 in humans. Eur J Clin Pharmacol 2012;68(2):213-217. PubMed
- Wei, W., Zhao, H., Wang, A., Sui, M., Liang, K., Deng, H., Ma, Y., Zhang, Y., Zhang, H., and Guan, Y. A clinical study on the short-term effect of berberine in comparison to metformin on the metabolic characteristics of women with polycystic ovary syndro
- Hermann, R. and von, Richter O. Clinical evidence of herbal drugs as perpetrators of pharmacokinetic drug interactions. Planta Med 2012;78(13):1458-1477. PubMed
- Chun YT, Yip TT, Lau KL, and et al. A biochemical study on the hypotensive effect of berberine in rats. Gen Pharmac 1979;10:177-182. PubMed
- Hou Q, Han W, Fu X. Pharmacokinetic interaction between tacrolimus and berberine in a child with idiopathic nephrotic syndrome. Eur J Clin Pharmacol 2013;69(10):1861-2. PubMed
- Lan J, Zhao Y, Dong F, et al. Meta-analysis of the effect and safety of berberine in the treatment of type 2 diabetes mellitus, hyperlipemia and hypertension. J Ethnopharmacol. 2015;161:69-81. PubMed
- Lyu Y, Zhang Y, Yang M, et al. Pharmacokinetic interactions between metformin and berberine in rats: Role of oral administration sequences and microbiota. Life Sci. 2019;235:116818. PubMed
Podophyllum 13 references
- Cassidy DE, Drewry J, Fanning JP. Podophyllum toxicity: a report of a fatal case and a review of the literature. J Toxicol Clin Toxicol 1982;19:35-44. PubMed
- Rosenstein G, Rosenstein H, Freeman M, Weston N. Podophyllum-a dangerous laxative. Pediatrics 1976;57:419-21. DOI
- Lozada-Nur F, Costa C. Retrospective findings of the clinical benefits of podophyllum resin 25% sol on hairy leukoplakia. Clinical results in nine patients. Oral Surg Oral Med Oral Pathol 1992;73:555-8. PubMed
- Frasca T, Brett AS, Yoo SD. Mandrake toxicity. A case of mistaken identity. Arch Intern Med 1997;157:2007-9.
- Schwartz J, Norton SA. Useful plants of dermatology. VI. The mayapple (Podophyllum). J Am Acad Dermatol 2002;47:774-5. PubMed
- Mack RB. Living mortals run mad. Mandrake (podophyllum) poisoning. N C Med J 1992;53:98-9.
- Longstaff E, von Krogh G. Condyloma eradication: self-therapy with 0.15-0.5% podophyllotoxin versus 20-25% podophyllin preparations--an integrated safety assessment. Regul Toxicol Pharmacol 2001;33:117-37. PubMed
- Wiley DJ, Douglas J, Beutner K, et al. External genital warts: diagnosis, treatment, and prevention. Clin Infect Dis 2002;35:S210-24. PubMed
- Moura, M. D., Guimaraes, T. R., Fonseca, L. M., de, Almeida Pordeus, I, and Mesquita, R. A. A random clinical trial study to assess the efficiency of topical applications of podophyllin resin (25%) versus podophyllin resin (25%) together with acyclovir c
- Martin, L. K., Rubin, A. I., Theocharous, C., and Murrell, D. F. Podophyllin reaction mimicking Bowen's disease in a patient with delusions of verrucosis. Clin Exp.Dermatol 2008;33(4):443-445. PubMed
- Chamberlain, M. J., Reynolds, A. L., and Yeoman, W. B. Medical memoranda. Toxic effect of podophyllum application in pregnancy. Br.Med.J. 8-12-1972;3(823):391-392. PubMed
- Karol, M. D., Conner, C. S., Watanabe, A. S., and Murphrey, K. J. Podophyllum: suspected teratogenicity from topical application. Clin.Toxicol. 1980;16(3):283-286. PubMed
- Gowdey, G., Lee, R. K., and Carpenter, W. M. Treatment of HIV-related hairy leukoplakia with podophyllum resin 25% solution. Oral Surg.Oral Med.Oral Pathol.Oral Radiol.Endod. 1995;79(1):64-67. PubMed
Figwort 1 reference
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
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