East Star Tincture Ingredients & Drug Interactions
What is this page for?
First and foremost: checking East Star Tincture 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
East Star Tincture is a dietary supplement by Barlow Herbal with 4 active ingredients. Its ingredients are commonly taken for general energy and vitality, adaptogen for stress, sexual health and libido.Based on those ingredients, 648 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Chaparral, Astragalus, Pau d'Arco. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against East Star Tincture by Barlow Herbal
Ask about any prescription or over-the-counter medication and we check it for interactions with East Star Tincture by Barlow Herbal — 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 East Star Tincture by Barlow Herbal
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
East Star Tincture contains 4 active herbal ingredients in a liquid form preserved with cane alcohol. The blend includes suma, astragalus, chaparral, and pau d'arco — traditional plant extracts combined here as a proprietary blend.
Does it work?
Not established
The evidence we hold doesn't establish that this product works for any condition. Astragalus and pau d'arco each carry effectiveness ratings of "Insufficient Reliable Evidence" for the uses we have data on — meaning human studies haven't been strong enough to say one way or the other.
Suma and chaparral have no effectiveness ratings on file. If you're considering this tincture for a specific health goal, your pharmacist or doctor can help you weigh what evidence does exist.
How safe is it?
Well-documented data
Chaparral is the critical safety concern here. It's been linked to serious liver and kidney damage, jaundice, liver failure, and in some cases liver transplant — so much so that it's classified as unsafe for use.
Astragalus is generally well tolerated short-term in healthy adults, though rigorous safety studies are limited. Pau d'arco may cause side effects at higher doses, and the lapachol compound in it can cause anemia, bleeding risk, severe nausea, vomiting, and diarrhea when doses exceed 1.5 grams daily.
Suma has limited safety data; when inhaled as powder it's been known to trigger asthma-like symptoms, though oral use appears well tolerated. None of these ingredients have reliable safety data for pregnancy or breastfeeding.
Chaparral is classified as likely unsafe during pregnancy. Astragalus, pau d'arco, and suma are all advised against in pregnancy and lactation due to insufficient safety information.
Talk with your doctor or pharmacist before use if you're pregnant, nursing, or planning pregnancy.
Meds to double-check
Moderate interaction found
Check your medications against this product if you take blood thinners or antiplatelet drugs (like warfarin or aspirin), immunosuppressants, lithium, chemotherapy drugs such as cyclophosphamide, or antidiabetes medications. Also be aware that chaparral theoretically compounds liver damage risk if you're taking other hepatotoxic (liver-damaging) drugs.
Use the search tool on this page to verify your exact prescriptions.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
This product carries significant safety and interaction concerns, primarily due to chaparral's documented liver and kidney toxicity. If you take any medications — especially immunosuppressants, lithium, chemotherapy drugs, blood thinners, or diabetes medications — check with your pharmacist before starting.
Given the serious risks, discuss this tincture with your doctor or pharmacist before taking it.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 22, 2024.
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 East Star Tincture, straight from the product label.
| Brand | Barlow Herbal |
|---|---|
| Net contents | 2 Fluid Ounce(s); 60 mL |
| Market status | On market |
| Date entered into DSLD | Nov 22, 2024 |
| DSLD ID | 320448 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
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 East Star Tincture by Barlow Herbal, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 0 NP | -- |
| Suma | 0 NP | -- |
| Astragalus | 0 NP | -- |
| Chaparral | 0 NP | -- |
| Pau d'Arco | 0 NP | -- |
Other ingredients: Cane Alcohol
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.
Suggested/Recommended/Usage/Directions
Suggested Dosage: 12 drops in cold herbal tea or juice, usually just before meals 3 times daily.
Precautions
If pregnant, consult your health professional before using.
Keep out of reach of children.
FDA Disclaimer Statement
These statements have not been evaluated by the FDA. This product is not intended to treat, diagnose, prevent, or cure any disease.
Formulation
Special Formula
FDA Statement of Identity
Dietary Supplement
General Statements
Made with Love
Formula
Contains: Pau d' Arco, Chinese astragalus, chaparral, suma root and cane alcohol.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
East Star Tincture by Barlow Herbal 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 East Star Tincture by Barlow Herbal
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size0.6 mL Dosage formLiquid Servings per container100 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
- › Suma
- › Astragalus
- › Chaparral
- › Pau d'Arco
Other (inactive) ingredients: Cane Alcohol. These complete the product’s ingredient list but are not active constituents.
East Star Tincture by Barlow Herbal Drug Interactions
HelloPharmacist Interaction Report
East Star Tincture by Barlow Herbal contains four ingredients, and three of them interact with medications.
The most serious concern is chaparral, which can cause liver damage (hepatotoxicity) — a Major severity risk when combined with other drugs that damage the liver (hepatotoxic drugs). This ingredient carries such significant toxicity risk that it's flagged as unsafe for use overall.
Read the full breakdown — every affected drug type, severity by severity
Astragalus presents Moderate interactions with immunosuppressants (drugs that weaken the immune system intentionally), lithium (a mood stabilizer), cyclophosphamide (a chemotherapy drug), and antidiabetes medications. It may interfere with immune suppression, raise lithium levels, potentially reverse chemotherapy effects, or increase low blood sugar risk.
Pau d'Arco also carries a Moderate interaction with blood thinners and antiplatelet drugs (like warfarin and aspirin), raising bleeding risk at higher doses.
Suma, the fourth ingredient, has no known interactions documented in our data. However, this is not a guarantee that none exist.
Altogether, these interactions span 630 individual medications. If you take any prescription medication — especially any listed above — run it through the checker below before adding this product.
Given chaparral's serious liver and kidney toxicity history, we'd strongly encourage you to discuss this tincture with your pharmacist or doctor first.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against East Star Tincture?
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 East Star Tincture interact with 648 drugs. Click any drug to see the details.
3 of the 4 ingredients in East Star Tincture interact with drugs. Each result below shows which ingredient is responsible. Chaparral Astragalus Pau d'Arco
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with East Star Tincture — through 2 ingredients. Tap an ingredient for the detail:
AstragalusImmunosuppressants Moderate
Interaction Summary
Theoretically, astragalus might interfere with immunosuppressive therapy.
Read the full Astragalus + 6-mercaptopurine interactionChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Abacavir, Lamivudine interactionAbciximabReoPro
How Abciximab interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
Pau D'arcoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pau d'arco might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Pau D'arco + Abciximab interactionAbiraterone
How Abiraterone interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with East Star Tincture — through 2 ingredients. Tap an ingredient for the detail:
AstragalusImmunosuppressants Moderate
Interaction Summary
Theoretically, astragalus might interfere with immunosuppressive therapy.
Read the full Astragalus + Abrocitinib interactionPau D'arcoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pau d'arco might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Pau D'arco + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with East Star Tincture — through 2 ingredients. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acarbose interactionAstragalusAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking astragalus with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Astragalus + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
Pau D'arcoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pau d'arco might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Pau D'arco + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with East Star Tincture — through 2 ingredients. Tap an ingredient for the detail:
Pau D'arcoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pau d'arco might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Pau D'arco + Acetaminophen, Aspirin interactionChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with East Star Tincture — through 2 ingredients. Tap an ingredient for the detail:
Pau D'arcoAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, pau d'arco might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Pau D'arco + Acetaminophen, Aspirin, Caffeine interactionChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + 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 East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with East Star Tincture — through 1 ingredient. Tap an ingredient for the detail:
ChaparralHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Read the full Chaparral + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in East Star Tincture 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.
Chaparral
Hepatotoxic Drugs
Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.
Astragalus
Antidiabetes Drugs
Theoretically, taking astragalus with antidiabetes drugs might increase the risk of hypoglycemia.
Clinical research in humans shows that astragalus might have hypoglycemic effects. Theoretically, taking astragalus, especially in combination with other hypoglycemic agents, might increase the risk of hypoglycemia.
Cyclophosphamide
Theoretically, astragalus might interfere with cyclophosphamide therapy.
Evidence regarding the effect of astragalus on immunosuppression caused by cyclophosphamide is conflicting. Some animal research suggests that astragalus reverses cyclophosphamide-induced immunosuppression. However, other animal research shows no effect.
Immunosuppressants
Theoretically, astragalus might interfere with immunosuppressive therapy.
Astragalus seems to stimulate immune function. Theoretically, taking astragalus might decrease the effects of immunosuppressive therapy.
Lithium
Theoretically, astragalus might increase levels and adverse effects of lithium.
Animal research suggests that astragalus has diuretic properties. Theoretically, due to this diuretic effect, astragalus might reduce excretion and increase levels of lithium.
Pau d'Arco
Anticoagulant/Antiplatelet Drugs
Theoretically, pau d'arco might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
In vitro research shows that pau d'arco reduces platelet aggregation and may interfere with vitamin K. One clinical study shows that taking the lapachol constituent of pau d'arco in doses above 1.5 grams daily increases the risk of bleeding. The effects of whole pau d'arco or pau d'arco extract in humans are unclear.
Brand information
Manufacturer and brand details for East Star Tincture, from the product label.
Barlow Herbal
See all Barlow Herbal products- Name
- Barlow Herbal Specialties, LLC
- City
- Sandy
- State
- Utah
- ZipCode
- 84091
- Phone Number
- 866-688-6757
- Web Address
- BarlowHerbal.com
East Star Tincture by Barlow Herbal: Common Questions
Does East Star Tincture by Barlow Herbal interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this while pregnant or breastfeeding?
What is astragalus, and what's it supposed to do?
Is chaparral safe?
What if I'm only taking it occasionally or at a low dose?
Does this tincture have any side effects I should know about?
Why does this product have so many drug interactions?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if East Star Tincture 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 East Star Tincture’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Suma
Suma is a South American root often marketed as a 'Brazilian ginseng' and used as an adaptogen for energy, stamina, and stress. Human evidence is very limited, and most claims come from trad...
Read the full Suma monograph → Herb & supplement monographAstragalus
Interacts with 208 drugsAstragalus is a root used for centuries in traditional Chinese medicine, mainly to support the immune system and help the body cope with stress. While early studies are interesting, strong h...
Read the full Astragalus monograph → Herb & supplement monographChaparral
Interacts with 370 drugsChaparral is a desert shrub long used in traditional medicine, but there is no reliable proof it treats any condition. It has been linked to serious and sometimes irreversible liver and kidn...
Read the full Chaparral monograph → Herb & supplement monographPau D'arco
Interacts with 122 drugsPau d'arco is a South American tree bark traditionally used for infections and inflammation, and it contains compounds like lapachol that show activity in lab studies. However, strong human...
Read the full Pau D'arco monograph →Sources & How We Checked
East Star Tincture'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 38 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.
Suma 3 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.
- Foster S, Tyler VE. Tyler's Honest Herbal, 4th ed., Binghamton, NY: Haworth Herbal Press, 1999. DOI
- Subiza, J., Subiza, J. L., Escribano, P. M., Hinojosa, M., Garcia, R., Jerez, M., and Subiza, E. Occupational asthma caused by Brazil ginseng dust. J Allergy Clin Immunol 1991;88(5):731-736. PubMed
Astragalus 13 references
- Upton R, ed. Astragalus Root: Analytical, quality control, and therapeutic monograph. Santa Cruz, CA: American Herbal Pharmacopoeia. 1999:1-25.
- Khoo KS, Ang PT. Extract of astragalus membranaceus and ligustrum lucidum does not prevent cyclophosphamide-induced myelosuppression. Singapore Med J 1995;36:387-90.
- Chu DT, Wong WL, Mavligit GM. Immunotherapy with Chinese medicinal herbs. II. Reversal of cyclophosphamide-induced immune suppression by administration of fractionated Astragalus membranaceus in vivo. J Clin Lab Immunol 1988;25:125-9.
- Sun Y, Hersh EM, Lee SL, et al. Preliminary observations on the effects of the Chinese medicinal herbs Astragalus membranaceus and Ligustrum lucidum on lymphocyte blastogenic responses. J Biol Response Mod 1983;2:227-37..
- Ma J, Peng A, Lin S. Mechanisms of the therapeutic effect of astragalus membranaceus on sodium and water retention in experimental heart failure. Chin Med J (Engl) 1998;111:17-23.
- Matkovic Z, Zivkovic V, Korica M, et al. Efficacy and safety of Astragalus membranaceus in the treatment of patients with seasonal allergic rhinitis. Phytother Res 2010;24:175-81.
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