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Dietary supplement

Hawthorn Solid Extract Ingredients & Drug Interactions

by SuperiorLabs

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

Hawthorn Solid Extract is a dietary supplement by SuperiorLabs with 1 active ingredient. Its ingredients are commonly taken for heart failure symptoms, high blood pressure, chest pain (angina).Based on those ingredients, 191 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Crataegus spp.. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Hawthorn Solid Extract by SuperiorLabs

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

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 0 of its 1 active ingredient.
  • “Proprietary Blend” is a proprietary blend — the label gives one combined amount (1.20 Gram(s)) without saying how much of each component you get.

This product contains one active ingredient: hawthorn (Crataegus spp.), a plant extract traditionally used for heart and circulatory support. The formula also includes vegetable glycerine and honey as inactive ingredients to preserve and sweeten the liquid extract.

Does it work?

Not established
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
Not established

The graded evidence we hold for these ingredients covers different conditions than the ones this product is marketed for, so there's no established rating for its stated use — see Hawthorn's own graded uses on its monograph.

Why this rating?
  • The label markets this product for: support healthy cardiovascular and circulatory function.
  • We looked for evidence on: Angina, Arrhythmia, Atherosclerosis, Cardiovascular disease (CVD), Congestive heart failure (CHF), Hypertension — and 3 related terms.
  • The closest evidence on file: Hawthorn is rated "Insufficient Reliable Evidence To Rate" for Angina (Natural Medicines).
  • Also on file: Hawthorn is rated "Insufficient Reliable Evidence To Rate" for Arrhythmia, Atherosclerosis, Cardiovascular disease (CVD), Congestive heart failure (CHF), and more.

The evidence we hold doesn't establish reliable effectiveness for hawthorn in angina, anxiety, arrhythmia, atherosclerosis, cardiovascular disease, or cognitive function — all are rated as having insufficient reliable evidence. That doesn't mean hawthorn doesn't work; it means the data we have isn't strong enough to say so confidently.

The evidence, ingredient by ingredient Hawthorn

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 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Hawthorn appears generally well tolerated in studies, but because it affects the heart and blood vessels, it needs medical oversight if you have heart conditions. Rare serious side effects include multiorgan allergic reactions that have led to kidney injury.

Bronchitis, palpitations, and an unusually slow heartbeat have been reported in some users. There isn't enough safety information to recommend hawthorn during pregnancy or while breastfeeding — talk with your doctor or pharmacist before using it if either applies to you.

Side effects, ingredient by ingredient Hawthorn

Meds to double-check

Major interaction found
Known Interaction Concern · database check
Major identified

At least one ingredient has a documented Major-severity interaction. Check your medications for a personalized result.

Why this rating?
  • 1 of the 1 matched ingredient can interact with medications — Hawthorn.
  • The most serious interaction on file is rated Major.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; heart-rhythm medications.
  • For scale: 191 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.

Before taking this product, confirm with your doctor or pharmacist that it's safe alongside any nitrates or phosphodiesterase-5 inhibitors you may take (Major risk). Also double-check if you're on beta-blockers, calcium channel blockers, blood thinners (anticoagulants or antiplatelet drugs), or digoxin — all have Moderate interactions with hawthorn.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Major medication interactions have been identified, and safety information is well characterized.

Hawthorn extract is aimed at people interested in cardiovascular and circulatory support, but it's not for everyone — especially if you take heart medications, blood pressure drugs, blood thinners, or erectile-dysfunction medication. Because hawthorn interacts with so many prescription medications and affects the heart directly, check with your doctor or pharmacist before you start it.

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 Jul 23, 2020.

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 Hawthorn Solid Extract, straight from the product label.

Brand SuperiorLabs
Barcode (UPC) 850569006384
Net contents 4 Oz(s); 112 Gram(s)
Market status On market
Date entered into DSLD Jul 23, 2020
DSLD ID 225815
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other
Intended target group(s) Adult (18 - 50 Years)
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 Hawthorn Solid Extract by SuperiorLabs, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
0.125 tsp
Maximum serving Sizes:
0.125 tsp
Servings per container
93
UPC/BARCODE
850569006384
IngredientAmount% DV
Proprietary Blend1.2 Gram(s)--
Crataegus spp.0 NP--

Other ingredients: Vegetable Glycerine, Honey

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.
Formula

Hawthorn Solid Extract supports healthy cardiovascular and circulatory function.

Precautions

Caution: This product contains honey and should not be consumed by children under 1 year of age. 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.

FDA Statement of Identity

Dietary Supplement

Formulation

Concentration 4:1

Suggested/Recommended/Usage/Directions

Suggested Use: Take 1/8 teaspoon, 1-3 times a day.

Seals/Symbols

Metal Safe Heavy Metal Tested Certified GMP Facility Made in USA

See for yourself

Hawthorn Solid Extract by SuperiorLabs label

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

What’s inside

The Ingredients in Hawthorn Solid Extract by SuperiorLabs

This is the 1 active ingredient this product is made of. Select it to open its full monograph.

Serving size0.125 tsp Dosage formLiquid Servings per container93 Amounts shown are per serving.

Proprietary Blend

1.2 Gram(s) per serving

Other (inactive) ingredients: Vegetable Glycerine, Honey. These complete the product’s ingredient list but are not active constituents.

Interaction report

Hawthorn Solid Extract by SuperiorLabs Drug Interactions

Want to check YOUR meds against Hawthorn Solid Extract?

Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.

Go to the checker
191Drugs
14 Major 177 Moderate

Ingredients driving the most interactions

Each ingredient & the kinds of drugs it affects

For each ingredient in Hawthorn Solid Extract with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.

Crataegus spp.6 drug types · 191 drugs

Nitrates

Theoretically, concomitant use might cause additive coronary vasodilatory effects.
Some evidence shows that hawthorn might lower blood pressure due to vasodilatory effects.

Likelihood Probable Evidence D
Phosphodiesterase-5 Inhibitors

Theoretically, concomitant use might result in additive vasodilation and hypotension.
Hawthorn might inhibit PDE-5 and cause vasodilation.

Likelihood Probable Evidence D
Anticoagulant/Antiplatelet Drugs

Theoretically, hawthorn may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro and animal research shows that hawthorn can inhibit platelet aggregation. However, its effect in humans is unclear. One observational study shows that patients taking hawthorn shortly before undergoing coronary artery bypass graft (CABG) surgery or valve replacement surgery have a 10% incidence of postoperative bleeding, compared with 1% in those who never consumed hawthorn extract. However, clinical research shows that taking a specific preparation of dried hawthorn leaves and flowers (Crataesor, Soria Natural Lab) 800 mg three times daily for 15 days does not affect platelet aggregation or levels of thromboxane B2, the metabolite of thromboxane A2, in healthy humans.

Likelihood Possible Evidence D
Beta-Blockers

Theoretically, concomitant use might cause additive effects on blood pressure and heart rate.
Some evidence shows that hawthorn might lower blood pressure and heart rate.

Likelihood Possible Evidence D
Calcium Channel Blockers

Theoretically, concomitant use might cause additive coronary vasodilation and hypotensive effects.
Some evidence shows that hawthorn might lower blood pressure due to vasodilatory effects.

Likelihood Possible Evidence D
Digoxin (Lanoxin)

Theoretically, hawthorn might potentiate the effects and adverse effects of digoxin.
Hawthorn appears to improve cardiac output; however, hawthorn does not appear to affect digoxin pharmacokinetics. Case reports suggest that at least one species of hawthorn root extract (Crataegus mexicana) may produce adverse effects similar to digoxin and can cross-react with digoxin assays, leading to falsely elevated plasma digoxin levels.

Likelihood Possible Evidence D
The maker

Brand information

Manufacturer and brand details for Hawthorn Solid Extract, from the product label.

SuperiorLabs

See all SuperiorLabs products
Name
Superior Labs, LLC.
City
Park City
State
UT
ZipCode
84098
Phone Number
(888) 708-5227
Web Address
www.superiorlabssupplements.com
Pharmacist Counseling Corner

Hawthorn Solid Extract by SuperiorLabs: Common Questions

Does Hawthorn Solid Extract by SuperiorLabs interact with any medications?
Yes. Based on its ingredients, Hawthorn Solid Extract has a known interaction with 191 medications, including 14 rated major. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Hawthorn Solid Extract contains a single active ingredient, and that one ingredient can interact with many different medications on its own. We check it against each medication and show the mechanism 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.
Can I take hawthorn if I'm pregnant or breastfeeding?
There isn't enough safety data to know either way. The facts advise against use during pregnancy and while breastfeeding. Talk with your doctor or pharmacist about whether it's right for you in these situations.
Does hawthorn actually work for heart health?
The evidence we hold rates hawthorn as having insufficient reliable evidence for angina, arrhythmia, cardiovascular disease, and other heart conditions we checked. That means the data isn't strong enough to say for sure.
What are the side effects I should watch for?
Most people tolerate hawthorn well, but palpitations, an unusually slow heartbeat, and bronchitis have been reported. Rarely, serious allergic reactions affecting multiple organs and causing kidney problems have occurred. Stop and contact your doctor if you notice chest pain, severe palpitations, or difficulty breathing.
Why does hawthorn interact with so many heart medications?
Hawthorn works by relaxing blood vessels and affecting heart rate and output. When you combine it with medications that do similar things — like blood pressure drugs or heart rhythm drugs — the effects can add up and become unsafe.
Is hawthorn safe to use with my blood pressure medication?
It depends on which one. Hawthorn can lower blood pressure, so combining it with beta-blockers, calcium channel blockers, or other blood pressure drugs risks too much of a drop. Check with your doctor or pharmacist before starting it.
What exactly is in this product?
It's hawthorn extract in a liquid form, made with vegetable glycerine and honey. The extract comes from hawthorn plants (Crataegus spp.), which have been used traditionally for heart support.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Not sure if Hawthorn Solid Extract is safe with your meds?

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Ask a pharmacist

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.

Hawthorn Solid Extract label
Go deeper

The Full Monographs Behind Hawthorn Solid Extract’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Sources

Sources & How We Checked

Hawthorn Solid Extract's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.

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 25 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.

Hawthorn 25 references
  1. Tauchert M. Efficacy and safety of crataegus extract WS 1442 in comparison with placebo in patients with chronic stable New York Heart Association class-III heart failure. Am Heart J 2002;143:910-5. PubMed
  2. Pittler MH, Schmidt K, Ernst E. Hawthorn extract for treating chronic heart failure: meta-analysis of randomized trials. Am J Med 2003;114:665-74.. PubMed
  3. Chang Q, Zuo Z, Harrison F, Chow MS. Hawthorn. J Clin Pharmacol 2002;42:605-12.
  4. Holubarsch CJ, Colucci WS, Meinertz T, et al. The efficacy and safety of Crataegus extract WS 1442 in patients with heart failure: the SPICE trial. Eur J Heart Fail 2008;10:1255-63. PubMed
  5. Pittler MH, Guo R, and Ernst E. Hawthorn extract for treating chronic heart failure. Cochrane.Database.Syst Rev 2008:CD005312. PubMed
  6. Zick SM, Vautaw BM, Gillespie B, Aaronson KD. Hawthorn Extract Randomized Blinded Chronic Heart Failure (HERB CHF) trial. Eur J Heart Fail. 2009;11:990-99. PubMed
  7. Werner NS, Duschek S, and Schandry R. D-camphor-crataegus berry extract combination increases blood pressure and cognitive functioning in the elderly - a randomized, placebo controlled double blind study. Phytomedicine. 2009;16:1077-82. PubMed
  8. Dalli E, Colomer E, Tormos MC, et al. Crataegus laevigata decreases neutrophil elastase and has hypolipidemic effect: a randomized, double-blind, placebo-controlled trial. Phytomedicine. 6-15-2011;18:769-75. PubMed
  9. Maek-a-nantawat W, Phonrat B, Dhitavat J, et al. Safety and efficacy of CKBM-A01, a Chinese herbal medicine, among asymptomatic HIV patients. Southeast Asian J Trop.Med Public Health 2009;40:494-501.
  10. Asher GN, Viera AJ, Weaver MA, et al. Effect of hawthorn standardized extract on flow mediated dilation in prehypertensive and mildly hypertensive adults: a randomized, controlled cross-over trial. BMC.Complement Altern.Med 2012;12:26. PubMed
  11. Walker AF, Marakis G, Simpson E, et al. Hypotensive effects of hawthorn for patients with diabetes taking prescription drugs: a randomised controlled trial. Br J Gen.Pract 2006;56:437-43.
  12. Daniele C, Mazzanti G, Pittler MH, et al. Adverse-event profile of Crataegus spp.: a systematic review. Drug Saf 2006;29:523-35. PubMed
  13. Tankanow R, Tamer HR, Streetman DS, et al. Interaction study between digoxin and a preparation of hawthorn (Crataegus oxyacantha). J.Clin.Pharmacol. 2003;43:637-42. DOI
  14. Tauchert, M., Gildor, A., and Lipinski, J. [High-dose Crataegus extract WS 1442 in the treatment of NYHA stage II heart failure]. Herz 1999;24(6):465-474.
  15. Horoz, M., Gok, E., Genctoy, G., Ozcan, T., Olmaz, R., Akca, M., Kiykim, A., and Gurses, I. Crataegus orientalis associated multiorgan hypersensitivity reaction and acute renal failure. Intern.Med 2008;47(23):2039-2042. PubMed
  16. Dalli, E., Valles, J., Cosin-Sales, J., Santos, M. T., Moscardo, A., Milara, J., and Sotillo, J. F. Effects of hawthorn (Crataegus laevigata) on platelet aggregation in healthy volunteers. Thromb.Res 2011;128(4):398-400. PubMed
  17. Rogov VD. [Toxiderma due to the fruits of the hawthorn]. Vestn Dermatol Venerol 1984;7(7):46-47.
  18. Loew D, Albrecht M, and Podzuweit H. Efficacy and tolerability of a Hawthorn preparation in patients with heart failure Stage I and II according to NYHA - a surveillance study. Phytomedicine 1996;3(Suppl 1):92.
  19. Rababa'h AM, Altarabsheh SE, Haddad O, Deo SV, Obeidat Y, Al-Azzam S. Hawthorn Herb Increases the Risk of Bleeding after Cardiac Surgery: An Evidence-Based Approach. Heart Surg Forum 2016;19(4):E175-9. PubMed
  20. Shatoor AS, Soliman H, Al-Hashem F, Gamal BE, Othman A, El-Menshaw N. Effect of hawthorn (Crataegus aronia syn. Azarolus (L)) on platelet function in albino wistar rats. Thromb Res 2012;130(1):75-80. PubMed
  21. Vibes J, Lasserre B, Gleye J, Declume C. Inhibition of thromboxane A2 biosynthesis in vitro by the main components of Crataegus oxyacantha (hawthorn) flower heads. Prostaglandins Leukot Essent Fatty Acids 1994;50(4):173-5. PubMed
  22. Rogers KL, Grice ID, Griffiths LR. Inhibition of platelet aggregation and 5-HT release by extracts of Australian plants used traditionally as headache treatments. Eur J Pharm Sci 2000;9(4):355-63. PubMed
  23. Zhou CC, Huang XX, Gao PY, et al. Two new compounds from Crataegus pinnatifida and their antithrombotic activities. J Asian Nat Prod Res 2014;16(2):169-74.
  24. Palmer KG, Lebin JA, Cronin MT, Mazor SS, Burns RA. Crataegus mexicana (Tejocote) Exposure Associated with Cardiotoxicity and a Falsely Elevated Digoxin Level. J Med Toxicol. 2019;15(4):295-298. PubMed
  25. Espinosa J, Bassett R, Lucerna A, Finn D. Hawthorne root (Crataegus mexicana) toxicity. Am J Emerg Med. 2024;78:242.e5-242.e6. PubMed

See these in context on the Hawthorn monograph →

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

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