Evodia 450 mg 4:1 Extract Ingredients & Drug Interactions
by TerraVita Premium Collection
What is this page for?
First and foremost: checking Evodia 450 mg 4:1 Extract 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
Evodia 450 mg 4:1 Extract is a dietary supplement by TerraVita Premium Collection with 1 active ingredient. Its ingredients are commonly taken for digestive upset and nausea, headaches, menstrual cramps.Based on those ingredients, 950 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Evodia Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Evodia 450 mg 4:1 Extract by TerraVita Premium Collection
Ask about any prescription or over-the-counter medication and we check it for interactions with Evodia 450 mg 4:1 Extract by TerraVita Premium Collection — 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
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of Evodia 450 mg 4:1 Extract by TerraVita Premium Collection
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains one active ingredient: Evodia Extract, a concentrated (4:1) plant extract dosed at 450 mg per capsule. Evodia comes from a plant traditionally used in herbal medicine, and the extract contains alkaloid compounds including rutaecarpine that drive most of its activity.
The capsule is filled with gelatin and water as inactive ingredients.
Does it work?
Couldn't assess
We don't hold effectiveness ratings for evodia in our data, so we can't tell you whether this product works for any particular purpose based on clinical evidence. If you're considering it for a specific reason, that's a conversation to have with your pharmacist or doctor.
How safe is it?
Well-documented data
Limited human safety data exist for evodia, so use it carefully and under professional guidance. The bigger concern is what animal studies show: evodia has induced QT prolongation (a heart rhythm abnormality) and Torsade de pointes (a dangerous type of irregular heartbeat) in animal models.
We don't know what dose in humans would trigger similar effects. Evodia is traditionally avoided in pregnancy and should be avoided — there isn't enough safety data to know it's okay.
There also isn't enough information to use it while breastfeeding, so it's best to avoid it then too.
Meds to double-check
Moderate interaction found
Before taking this product, check these medication types with your pharmacist: QT interval-prolonging drugs (heart rhythm medications), theophylline (an asthma/breathing medication), blood thinners and antiplatelet drugs, CYP3A4 substrates (a wide range of common drugs), CYP1A2 substrates (including caffeine-containing products and certain other medications), and any CYP1A2 or CYP3A4 inhibitors you may be taking.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Evodia has multiple Moderate interactions with common medication classes and serious potential heart effects in animal studies. If you take any prescription or over-the-counter medication, especially heart medications, theophylline, or blood thinners, check with your pharmacist before starting.
Pregnant or breastfeeding individuals should avoid this product. Talk to your pharmacist about whether this is right for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Mar 22, 2023.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Evodia 450 mg 4:1 Extract, straight from the product label.
| Brand | TerraVita Premium Collection |
|---|---|
| Barcode (UPC) | 064435200572 |
| Net contents | 100 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Mar 22, 2023 |
| DSLD ID | 288946 |
| Product type | Botanical |
| Supplement form | Capsule |
| 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 Evodia 450 mg 4:1 Extract by TerraVita Premium Collection, sourced from the NIH Dietary Supplement Label Database.
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
FDA Statement of Identity
A Dietary Supplement
Brand IP Statement(s)
Copyright 2017 TerraVita - Distributed by ZooScape LLC, All Rights Reserved.
Suggested/Recommended/Usage/Directions
Directions Take 1 capsule, 3 times daily, with meals.
General Statements
TerraVita is an exclusive line of premium natural products that use the finest, purest and most potent ingredients in the world. TerraVita's hallmarks are the highest possible standards of purity, potency, stability and freshness. All products are prepared with the greatest quality control, from raw materials through the entire manufacturing process, right up to the moment your product is sealed for freshness and shipped to you.
Please recycle!
FDA Disclaimer Statement
Statements not evaluated by FDA. Product not intended to diagnose, treat, cure, or prevent any disease.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Evodia 450 mg 4:1 Extract by TerraVita Premium Collection 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 Evodia 450 mg 4:1 Extract by TerraVita Premium Collection
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container100 Amounts shown are per serving.
Evodia Extract
Interacts with950 drugs
Evodia is a fruit used in traditional Chinese medicine, most often for digestive complaints, headaches, and menstrual pain. Human evidence for these u...
Evodia Extract monograph & interactionsOther (inactive) ingredients: Gelatin, Water. These complete the product’s ingredient list but are not active constituents.
Evodia 450 mg 4:1 Extract by TerraVita Premium Collection Drug Interactions
HelloPharmacist Interaction Report
Evodia 450 mg 4:1 Extract by TerraVita Premium Collection has several documented Moderate interactions with medications.
The most serious concern is with QT interval-prolonging drugs (medications that affect your heart's electrical rhythm) — evodia may add to this effect and raise the risk of dangerous heart arrhythmias (irregular heartbeats). This is backed by animal and lab studies showing evodia can prolong the QT interval in a dose-dependent way.
Read the full breakdown — every affected drug type, severity by severity
Evodia also interacts with multiple drug-metabolizing systems in your liver. It may speed up how your body breaks down CYP1A2 substrates (including theophylline and caffeine), potentially making those drugs less effective — animal studies show about a 70% drop in levels.
Conversely, it might slow metabolism of CYP3A4 substrates, which could raise their levels and side effects. It also theoretically affects CYP2E1 substrates and may increase bleeding risk if you take blood thinners (anticoagulants) or antiplatelet drugs.
Additionally, CYP1A2 inhibitors and CYP3A4 inhibitors taken with evodia might raise evodia's own levels and effects, though human data on this are limited.
Altogether, these interactions span 938 individual medications. Before you start this product, check your exact medications with the search tool on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Evodia 450 mg 4:1 Extract?
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 Evodia 450 mg 4:1 Extract interact with 950 drugs. Click any drug to see the details.
1 of the 1 ingredient in Evodia 450 mg 4:1 Extract interact with drugs. Each result below shows which ingredient is responsible. Evodia Extract
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Evodia Extract + Ado-trastuzumab Emtansine interactionAbametapirXeglyze
How Abametapir interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Inhibitors, Cytochrome P450 1a2 (cyp1a2) Inhibitors Moderate
Interaction Summary
Theoretically, CYP3A4 inhibitors might increase the levels and clinical effects of evodia.
Read the full Evodia Extract + Abametapir interactionAbciximabReoPro
How Abciximab interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking evodia with antiplatelet or anticoagulant drugs might increase the risk of bruising and bleeding.
Read the full Evodia Extract + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Evodia Extract + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 3a4 (cyp3a4) Inhibitors +1 Moderate
Interaction Summary
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Evodia Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Evodia Extract + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking evodia with antiplatelet or anticoagulant drugs might increase the risk of bruising and bleeding.
Read the full Evodia Extract + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Evodia Extract + Acalabrutinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking evodia with antiplatelet or anticoagulant drugs might increase the risk of bruising and bleeding.
Read the full Evodia Extract + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, evodia might reduce the levels and clinical effects of CYP2E1 substrates through induction of CYP2E1.
Read the full Evodia Extract + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Evodia might reduce the levels and clinical effects of CYP1A2 substrates through induction of CYP1A2.
Read the full Evodia Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCaffeine, Cytochrome P450 1a2 (cyp1a2) Substrates +3 Moderate
Interaction Summary
Theoretically, evodia might decrease the levels and clinical effects of caffeine.
Read the full Evodia Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, evodia might reduce the levels and clinical effects of CYP2E1 substrates through induction of CYP2E1.
Read the full Evodia Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Evodia might reduce the levels and clinical effects of CYP1A2 substrates through induction of CYP1A2.
Read the full Evodia Extract + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Evodia Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Caffeine +2 Moderate
Interaction Summary
Theoretically, evodia might reduce the levels and clinical effects of CYP2E1 substrates through induction of CYP2E1.
Read the full Evodia Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Evodia might reduce the levels and clinical effects of CYP1A2 substrates through induction of CYP1A2.
Read the full Evodia Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, evodia might reduce the levels and clinical effects of CYP2E1 substrates through induction of CYP2E1.
Read the full Evodia Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Caffeine +2 Moderate
Interaction Summary
Evodia might reduce the levels and clinical effects of CYP1A2 substrates through induction of CYP1A2.
Read the full Evodia 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 Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Caffeine +2 Moderate
Interaction Summary
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Evodia Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Caffeine +2 Moderate
Interaction Summary
Theoretically, evodia might reduce the levels and clinical effects of CYP2E1 substrates through induction of CYP2E1.
Read the full Evodia Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Evodia Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Caffeine +2 Moderate
Interaction Summary
Theoretically, evodia might reduce the levels and clinical effects of CYP2E1 substrates through induction of CYP2E1.
Read the full Evodia Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Evodia Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, evodia might reduce the levels and clinical effects of CYP2E1 substrates through induction of CYP2E1.
Read the full Evodia Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Evodia might reduce the levels and clinical effects of CYP1A2 substrates through induction of CYP1A2.
Read the full Evodia Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Evodia might reduce the levels and clinical effects of CYP1A2 substrates through induction of CYP1A2.
Read the full Evodia Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Evodia Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Evodia might reduce the levels and clinical effects of CYP1A2 substrates through induction of CYP1A2.
Read the full Evodia 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 Evodia 450 mg 4:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Evodia ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, evodia might reduce the levels and clinical effects of CYP2E1 substrates through induction of CYP2E1.
Read the full Evodia Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Evodia 450 mg 4:1 Extract 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.
Evodia Extract
Anticoagulant/Antiplatelet Drugs
Theoretically, taking evodia with antiplatelet or anticoagulant drugs might increase the risk of bruising and bleeding.
In vitro and animal studies show that rutaecarpine, a constituent of evodia, inhibits platelet aggregation.
Caffeine
Theoretically, evodia might decrease the levels and clinical effects of caffeine.
In animal models, evodia extract decreases caffeine levels by up to 71%. Evodia extract induces hepatic cytochrome P450 1A2 (CYP1A2) enzyme, of which caffeine is a substrate.
Chlorzoxazone (Parafon Forte, Paraflex)
Theoretically, evodia might decrease the levels and clinical effects of chlorzoxazone.
Animal research shows that administration of rutaecarpine, a constituent of evodia, with chlorzoxazone reduces the area under the curve (AUC) of chlorzoxazone by 84% and increases its clearance by 646%. This interaction is likely due to induction of cytochrome P450 2E1 (CYP2E1) by rutaecarpine .
Cytochrome P450 1A2 (Cyp1A2) Inhibitors
Theoretically, drugs that inhibit CYP1A2 might increase the levels and clinical effects of evodia.
The evodia constituent rutaecarpine is metabolized by CYP1A2.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Evodia might reduce the levels and clinical effects of CYP1A2 substrates through induction of CYP1A2.
Evodia extract and the evodia constituent rutaecarpine induce hepatic CYP1A2 enzyme activity. Evodia decreases levels of theophylline and caffeine, CYP1A2 substrates, by about 70% in animal models.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Theoretically, evodia might reduce the levels and clinical effects of CYP2E1 substrates through induction of CYP2E1.
Animal research suggests that rutaecarpine, a constituent of evodia, induces CYP2E1 activity. In rats, rutaecarpine increases markers of CYP2E1 activity, and administration of rutaecarpine with chlorzoxazone, a known CYP2E1 substrate, reduces the area under the curve (AUC) of chlorzoxazone by 84% and increases its clearance by 646%.
Cytochrome P450 3A4 (Cyp3A4) Inducers
Theoretically, taking CYP3A4 inducers might decrease the levels and clinical effects of evodia.
Animal research shows that concomitant administration of dexamethasone, a known CYP3A4 inducer, with the alkaloid constituents of evodia significantly reduces the area under the curve (AUC), maximum concentration (Cmax), and half-life of these constituents.
Cytochrome P450 3A4 (Cyp3A4) Inhibitors
Theoretically, CYP3A4 inhibitors might increase the levels and clinical effects of evodia.
Animal research shows that concomitant administration of ketoconazole, a known CYP3A4 inhibitor, with the alkaloid constituents of evodia significantly increases the area under the curve (AUC), maximum concentration (Cmax), and half-life of these constituents.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, evodia might increase the levels and clinical effects of CYP3A4 substrates.
In vitro research shows that evodia extract inhibits hepatic CYP3A4. This effect has not been reported in humans.
Qt Interval-Prolonging Drugs
Theoretically, evodia might have an additive effect with drugs that prolong the QT interval, potentially increasing the risk of ventricular arrhythmias.
Evodia has demonstrated dose-dependent activity as a proarrhythmic agent in animal and in vitro studies. Evodia infusion in animals extends the action duration potential and induces prolongation of the QT interval and Torsade de pointes.
Theophylline
Theoretically, evodia might decrease the levels and clinical effects of theophylline.
The evodia constituent rutaecarpine decreases theophylline levels and half-life by about 70% in animal models. This constituent appears to induce hepatic cytochrome P450 1A2 (CYP1A2) enzyme activity, of which theophylline is a substrate. Rutaecarpine is the primary active constituent of evodia; however, it is not known if the whole crude extract of evodia also causes this interaction.
Brand information
Manufacturer and brand details for Evodia 450 mg 4:1 Extract, from the product label.
TerraVita Premium Collection
See all TerraVita Premium Collection products- Name
- TerraVita Fine Whole Herbs
- City
- Brampton
- State
- Ontario
Evodia 450 mg 4:1 Extract by TerraVita Premium Collection: Common Questions
Does Evodia 450 mg 4:1 Extract by TerraVita Premium Collection interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm pregnant or breastfeeding?
What does evodia do in my body?
Is evodia safe based on human studies?
Will this affect how my medications work?
Can I take this with caffeine or energy drinks?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Evodia 450 mg 4:1 Extract 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 Evodia 450 mg 4:1 Extract’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Evodia 450 mg 4:1 Extract'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 13 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.
Evodia 13 references
- Sheu JR, Kan YC, Hung WC, et al. The antiplatelet activity of rutaecarpine, an alkaloid isolated from Evodia rutaecarpa, is mediated through inhibition of phospholipase C. Thromb Res 1998;92:53-64. PubMed
- Sheu JR, Hung WC, Lee YM, Yen MH. Mechanism of inhibition of platelet aggregation by rutaecarpine, an alkaloid isolated from Evodia rutaecarpa. Eur J Pharmacol 1996;318:469-75. PubMed
- Ueng YF, Tsai TH, Don MJ, et al. Alteration of the pharmacokinetics of theophylline by rutaecarpine, an alkaloid of the medicinal herb Evodia rutaecarpa, in rats. J Pharm Pharmacol 2005;57:227-32.
- King CL, Kong YC, Wong NS, et al. Uterotonic effect of Evodia rutaecarpa alkaloids. J Nat Prod 1980;43:577-82. PubMed
- Ueng YF, Jan WC, Lin LC, et al. The alkaloid rutaecarpine is a selective inhibitor of cytochrome P450 1A in mouse and human liver microsomes. Drug Metab Dispos 2002;30:349-53. PubMed
- Iwata H, Tezuka Y, Kadota S, et al. Mechanism-based inactivation of human liver microsomal CYP3A4 by rutaecarpine and limonin from Evodia fruit extract. Drug Metab Pharmacokinet 2005;20:34-45. PubMed
- Sheu JR, Hung WC, Wu CH, et al. Antithrombotic effect of rutaecarpine, an alkaloid isolated from Evodia rutaecarpa, on platelet plug formation in in vivo experiments. Br J Haematol 2000;110:110-5.
- Tsai TH, Chang CH, Lin LC. Effects of Evodia rutaecarpa and rutaecarpine on the pharmacokinetics of caffeine in rats. Planta Med 2005;71:640-5.
- Lee SK, Kim NH, Lee J, et al. Induction of cytochrome P450s by rutaecarpine and metabolism of rutaecarpine by cytochrome P450s. Planta Med 2004;70:753-7. PubMed
- Baburin I, Varkvisser R, Schramm A, et al. Dehydroevodiamine and hortiamine, alkaloids from the traditional Chinese herbal drug Evodia rutaecarpa, are IKr blockers with proarrhythmic effects in vitro and in vivo. Pharmacol Res. 2018 May;131:150-163. DOI
- Zhang W, Guo J, Wang D, et al. Effect of CYP3A inducer/inhibitor on pharmacokinetics of five alkaloids in Evodiae Fructus. Chem Biol Interact 2020;327:109146. PubMed
- Huang CJ, Huang WC, Lin WT, et al. Rutaecarpine, an alkaloid from Evodia rutaecarpa, can prevent platelet activation in humans and reduce microvascular thrombosis in mice: crucial role of the PI3K/Akt/GSK3ß signal axis through a cyclic nucleotides/VASP-in
- Bista SR, Lee SK, Thapa D, et al. Effects of oral rutaecarpine on the pharmacokinetics of intravenous chlorzoxazone in rats. Toxicol Res 2008;24(3):195-9. PubMed
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