Gurmar Ingredients & Drug Interactions
by Herbal Hills
What is this page for?
First and foremost: checking Gurmar 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
Gurmar is a dietary supplement by Herbal Hills with 1 active ingredient. Its ingredients are commonly taken for blood sugar support, type 2 diabetes, sugar cravings.Based on those ingredients, 851 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Gymnema sylvestre, Powder. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Gurmar by Herbal Hills
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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 Gurmar by Herbal Hills
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
Herbal Hills Gurmar is a single-ingredient powder containing gymnema sylvestre. Gymnema is a tropical plant used in traditional herbalism, believed to influence blood sugar and glucose metabolism.
That's the active ingredient—there are no fillers, binders, or other inactive ingredients listed in this product.
Does it work?
Not established
The evidence for gymnema's effectiveness isn't yet established. Our data shows insufficient reliable evidence to rate it for diabetes, prediabetes (impaired glucose tolerance), metabolic syndrome, or obesity.
While some human and animal research suggests gymnema may lower blood glucose levels and enhance the effects of diabetes medications, the existing studies don't provide a strong enough basis to say whether it works for these purposes in most people.
How safe is it?
Well-documented data
Gymnema is generally well tolerated in the short term, though the quality and strength can vary between products. Rare but serious cases of liver inflammation (hepatitis) have been reported, including one case involving liver failure with blood cell problems.
If you take this product and develop weakness, fatigue, jaundice (yellowing of skin or eyes), or notice changes in your urine or stool color, stop and contact your doctor right away. Because gymnema lowers blood sugar, there isn't enough safety data during pregnancy or breastfeeding—talk with your doctor or pharmacist for personalized advice if you're planning pregnancy, pregnant, or nursing.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you're on antidiabetes drugs (biggest concern for low blood sugar), medications processed through the liver enzymes CYP1A2 or CYP2C9 (which gymnema can inhibit or speed up), blood thinners, pain relievers, or other drugs dependent on the CYP3A4 pathway. The enzyme interactions are documented and could shift how your medications behave in your body.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
Gymnema may interest someone exploring traditional plant-based approaches to blood sugar, but the evidence of benefit isn't yet solid. If you take antidiabetes medications, blood thinners, pain relievers, or other drugs metabolized by your liver, this product needs careful screening with your doctor or pharmacist before you start—the enzyme interactions are real and could affect how your medications work.
Talk it over with your own healthcare provider to weigh whether it's 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 Aug 23, 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 Gurmar, straight from the product label.
| Brand | Herbal Hills |
|---|---|
| Barcode (UPC) | 8904268846160 |
| Net contents | 16 oz; 454 Gram(s) |
| Market status | On market |
| Date entered into DSLD | Aug 23, 2023 |
| DSLD ID | 296425 |
| Product type | Botanical |
| Supplement form | Powder |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Halal |
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 Gurmar by Herbal Hills, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Gymnema sylvestre, Powder | 3 Gram(s) | -- |
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.
Brand IP Statement(s)
Herbal Hills Back to Nature
General Statements
High Quality Natural Products
Neutral Code: MH/AYU/25D-MH/102334
For feedback or queries, Please contact us at: www.herbalhillsglobal.com Email: [email protected] 28156-2569
Formula
Gymnema Sylvestre
Halal India HIW25610218
Suggested/Recommended/Usage/Directions
Direction for use: Take 3 gms powder, 1 to 2 times a day
Precautions
Warning: Pregnant or lactating women are advised to consume herbal products under the advice of the healthcare practitioner.
Keep out of reach of children.
Do not use if pouch is broken.
Please consult an expert before use.
Storage
Storage: Store in a cool dry place away from direct sunlight.
Formulation
Being natural product, colour may vary over time as well as from batch to batch however effectiveness remains same.
Country of Origin: India
FDA Disclaimer Statement
This product is not intended to diagnose, treat, cure or prevent any disease.
Seals/Symbols
QA ICS JAS-ANZ GMP Good Manufacturing Practice Halal India HIW25610218
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Gurmar by Herbal Hills 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 Gurmar by Herbal Hills
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size3 Gram(s) Dosage formPowder Servings per container151 Amounts shown are per serving.
Gymnema sylvestre, Powder
Interacts with851 drugs
Gymnema is an Ayurvedic herb best known for possibly helping lower blood sugar and reducing the taste of sweetness on the tongue. Some early human stu...
Gymnema sylvestre, Powder monograph & interactionsGurmar by Herbal Hills Drug Interactions
HelloPharmacist Interaction Report
Gymnema sylvestre, the single active ingredient in Herbal Hills Gurmar, interacts with a significant number of medications, primarily through its effects on liver enzymes and blood sugar.
The most serious documented concern is with antidiabetes drugs (Moderate severity), where gymnema may increase the risk of low blood sugar (hypoglycemia) by enhancing their glucose-lowering effects.
Read the full breakdown — every affected drug type, severity by severity
Gymnema can inhibit or induce several liver enzymes responsible for breaking down medications. It may increase levels of drugs metabolized by the CYP1A2 enzyme (Moderate severity)—including some pain relievers and other medications—by slowing their clearance.
For CYP2C9 substrates (Moderate severity), the picture is mixed: animal research shows gymnema can both speed up and slow down how quickly your liver processes these drugs, which include certain blood thinners and diabetes medications. Gymnema can also inhibit the CYP3A4 enzyme (Minor severity), potentially raising levels of drugs dependent on that pathway, though human data is limited.
Specific medications of concern include phenacetin and tolbutamide, where gymnema has been shown in animal studies to raise or lower their blood levels depending on the enzyme interaction. Altogether, these interactions span 852 individual medications.
Before starting this product, check your complete medication list with your doctor or pharmacist using the search tool on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Gurmar?
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 Gurmar interact with 851 drugs. Click any drug to see the details.
1 of the 1 ingredient in Gurmar interact with drugs. Each result below shows which ingredient is responsible. Gymnema sylvestre, Powder
Acetaminophen, PhenyltoloxaminePercogesic, Relagesic
How Acetaminophen, Phenyltoloxamine interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Acetaminophen, Phenyltoloxamine interactionAcetaminophen, Phenyltoloxamine, SalicylamideLobac
How Acetaminophen, Phenyltoloxamine, Salicylamide interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Acetaminophen, Phenyltoloxamine, Salicylamide interactionAcetaminophen, PropoxypheneDarvocet-N 100, Darvocet-N 50, E-Lor, Wygesic
How Acetaminophen, Propoxyphene interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Acetaminophen, Propoxyphene interactionAcetaminophen, PseudoephedrineChildren's Tylenol Sinus, Dristan N.D., Non-Aspirin Sinus, Ornex, Ornex-Max, Sinutab +5 more
How Acetaminophen, Pseudoephedrine interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Acetaminophen, Pseudoephedrine interactionAcetaminophen, Pseudoephedrine, TriprolidineActifed Plus ES
How Acetaminophen, Pseudoephedrine, Triprolidine interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Acetaminophen, Pseudoephedrine, Triprolidine interactionAcetohexamideDymelor
How Acetohexamide interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Gymnema Sylvestre, Powder + Acetohexamide interactionAerosphere Budesonide, Formoterol Fumarate, GlycopyrrolateBreztri
How Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre, Powder + Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interactionAgomelatineValdoxan
How Agomelatine interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre, Powder + Agomelatine interactionAlbiglutideTanzeum
How Albiglutide interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Gymnema Sylvestre, Powder + Albiglutide interactionAlogliptinNesina
How Alogliptin interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 3a4 (cyp3a4) Substrates, Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre, Powder + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Gymnema Sylvestre, Powder + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderAntidiabetes Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Gymnema Sylvestre, Powder + Alogliptin, Pioglitazone interactionAmitriptylineElavil
How Amitriptyline interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre, Powder + Amitriptyline interactionAmitriptyline, ChlordiazepoxideLimbitrol DS
How Amitriptyline, Chlordiazepoxide interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates +1 Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Amitriptyline, Chlordiazepoxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre, Powder + Amitriptyline, Perphenazine interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gymnema Sylvestre, Powder + Amlodipine, Celecoxib interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre, Powder + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAnagrelideAgrylin
How Anagrelide interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Anagrelide interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Gymnema Sylvestre, Powder + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionAsenapineSaphris, Secuado
How Asenapine interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Asenapine interactionAspirin, Butalbital, CaffeineFiorinal
How Aspirin, Butalbital, Caffeine interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Aspirin, Butalbital, Caffeine interactionAspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine
How Aspirin, Butalbital, Caffeine, Codeine Phosphate interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre, Powder + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionAspirin, Butalbital, Caffeine, PhenacetinMarnal
How Aspirin, Butalbital, Caffeine, Phenacetin interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates, Phenacetin +1 Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Aspirin, Butalbital, Caffeine, Phenacetin interactionAspirin, CaffeineAnacin
How Aspirin, Caffeine interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre, Powder + Aspirin, Caffeine interactionAspirin, Caffeine, Codeine PhosphateAnacin w/ Codeine
How Aspirin, Caffeine, Codeine Phosphate interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Aspirin, Caffeine, Codeine Phosphate interactionAspirin, Caffeine, Dihydrocodeine BitartrateSynalgos DC
How Aspirin, Caffeine, Dihydrocodeine Bitartrate interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre, Powder + Aspirin, Caffeine, Dihydrocodeine Bitartrate interactionAspirin, Caffeine, Dover's PwdAcedoval, Dovacet
How Aspirin, Caffeine, Dover's Pwd interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Aspirin, Caffeine, Dover's Pwd interactionAspirin, Caffeine, HydrocodoneDamason-P
How Aspirin, Caffeine, Hydrocodone interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Read the full Gymnema Sylvestre, Powder + Aspirin, Caffeine, Hydrocodone interactionAspirin, Caffeine, Isobutylallylbarbituric Acid, PhenacetinLanorinal
How Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre, Powder + Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interactionAspirin, Caffeine, OrphenadrineInvagesic, Invagesic Forte, Norgesic, Norgesic Forte, Orphengesic, Orphengesic Forte
How Aspirin, Caffeine, Orphenadrine interacts with Gurmar — through 1 ingredient. Tap an ingredient for the detail:
Gymnema Sylvestre, PowderCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
Read the full Gymnema Sylvestre, Powder + Aspirin, Caffeine, Orphenadrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Gurmar 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.
Gymnema sylvestre, Powder
Antidiabetes Drugs
Theoretically, taking gymnema with antidiabetes drugs might increase the risk of hypoglycemia.
Gymnema reduces blood glucose levels in some human and animal research. In human studies, it has been shown to enhance the blood glucose lowering effects of hypoglycemic drugs. However, other research in adults with prediabetes or metabolic syndrome suggests that gymnema does not reduce fasting levels of blood glucose. Until more is known, monitor blood glucose levels closely.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, gymnema might increase levels of drugs metabolized by CYP1A2.
Animal and in vitro research shows that gymnema can inhibit the CYP1A2 enzyme. In one animal study, oral administration of gymnema for 7 days increased the plasma concentrations of phenacetin, a CYP1A2 substrate, by about 1.4-fold and reduced the clearance of phenacetin by about 29%.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, gymnema might increase or decrease levels of drugs metabolized by CYP2C9.
Animal research shows that gymnema can induce the CYP2C9 enzyme. In one animal study, gymnema caused a 2.4-fold increase in the clearance of tolbutamide, a CYP2C9 substrate, in rats. In vitro research also shows that gymnema can inhibit CYP2C9.
Phenacetin
Theoretically, taking gymnema with phenacetin might increase the levels of phenacetin.
Animal research shows that gymnema, administered orally for 7 days, decreases the clearance of phenacetin in a dose-dependent manner by about 21% to 29% and increases plasma levels about 1.3- to 1.4-fold when compared to control.
Tolbutamide (Orinase)
Theoretically, taking gymnema with tolbutamide might the decrease levels of tolbutamide.
Animal research shows that gymnema, administered orally for 7 days, increases the clearance of tolbutamide by 2.4-fold when compared to control.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, gymnema might increase levels of drugs metabolized by CYP3A4.
One in vitro study using rat liver microsomes shows that gymnema can modestly inhibit the CYP3A4 enzyme. However, other in vitro research using human liver microsomes shows that gymnema does not affect CYP3A4 activity. Animal research also shows that gymnema does not alter the function of CYP3A4. In one study in rats, oral administration of gymnema for 7 days did not alter the clearance of amlodipine, a CYP3A4 substrate.
Brand information
Manufacturer and brand details for Gurmar, from the product label.
Herbal Hills
See all Herbal Hills products- Name
- Stelcore Management Services LLC (Importer)
- Street Address
- 8 Green Suite 5766
- City
- Dover
- State
- Delaware
- ZipCode
- 19901
Gurmar by Herbal Hills: Common Questions
Does Gurmar by Herbal Hills interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take Gymnema Gurmar if I'm on diabetes medication?
What is gymnema supposed to do?
Are there any serious side effects I should know about?
Is it safe to take Gymnema Gurmar while pregnant or breastfeeding?
Does gymnema interact with liver medications or pain relievers?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Gurmar is safe with your meds?
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Gurmar’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Gurmar'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 12 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.
Gymnema 12 references
- Shanmugasundaram ER, Rajeswari G, Baskaran K, et al. Use of Gymnema sylvestre leaf extract in the control of blood glucose in insulin-dependent diabetes mellitus. J Ethnopharmacol 1990;30:281-94. PubMed
- Baskaran K, Kizar Ahamath B, Radha Shanmugasundaram K, Shanmugasundaram ER. Antidiabetic effect of leaf extract from Gymnema sylvestre in non-insulin-dependent diabetes mellitus patients. J Ethnopharmacol 1990;30:295-300.
- Kamble B, Gupta A, Moothedath I, Khatal L, Janrao S, Jadhav A, et al. Effects of Gymnema sylvestre extract on the pharmacokinetics and pharmacodynamics of glimepiride in streptozotocin induced diabetic rats. Chem Biol Interact. 2016;245:30-8. PubMed
- Tiwari P, Mishra BN, Sangwan NS. Phytochemical and pharmacological properties of Gymnema sylvestre: an important medicinal plant. Biomed Res Int. 2014; 2014:830285.
- Fabio GD, Romanucci V, De Marco A, Zarrelli A. Triterpenoids from Gymnema sylvestre and their pharmacological activities. Molecules. 2014;19(8):10956-81. PubMed
- Shiyovich A, Sztarkier I, Nesher L. Toxic hepatitis induced by Gymnema sylvestre, a natural remedy for type 2 diabetes mellitus. Am J Med Sci. 2010;340(6):514-7. PubMed
- Zuniga LY, Gonzalez-Ortiz M, Martinez-Abundis E. Effect of gymnema sylvestre administration on metabolic syndrome, insulin sensitivity, and insulin secretion. J Med Food. 2017 Aug;20(8):750-54.
- Rammohan B, Samit K, Chinmoy D, et al. Human cytochrome P450 enzyme modulation by gymnema sylvestre: a predictive safety evaluation by LC-MS/MS. Pharmacogn Mag. 2016 Jul;12(Suppl 4):S389-S394.
- Vaghela M, Sahu N, Kharkar P, Pandita N. In vivo pharmacokinetic interaction by ethanolic extract of gymnema sylvestre with CYP2C9 (tolbutamide), CYP3A4 (amlodipine) and CYP1A2 (phenacetin) in rats. Chem Biol Interact. 2017 Dec 25;278:141-151. PubMed
- Vaghela M, Iyer K, Pandita N. In vitro inhibitory effect of gymnema sylvestre extracts and total gymnemic acids fraction on select cytochrome P450 activities in rat liver microsomes. Eur J Drug Metab Pharmacokinet. 2017 Oct 10. PubMed
- Gaytán Martínez LA, Sánchez-Ruiz LA, Zuñiga LY, González-Ortiz M, Martínez-Abundis E. Effect of Gymnema sylvestre administration on glycemic control, insulin secretion, and insulin sensitivity in patients with impaired glucose tolerance. J Med Food. 2021;
- Philips CA, Theruvath AH, Ravindran R. Toxic hepatitis-associated aplastic anaemia after dual homeopathic remedies and Gymnema sylvestre use. BMJ Case Rep 2022;15(3):e247867. PubMed
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