Full Spectrum Salvia 1,020 mg Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Full Spectrum Salvia 1,020 mg 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
Full Spectrum Salvia 1,020 mg is a dietary supplement by Planetary Herbals with 2 active ingredients. Its ingredients are commonly taken for heart and circulation support, angina (chest pain), high blood pressure.Based on those ingredients, 1,059 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Chinese Salvia root extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Full Spectrum Salvia 1,020 mg by Planetary Herbals
Ask about any prescription or over-the-counter medication and we check it for interactions with Full Spectrum Salvia 1,020 mg by Planetary Herbals — 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 Full Spectrum Salvia 1,020 mg by Planetary Herbals
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 2 active ingredients: Chinese Salvia root extract and Chinese Salvia, both forms of the same plant (danshen). The tablet also includes microcrystalline cellulose, stearic acid, silica, and modified cellulose gum as inactive ingredients to hold the tablet together.
Does it work?
Not established
The evidence for danshen in this product isn't established yet in the data we hold. The product's effectiveness ratings for acne, unstable angina, cancer, coronary heart disease, cirrhosis, and heart failure are all listed as insufficient reliable evidence to rate — meaning the science isn't clear enough to say whether it works for these uses.
How safe is it?
Well-documented data
When taken by mouth, danshen is generally well tolerated, but upset stomach, itching, and reduced appetite have been reported. Some people have also experienced drowsiness, dizziness, or headache in trials, though it's unclear if danshen itself caused these.
The safety data advises against use during pregnancy and breastfeeding because there isn't enough information to know it's safe. Short-term use by adults may be an option for some, but quality varies between products and danshen affects blood clotting — talk with your pharmacist before you start.
Meds to double-check
Major interaction found
Before taking Full Spectrum Salvia, check if you're on blood thinners or antiplatelet drugs (Major risk of increased bleeding), digoxin or other heart medications (Major risk of toxicity), blood pressure medications (Moderate risk of excessive lowering), or any drug processed by your liver through CYP1A2, CYP2C9, CYP2E1, CYP3A4, or p-glycoprotein (Moderate — it may alter drug levels). Use the medication checker on this page with your exact drugs.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Major medication interactions have been identified, and safety information is well characterized.
This product is worth a careful check before you take it, especially if you're on blood thinners, heart medications, blood pressure drugs, or anything metabolized by the liver. The ingredient interacts with over 1,000 medications and affects how your body clears certain drugs.
If you're pregnant, breastfeeding, or have any bleeding concerns, steer clear unless your doctor okays it. Run your medication list through the checker below before you buy.
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 Jul 25, 2018.
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 Full Spectrum Salvia 1,020 mg, straight from the product label.
| Brand | Planetary Herbals |
|---|---|
| Barcode (UPC) | 021078104940 |
| Net contents | 60 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Jul 25, 2018 |
| DSLD ID | 179385 |
| Product type | Botanical |
| Supplement form | Tablet Or Pill |
| 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 Full Spectrum Salvia 1,020 mg by Planetary Herbals, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Chinese Salvia root extract | 260 mg | -- |
| Chinese Salvia | 760 mg | -- |
Other ingredients: Microcrystalline Cellulose, Stearic Acid, Silica, modified Cellulose Gum
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
Herbal Supplement
General Statements
Approved by Michael Tierra L.Ac, O.M.D
Chinese salvia (Salvia miltiorrhiza) is one of the primary herbs used throughout Asia for supporting a healthy cardiovascular system.
Suggested/Recommended/Usage/Directions
Suggested Use: 1 tablet twice daily with a meal.
Precautions
Warning: Do not take with warfarin (Coumadin). Check with your physician before using this product if you are taking aspirin, ginkgo biloba, vinpocetine or other blood-thinners, or if you are pregnant, may become pregnant, or breastfeeding.
Do not use if either tamper-evident seal is broken or missing.
Keep out of the reach of children.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
General
PF0494 REV F131-A
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Full Spectrum Salvia 1,020 mg by Planetary Herbals 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 Full Spectrum Salvia 1,020 mg by Planetary Herbals
These are the 2 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.
Chinese Salvia root extract
Interacts with1,059 drugs
Danshen is a root used in traditional Chinese medicine, mainly for heart and circulation problems. Some early research is promising, but the evidence...
Chinese Salvia root extract monograph & interactionsChinese Salvia
Interacts with1,059 drugs
Danshen is a root used in traditional Chinese medicine, mainly for heart and circulation problems. Some early research is promising, but the evidence...
Chinese Salvia monograph & interactionsOther (inactive) ingredients: Microcrystalline Cellulose, Stearic Acid, Silica, Modified Cellulose Gum. These complete the product’s ingredient list but are not active constituents.
Full Spectrum Salvia 1,020 mg by Planetary Herbals Drug Interactions
HelloPharmacist Interaction Report
Full Spectrum Salvia 1,020 mg by Planetary Herbals contains Chinese Salvia (danshen), which has documented interactions with medications.
The most serious concerns are with blood thinners (anticoagulants) and antiplatelet drugs like aspirin or clopidogrel — danshen may increase bleeding risk, and animal research suggests a synergistic effect when combined with clopidogrel. It also carries a Major interaction with digoxin (Lanoxin), a heart medication, because danshen's structure is similar to cardiac glycosides and may increase the risk of adverse effects.
Read the full breakdown — every affected drug type, severity by severity
Moderate interactions are documented with blood pressure medications (antihypertensive drugs) — danshen can lower blood pressure further and may potentiate this effect. Additionally, danshen may affect how your body processes several classes of drugs: those cleared by the liver enzyme CYP1A2, CYP2C9, CYP2E1, and CYP3A4, as well as drugs transported by p-glycoprotein.
In one human study, danshen reduced peak levels of midazolam by 31% to 67%, suggesting it can speed up drug clearance and reduce effectiveness.
Both active ingredients in this product are forms of the same botanical (Chinese Salvia/danshen), so the interactions are not duplicated. Altogether, these interactions span 1,045 individual medications.
Before you start this product, run your exact prescriptions through the medication checker on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Full Spectrum Salvia 1,020 mg?
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 Full Spectrum Salvia 1,020 mg interact with 1,059 drugs. Click any drug to see the details.
1 of the 2 ingredients in Full Spectrum Salvia 1,020 mg interact with drugs. Each result below shows which ingredient is responsible. Chinese Salvia root extract
AbciximabReoPro
How Abciximab interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP2C9.
Read the full Chinese Salvia + Abrocitinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 2e1 (cyp2e1) Substrates, Aspirin +3 Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP2E1.
Read the full Chinese Salvia + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +4 Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 2c9 (cyp2c9) Substrates, Glucuronidated Drugs +3 Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP2C9.
Read the full Chinese Salvia + Acetaminophen, Ibuprofen interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAspirin, Anticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Acetylsalicylic Acid interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAspirin, Anticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Aspirin Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Anisindione interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Antithrombin Iii interactionApixabanEliquis
How Apixaban interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaP-glycoprotein Substrates, Anticoagulant/antiplatelet Drugs +1 Major
Interaction Summary
Danshen might alter the levels of drugs cleared by p-glycoprotein.
Read the full Chinese Salvia + Apixaban interactionArgatrobanArgatroban
How Argatroban interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Argatroban interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAspirin, Anticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Aspirin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Aspirin Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, ButalbitalAxotal
How Aspirin, Butalbital interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAspirin, Anticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Aspirin, Butalbital interactionAspirin, Butalbital, CaffeineFiorinal
How Aspirin, Butalbital, Caffeine interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aspirin, Butalbital, Caffeine interactionAspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine
How Aspirin, Butalbital, Caffeine, Codeine Phosphate interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAspirin, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionAspirin, Butalbital, Caffeine, PhenacetinMarnal
How Aspirin, Butalbital, Caffeine, Phenacetin interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Salvia + Aspirin, Butalbital, Caffeine, Phenacetin interactionAspirin, CaffeineAnacin
How Aspirin, Caffeine interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aspirin, Caffeine interactionAspirin, Caffeine, Codeine PhosphateAnacin w/ Codeine
How Aspirin, Caffeine, Codeine Phosphate interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAspirin, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Aspirin, Caffeine, Codeine Phosphate interactionAspirin, Caffeine, Dihydrocodeine BitartrateSynalgos DC
How Aspirin, Caffeine, Dihydrocodeine Bitartrate interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Salvia + Aspirin, Caffeine, Dihydrocodeine Bitartrate interactionAspirin, Caffeine, Dover's PwdAcedoval, Dovacet
How Aspirin, Caffeine, Dover's Pwd interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aspirin, Caffeine, Dover's Pwd interactionAspirin, Caffeine, HydrocodoneDamason-P
How Aspirin, Caffeine, Hydrocodone interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAspirin, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Aspirin, Caffeine, Hydrocodone interactionAspirin, Caffeine, Isobutylallylbarbituric Acid, PhenacetinLanorinal
How Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Salvia + Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interactionAspirin, Caffeine, OrphenadrineInvagesic, Invagesic Forte, Norgesic, Norgesic Forte, Orphengesic, Orphengesic Forte
How Aspirin, Caffeine, Orphenadrine interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aspirin, Caffeine, Orphenadrine interactionAspirin, Caffeine, Phenacetin, PropoxypheneMargesic Comp. 65
How Aspirin, Caffeine, Phenacetin, Propoxyphene interacts with Full Spectrum Salvia 1,020 mg — through 1 ingredient. Tap an ingredient for the detail:
Chinese SalviaAspirin, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Aspirin, Caffeine, Phenacetin, Propoxyphene interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Full Spectrum Salvia 1,020 mg 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.
Chinese Salvia root extract
Anticoagulant/Antiplatelet Drugs
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Danshen has been reported to have antithrombotic effects. Animal research also suggests that taking a danshen combination formula with clopidogrel exhibits a synergistic increase in antiplatelet aggregation and prolongation of coagulation time when compared with either taken alone.
Digoxin (Lanoxin)
Theoretically, using danshen with digoxin might increase the risk of adverse effects.
Danshen has structural and pharmacological similarities to cardiac glycosides.
Amlodipine (Norvasc)
Theoretically, taking danshen in combination with amlodipine may decrease the clinical effects of amlodipine.
In animal research, taking danshen orally in combination with amlodipine reduced blood levels of amlodipine by about 52%. This may have been due to induction of cytochrome P450 3A4 (CYP3A4) by danshen, which has been demonstrated in vitro. So far, this interaction has not been reported in humans.
Antihypertensive Drugs
Theoretically, taking danshen with antihypertensive drugs might increase the risk of hypotension.
Animal research suggests that danshen can produce dose-dependent hypotensive effects. Furthermore, concomitant use with captopril appears to potentiate this effect.
Aspirin
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Research in healthy adult males shows that taking a combination of danshen and kudzu with aspirin increases plasma aspirin area under the curve by approximately 3.4-fold. Animal research also shows that taking a combination of danshen and kudzu (danshen-gegen formula) with aspirin increases maximal blood levels of aspirin and salicylic acid by approximately 4-fold and 3.7-fold, respectively, without impacting blood loss. Taking danshen increases the antiplatelet activity of aspirin and might increase the side effects of aspirin.
Clopidogrel (Plavix)
Theoretically, danshen may increase the risk of bleeding if taken with clopidogrel.
Clopidogrel is an antiplatelet prodrug that is metabolized by carboxyl esterase 1 (CES1) to an inactive metabolite. Animal research shows that a danshen combination formula decreases the activity of CES1, decreasing levels of the inactive metabolite in the blood and possibly increasing levels of the active metabolite. Animal research also suggests that taking a danshen combination formula with clopidogrel exhibits a synergistic increase in antiplatelet aggregation and prolongation of coagulation time when compared with either taken alone.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
In vitro research shows that danshen tincture and various constituents of danshen inhibit the activity of CYP1A2. However, this activity has not been shown in humans when theophylline, a CYP1A2 substrate, was used as a target drug.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP2C9.
In vitro research shows that various constituents of danshen inhibit the activity of CYP2C9. So far, this interaction has not been reported in humans.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP2E1.
In vitro research shows that various constituents of danshen inhibit the activity of CYP2E1. So far, this interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Preliminary clinical research in healthy males shows that the administration of danshen for 10-14 days induces intestinal CYP3A4 and increases the clearance of midazolam, a CYP3A4 substrate. The maximum concentration of midazolam was decreased by 31% to 67%, and drug levels were decreased by 27% to 80%. However, a single dose of danshen has the opposite effect, increasing maximum concentrations of midazolam by 87%.
Fexofenadine (Allegra)
Danshen might increase the levels and clinical effects of fexofenadine.
Pharmacokinetic research in healthy volunteers shows that taking danshen extract 1 gram three times daily for 10 days prior to receiving fexofenadine 60 mg increases peak levels of fexofenadine, a p-glycoprotein substrate, by 27.4% and area under the curve (AUC) by 37.2%.
Glucuronidated Drugs
Theoretically, danshen might affect the levels and clinical effects of drugs requiring glucuronidation.
In vitro research shows that danshen induces the expression of glucuronosyltransferases. However, it also inhibits the activity of glucuronosyltransferases, including various members of the 1A and 2B families. The extent of inhibition of a specific glucuronosyltransferase seems to be dependent on whether or not the danshen is processed via 'sweating'. This type of processing may affect the levels of constituents in danshen that alter glucuronosyltransferase activity. So far, this interaction has not been reported in humans.
Midazolam (Versed)
Danshen might alter the levels and clinical effects of midazolam.
Preliminary clinical research in healthy males shows that the administration of danshen for 10-14 days induces intestinal CYP3A4 and increases midazolam clearance. The maximum concentration was decreased by 31% to 67%, and drug levels were decreased by 27% to 80%. However, a single dose of danshen has the opposite effect, increasing maximum concentrations of midazolam by 87%.
P-Glycoprotein Substrates
Danshen might alter the levels of drugs cleared by p-glycoprotein.
Pharmacokinetic research in healthy volunteers suggests that danshen might affect p-glycoprotein activity. Taking danshen extract 1 gram three times daily for 10 days prior to receiving fexofenadine 60 mg increases peak levels of fexofenadine, a p-glycoprotein substrate, by 27.4% and area under the curve (AUC) by 37.2%.
Rosuvastatin (Crestor)
Theoretically, danshen might increase the levels and clinical effects of rosuvastatin.
Animal research shows that a single dose of danshen increases levels of rosuvastatin at least 2-fold, possibly by increasing absorption and/or decreasing elimination. So far, this interaction has not been reported in humans.
Warfarin (Coumadin)
Theoretically, danshen may increase the risk of bleeding if used with warfarin.
There have been several case reports of increased international normalized ratio (INR) after concomitant use of danshen and warfarin. Elevations in INR have occurred as early as 3-5 days after start of danshen. However, a clinical trial in adults taking warfarin with stable INR found that the addition of compound danshen dripping pills, containing danshen extract, Panax notoginseng, and borneol, 270 mg three times daily for 4 weeks did not alter INR levels or the average required warfarin dose when compared to baseline. These findings are consistent with animal research, which found no change in warfarin pharmacokinetics with the use of danshen. Other research in healthy adult males also shows that taking a combination of danshen and kudzu with warfarin does not increases plasma warfarin area under the curve, but may reduce plasma soluble thrombomodulin levels. However, other research shows that danshen might increase the rate of absorption and decrease the elimination rate of warfarin. Also, research in healthy adult males shows that taking a combination of danshen and kudzu with warfarin increases plasma area under the curve of danshensu, a constituent of danshen, by approximately 29.5-fold. Danshen should be used cautiously in patients taking warfarin.
Brand information
Manufacturer and brand details for Full Spectrum Salvia 1,020 mg, from the product label.
Planetary Herbals
See all Planetary Herbals products- Name
- Planetary Herbals, LLC
- Street Address
- P.O. Box 1760
- City
- Soquel
- State
- CA
- ZipCode
- 95073
- Web Address
- www.planetaryherbals.com
Full Spectrum Salvia 1,020 mg by Planetary Herbals: Common Questions
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The Full Monographs Behind Full Spectrum Salvia 1,020 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Full Spectrum Salvia 1,020 mg'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 28 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.
Danshen 28 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.
- Yu CM, Chan JC, Sanderson JE. Chinese herbs and warfarin potentiation by danshen. J Intern Med 1997;241:337-9. PubMed
- Tam LS, et al. Warfarin interacions with Chinese traditional medicines: danshen and methyl salicylate medicated oil. Aust N Z J Med 1995;25:258.
- Chan TY. Interaction between warfarin and danshen (Salvia miltiorrhiza). Ann Pharmacother 2001;35:501-4. DOI
- Chan TY. Drug interactions as a cause of overanticoagulation and bleedings in Chinese patients receiving warfarin. Int J Clin Pharmacol Ther 1998;36:403-5.
- Izzat MB, Yim APC, El-Zufari MH. A taste of Chinese medicine! Ann Thorac Surg 1998;66:941-2. PubMed
- Heck AM, DeWitt BA, Lukes AL. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm 2000;57:1221-7. DOI
- Wahed A, Dasgupta A. Positive and negative in vitro interference of Chinese medicine dan shen in serum digoxin measurement. Elimination of interference by monitoring free digoxin concentration. Am J Clin Pathol 2001;116:403-408. PubMed
- Wu B, Liu M, Zhang S. Dan Shen agents for acute ischaemic stroke. Cochrane Database Syst Rev 2007;(2):CD004295. PubMed
- Qiu F, Wang G, Zhang R, Sun J, et al. Effect of danshen extract on the activity of CYP3A4 in healthy volunteers. Br J Clin Pharmacol 2010;69:656-62. PubMed
- Li CP, Yung KH, and Chiu KW. Hypotensive action of Salvia miltiorrhiza cell culture extract. American Journal of Chinese Medicine 1990;18(3-4):157-166.
- Chu Y, Zhang L, Wang XY, Guo JH, Guo ZX, Ma XH. The effect of Compound Danshen Dripping Pills, a Chinese herb medicine, on the pharmacokinetics and pharmacodynamics of warfarin in rats. J Ethnopharmacol. 2011 Oct 11;137(3):1457-61. PubMed
- Ma S, Ju W, Dai G, Zhao W, Cheng X, Fang Z, Tan H, Wang X. Synergistic effects of clopidogrel and fufang danshen dripping pills by modulation of the metabolism target and pharmacokinetics. Evid Based Complement Alternat Med. 2014;2014:789142. PubMed
- Qiu F, Jiang J, Ma Y, Wang G, Gao C, Zhang X, Zhang L, Liu S, He M, Zhu L, Ye Y, Li Q, Miao P. Opposite Effects of Single-Dose and Multidose Administration of the Ethanol Extract of Danshen on CYP3A in Healthy Volunteers. Evid Based Complement Alternat Me PubMed
- Qiu F, Zeng J, Liu S, He M, Zhu L, Ye Y, Miao P, Shen S, Jiang J. Effects of danshen ethanol extract on the pharmacokinetics of fexofenadine in healthy volunteers. Evid Based Complement Alternat Med. 2014;2014:473213. PubMed
- Wang X, Cheung CM, Lee WY, Or PM, Yeung JH. Major tanshinones of Danshen (Salvia miltiorrhiza) exhibit different modes of inhibition on human CYP1A2, CYP2C9, CYP2E1 and CYP3A4 activities in vitro. Phytomedicine. 2010 Sep;17(11):868-75. PubMed
- Wang X, Yeung JH. Investigation of cytochrome P450 1A2 and 3A inhibitory properties of Danshen tincture. Phytomedicine. 2012 Feb 15;19(3-4):348-54. PubMed
- Wen JH, Xiong YQ. The effect of herbal medicine danshensu and ursolic acid on pharmacokinetics of rosuvastatin in rats. Eur J Drug Metab Pharmacokinet. 2011 Dec;36(4):205-11. PubMed
- Zhang Z, Ge B, Zhou L, Lam TN, Zuo Z. Induction of liver cytochrome P450s by Danshen-Gegen formula is the leading cause for its pharmacokinetic interactions with warfarin. J Ethnopharmacol. 2014 Jul 3;154(3):672-86. PubMed
- Zhou X, Chan K, Yeung JH. Herb-drug interactions with Danshen (Salvia miltiorrhiza): a review on the role of cytochrome P450 enzymes. Drug Metabol Drug Interact. 2012 Mar 2;27(1):9-18.
- Zhou L, Wang S, Zhang Z, Lau BS, Fung KP, Leung PC, Zuo Z. Pharmacokinetic and pharmacodynamic interaction of Danshen-Gegen extract with warfarin and aspirin. J Ethnopharmacol. 2012 Sep 28;143(2):648-55. PubMed
- Lv C, Liu C, Yao Z, et al. The clinical pharmacokinetics and pharmacodynamics of warfarin when combined with compound danshen: a case study for combined treatment of coronary heart diseases with atrial fibrillation. Front Pharmacol. 2017 Nov 21;8:826. PubMed
- Yin QS, Chen L, Mi RH, Ai H, Yin JJ, Liu XJ, Wei XD. Efficacy and safety of danshen compound tablets in preventing thalidomide-associated thromboembolism in patients with multiple myeloma: a multicenter retrospective study. Med Sci Monit. 2016 Oct 20;22:3 PubMed
- Zhang H, Han X, Li Y, Li H, Guo X. Effects of danshen tablets on pharmacokinetics of amlodipine in rats. Pharm Biol. 2019;57(1):306-309. PubMed
- Zhang Y, Yang M, Ho NJ, et al. Is it safe to take Radix Salvia Miltiorrhiza - Radix Pueraria Lobate product with warfarin and aspirin? A pilot study in healthy human subjects. J Ethnopharmacol. 2020 Nov 15;262:113151. PubMed
- Ma XJ, Duan WH, Zhang Y, et al. Combination of activating blood circulation and detoxifying Chinese medicines played an anti-inflammatory role in unstable angina patients after percutaneous coronary intervention: A multicenter, open-labeled, randomized co
- Liu J, Shi Y, Wu C, et al. Comparison of sweated and non-sweated ethanol extracts of Salvia miltiorrhiza Bge. (Danshen) effects on human and rat hepatic UDP-glucuronosyltransferase and preclinic herb-drug interaction potential evaluation. Curr Drug Metab
- Zheng D, Zhang W, Hou M, et al. Evaluation of herb-drug interactions between compound Danshen dripping pills and clopidogrel based on the pharmacokinetics and pharmacodynamics in rats. Biomed Chromatogr. 2023;37(9):e5684. 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