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Dietary supplement

Gripe Water Original Ingredients & Drug Interactions

by Mommy's Bliss

Liquid Category: Botanical
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

Gripe Water Original is a dietary supplement by Mommy's Bliss with 3 active ingredients. Its ingredients are commonly taken for replacing fluids and electrolytes, preventing dehydration during exercise or illness, treating low blood sodium (under medical care).Based on those ingredients, 1,147 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Ginger rhizome extract, Fennel Seed Extract, Sodium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Gripe Water Original by Mommy's Bliss

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.

From our pharmacy team — supplement deep dive

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 3 of its 3 active ingredients.
  • No proprietary blends here — you can verify the dose of every single component.

Mommy's Bliss Gripe Water Original contains three active ingredients: sodium, fennel seed extract, and ginger rhizome extract. The product also includes inactive ingredients — water, vegetable glycerin, citrus bioflavonoid extract, citric acid, sodium bicarbonate, potassium sorbate, and natural fennel flavor — which serve as preservatives, sweeteners, and flavorings but play no active therapeutic role.

Does it work?

Moderate evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Moderate

Some clinical evidence supports this product's ingredients for its stated purpose, but it isn't conclusive.

Why this rating?
  • The label markets this product for: relieves occasional stomach discomfort and colic.
  • We looked for evidence on: Colic, Dyspepsia, Flatulence, Nausea and vomiting, infant digestive distress, gastric discomfort.
  • The strongest evidence on file: Ginger is rated "Possibly Effective" for Pregnancy-induced nausea and vomiting (Natural Medicines).
  • Also on file: Ginger is rated "Possibly Ineffective" for Chemotherapy-induced nausea and vomiting (CINV).
  • Also on file: Fennel is rated "Insufficient Reliable Evidence To Rate" for Dyspepsia, Flatulence, Nausea and vomiting, Colic.

The data on file addresses sodium's use in cystic fibrosis (rated Likely Effective) and amphotericin B nephrotoxicity (rated Possibly Effective), but gripe water is marketed for infant colic, and we hold no effectiveness data for that use. Fennel seed extract has Possibly Effective evidence for dysmenorrhea (period pain) and insufficient evidence for bronchitis, anxiety, nocturnal enuresis, and cholera.

Ginger rhizome extract is rated Possibly Effective for pregnancy-induced nausea and vomiting, dysmenorrhea, and osteoarthritis, but Possibly Ineffective for exercise-induced muscle soreness and chemotherapy-induced nausea. The effectiveness of this combination for colic in infants is not addressed in our data.

The evidence, ingredient by ingredient Sodium Fennel Ginger

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 3 of the 3 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 3 of 3.
  • General safety write-ups exist for 3 of 3.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Sodium is generally well tolerated when intake stays within normal dietary ranges, but excess intake is linked to high blood pressure, heart strain, kidney disease, and increased gastric cancer risk in population studies. Serious adverse effects from very high sodium are rare but can include worsened cardiovascular and kidney disease.

Fennel seed extract is generally safe as a food but is rated Possibly Unsafe in pregnancy and lactation due to estrogenic effects and limited safety data; it may cause gastrointestinal discomfort, photosensitivity, and allergic reactions, with rare cases of seizures or bronchial asthma reported. Ginger rhizome extract is generally well tolerated at typical food and supplement doses and is rated Likely Safe in pregnancy; common side effects at higher doses (5+ grams daily) include abdominal discomfort, burping, diarrhea, heartburn, and a burning sensation in the mouth and throat.

All three ingredients have pregnancy/lactation ratings: sodium is rated Likely Safe and Possibly Unsafe (inconsistent); fennel is Possibly Unsafe in both pregnancy and lactation; and ginger is Likely Safe or Possibly Safe in pregnancy and Likely Safe in lactation.

Side effects, ingredient by ingredient Sodium Fennel Ginger

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 3 of the 3 matched ingredients can interact with medications — Fennel, Ginger, Sodium.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; immunosuppressants / transplant drugs; diabetes medications; lithium.
  • For scale: 1,148 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Check before using if you take blood pressure medications (antihypertensives), blood thinners (anticoagulants like warfarin or antiplatelet drugs), diabetes medications, lithium, corticosteroids, heart drugs like nifedipine or losartan, ciprofloxacin (an antibiotic), tamoxifen (a cancer drug), or any medications processed through your liver's CYP3A4 pathway or P-glycoprotein transport — all have Moderate-severity interactions with one or more ingredients in this product. Additionally, avoid this product if you take didanosine, sodium phosphates, tolvaptan, or other sodium-containing medications.

Check your own medication Run your meds through the checker above

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 product is an herbal supplement with three ingredients that interact with a substantial number of medications, particularly blood pressure drugs, blood thinners, diabetes medications, and drugs your liver processes. Before giving it to your infant or taking it yourself, check all your medications and any relevant medical conditions (especially high blood pressure, heart disease, or blood clotting concerns) with your own doctor or pharmacist.

Gripe water is traditionally used for colic, but evidence specifically supporting its use for that purpose isn't in the data we hold.

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 Aug 23, 2022.

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

At a glance

General information

Key facts about Gripe Water Original, straight from the product label.

Brand Mommy's Bliss
Net contents 4 Fluid Ounce(s); 120 mL
Market status On market
Date entered into DSLD Aug 23, 2022
DSLD ID 275974
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Vegan, Vegetarian, Infants/Baby (0 - 1 Year), Dairy Free, Children more than 1 but less than 4
From the label
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 Gripe Water Original by Mommy's Bliss, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Pregnant and Lactating
Minimum serving Sizes:
5 mL
Maximum serving Sizes:
5 mL
Servings per container
24
IngredientAmount% DV
Calories10 Calorie(s)--
Total Carbohydrates2 Gram(s)1%
Sodium10 mg1%
Fennel Seed Extract5 mg--
Ginger rhizome extract5 mg--

Other ingredients: Water, Vegetable Glycerin, Citrus Bioflavonoid extract, Citric Acid, Sodium Bicarbonate, Potassium Sorbate, natural Fennel flavor

Tap any ingredient to jump to its full detail below.

Label statements
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.
General Statements

#1 Selling brand

Please recycle All packaging is free of BPA, PVC's and Phthalates. 100% recycled paperboard with a minimum of 50% post consumer waste. Printed with vegetable based ink.

For moms, by moms Our family run company was founded by my mom, who raised three children while working as a nurse & certified midwife. Driven by compassion for other moms, she created Mommy's Bliss to safely and naturally bring families back to wellness. As a new mom myself, I understand how important it is to choose products that I trust to work effectively, safely and make my little ones happy! Yasmin Kaderali Mom, daughter & CEO

Mommy's Bliss Foundation Bliss for every baby As moms, we know how much a helping hand is worth and your purchase supports improving the health of 20,000+ children around the globe. Learn more at: www.mommysbliss.com/foundation Women owned and led

See all of our health and wellness products at www.mommysbliss.com

Formulation

Relieves occasional stomach discomfort from Gas Colic Fussiness Hiccups

Free of dyes, alcohol & parabens

Gripe water original is a safe and effective herbal supplement used to ease gas and stomach discomfort often associated with colic, hiccups and teething. Fast acting works in minutes

100% vegetarian & vegan

No alcohol or parabens No artificial flavors or colors Free of the top 8 allergens Peanuts Wheat Eggs Milk Fish Shellfish Tree nuts Soy

FDA Statement of Identity

Liquid Dietary Supplement

Formula

Age 2 weeks +

Fennel & ginger extracts

Precautions

Tamper Evident: This product has a safety seal for your protection. Do not use if seal is broken or missing.

Caution: Keep this and all supplements out of the reach of children.

Do not exceed recommended daily servings.

Since infants have immature immune systems, a possibility exists that an infant may have a rare allergic reaction.

Always consult your healthcare provider prior to giving this or any supplement to an infant.

Storage

Store at room temperature.

No refrigeration needed

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.

Suggested/Recommended/Usage/Directions

Directions: Shake well. Remove cap and seal. Insert the adapter plug, smooth side up, by pushing downward and twisting until a tight seal is made. Top of plug should be flush with neck and not removable. Fully depress syringe plunger and insert into adapter. Invert bottle and pull syringe to correct volume. Administer slowly toward side of mouth/inner cheek up to 6 times in a 24 hr period. Discard 6 weeks after opening. Recommended Serving: 2 weeks to 1 month of age: 1/2 tsp (2.5 mL) 1-6 months of age: 1 tsp (5 mL) 6 month and older: 2 tsp (10 mL)

Seals/Symbols

NSF Contents Tested & Certified

See for yourself

Gripe Water Original by Mommy's Bliss label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

What’s inside

The Ingredients in Gripe Water Original by Mommy's Bliss

These are the 3 active ingredients this product is made of. Select any to open its full monograph.

Serving size5 mL Dosage formLiquid Servings per container24 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.

Sodium

Interacts with
205 drugs
10 mg per serving

Sodium is an essential mineral and electrolyte your body needs to balance fluids, support nerves, and help muscles work. Most people in modern diets g...

Sodium monograph & interactions

Fennel Seed Extract

Interacts with
740 drugs
5 mg per serving

Fennel is a Mediterranean herb widely used as a food and spice, and traditionally taken for digestive complaints, colic, and menstrual cramps. Some sm...

Fennel Seed Extract monograph & interactions

Ginger rhizome extract

Interacts with
1,007 drugs
5 mg per serving

Ginger is a widely used culinary spice with a long history in traditional medicine, and it has the strongest evidence for helping with nausea and vomi...

Ginger rhizome extract monograph & interactions

Other (inactive) ingredients: Water, Vegetable Glycerin, Citrus Bioflavonoid extract, Citric Acid, Sodium Bicarbonate, Potassium Sorbate, Natural Fennel flavor. These complete the product’s ingredient list but are not active constituents.

Interaction report

Gripe Water Original by Mommy's Bliss Drug Interactions

Want to check YOUR meds against Gripe Water Original?

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 checker
1,147Drugs
1,028 Moderate 119 Minor

Ingredients driving the most interactions

Sodium 205

Each ingredient & the kinds of drugs it affects

For each ingredient in Gripe Water Original 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.

Ginger rhizome extract14 drug types · 1,007 drugs

Anticoagulant/Antiplatelet Drugs

Ginger may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs. However, research is conflicting.
Laboratory research suggests that ginger inhibits thromboxane synthetase and decreases platelet aggregation. However, this has not been demonstrated unequivocally in humans, with mixed results from clinical trials. Theoretically, excessive amounts of ginger might increase the risk of bleeding when used with anticoagulant/antiplatelet drugs.

Likelihood Possible Evidence B
Antidiabetes Drugs

Theoretically, taking ginger with antidiabetes drugs might increase the risk of hypoglycemia.
Animal and human research suggests that ginger might increase insulin levels and/or decrease blood glucose levels.

Likelihood Possible Evidence D
Cytochrome P450 3A4 (Cyp3A4) Substrates

Ginger might increase or decrease the levels of CYP3A4 substrates.
In vitro research and some case reports suggest that ginger inhibits CYP3A4 activity. Three case reports from the World Health Organization (WHO) adverse drug reaction database describe increased toxicity in patients taking ginger and cancer medications that are CYP3A4 substrates (imatinib, dabrafenib, and crizotinib). However, the causality of this interaction is unclear due to the presence of multiple interacting drugs and routes of administration.
Conversely, other in vitro research suggests that ginger induces CYP3A4 activity, leading to reduced levels of CYP3A4 substrates. However, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Losartan (Cozaar)

Theoretically, ginger might increase levels of losartan and the risk of hypotension.
In animal research, ginger increased the levels and hypotensive effects of a single dose of losartan. It is not clear if ginger alters the concentration or effects of losartan when taken continuously. Additionally, this interaction has not been shown in humans.

Likelihood Possible Evidence D
Nifedipine (Procardia)

Ginger may have antiplatelet effects and increase the risk of bleeding if used with nifedipine.
Clinical research shows that combined treatment with ginger 1 gram plus nifedipine 10 mg significantly inhibits platelet aggregation when compared to nifedipine or ginger alone.

Likelihood Possible Evidence B
P-Glycoprotein Substrates

Ginger might increase the absorption and blood levels of P-glycoprotein (P-gp) substrates.
In vitro research and case reports suggest that ginger inhibits drug efflux by P-gp, potentially increasing absorption and serum levels of P-gp substrates. Two case reports from the World Health Organization (WHO) adverse drug reaction database describe increased toxicity in patients taking ginger and cancer medications that are P-gp substrates (trametinib, crizotinib). However, the causality of this interaction is unclear due to the presence of multiple interacting drugs and routes of administration.

Likelihood Possible Evidence D
Phenprocoumon (Marcoumar, Others)

Ginger might increase the risk of bleeding with phenprocoumon.
Phenprocoumon, a warfarin-related anticoagulant, might increase the international normalized ratio (INR) when taken with ginger. There is one case report of a 76-year-old woman with a stable INR on phenprocoumon that increased to greater than 10 when she began consuming dried ginger and ginger tea.

Likelihood Possible Evidence D
Warfarin (Coumadin)

Ginger might increase the risk of bleeding with warfarin.
Laboratory research suggests that ginger might inhibit thromboxane synthetase and decrease platelet aggregation. In one case report, ginger increased the INR when taken with phenprocoumon, which has similar pharmacological effects as warfarin. In another case report, ginger increased the INR when taken with a combination of warfarin, hydrochlorothiazide, and acetaminophen. A longitudinal analysis suggests that taking ginger increases the risk of bleeding in patients taking warfarin for at least 4 months. However, research in healthy people suggests that ginger has no effect on INR, or the pharmacokinetics or pharmacodynamics of warfarin. Until more is known, monitor INRs closely in patients taking large amounts of ginger.

Likelihood Possible Evidence B
Calcium Channel Blockers

Theoretically, taking ginger with calcium channel blockers might increase the risk of hypotension.
Some animal and in vitro research suggests that ginger has hypotensive and calcium channel-blocking effects. Another animal study shows that concomitant administration of ginger and the calcium channel blocker amlodipine leads to greater reductions in blood pressure when compared with amlodipine alone.

Likelihood Unlikely Evidence D
Cyclosporine (Neoral, Sandimmune)

Theoretically, when taken prior to cyclosporine, ginger might decrease cyclosporine levels.
In an animal model, ginger juice taken 2 hours prior to cyclosporine administration reduced the maximum concentration and area under the curve of cyclosporine by 51% and 40%, respectively. This effect was not observed when ginger juice and cyclosporine were administered at the same time.

Likelihood Possible Evidence D
Cytochrome P450 1A2 (Cyp1A2) Substrates

Theoretically, ginger might increase the levels of CYP1A2 substrates.
In vitro research shows that ginger inhibits CYP1A2 activity. However, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Cytochrome P450 2B6 (Cyp2B6) Substrates

Theoretically, ginger might increase the levels of CYP2B6 substrates.
In vitro research shows that ginger inhibits CYP2B6 activity. However, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Cytochrome P450 2C9 (Cyp2C9) Substrates

Theoretically, ginger might increase the levels of CYP2C9 substrates.
In vitro research shows that ginger inhibits CYP2C9 activity. However, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Metronidazole (Flagyl)

Theoretically, ginger might increase levels of metronidazole.
In an animal model, ginger increased the absorption and plasma half-life of metronidazole. In addition, the elimination rate and clearance of metronidazole was significantly reduced.

Likelihood Possible Evidence D

Fennel Seed Extract6 drug types · 740 drugs

Anticoagulant/Antiplatelet Drugs

Theoretically, fennel might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.

Animal research suggests that fennel oil has antithrombotic and antiplatelet effects.

Likelihood Possible Evidence D
Ciprofloxacin (Cipro)

Theoretically, fennel might decrease the levels and clinical effects of ciprofloxacin.

Animal research shows that fennel reduces ciprofloxacin bioavailability by nearly 50%, possibly due to the metal cations such as calcium, iron, and magnesium contained in fennel. This study also found that fennel increased tissue distribution and slowed elimination of ciprofloxacin.

Likelihood Probable Evidence D
Contraceptive Drugs

Theoretically, taking large amounts of fennel might decrease the effects of contraceptive drugs due to competition for estrogen receptors.

Some constituents of fennel have estrogenic activity.

Likelihood Possible Evidence D
Cytochrome P450 3A4 (Cyp3A4) Substrates

Theoretically, fennel might increase levels of drugs metabolized by CYP3A4.

In vitro research suggests that fennel inhibits CYP3A4 enzyme activity. This effect has not been reported in humans.

Likelihood Possible Evidence D
Estrogens

Theoretically, taking large amounts of fennel might interfere with hormone replacement therapy due to competition for estrogen receptors.

Some constituents of fennel have estrogenic activity.

Likelihood Possible Evidence D
Tamoxifen (Nolvadex)

Theoretically, taking large amounts of fennel might decrease the antiestrogenic effect of tamoxifen.

Some constituents of fennel have estrogenic activity, which may interfere with the antiestrogenic activity of tamoxifen.

Likelihood Possible Evidence D

Sodium7 drug types · 205 drugs

Antihypertensive Drugs

Theoretically, a high intake of dietary sodium might reduce the effectiveness of antihypertensive drugs.
High intake of dietary sodium can increase systolic and diastolic blood pressure. Also, high intake of sodium may necessitate increased use of antihypertensive medications to achieve blood pressure control in some patients, such as those with chronic kidney disease.

Likelihood Probable Evidence A
Corticosteroids

Concomitant use of mineralocorticoids and some glucocorticoids with sodium supplements might increase the risk of hypernatremia.
Mineralocorticoids and some glucocorticoids (corticosteroids) cause sodium retention. This effect is dose-related and depends on mineralocorticoid potency. It is most common with hydrocortisone, cortisone, and fludrocortisone, followed by prednisone and prednisolone.

Likelihood Possible Evidence D
Didanosine (Videx)

Concomitant use of didanosine with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia.
Didanosine formulations contain a significant amount of sodium.

Likelihood Probable Evidence C
Lithium

Altering dietary intake of sodium might alter the levels and clinical effects of lithium.
High sodium intake can reduce plasma concentrations of lithium by increasing lithium excretion. Reducing sodium intake can significantly increase plasma concentrations of lithium and cause lithium toxicity in patients being treated with lithium carbonate. Stabilizing sodium intake is shown to reduce the percentage of patients with lithium level fluctuations above 0.8 mEq/L. Patients taking lithium should avoid significant alterations in their dietary intake of sodium.

Likelihood Probable Evidence B
Sodium Phosphates

Theoretically, concomitant use of sodium phosphate with sodium supplements might increase the risk of hypernatremia.
Use of high doses (> 45 mL in 24 hours) of sodium phosphate, such as those used for bowel cleansing before surgery, can lead to serious electrolyte disturbances, including hypernatremia. The risk of hypernatremia is highest in the elderly and people with other risk factors for electrolyte disturbances.

Likelihood Possible Evidence D
Sodium-Containing Drugs

Concomitant use of sodium-containing drugs with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia and long-term sodium-related complications.
The Chronic Disease Risk Reduction (CDRR) intake level of 2.3 grams of sodium daily indicates the intake at which it is believed that chronic disease risk increases for the apparently healthy population. Some medications contain high quantities of sodium. When used in conjunction with sodium supplements or high-sodium diets, the CDRR may be exceeded. Additionally, concomitant use may increase the risk for hypernatremia; this risk is highest in the elderly and people with other risk factors for electrolyte disturbances.

Likelihood Possible Evidence D
Tolvaptan (Samsca)

Theoretically, concomitant use of tolvaptan with sodium might increase the risk of hypernatremia.
Tolvaptan is a vasopressin receptor 2 antagonist that is used to increase sodium levels in patients with hyponatremia. Patients taking tolvaptan should use caution with the use of sodium salts such as sodium chloride.

Likelihood Probable Evidence C
The maker

Brand information

Manufacturer and brand details for Gripe Water Original, from the product label.

Mommy's Bliss

See all Mommy's Bliss products
Name
MOM Enterprises, Inc.
City
Richmond
State
CA
ZipCode
94804
Phone Number
877.457.4955
Web Address
mommysbliss.com
Pharmacist Counseling Corner

Gripe Water Original by Mommy's Bliss: Common Questions

Does Gripe Water Original by Mommy's Bliss interact with any medications?
Yes. Based on its ingredients, Gripe Water Original has a known interaction with 1,147 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Gripe Water Original contains 3 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Is gripe water safe for newborns and infants?
Our data doesn't include safety information specific to infants or colic treatment. The ingredients themselves carry interactions and precautions, especially around sodium intake and fennel's estrogenic effects. Talk with your pediatrician or pharmacist before giving any supplement to a baby — they know your child's health and can weigh the actual benefits and risks.
Can I use this if I take blood pressure medication?
No — not without checking first with your doctor or pharmacist. Sodium in this product can reduce how well blood pressure drugs work, and fennel and ginger also interact with certain heart and blood pressure medications. Your healthcare provider needs to know you're considering this before you start.
Is fennel seed extract safe during pregnancy?
Fennel seed extract is rated Possibly Unsafe in pregnancy due to its estrogenic activity and limited safety data. If you're pregnant and interested in this product, talk with your doctor or midwife first — they can discuss whether the benefit justifies the uncertainty.
What are the most common side effects of ginger in this product?
At typical doses, ginger is well tolerated, but common mild side effects include abdominal discomfort, burping, diarrhea, heartburn, and a burning or peppery sensation in the mouth and throat. These tend to occur more at higher doses (5+ grams daily).
Can I use this with blood thinners like warfarin or aspirin?
Not without talking to your doctor first. Both fennel and ginger have antiplatelet or anticoagulant effects and may increase bleeding risk when combined with blood thinners — this is a Moderate-severity interaction you need to discuss with your prescriber.
Does this product have any fillers or inactive ingredients I should know about?
Yes — it contains water, vegetable glycerin, citrus bioflavonoid extract, citric acid, sodium bicarbonate, potassium sorbate, and natural fennel flavor as inactive ingredients. These serve as preservatives and flavorings but are not the active therapeutic components.

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.

Gripe Water Original label
Sources

Sources & How We Checked

Gripe Water Original'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.

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 119 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.

Sodium 38 references
  1. Garabedian-Ruffalo SM, Ruffalo RL. Drug and nutrient interactions. Am Fam Physician 1986;33:165-74.
  2. Food and Drug Administration Science Background: Safety of Sodium Phosphates Oral Solution. September 17, 2001. Available at: http://www.fda.gov/cder/drug/safety/sodiumphospate.htm
  3. Coton T, Mallaret C, Coilliot C, Carre D, Guisset M. Severe acute ulcerated gastritis induced by salt. Presse Med 2009;38(3):499-500. PubMed
  4. Frings-Meuthen P, Buehlmeier J, Baecker N, et al. High sodium chloride intake exacerbates immobilization-induced bone resorption and protein losses. J Appl Physiol 2011;111(2):537-542. PubMed
  5. Frings-Meuthen P, Baecker N, Heer M. Low-grade metabolic acidosis may be the cause of sodium chloride-induced exaggerated bone resorption. J Bone Miner Res 2008;23(4):517-524. PubMed
  6. Alam S, Johnson AG. A meta-analysis of randomised controlled trials (RCT) among healthy normotensive and essential hypertensive elderly patients to determine the effect of high salt (NaCl) diet of blood pressure. J Hum Hypertens 1999;13(6):367-74.
  7. Boudville N, Ward S, Benaroia M, House AA. Increased sodium intake correlates with greater use of antihypertensive agents by subjects with chronic kidney disease. Am J Hypertens 2005;18(10):1300-5. PubMed
  8. Bennett WM. Drug interactions and consequences of sodium restriction. Am J Clin Nutr 1997;65(2 Suppl):678S-681S. PubMed
  9. Okusa MD, Crystal LJ. Clinical manifestations and management of acute lithium intoxication. Am J Med 1994;97(4):383-9. PubMed
  10. Food and Nutrition Board, Institute of Medicine. Dietary reference intakes for water, potassium, sodium, chloride, and sulfate. Washington, DC: National Academy Press, 2005. Available at: http://www.nap.edu/openbook.php?record_id=10925. DOI
  11. D'Elia L, Rossi G, Ippolito R, Cappuccio FP, Strazzullo P. Habitual salt intake and risk of gastric cancer: a meta-analysis of prospective studies. Clin Nutr 2012;31(4):489-98. PubMed
  12. Goldsmith SR. Hyponatremia in heart failure: time for a trial. J Card Fail 2013;19(6):398-400. PubMed
  13. Willocks L, Brettle R, Keen J, Valentine C, Pinching AJ. Formulations of didanosine (ddI) and salt overload. Lancet 1992;339(8786):190.
  14. Chen L, Zhang Z, Chen W, Whelton PK, Appel LJ. Lower Sodium Intake and Risk of Headaches: Results From the Trial of Nonpharmacologic Interventions in the Elderly. Am J Public Health. 2016;106(7):1270-5. PubMed
  15. Cook NR, Appel LJ, Whelton PK. Lower levels of sodium intake and reduced cardiovascular risk. Circulation. 2014;129(9):981-9. PubMed
  16. Cook NR, Appel LJ, Whelton PK. Sodium Intake and All-Cause Mortality Over 20 Years in the Trials of Hypertension Prevention. J Am Coll Cardiol. 2016;68(15):1609-1617. PubMed
  17. Mente A, O'Donnell M, Rangarajan S, et al. Associations of urinary sodium excretion with cardiovascular events in individuals with and without hypertension: a pooled analysis of data from four studies. Lancet. 2016;388(10043):465-75. PubMed
  18. Moosavian SP, Haghighatdoost F, Surkan PJ, Azadbakht L. Salt and obesity: a systematic review and meta-analysis of observational studies. Int J Food Sci Nutr. 2017;68(3):265-277. PubMed
  19. O'Donnell M, Mente A, Rangarajan S, et al. Urinary sodium and potassium excretion, mortality, and cardiovascular events. N Engl J Med. 2014;371(7):612-23. DOI
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Ginger 64 references
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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.

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