End Fatigue Pain Formula Ingredients & Drug Interactions
What is this page for?
First and foremost: checking End Fatigue Pain Formula 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
End Fatigue Pain Formula is a dietary supplement by Integrative Therapeutics with 3 active ingredients. Its ingredients are commonly taken for joint pain and gout, exercise recovery and muscle soreness, sleep support.Based on those ingredients, 1,016 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Boswellia serrata gum resin extract, Willow (Salix spp.) bark extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against End Fatigue Pain Formula by Integrative Therapeutics
Ask about any prescription or over-the-counter medication and we check it for interactions with End Fatigue Pain Formula by Integrative Therapeutics — 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 End Fatigue Pain Formula by Integrative Therapeutics
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
End Fatigue Pain Formula has three active ingredients. Sweet cherry fruit extract and Boswellia serrata gum resin are both plant extracts often used to address inflammation and discomfort.
Willow bark extract rounds out the formula. The product also contains several inactive ingredients — cellulose, sodium carboxymethyl cellulose, hydroxypropyl methylcellulose, stearic acid, magnesium stearate, silicon dioxide, glycerin, vegetable juice color, and citric acid — which serve as binders, thickeners, and fillers to hold the tablet together.
Does it work?
Moderate evidence
The evidence for this formula's ingredients is mixed. Boswellia serrata is rated possibly effective for osteoarthritis — one of the main concerns this product appears to address.
For sweet cherry, the data we hold rates its use for cardiovascular disease, diabetes, obesity, and osteoarthritis as insufficient evidence to rate; we don't have effectiveness information on file for willow bark. If you're considering this product for a specific condition, talk it over with your pharmacist or doctor so they can review what the current research actually supports.
How safe is it?
Well-documented data
Sweet cherry is generally well tolerated, though it can trigger allergic reactions in sensitive people — ranging from mouth irritation to hives, throat swelling, breathing trouble, cough, or stomach upset. Boswellia serrata is also generally well tolerated in the short term, with the most common side effects being stomach pain, diarrhea, headache, heartburn, itching, and nausea.
Dizziness and vertigo have also been reported by some users. A rare but serious complication — blockage in the gut from the resin — has been documented when very large amounts are chewed and swallowed.
Regarding pregnancy and lactation: the safety data advises against Boswellia serrata during pregnancy and breastfeeding. Sweet cherry concentrated supplements haven't been studied in pregnancy or lactation, so caution is warranted.
Talk with your doctor or pharmacist if you're pregnant, planning pregnancy, or breastfeeding.
Meds to double-check
Moderate interaction found
Before taking this product, double-check any medications you take that are processed by your liver as CYP2D6, CYP2C19, CYP1A2, CYP2C9, or CYP3A4 substrates — Boswellia serrata may raise their levels (Moderate severity). Also check if you're on any immunosuppressants, as the formula may theoretically alter how they work (Moderate severity).
Use the medication checker on this page with your exact drugs.
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.
This formula may be worth considering if you're dealing with joint discomfort and want a plant-based approach, though evidence for most uses is limited. The main concern is Boswellia serrata's potential to raise levels of many common medications — so if you take prescriptions, especially those processed by your liver, check them against the tool below first.
Avoid during pregnancy and breastfeeding. Chat with your pharmacist before you start.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Apr 25, 2019.
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 End Fatigue Pain Formula, straight from the product label.
| Brand | Integrative Therapeutics |
|---|---|
| Barcode (UPC) | 871791001220 |
| Net contents | 90 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Apr 25, 2019 |
| DSLD ID | 184906 |
| Product type | Botanical |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy 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 End Fatigue Pain Formula by Integrative Therapeutics, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Sweet Cherry (Prunus avium) fruit extract | 333 mg | -- |
| Boswellia serrata gum resin extract | 300 mg | -- |
| Willow (Salix spp.) bark extract | 266 mg | -- |
Other ingredients: Cellulose, Sodium Carboxymethyl Cellulose, Hydroxypropyl Methylcellulose, Stearic Acid, Magnesium Stearate, Silicon Dioxide, Glycerin, Vegetable juice color, Citric Acid
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
Recommendation: Take 1 tablet three times daily, or as recommended by your healthcare professional. May increase to 2 tablets three times daily if needed for additional support. Though relief will be noted immediately, continued use may be needed to achieve maximum effects.
Precautions
Keep out of reach of children.
Safety sealed with printed inner seal. Do not use if seal is broken or missing.
Warning: Do not use this product for children with a fever.
Do not use if pregnant or nursing.
Do not use if you have an ulcer or are allergic to, or have contraindications to aspirin or other salicylates.
If taking blood-thinning or any other medications, consult a healthcare professional before use.
Discontinue use two weeks prior to surgery or if stomach upset occurs.
Formulation
Contains no sugar, salt, yeast, wheat, gluten, soy, dairy products, artificial flavors, preservatives, or ingredients of animal origin.
Brand IP Statement(s)
2018 Integrative Therapeutics, LLC
General
LZ72799.D01 BLK279D
FDA Disclaimer Statement
This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
End Fatigue Pain Formula by Integrative Therapeutics 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 End Fatigue Pain Formula by Integrative Therapeutics
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill 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.
Sweet Cherry (Prunus avium) fruit extract
No knowninteractions
Sweet cherry (Prunus avium) is a popular fruit rich in antioxidants and natural plant pigments, and it is sometimes used as a supplement for gout, sor...
Sweet Cherry (Prunus avium) fruit extract monograph & interactionsBoswellia serrata gum resin extract
Interacts with952 drugs
Boswellia serrata is a tree resin used in traditional medicine, mainly for joint pain and inflammation. Some studies suggest it may help with osteoart...
Boswellia serrata gum resin extract monograph & interactionsWillow (Salix spp.) bark extract
Interacts with127 drugs
Willow bark is a traditional plant remedy that contains salicin, a compound related to aspirin, and is most often used for pain and inflammation. Some...
Willow (Salix spp.) bark extract monograph & interactionsOther (inactive) ingredients: Cellulose, Sodium Carboxymethyl Cellulose, Hydroxypropyl Methylcellulose, Stearic Acid, Magnesium Stearate, Silicon Dioxide, Glycerin, Vegetable juice color, Citric Acid. These complete the product’s ingredient list but are not active constituents.
End Fatigue Pain Formula by Integrative Therapeutics Drug Interactions
HelloPharmacist Interaction Report
End Fatigue Pain Formula by Integrative Therapeutics contains an ingredient with documented interactions.
Boswellia serrata, one of the three active components, can affect how your body breaks down several categories of medications through liver enzyme inhibition — specifically CYP2D6, CYP2C19, CYP1A2, CYP2C9, and CYP3A4 substrates. This may raise the blood levels of these drugs and potentially intensify their effects.
All of these enzyme interactions are rated Moderate severity.
Read the full breakdown — every affected drug type, severity by severity
Boswellia serrata also has a Moderate interaction with immunosuppressants — drugs that calm down your immune system — though the effect is theoretical and not yet proven in people.
Sweet cherry extract shows no interactions in our data, and we could not check willow bark extract as we hold no interaction data for it. Altogether, these interactions span 939 individual medications.
Before you start this product, run your exact medications through the checker below, especially if you take any prescription drugs processed by the liver.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against End Fatigue Pain Formula?
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 End Fatigue Pain Formula interact with 1,016 drugs. Click any drug to see the details.
2 of the 3 ingredients in End Fatigue Pain Formula interact with drugs. Each result below shows which ingredient is responsible. Boswellia serrata gum resin extract Willow (Salix spp.) bark extract
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, Boswellia serrata might alter the effects of immunosuppressive drugs.
Read the full Boswellia Serrata Gum Resin Extract + 6-mercaptopurine interactionAdo-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Willow (salix Spp.) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, willow bark might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Read the full Willow (salix Spp.) Bark Extract + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Abemaciclib interactionAbiraterone
How Abiraterone interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with End Fatigue Pain Formula — through 2 ingredients. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Immunosuppressants +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP2C9 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Abrocitinib interactionWillow (salix Spp.) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, willow bark might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Read the full Willow (salix Spp.) Bark Extract + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acalabrutinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Willow (salix Spp.) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, willow bark might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Read the full Willow (salix Spp.) Bark Extract + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with End Fatigue Pain Formula — through 2 ingredients. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Aspirin interactionWillow (salix Spp.) Bark ExtractAnticoagulant/antiplatelet Drugs, Aspirin Moderate
Interaction Summary
Theoretically, willow bark might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Read the full Willow (salix Spp.) Bark Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with End Fatigue Pain Formula — through 2 ingredients. Tap an ingredient for the detail:
Willow (salix Spp.) Bark ExtractAnticoagulant/antiplatelet Drugs, Aspirin Moderate
Interaction Summary
Theoretically, willow bark might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Read the full Willow (salix Spp.) Bark Extract + Acetaminophen, Aspirin, Caffeine interactionBoswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP2D6 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin 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 End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP2D6 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP2D6 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP2D6 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase the levels of CYP2D6 substrates.
Read the full Boswellia Serrata Gum Resin 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 End Fatigue Pain Formula — through 1 ingredient. Tap an ingredient for the detail:
Boswellia Serrata Gum Resin ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Boswellia Serrata Gum Resin Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in End Fatigue Pain Formula 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.
Boswellia serrata gum resin extract
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
In vitro research shows that Boswellia serrata gum resin inhibits CYP1A2 enzymes.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, Boswellia serrata might increase the levels of CYP2C19 substrates.
In vitro research shows that Boswellia serrata gum resin inhibits CYP2C19 enzymes.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, Boswellia serrata might increase the levels of CYP2C9 substrates.
In vitro research shows that Boswellia serrata gum resin inhibits CYP2C9 enzymes.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, Boswellia serrata might increase the levels of CYP2D6 substrates.
In vitro research shows that Boswellia serrata gum resin inhibits CYP2D6 enzymes.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
In vitro research shows that Boswellia serrata gum resin inhibits CYP3A4 enzymes. Other in vitro research shows that Boswellia serrata extract inhibits CYP3A4 enzymes at most concentrations, although it may modestly induce enzyme activity at low concentrations.
Immunosuppressants
Theoretically, Boswellia serrata might alter the effects of immunosuppressive drugs.
Some in vitro research suggests that Boswellia serrata extracts might inhibit mediators of autoimmune disorders such as leukotrienes and reduce production of antibodies and cell-mediated immunity. However, other in vitro research suggests that, when coupled with calcium ions, boswellic acids containing the keto group have immunostimulant properties within specific cell signaling pathways.
Willow (Salix spp.) bark extract
Acetazolamide
Theoretically, willow bark might result in additive adverse effects associated with acetazolamide.
Willow bark contains salicin, a plant salicylate. Human case reports suggests that a combination of acetazolamide and salicylate increases unbound plasma levels of acetazolamide, as well as adverse effects related to acetazolamide.
Anticoagulant/Antiplatelet Drugs
Theoretically, willow bark might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Willow bark has antiplatelet effects, but less so than aspirin.
Aspirin
Theoretically, willow bark might increase the effects and adverse effects of aspirin.
Willow bark contains salicin, a plant salicylate. It might have an additive effect when taken with other salicylate-containing drugs such as aspirin.
Choline Magnesium Trisalicylate (Trilisate)
Theoretically, willow bark might increase the effects and adverse effects of choline magnesium trisalicylate.
Willow bark contains salicin, a plant salicylate. It might have an additive effect when taken with other salicylate-containing drugs such as choline magnesium trisalicylate.
Salsalate (Disalcid)
Theoretically, willow bark might increase the effects and adverse effects of salsalate.
Willow bark contains salicin, a plant salicylate. It might have an additive effect when taken with other salicylate-containing drugs such as salsalate.
Brand information
Manufacturer and brand details for End Fatigue Pain Formula, from the product label.
Integrative Therapeutics
See all Integrative Therapeutics products- Name
- Integrative Therapeutics, LLC
- City
- Green Bay
- State
- WI
- ZipCode
- 54311
- Phone Number
- 800.931.1709
- Web Address
- integrativepro.com
End Fatigue Pain Formula by Integrative Therapeutics: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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 End Fatigue Pain Formula’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sweet Cherry
Sweet cherry (Prunus avium) is a popular fruit rich in antioxidants and natural plant pigments, and it is sometimes used as a supplement for gout, sore muscles, and sleep. The research that...
Read the full Sweet Cherry monograph → Herb & supplement monographBoswellia Serrata
Interacts with 952 drugsBoswellia serrata is a tree resin used in traditional medicine, mainly for joint pain and inflammation. Some studies suggest it may help with osteoarthritis symptoms, but the overall evidenc...
Read the full Boswellia Serrata monograph → Herb & supplement monographWillow Bark
Interacts with 127 drugsWillow bark is a traditional plant remedy that contains salicin, a compound related to aspirin, and is most often used for pain and inflammation. Some evidence suggests it may modestly help...
Read the full Willow Bark monograph →Sources & How We Checked
End Fatigue Pain Formula'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 31 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.
Sweet Cherry 3 references
- Serrano M, Guillen F, Martinez-Romero D, et al. Chemical constiuents and antioxidant activity of sweet cherry at different ripening stages. J Agric Food Chem 2005;53:2741-5.
- Ballmer-Weber BK, Scheurer S, Fritsche P, et al. Component-resolved diagnosis with recombinant allergens in patients with cherry allergy. J Allergy Clin Immunol 2002;110:167-73. PubMed
- Goncalves B, Landbo AK, Knudsen D, et al. Effect of ripeness and postharvest storage on the phenolic profiles of Cherries (Prunus avium L.). J Agric Food Chem 2004;52:523-30.
Boswellia Serrata 16 references
- Gupta I, Gupta V, Parihar A, et al. Effects of Boswellia serrata gum resin in patients with bronchial asthma: results of a double-blind, placebo-controlled, 6-week clinical study. Eur J Med Res 1998;3:511-4.
- Electronic Code of Federal Regulations. Title 21. Part 182 -- Substances Generally Recognized As Safe. Available at: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=182
- Kimmatkar N, Thawani V, Hingorani L, et al. Efficacy and tolerability of Boswellia serrata extract in treatment of osteoarthritis of knee--a randomized double blind placebo controlled trial. Phytomedicine 2003;10:3-7. PubMed
- Liu JJ, Nilsson A, Oredsson S, et al. Boswellic acids trigger apoptosis via a pathway dependent on caspase-8 activation but independent on Fas/Fas ligand interaction in colon cancer HT-29 cells. Carcinogenesis 2002;23:2087-93. PubMed
- Wildfeuer A, Neu IS, Safayhi H, et al. Effects of boswellic acids extracted from a herbal medicine on the biosynthesis of leukotrienes and the course of experimental autoimmune encephalomyelitis. Arzneimittelforschung 1998;48:668-74.
- Gupta I, Parihar A, Malhotra P, et al. Effects of gum resin of Boswellia serrata in patients with chronic colitis. Planta Med 2001;67:391-5. PubMed
- Sengupta K, Alluri KV, Satish AR, et al. A double blind, randomized, placebo controlled study of the efficacy and safety of 5-Loxin. Arthritis Res Ther 2008;10:R85.
- Sengupta K, Krishnaraju AV, Vishal AA, et al. Comparative efficacy and tolerability of 5-Loxin and Aflapin against osteoarthritis of the knee: a double blind, randomized, placebo controlled clinical study. Int J Med Sci 2010;7:366-77.
- Ernst E. Frankincense: systematic review. BMJ 2008;337:a2813. PubMed
- Kirste S, Treier M, Wehrle SJ, et al. Boswellia serratea extract acts on cerebral edema in patients irradiated for brain tumors: a prospective, randomized, placebo-controlled, double-blind pilot trial. Cancer 2011;117:3788-95.
- Frank A, Unger M. Analysis of frankincense from various Boswellia species with inhibitory activity on human drug metabolising cytochrome P450 enzymes using liquid chromatography mass spectrometry after automated on-line extraction. J Chromatogr A 2006;111 PubMed
- Altmann A, Poeckel D, Fischer L, et al. Coupling of boswellic acid-incuded Ca2+ mobilisation and MAPK activation to lipid metabolism and peroxide formation in human leucocytes. Br J Pharmacol 2004;141:223-32.
- El Fortia, M., Badi, H., Elalem, Kh, Kadiki, O., and Topov, Y. Olibanum bezoar: complication of a traditional popular medicine. East Mediterr.Health J 2006;12(6):927-929.
- Meshkat S, Mahmoodi Baram S, Rajaei S, et al. Boswellia serrata extract shows cognitive benefits in a double-blind, randomized, placebo-controlled pilot clinical trial in individuals who suffered traumatic brain injury. Brain Inj 2022;36(4):553-559. PubMed
- Haron MH, Dale O, Martin K, et al. Evaluation of the Herb-Drug Interaction Potential of Commonly Used Botanicals on the US Market with Regard to PXR- and AhR-Mediated Influences on CYP3A4 and CYP1A2. J Diet Suppl 2022. PubMed
- Valente IVB, Garcia D, Abbott A, et al. The anti-proliferative effects of a frankincense extract in a window of opportunity phase ia clinical trial for patients with breast cancer. Breast Cancer Res Treat 2024;204(3):521-530. PubMed
Willow Bark 12 references
- Chrubasik S, Eisenberg E, Balan E, et al. Treatment of low back pain exacerbations with willow bark extract: a randomized double-blind study. Am J Med 2000;109:9-14. PubMed
- Schmid B, Ludtke R, Selbmann HK, et al. Efficacy and tolerability of a standardized willow bark extract in patients with osteoarthritis: randomized placebo-controlled, double blind clinical trial. Phytother Res 2001;15:344-50. PubMed
- Biegert C, Wagner I, Ludtke R, et al. Efficacy and safety of willow bark extract in the treatment of osteoarthritis and rheumatoid arthritis: results of 2 randomized double-blind controlled trials. J Rheumatol 2004;31:2121-30.
- Unsworth J, d'Assis-Fonseca A, Beswick DT, Blake DR. Serum salicylate levels in a breast fed infant. Ann Rheum Dis 1987;46:638-9. PubMed
- Clark JH, Wilson WG. A 16-day-old breast-fed infant with metabolic acidosis caused by salicylate. Clin Pediatr (Phila) 1981;20:53-4. PubMed
- Chrubasik S, Kunzel O, Model A, et al. Treatment of low back pain with a herbal or synthetic anti-rheumatic: a randomized controlled study. Willow bark extract for low back pain. Rheumatology (Oxford) 2001;40:1388-93. PubMed
- Schmid B, Kotter I, Heide L. Pharmacokinetics of salicin after oral administration of a standardised willow bark extract. Eur J Clin Pharmacol. 2001;57:387-91. PubMed
- Krivoy N, Pavlotzky E, Chrubasik S, et al. Effect of salicis cortex extract on human platelet aggregation. Planta Med 2001;67:209-12. PubMed
- Mills SY, Jacoby RK, Chacksfield M, Willoughby M. Effect of a proprietary herbal medicine on the relief of chronic arthritic pain: a double-blind study. Br J Rheumatol 1996;35:874-8. PubMed
- Chrubasik, S., Kunzel, O., Black, A., Conradt, C., and Kerschbaumer, F. Potential economic impact of using a proprietary willow bark extract in outpatient treatment of low back pain: an open non-randomized study. Phytomedicine 2001;8(4):241-251. PubMed
- <p>Moro PA, Flacco V, Cassetti F, Clementi V, Colombo ML, Chiesa GM, Menniti-Ippolito F, Raschetti R, Santuccio C. Hypovolemic shock due to severe gastrointestinal bleeding in a child taking an herbal syrup. Ann Ist Super Sanita. 2011;47(3):278-83.</p>
- Sweeney, K. R., Chapron, D. J., Brandt, J. L., Gomolin, I. H., Feig, P. U., and Kramer, P. A. Toxic interaction between acetazolamide and salicylate: case reports and a pharmacokinetic explanation. Clin Pharmacol Ther 1986;40(5):518-524.
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