David Winston's Spirolyd Support Ingredients & Drug Interactions
What is this page for?
First and foremost: checking David Winston's Spirolyd Support 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 Spirolyd Support is a dietary supplement by Herbalist & Alchemist with 5 active ingredients. Its ingredients are commonly taken for colds and flu-like illness, sore throat, fever.Based on those ingredients, 889 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Sweet Annie Herb Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against David Winston's Spirolyd Support by Herbalist & Alchemist
Ask about any prescription or over-the-counter medication and we check it for interactions with David Winston's Spirolyd Support by Herbalist & Alchemist — 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 David Winston's Spirolyd Support 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
This product contains 5 active ingredients in extract form: Isatis root, Sichuan Teasel root, Houttuynia herb, Sweet Annie herb, and Lomatium root. The proprietary blend format means the exact dose of each isn't shown on the label.
The liquid is made with water, ethyl alcohol (the solvent), and glycerin.
Does it work?
Not established
Isatis root is possibly effective for psoriasis, but evidence for respiratory infections, prostate cancer, ulcerative colitis, hepatitis, and aging skin is insufficient to rate. Sweet Annie is possibly effective for allergic rhinitis (hay fever), but evidence for nonalcoholic fatty liver disease, malaria, and osteoarthritis is insufficient to rate.
The effectiveness data we hold doesn't cover Sichuan Teasel, Houttuynia, or Lomatium.
How safe is it?
Well-documented data
Isatis root has limited human safety data and is traditionally used short-term only; its safety in pregnancy and breastfeeding is not established, so the data advises against it in both. Sweet Annie is generally well-tolerated when taken by mouth, though nausea and vomiting are the most common side effects.
Rarely, it can cause liver damage—one case reported hepatitis after a 10-day course, though causation wasn't certain. The safety data advises against Sweet Annie during pregnancy and breastfeeding.
A mild allergic reaction (rash and cough) has been reported once; sublingual use in allergic individuals caused tongue numbness and throat itching.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you take any drugs that can harm the liver (Moderate risk), or any medications processed by the liver enzymes CYP3A4 or CYP2B6 (Moderate risk for both). Sweet Annie is the ingredient behind these interactions.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
This product may help with psoriasis or hay fever, though the evidence for most uses is weak or absent. The main caution is its Sweet Annie content, which can interact with many medications and potentially stress the liver.
If you take any prescription drugs—especially those metabolized by your liver or used for liver, heart, or blood sugar conditions—check them against this product with your own doctor or pharmacist before you start.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Oct 24, 2023.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about David Winston's Spirolyd Support, straight from the product label.
| Brand | Herbalist & Alchemist |
|---|---|
| Barcode (UPC) | 667056134044 |
| Net contents | 2 Fluid Ounce(s); 60 mL |
| Market status | On market |
| Date entered into DSLD | Oct 24, 2023 |
| DSLD ID | 297468 |
| 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 Spirolyd Support by Herbalist & Alchemist, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend Extract | 4 mL | -- |
| Isatis root extract | 0 NP | -- |
| Sichuan Teasel Root Extract | 0 NP | -- |
| Houttuynia Herb Extract | 0 NP | -- |
| Sweet Annie Herb Extract | 0 NP | -- |
| Lomatium root extract | 0 NP | -- |
Other ingredients: Water, Distilled, Ethyl Alcohol, 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.
FDA Statement of Identity
Herbal Supplement
Precautions
Contraindications: Do not use during pregnancy, lactation, or as a first option in treating Lyme disease.
Contraindications: Do not use during pregnancy, lactation, or as a first option in treating Lyme disease. This formula does not replace the need for antibiotics and must be used under the supervision of a qualified expert. Discontinue use if a skin rash develops.
Keep out of children's reach
Suggested/Recommended/Usage/Directions
Suggested use: Shake well before using. Take 40-80 drops (2-4 mL) in juice or water. Take 3 times per day with Spirolyd Compound for 10 days; stop both products for 7 days. Repeat treatment pattern starting with Spirolyd Compound alone and continue treatment cycles as directed by a qualified expert.
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.
Seals/Symbols
OK (Kosher)
Formula
OK (Kosher)
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
David Winston's Spirolyd Support 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 Spirolyd Support by Herbalist & Alchemist
These are the 5 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 mL Dosage formLiquid Servings per container15 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 Extract
- › Isatis root extract
- › Sichuan Teasel Root Extract
- › Houttuynia Herb Extract
- › Sweet Annie Herb Extract
- › Lomatium root extract
Other (inactive) ingredients: Water, Distilled, Ethyl Alcohol, Glycerin. These complete the product’s ingredient list but are not active constituents.
David Winston's Spirolyd Support by Herbalist & Alchemist Drug Interactions
HelloPharmacist Interaction Report
David Winston's Spirolyd Support, by Herbalist & Alchemist, does interact with medications — specifically through its Sweet Annie Herb Extract content.
The most serious concern is liver damage (hepatotoxicity): Sweet Annie may add to the liver-harming effects of other drugs that stress the liver, a Moderate-severity interaction.
Read the full breakdown — every affected drug type, severity by severity
Sweet Annie also affects how your body processes two broad classes of medications. It may alter blood levels and effectiveness of drugs broken down by CYP3A4 (a liver enzyme), and separately, drugs metabolized by CYP2B6.
Both interactions carry Moderate severity. The actual effect—whether levels go up or down—isn't fully clear from the current data, since Sweet Annie's different compounds seem to pull in opposite directions.
Isatis root extract, the other ingredient we checked, has no interactions documented in our data. We could not check three others: Sichuan Teasel Root Extract, Houttuynia Herb Extract, and Lomatium root extract.
Altogether, these interactions span 890 individual medications.
If you take any prescription drugs—especially those for liver disease, heart rhythm problems, blood pressure, diabetes, or any medication that says "do not crush" or "talk to your pharmacist about drug interactions"—use the search tool on this page to check your exact medications before you start this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against David Winston's Spirolyd Support?
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 Spirolyd Support interact with 889 drugs. Click any drug to see the details.
1 of the 5 ingredients in David Winston's Spirolyd Support interact with drugs. Each result below shows which ingredient is responsible. Sweet Annie Herb Extract
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + 6-mercaptopurine interactionAdo-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Sweet Annie may alter plasma levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Sweet Annie Herb Extract + Ado-trastuzumab Emtansine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Abacavir, Lamivudine interactionAbemaciclibVerzenio
How Abemaciclib interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Sweet Annie may alter plasma levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Sweet Annie Herb Extract + Abemaciclib interactionAbiraterone
How Abiraterone interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Abiraterone Acetate interactionAcalabrutinibCalquence
How Acalabrutinib interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Sweet Annie may alter plasma levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Sweet Annie Herb Extract + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acebutolol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Sweet Annie may alter plasma levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Sweet Annie Herb Extract + 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 Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Sweet Annie may alter plasma levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Sweet Annie Herb Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Sweet Annie may alter plasma levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Sweet Annie Herb Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Sweet Annie may alter plasma levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Sweet Annie Herb Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Sweet Annie Herb Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with David Winston's Spirolyd Support — through 1 ingredient. Tap an ingredient for the detail:
Sweet Annie Herb ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Sweet Annie may alter plasma levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Sweet Annie Herb Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in David Winston's Spirolyd Support with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Sweet Annie Herb Extract
Cytochrome P450 2B6 (Cyp2B6) Substrates
Sweet Annie may alter plasma levels and clinical effects of drugs metabolized by CYP2B6.
In vitro research shows that the Sweet Annie constituent artemisinin induces CYP2B6, possibly increasing CYP2B6 activity by 1.6-fold. However, Sweet Annie extract seems to inhibit the activity of CYP2B6 in vitro, suggesting that other constituents of Sweet Annie play a role in its effects on the overall activity of this enzyme. More information is needed to determine whether taking Sweet Annie extract affects the metabolism of CYP2B6 substrates.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Sweet Annie may alter plasma levels and clinical effects of drugs metabolized by CYP3A4.
In vitro research shows that the Sweet Annie constituent artemisinin induces CYP3A4, possibly increasing CYP3A4 activity by 1.9-fold. However, Sweet Annie extract seems to inhibit the activity of CYP3A4 in vitro, suggesting that other constituents of Sweet Annie play a role in its effects on the overall activity of this enzyme. More information is needed to determine whether taking Sweet Annie extract affects the metabolism of CYP3A4 substrates.
Hepatotoxic Drugs
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
There is some concern that Sweet Annie can adversely affect the liver.
Brand information
Manufacturer and brand details for David Winston's Spirolyd Support, 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 Spirolyd Support by Herbalist & Alchemist: Common Questions
Does David Winston's Spirolyd Support by Herbalist & Alchemist interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm pregnant or breastfeeding?
What are the side effects?
Does this really work for what it's supposed to do?
Is this safe to use long-term?
What is Sweet Annie used for?
Why do the facts say Sweet Annie both inhibits and induces my liver enzymes?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if David Winston's Spirolyd Support 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 David Winston's Spirolyd Support’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Isatis
Isatis is a plant long used in traditional Chinese medicine, mainly for sore throats, fevers, and colds. Modern evidence in people is very limited, so its benefits are not well proven. Talk...
Read the full Isatis monograph → Herb & supplement monographSweet Annie
Interacts with 889 drugsSweet Annie (Artemisia annua) is the source of artemisinin, a compound used in prescription antimalarial drugs. While the purified drug is well studied for malaria, the herb itself as a supp...
Read the full Sweet Annie monograph →Sources & How We Checked
David Winston's Spirolyd Support'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 14 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.
Isatis 3 references
Sweet Annie 11 references
- Mueller MS, Karhagomba IB, Hirt HM, Wemakor E. The potential of Artemisia annua L. as a locally produced remedy for malaria in the tropics: agricultural, chemical and clinical aspects. J Ethnopharmacol 2000;73:487-93. PubMed
- Rath K, Taxis K, Walz G, et al. Pharmacokinetic study of artemisinin after oral intake of a traditional preparation of Artemisia annua L. (annual wormwood). Am J Trop Med Hyg 2004;70:128-32. DOI
- Centers for Disease Control and Prevention (CDC). Hepatitis temporally associated with an herbal supplement containing artemisinin-Washington, 2008. MMWR Morb Mortal Wkly Rep 2009;58:854-8.
- Xing J, Kirby BJ, Whittington D, et al. Evaluation of P450 inhibition and induction by artemisinin antimalarials in human liver microsomes and primary human hepatocytes. Drug Metabl Dispos 2012;40(9):1757-64. PubMed
- Savage RL, Hill GR, Barnes J, Kenyon SH, Tatley MV. Suspected hepatotoxicity with a supercritical carbon dioxide extract of Artemisia annua in grapeseed oil used in New Zealand. Front Pharmacol. 2019;10:1448. PubMed
- Ruperti-Repilado FJ, Haefliger S, Rehm S, et al. Danger of herbal tea: a case of acute cholestatic hepatitis due to Artemisia annua tea. Front Med (Lausanne). 2019;6:221. PubMed
- Yang J, Shen Z, Liu L, et al. Clinical efficacy and safety of Artesimia annua-Sublingual immunotherapy in seasonal allergic rhinitis patients based on different intervention time. Int Arch Allergy Immunol 2022;183(8):852-859.
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