Eleuthero Max-V Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Eleuthero Max-V 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
Eleuthero Max-V is a dietary supplement by Douglas Laboratories with 2 active ingredients. Its ingredients are commonly taken for fatigue and low energy, physical and athletic performance, stress resistance (adaptogen).Based on those ingredients, 1,140 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Eleutherococcus senticosus Herbal Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Eleuthero Max-V by Douglas Laboratories
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HelloPharmacist Scorecard of Eleuthero Max-V by Douglas Laboratories
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
Eleuthero Max-V contains 2 active ingredients, both forms of Eleutherococcus senticosus (eleuthero): an herbal extract and the whole herb. The product also contains inactive ingredients — cellulose and vegetable stearate — which are fillers and binders.
Does it work?
Moderate evidence
Eleuthero is rated possibly effective for genital herpes based on available evidence. For familial Mediterranean fever, bipolar disorder, osteoporosis, and chronic fatigue syndrome, the evidence is insufficient to establish whether it works.
The data we hold doesn't establish effectiveness for other conditions.
How safe is it?
Well-documented data
Eleuthero is generally well tolerated when used short-term, but long-term safety evidence is limited. The most common side effects are diarrhea, upset stomach, headache, nausea, and hives.
In clinical studies, nervousness was reported by about 7.3% of people taking it; some have also reported anxiety, irritability, and mood changes — these seem more likely at higher doses. Increased blood pressure has been reported, especially in children and in people with heart disease, though it's unclear whether eleuthero itself or a common adulterant in these products caused the effect.
Eleuthero is not recommended during pregnancy or while breastfeeding — there isn't enough safety data either way.
Meds to double-check
Moderate interaction found
Before taking Eleuthero Max-V, check with your pharmacist if you use digoxin (a heart medication) — the risk is moderate. Also double-check blood thinners or antiplatelet drugs like warfarin and aspirin, diabetes medications, immunosuppressants, and any drugs metabolized by your liver's CYP1A2 or CYP2C9 systems (your pharmacist can identify these for you).
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
Eleuthero Max-V may be worth considering if you're interested in genital herpes support and have no concerning medications. If you take heart drugs, blood thinners, diabetes medications, immunosuppressants, or any prescription requiring liver metabolism, check with your pharmacist first.
Long-term use hasn't been well studied, so stick with short-term use unless your doctor advises otherwise.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 1, 2012.
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 Eleuthero Max-V, straight from the product label.
| Brand | Douglas Laboratories |
|---|---|
| Barcode (UPC) | 310539673362 |
| Net contents | 60 Vegetarian Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jun 1, 2012 |
| DSLD ID | 9638 |
| Product type | Non-nutrient/non-botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other |
| 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 Eleuthero Max-V by Douglas Laboratories, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Eleutherococcus senticosus Herbal Extract | 200 mg | -- |
| Eleutherococcus senticosus | 100 mg | -- |
Other ingredients: Cellulose, Vegetable Stearate
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 Usage: As a dietary supplement, adults take 1 capsule 1 to 3 times daily between meals, or as advised by your healthcare professional. If digestive irritation occurs, take with meals.
Precautions
Stop use and consult your health care professional if allergic reactions occur.
Caution: If pregnant or nursing, consult your healthcare professional before using.
Should not be taken with a high fever (above 39° C) or if you have high blood pressure (WHO stage 2).
KEEP OUT OF REACH OF CHILDREN.
Tamper resistant package, do not use if outer seal is missing.
Storage
For optimal storage conditions, store in a cool, dry place. (59(0)-77(0)F/15(0)-25(0)C) (35-65% relative humidity)
General
Formula #77336
FDA Statement of Identity
Standardized Herbal Extract Supplement
Formula
Standardized Herbal Extract Supplement 0.8% eleutherosides
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Eleuthero Max-V by Douglas Laboratories 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 Eleuthero Max-V by Douglas Laboratories
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Vegetarian Capsule(s) Dosage formCapsule Servings per container60 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.
Eleutherococcus senticosus Herbal Extract
Interacts with1,140 drugs
Eleuthero is an herb traditionally used as an 'adaptogen' to fight fatigue, boost energy, and help the body handle stress. The scientific evidence beh...
Eleutherococcus senticosus Herbal Extract monograph & interactionsEleutherococcus senticosus
Interacts with1,140 drugs
Eleuthero is an herb traditionally used as an 'adaptogen' to fight fatigue, boost energy, and help the body handle stress. The scientific evidence beh...
Eleutherococcus senticosus monograph & interactionsOther (inactive) ingredients: Cellulose, Vegetable Stearate. These complete the product’s ingredient list but are not active constituents.
Eleuthero Max-V by Douglas Laboratories Drug Interactions
HelloPharmacist Interaction Report
Eleuthero Max-V by Douglas Laboratories contains eleuthero, an herb with several documented moderate-severity interactions.
The most serious concern is with digoxin (a heart medication), where eleuthero may increase blood levels of the drug and raise the risk of side effects — this has been documented in at least one case report.
Read the full breakdown — every affected drug type, severity by severity
The herb also interacts with a broad range of other medications. It may increase levels of drugs broken down by your liver's CYP1A2 and CYP2C9 enzyme systems, and may affect how your body transports certain medications via P-glycoprotein.
Eleuthero may also thin your blood (antiplatelet effects) and could increase bleeding risk if you take anticoagulants or antiplatelet drugs like warfarin or aspirin. Additionally, it might interfere with immunosuppressant drugs, and may lower blood sugar when combined with diabetes medications.
One minor interaction exists with drugs metabolized by the CYP2D6 enzyme, though human studies suggest it's unlikely to be clinically important at typical doses. Altogether, these interactions span 1,123 individual medications.
Use the medication checker on this page to look up your specific prescriptions before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Eleuthero Max-V?
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 Eleuthero Max-V interact with 1,140 drugs. Click any drug to see the details.
1 of the 2 ingredients in Eleuthero Max-V interact with drugs. Each result below shows which ingredient is responsible. Eleutherococcus senticosus Herbal Extract
Acetaminophen, PentazocineTalacen
How Acetaminophen, Pentazocine interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleutherococcus Senticosus + Acetaminophen, Pentazocine interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleutherococcus Senticosus + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAcetaminophen, PhenylpropanolamineTetra Caps
How Acetaminophen, Phenylpropanolamine interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleutherococcus Senticosus + Acetaminophen, Phenylpropanolamine interactionAcetaminophen, Phenylpropanolamine, PhenyltoloxamineSinubid
How Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleutherococcus Senticosus + Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interactionAcetaminophen, PhenyltoloxaminePercogesic, Relagesic
How Acetaminophen, Phenyltoloxamine interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleutherococcus Senticosus + Acetaminophen, Phenyltoloxamine interactionAcetaminophen, Phenyltoloxamine, SalicylamideLobac
How Acetaminophen, Phenyltoloxamine, Salicylamide interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleutherococcus Senticosus + Acetaminophen, Phenyltoloxamine, Salicylamide interactionAcetaminophen, PropoxypheneDarvocet-N 100, Darvocet-N 50, E-Lor, Wygesic
How Acetaminophen, Propoxyphene interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleutherococcus Senticosus + Acetaminophen, Propoxyphene interactionAcetaminophen, PseudoephedrineChildren's Tylenol Sinus, Dristan N.D., Non-Aspirin Sinus, Ornex, Ornex-Max, Sinutab +5 more
How Acetaminophen, Pseudoephedrine interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleutherococcus Senticosus + Acetaminophen, Pseudoephedrine interactionAcetaminophen, Pseudoephedrine, TriprolidineActifed Plus ES
How Acetaminophen, Pseudoephedrine, Triprolidine interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
Read the full Eleutherococcus Senticosus + Acetaminophen, Pseudoephedrine, Triprolidine interactionAcetohexamideDymelor
How Acetohexamide interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, eleuthero might have additive effects when used with antidiabetes drugs.
Read the full Eleutherococcus Senticosus + Acetohexamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, eleuthero may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Eleutherococcus Senticosus + Acetylsalicylic Acid interactionAdalimumabHumira
How Adalimumab interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleutherococcus Senticosus + Adalimumab interactionAdalimumab-adazHyrimoz
How Adalimumab-adaz interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleutherococcus Senticosus + Adalimumab-adaz interactionAdalimumab-adbmCyltezo
How Adalimumab-adbm interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleutherococcus Senticosus + Adalimumab-adbm interactionAdalimumab-afzbAbrilada
How Adalimumab-afzb interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleutherococcus Senticosus + Adalimumab-afzb interactionAdalimumab-attoAmjevita
How Adalimumab-atto interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleutherococcus Senticosus + Adalimumab-atto interactionAdalimumab-bwwdHadlima
How Adalimumab-bwwd interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleutherococcus Senticosus + Adalimumab-bwwd interactionAdalimumab-fkjpHulio
How Adalimumab-fkjp interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleutherococcus Senticosus + Adalimumab-fkjp interactionAerosphere Budesonide, Formoterol Fumarate, GlycopyrrolateBreztri
How Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP2D6.
Read the full Eleutherococcus Senticosus + Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interactionAfatinib DimaleateGilotrif
How Afatinib Dimaleate interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of P-glycoprotein substrates.
Read the full Eleutherococcus Senticosus + Afatinib Dimaleate interactionAgomelatineValdoxan
How Agomelatine interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP2C9.
Read the full Eleutherococcus Senticosus + Agomelatine interactionAlbiglutideTanzeum
How Albiglutide interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, eleuthero might have additive effects when used with antidiabetes drugs.
Read the full Eleutherococcus Senticosus + Albiglutide interactionAlefaceptAmevive
How Alefacept interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleutherococcus Senticosus + Alefacept interactionAlemtuzumabCampath
How Alemtuzumab interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusImmunosuppressants Moderate
Interaction Summary
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Read the full Eleutherococcus Senticosus + Alemtuzumab interactionAlogliptinNesina
How Alogliptin interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusCytochrome P450 3a4 (cyp3a4) Substrates, Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, eleuthero might increase levels of drugs metabolized by CYP3A4.
Read the full Eleutherococcus Senticosus + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, eleuthero might have additive effects when used with antidiabetes drugs.
Read the full Eleutherococcus Senticosus + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusAntidiabetes Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, eleuthero might have additive effects when used with antidiabetes drugs.
Read the full Eleutherococcus Senticosus + Alogliptin, Pioglitazone interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, eleuthero may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Eleutherococcus Senticosus + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusAnticoagulant/antiplatelet Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, eleuthero may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Eleutherococcus Senticosus + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Eleuthero Max-V — through 1 ingredient. Tap an ingredient for the detail:
Eleutherococcus SenticosusAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, eleuthero may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Eleutherococcus Senticosus + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Eleuthero Max-V 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.
Eleutherococcus senticosus Herbal Extract
Anticoagulant/Antiplatelet Drugs
Theoretically, eleuthero may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro and animal research shows that a constituent of eleuthero, dihydroxybenzoic acid, appears to inhibit platelet aggregation. Concomitant use with anticoagulant or antiplatelet drugs might increase the risk of bleeding. This effect has not been reported in humans.
Antidiabetes Drugs
Theoretically, eleuthero might have additive effects when used with antidiabetes drugs.
Animal research suggests that certain constituents of eleuthero have hypoglycemic activity in both healthy and diabetic animals. A small study in adults with type 2 diabetes also shows that taking eleuthero for 3 months can lower blood glucose levels. However, one very small study in healthy individuals shows that taking powdered eleuthero 3 grams, 40 minutes prior to a 75-gram oral glucose tolerance test, significantly increases postprandial blood glucose levels when compared with placebo. These contradictory findings might be due to patient-specific variability and variability in active ingredient ratios.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, eleuthero might increase levels of drugs metabolized by CYP1A2.
In vitro and animal research suggest that standardized extracts of eleuthero inhibit CYP1A2. This effect has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, eleuthero might increase levels of drugs metabolized by CYP2C9.
In vitro and animal research suggest that standardized extracts of eleuthero might inhibit CYP2C9. This effect has not been reported in humans.
Digoxin (Lanoxin)
Eleuthero might increase serum digoxin levels and increase the risk of side effects.
In one case report, a 74-year-old male who was stabilized on digoxin presented with an elevated serum digoxin level after starting an eleuthero supplement, without symptoms of toxicity. After stopping the supplement, serum digoxin levels returned to normal. It is not clear whether this was due to a pharmacokinetic interaction or to interference with the digoxin assay. Although the product was found to be free of digoxin and digitoxin, it was not tested for other contaminants.
Immunosuppressants
Theoretically, eleuthero might interfere with immunosuppressive drugs because of its immunostimulant activity.
Animal and in vitro research shows that eleuthero extracts have immunomodulatory effects, including increasing cellular and humoral activity.
P-Glycoprotein Substrates
Theoretically, eleuthero might increase levels of P-glycoprotein substrates.
In vitro research suggests that eleuthero can inhibit the multi-drug transporter protein, P-glycoprotein. However, it is too soon to tell if this is clinically important. This interaction has not been reported in humans.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, eleuthero might increase levels of drugs metabolized by CYP2D6.
In vitro and animal research suggest that standardized extracts of eleuthero might inhibit CYP2D6. However, research in healthy human volunteers has found that taking eleuthero 485 mg twice daily for 14 days does not inhibit CYP2D6 drug metabolism.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, eleuthero might increase levels of drugs metabolized by CYP3A4.
In vitro and animal research suggest that standardized extracts of eleuthero might inhibit CYP3A4. However, research in healthy human volunteers has found that taking eleuthero 485 mg twice daily for 14 days does not inhibit CYP3A4 drug metabolism.
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Theoretically, eleuthero might decrease levels of drugs metabolized by OATP.
In vitro research suggests that eleuthero inhibits OATP2B1, which might reduce the bioavailability of oral drugs that are substrates of OATP2B1. Due to the weak inhibitory effect identified in this study, this interaction is not likely to be clinically significant.
Brand information
Manufacturer and brand details for Eleuthero Max-V, from the product label.
Douglas Laboratories
See all Douglas Laboratories products- Name
- Douglas Laboratories
- Street Address
- 600 Boyce Road
- City
- Pittsburgh
- State
- PA
- ZipCode
- 15205
- Phone Number
- 1.800.245.4440
- Web Address
- www.douglaslabs.com
Eleuthero Max-V by Douglas Laboratories: Common Questions
Does Eleuthero Max-V by Douglas Laboratories interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is eleuthero safe to take while I'm pregnant or breastfeeding?
What are the most common side effects?
Can eleuthero help with genital herpes?
How long is it safe to take eleuthero?
Will eleuthero affect my blood pressure?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Eleuthero Max-V 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 Eleuthero Max-V’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Eleuthero Max-V'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 24 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.
Eleuthero 24 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.
- McRae S. Elevated serum digoxin levels in a patient taking digoxin and Siberian ginseng. CMAJ 1996;155:293-5.
- Awang DVC. Siberian ginseng toxicity may be case of mistaken identity (letter). CMAJ 1996;155:1237.
- Mills S, Bone K. Principles and Practice of Phytotherapy. London: Churchill Livingstone, 2000.
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