Devil's Claw Ingredients & Drug Interactions
by Herbal Terra
What is this page for?
First and foremost: checking Devil's Claw 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
Devil's Claw is a dietary supplement by Herbal Terra with 1 active ingredient. Its ingredients are commonly taken for osteoarthritis pain, lower back pain, joint pain and stiffness.Based on those ingredients, 804 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are certfied organic Devil's Claw (Harpagophytum procumbens) dried root liquid extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Devil's Claw by Herbal Terra
Ask about any prescription or over-the-counter medication and we check it for interactions with Devil's Claw by Herbal Terra — 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 Devil's Claw by Herbal Terra
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains one active ingredient: certified organic Devil's Claw (Harpagophytum procumbens) dried root liquid extract. Devil's Claw is a plant native to southern Africa, traditionally used for joint and back discomfort.
The liquid form allows for easier dosing and absorption compared to solid tablets.
Does it work?
Moderate evidence
Devil's Claw is rated possibly effective for back pain and osteoarthritis based on available evidence. The research suggests it may help with these conditions, though more robust studies would strengthen the case.
For atherosclerosis, there isn't enough reliable evidence to rate whether it works.
How safe is it?
Well-documented data
Devil's Claw is generally well tolerated for short-term use in healthy adults, but digestive upset is common. The most frequent side effects are allergic skin reactions, diarrhea, and indigestion; in trials, gastrointestinal complaints showed up in 9 to 18 percent of people taking it, especially at higher doses.
Rarely, headache, dizziness, or ringing in the ears have been reported. Very rarely, gastrointestinal bleeding has occurred.
Avoid Devil's Claw during pregnancy because it may affect the uterus and its safety has not been established. Also avoid it while breastfeeding due to insufficient safety information.
If you're pregnant or nursing, talk with your doctor or pharmacist before considering this product.
Meds to double-check
Moderate interaction found
Before taking Devil's Claw, double-check with your doctor or pharmacist if you take blood thinners like warfarin, any medications broken down by your liver (a very broad group), H2-blockers or proton pump inhibitors for acid reflux, or any drugs transported by P-glycoprotein. The most serious risk is with warfarin due to bleeding potential.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Devil's Claw may help with back pain and osteoarthritis, but it interacts with blood thinners, many liver-metabolized drugs, and stomach-acid reducers. If you take any prescription medications—especially warfarin or anything processed by your liver—check with your doctor or pharmacist before starting.
It's not for pregnancy or breastfeeding. For short-term use in otherwise healthy adults without these concerns, it's generally well tolerated, though digestive upset is fairly common.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Sep 25, 2020.
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 Devil's Claw, straight from the product label.
| Brand | Herbal Terra |
|---|---|
| Barcode (UPC) | 0617503375186 |
| Net contents | 4 Fluid Ounce(s); 120 mL |
| Market status | On market |
| Date entered into DSLD | Sep 25, 2020 |
| DSLD ID | 233775 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Organic, Gluten Free, Sugar 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 Devil's Claw by Herbal Terra, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| certfied organic Devil's Claw (Harpagophytum procumbens) dried root liquid extract | 970 mg | -- |
Other ingredients: Menstruum
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
Origin of plant material: South Africa.
Manufactured in the USA in an FDA registered facility
Sugar free
Dried herb/menstruum ratio: 1:3 Expertly extracted Laboratory tested 330 mg/1 mL Premium product Super concentrated liquid herbal extract
Non GMO
No artificial ingredients, GMO, gluten, color additives, fillers, preservatives or binders. Natural Gluten Free
Suggested/Recommended/Usage/Directions
Direction Shake well before use. Adults take up to 30 drops (1 mL, one full squeeze of the dropper bulb) in 3-4 fl. oz of juice or water up to 4 times a day. We recommend to seek expert medical advice before taking this or any other herbal supplements.
FDA Disclaimer Statement
Notice This product has not been evaluated by the FDA and is not intended to diagnose, treat, cure, or prevent any disease.
Precautions
Caution May have contraindications.
Do not use if you are allergic to any ingredients.
Consult a physician before using during pregnancy, if nursing, or if you are on any medications.
Keep out of the reach of children.
Storage
Store in a cool, dry, dark place.
Formula
Harpagophytum procumbens
FDA Statement of Identity
Herbal Supplement
Seals/Symbols
Made in USA Made in an FDA registered facility Natural Gluten Free
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Devil's Claw by Herbal Terra 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 Devil's Claw by Herbal Terra
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 mL Dosage formLiquid Servings per container120 Amounts shown are per serving.
Certfied organic Devil's Claw (Harpagophytum procumbens) dried root liquid extract
Interacts with804 drugs
Devil's claw is a southern African plant used mainly for arthritis and back pain, and some studies suggest it may help ease these types of discomfort....
Certfied organic Devil's Claw (Harpagophytum procumbens) dried root liquid extract monograph & interactionsOther (inactive) ingredients: Menstruum. These complete the product’s ingredient list but are not active constituents.
Devil's Claw by Herbal Terra Drug Interactions
HelloPharmacist Interaction Report
Herbal Terra's Devil's Claw liquid extract does interact with medications.
Its main concern is with blood thinners like warfarin—Devil's Claw may increase warfarin's effect, raising the risk of bleeding. One case report documented serious bleeding (purpura) in someone taking both, though it's unclear whether Devil's Claw alone caused it.
Read the full breakdown — every affected drug type, severity by severity
Devil's Claw may also affect how your liver processes a wide range of medications. It appears to slow the breakdown of drugs metabolized by three major liver enzymes (CYP2C19, CYP2C9, and CYP3A4), which could raise their blood levels and effects.
These interactions are based on lab research and haven't been confirmed in people yet, but the possibility is real enough to warrant caution. Additionally, Devil's Claw may interfere with stomach-acid reducers—both H2-blockers and proton pump inhibitors (PPIs)—because it tends to increase stomach acid.
It may also theoretically increase levels of drugs transported by a cellular pump called P-glycoprotein.
Because Devil's Claw touches so many medication pathways, it's important to check your exact prescriptions with the tool on this page before starting. Altogether, these interactions span 805 individual medications.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Devil's Claw?
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 Devil's Claw interact with 804 drugs. Click any drug to see the details.
1 of the 1 ingredient in Devil's Claw interact with drugs. Each result below shows which ingredient is responsible. certfied organic Devil's Claw (Harpagophytum procumbens) dried root liquid extract
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Ado-trastuzumab Emtansine interactionAbemaciclibVerzenio
How Abemaciclib interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP2C19.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractP-glycoprotein Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of P-glycoprotein substrates.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acalabrutinib interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid 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 Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Phenyltoloxamine interactionAcetaminophen, Chlorpheniramine, PseudoephedrineAlka-Seltzer PLUS Liquid Gels, Children's Tylenol Cold, Codimal, Comtrex, Extra Strength Tylenol Allergy Sinus, Lorsin +3 more
How Acetaminophen, Chlorpheniramine, Pseudoephedrine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Chlorpheniramine, Pseudoephedrine interactionAcetaminophen, DextromethorphanTylenol Cough Ex Strength
How Acetaminophen, Dextromethorphan interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Dextromethorphan interactionAcetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil
How Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interacts with Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Certfied Organic Devil's Claw (harpagophytum Procumbens) Dried Root Liquid Extract + Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Devil's Claw 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.
certfied organic Devil's Claw (Harpagophytum procumbens) dried root liquid extract
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, devil's claw might increase levels of drugs metabolized by CYP2C19.
In vitro research shows that devil's claw might inhibit CYP2C19, although this has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, devil's claw might increase levels of drugs metabolized by CYP2C9.
In vitro research shows that devil's claw might inhibit CYP2C9, although this has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
In vitro research shows that devil's claw might inhibit CYP3A4, although this has not been reported in humans.
Warfarin (Coumadin)
Theoretically, Devil's claw might increase the activity of warfarin.
In one case report, purpura occurred in a patient taking warfarin and devil's claw concurrently. This might indicate over-anticoagulation. It is unclear if this was due to Devil's claw or other contributing factors.
H2-Blockers
Theoretically, devil's claw might decrease the effectiveness of H2-blockers.
Devil's claw has been reported to increase stomach acid, which might interfere with the effects of H2-blockers.
P-Glycoprotein Substrates
Theoretically, devil's claw might increase levels of P-glycoprotein substrates.
In vitro research shows that devil's claw inhibits P-glycoprotein, which transports many drugs out of cells. This might increase intracellular levels of P-glycoprotein substrates, although it is unclear if this effect would be clinically important.
Proton Pump Inhibitors (Ppis)
Theoretically, devil's claw might decrease the effectiveness of PPIs.
Devil's claw has been reported to increase stomach acid, which might interfere with the effects of PPIs.
Brand information
Manufacturer and brand details for Devil's Claw, from the product label.
Devil's Claw by Herbal Terra: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Devil's Claw’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Devil's Claw'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 18 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.
Devil's Claw 18 references
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Shaw D, Leon C, Kolev S, Murray V. Traditional remedies and food supplements: a 5-year toxicological study (1991-1995). Drug Saf 1997;17:342-56.
- Chantre P, Cappelaere A, Leblan D, et al. Efficacy and tolerance or Harpagophytum procumbens versus diacerhein in treatment of osteoarthritis. Phytomedicine 2000;7:177-83.
- Chrubasik S, Thanner J, Kunzel O, et al. Comparison of outcome measures during treatment with the proprietary Harpagophytum extract doloteffin in patients with pain in the lower back, knee or hip. Phytomedicine 2002;9:181-94. PubMed
- Circosta C, Occhiuto F, Ragusa S, et al. A drug used in traditional medicine: Harpagophytum procumbens DC. II. Cardiovascular activity. J Ethnopharmacol 1984;11:259-74. PubMed
- Grahame R, Robinson BV. Devils's claw (Harpagophytum procumbens): pharmacological and clinical studies. Ann Rheum Dis 1981;40:632. PubMed
- Unger M, Frank A. Simultaneous determination of the inhibitory potency of herbal extracts on the activity of six major cytochrome P450 enzymes using liquid chromatography/mass spectrometry and automated online extraction. Rapid Commun Mass Spectrom 2004;1 PubMed
- Wegener T, Lupke NP. Treatment of patients with arthrosis of hip or knee with an aqueous extract of devil's claw (Harpagophytum procumbens DC). Phytother Res 2003;17:1165-72.
- Chrubasik S, Kunzel O, Thanner J, et al. A 1-year follow-up after a pilot study with Doloteffin for low back pain. Phytomedicine 2005;12:1-9. PubMed
- Romiti N, Tramonti G, Corti A, Chieli E. Effects of Devil's Claw (Harpagophytum procumbens) on the multidrug transporter ABCB1/P-glycoprotein. Phytomedicine 2009;16:1095-100. PubMed
- Chrubasik, S., Junck, H., Breitschwerdt, H., Conradt, C., and Zappe, H. Effectiveness of Harpagophytum extract WS 1531 in the treatment of exacerbation of low back pain: a randomized, placebo-controlled, double- blind study. Eur.J Anaesthesiol. 1999;16(2 DOI
- Laudahn, D. and Walper, A. Efficacy and tolerance of Harpagophytum extract LI 174 in patients with chronic non-radicular back pain. Phytother.Res. 2001;15(7):621-624.
- Belaiche P. Etude clinique de 630 cas d'artrose traites par le nebulisat aqueux d'Harpagophytum procumbens (Radix). Phytotherapy 1982;1:22-28.
- Chrubasik S, Model A, Black A, and et al. A randomized double-blind pilot study comparing Doloteffin® and Vioxx® in the treatment of low back pain. Rheumatology 2003;42:141-148.
- Cuspidi C, Sala C, Tadic M, et al. Systemic hypertension induced by Harpagophytum procumbens (devil's claw): a case report. J Clin Hypertens (Greenwich) 2015;17(11):908-10.
- Mahomed IM, Ojewole JAO. Oxytocin-like effect of Harpagophytum procumbens [Pedaliacae] secondary root aqueous extract on rat isolated uterus. Afr J Trad CAM 2006;3(1):82-89.
- Carvalho RR, Donadel CD, Cortez AF, Valviesse VR, Vianna PF, Correa BB. J Bras Nefrol. 2017 Mar;39(1):79-81.
- Anon. Devil's claw root: ulcers and gastrointestinal bleeding. Prescrire Int 2013;22(144):296.
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