Herbal Cider Vinegar Tincture Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Herbal Cider Vinegar Tincture 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
Herbal Cider Vinegar Tincture is a dietary supplement by Ancient Nutrition with 11 active ingredients. Its ingredients are commonly taken for joint pain and arthritis, inflammation, digestive upset.Based on those ingredients, 1,466 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Turmeric, Fermented, Goji, Fermented, Key Lime, Fermented. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Herbal Cider Vinegar Tincture by Ancient Nutrition
Ask about any prescription or over-the-counter medication and we check it for interactions with Herbal Cider Vinegar Tincture by Ancient Nutrition — 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 Herbal Cider Vinegar Tincture by Ancient Nutrition
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
Low disclosure
This liquid tincture contains 11 active ingredients, most of them fermented plant extracts: turmeric, elderberry, sumac, guava, moringa, passionfruit, holy basil, feijoa, key lime, goji, and apple cider vinegar culture, plus an unspecified organic regenerative superfood blend. There are no inactive ingredients (fillers or binders) listed on this product.
Each ingredient brings a traditional herbal or culinary history — turmeric for joint and digestive support, elderberry and goji for immune function, moringa as a nutrient-dense leaf, holy basil (also called tulsi) for stress, and apple cider vinegar for digestive health. Because they're fermented, the living cultures may contribute probiotics, though the label doesn't specify strain or count.
Does it work?
Moderate evidence
The evidence for most ingredients in this blend is sparse or conflicting. Turmeric shows possibly effective evidence for depression, high cholesterol, and hay fever.
No other ingredient in this product has effectiveness ratings established in our data — elderberry, guava, moringa, holy basil, key lime, goji, and apple cider vinegar all have insufficient reliable evidence for the conditions they're traditionally used for, including immune function, blood sugar control, anxiety, and various other purposes.
How safe is it?
Well-documented data
Turmeric is generally well tolerated in food amounts, but concentrated supplements can cause stomach upset (constipation, diarrhea, nausea, reflux) and rare liver damage — at least 70 cases of liver injury have been linked to turmeric supplements taken for 2 weeks to 14 months, though most resolved after stopping it. Elderberry from ripe fruit is well tolerated, but raw or unripe berries and plant parts contain toxins that cause severe nausea, vomiting, diarrhea, and dizziness.
Guava fruit is safe as food, but leaf extracts are less studied and may cause abdominal pain or nausea. Moringa leaf is generally well tolerated but transient diarrhea occurs in about 1 in 4 people at higher doses; rare allergic reactions including anaphylaxis and Stevens-Johnson syndrome have been reported.
Holy basil is short-term well tolerated but long-term safety data are limited; loose stools and nausea occur in a small number of people. Key lime as food is safe, but concentrated products are not well studied; topical exposure can cause sun-sensitivity burns (phytophotodermatitis).
Goji is generally safe as food but concentrated supplements have limited safety data. Apple cider vinegar in food amounts is safe, but large or long-term doses can cause low potassium (hypokalemia), high renin levels, and bone loss; topical application can cause chemical burns.
None of these ingredients carry strong pregnancy safety data — turmeric is listed as possibly unsafe in pregnancy, elderberry and holy basil are advised against in pregnancy and lactation, and goji should be avoided in medicinal amounts during pregnancy due to traditional reports of uterine effects.
Meds to double-check
Major interaction found
Before taking this product, check with your doctor or pharmacist if you take blood thinners (especially warfarin), cancer chemotherapy drugs, blood-pressure medicines, heart rhythm drugs, diabetes or insulin medications, thyroid hormone, diuretics (water pills), immunosuppressants, sedatives or barbiturates, or any drug that's processed by your liver. The goji in particular can boost warfarin levels dangerously, and multiple ingredients affect how your liver clears medications.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence behind its ingredients' uses. Major medication interactions have been identified, and safety information is well characterized.
If you take any prescription medications — especially blood thinners like warfarin, diabetes drugs, thyroid hormone, heart medications, immunosuppressants, or chemotherapy — talk with your doctor or pharmacist before starting this product. The fermented herbal blend is generally well tolerated in small amounts, but it carries real interaction risks across many common drug classes.
If you're pregnant or breastfeeding, discuss this product with your healthcare provider first, as safety data are limited for several ingredients and some are advised against.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 8 of 11 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jul 18, 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 Herbal Cider Vinegar Tincture, straight from the product label.
| Brand | Ancient Nutrition |
|---|---|
| Barcode (UPC) | 816401026095 |
| Net contents | 60 mL |
| Market status | On market |
| Date entered into DSLD | Jul 18, 2023 |
| DSLD ID | 289162 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Organic |
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 Herbal Cider Vinegar Tincture by Ancient Nutrition, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Turmeric, Fermented | 0 NP | -- |
| Elderberry, Fermented | 0 NP | -- |
| Organic Regenerative Superfood Blend | 2 Gram(s) | -- |
| Sumac, Fermented | 0 NP | -- |
| Guava, Fermented | 0 NP | -- |
| Moringa, Fermented | 0 NP | -- |
| Passionfruit, Fermented | 0 NP | -- |
| Holy Basil, Fermented | 0 NP | -- |
| Feijoa, Fermented | 0 NP | -- |
| Key Lime, Fermented | 0 NP | -- |
| Goji, Fermented | 0 NP | -- |
| Apple Cider Vinegar Culture | 0 NP | -- |
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.
Formulation
Formulated for maximum absorption
Color, odor and consistency may vary from lot to lot.
Certified Organic by CCOF
Seals/Symbols
USDA Organic
Formula
10+ Superfoods Made with apple cider vinegar
FDA Statement of Identity
Whole Food Dietary Supplement
Suggested/Recommended/Usage/Directions
Suggested Use: Adults take 2 mL one or more times daily as desired.
Shake well before use.
Precautions
Warning: If you are pregnant, nursing, allergic, have a medical condition, or taking any medications, consult a doctor before using this or any other dietary supplement.
Warning: If you are pregnant, nursing, allergic, have a medical condition, or taking any medications, consult a doctor before using this or any other dietary supplement.
Do not use if safety seal is broken or missing.
Keep out of reach of children.
Notice: Use this product as a food supplement only. Do not use for weight reduction.
Storage
Store in a cool, dry place.
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.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Herbal Cider Vinegar Tincture by Ancient Nutrition 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 Herbal Cider Vinegar Tincture by Ancient Nutrition
These are the 11 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 mL Dosage formLiquid Servings per container30 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.
Organic Regenerative Superfood Blend
- › Turmeric, Fermented
- › Elderberry, Fermented
- › Sumac, Fermented
- › Guava, Fermented
- › Moringa, Fermented
- › Passionfruit, Fermented
- › Holy Basil, Fermented
- › Feijoa, Fermented
- › Key Lime, Fermented
- › Goji, Fermented
- › Apple Cider Vinegar Culture
Herbal Cider Vinegar Tincture by Ancient Nutrition Drug Interactions
HelloPharmacist Interaction Report
Ancient Nutrition's Herbal Cider Vinegar Tincture contains 11 ingredients, of which nine have documented interactions with medications.
The most serious interaction is goji's Major-severity effect on warfarin (Coumadin) — a blood thinner — where goji can increase warfarin's effects and raise the risk of bleeding. This product also carries Moderate interactions through turmeric, elderberry, guava, moringa, holy basil, key lime, goji, and apple cider vinegar across a broad range of drug types.
Read the full breakdown — every affected drug type, severity by severity
Turmeric interacts with chemotherapy drugs (topoisomerase I inhibitors and antitumor antibiotics), the transplant drug tacrolimus, the cancer drug tamoxifen, the bowel disease drug sulfasalazine, the arthritis drug methotrexate, the pain reliever tramadol, and a class of kidney-transport drugs (OATP substrates). Elderberry may interfere with immunosuppressants and the cancer drug pazopanib.
Guava, moringa, holy basil, and goji all interact with blood-sugar drugs — goji's interaction is Minor. Goji also affects multiple liver enzymes (CYP2C9, CYP2C19, CYP2D6, CYP3A4) that clear many medications, the heart rhythm drug flecainide, and blood-pressure drugs.
Moringa interacts with thyroid hormone (levothyroxine), kidney-transport drugs (P-glycoprotein substrates), and liver enzymes. Holy basil may increase bleeding risk with blood thinners and boost sedatives.
Key lime interacts with sun-sensitizing drugs and the liver enzyme CYP3A4. Apple cider vinegar interacts with diuretics, the heart drug digoxin, insulin, and blood-sugar drugs — all at Minor or Moderate severity.
Additionally, we could not check three ingredients — sumac (fermented), passionfruit (fermented), and feijoa (fermented) — because we hold no data for them. We also cannot fully assess the "Organic Regenerative Superfood Blend" because its individual components aren't specified on this label.
Alone, this product's ingredient list presents substantial medication interaction risks. Altogether, these interactions span 1,467 individual medications.
Use the medication search tool below to check your exact prescriptions and over-the-counter drugs before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Herbal Cider Vinegar Tincture?
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 Herbal Cider Vinegar Tincture interact with 1,466 drugs. Click any drug to see the details.
8 of the 11 ingredients in Herbal Cider Vinegar Tincture interact with drugs. Each result below shows which ingredient is responsible. Turmeric, Fermented Goji, Fermented Key Lime, Fermented Moringa, Fermented Holy Basil, Fermented Apple Cider Vinegar Culture Elderberry, Fermented Guava, Fermented
WarfarinWarfarin
How Warfarin interacts with Herbal Cider Vinegar Tincture — through 5 ingredients. Tap an ingredient for the detail:
Goji, FermentedCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates +2 Major
Interaction Summary
Theoretically, goji berry might inhibit CYP2C19 and reduce metabolism of CYP2C19 substrates.
Read the full Goji, Fermented + Warfarin interactionTurmeric, FermentedAnticoagulant/antiplatelet Drugs, Warfarin (coumadin) +2 Moderate
Interaction Summary
Turmeric may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Turmeric, Fermented + Warfarin interactionMoringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Warfarin interactionHoly Basil, FermentedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, holy basil seed oil might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Holy Basil, Fermented + Warfarin interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Warfarin interactionWarfarin SodiumCoumadin, Panwarfin, Sofarin
How Warfarin Sodium interacts with Herbal Cider Vinegar Tincture — through 5 ingredients. Tap an ingredient for the detail:
Goji, FermentedCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates +2 Major
Interaction Summary
Theoretically, goji berry might inhibit CYP2C19 and reduce metabolism of CYP2C19 substrates.
Read the full Goji, Fermented + Warfarin Sodium interactionTurmeric, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs +2 Moderate
Interaction Summary
Theoretically, turmeric might increase levels of drugs metabolized by CYP1A2.
Read the full Turmeric, Fermented + Warfarin Sodium interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Warfarin Sodium interactionMoringa, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Moringa, Fermented + Warfarin Sodium interactionHoly Basil, FermentedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, holy basil seed oil might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Holy Basil, Fermented + Warfarin Sodium interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Herbal Cider Vinegar Tincture — through 2 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + 6-mercaptopurine interactionElderberry, FermentedImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Elderberry, Fermented + 6-mercaptopurine interactionAdo-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Key Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Ado-trastuzumab Emtansine interactionTurmeric, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Turmeric might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Turmeric, Fermented + Ado-trastuzumab Emtansine interactionGoji, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
Read the full Goji, Fermented + Ado-trastuzumab Emtansine interactionMoringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Ado-trastuzumab Emtansine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Herbal Cider Vinegar Tincture — through 1 ingredient. Tap an ingredient for the detail:
Turmeric, FermentedHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Herbal Cider Vinegar Tincture — through 1 ingredient. Tap an ingredient for the detail:
Turmeric, FermentedHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Abacavir, Lamivudine interactionAbciximabReoPro
How Abciximab interacts with Herbal Cider Vinegar Tincture — through 2 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Turmeric may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Turmeric, Fermented + Abciximab interactionHoly Basil, FermentedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, holy basil seed oil might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Holy Basil, Fermented + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Goji, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
Read the full Goji, Fermented + Abemaciclib interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Abemaciclib interactionMoringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Abemaciclib interactionTurmeric, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Turmeric might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Turmeric, Fermented + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Turmeric might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Turmeric, Fermented + Abiraterone interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Abiraterone interactionGoji, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
Read the full Goji, Fermented + Abiraterone interactionMoringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Moringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Abiraterone Acetate interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Abiraterone Acetate interactionTurmeric, FermentedHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Abiraterone Acetate interactionGoji, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
Read the full Goji, Fermented + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Goji, FermentedCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP2C19 and reduce metabolism of CYP2C19 substrates.
Read the full Goji, Fermented + Abrocitinib interactionHoly Basil, FermentedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, holy basil seed oil might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Holy Basil, Fermented + Abrocitinib interactionElderberry, FermentedImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Elderberry, Fermented + Abrocitinib interactionTurmeric, FermentedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Turmeric may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Turmeric, Fermented + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, P-glycoprotein Substrates Moderate
Interaction Summary
Turmeric might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Turmeric, Fermented + Acalabrutinib interactionGoji, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
Read the full Goji, Fermented + Acalabrutinib interactionMoringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, P-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Acalabrutinib interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Herbal Cider Vinegar Tincture — through 6 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedHepatotoxic Drugs, Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Acarbose interactionHoly Basil, FermentedAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, holy basil might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Holy Basil, Fermented + Acarbose interactionGuava, FermentedAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use with antidiabetes drugs might have additive effects and increase the risk of hypoglycemia.
Read the full Guava, Fermented + Acarbose interactionGoji, FermentedAntidiabetes Drugs Minor
Interaction Summary
Theoretically, concomitant use of goji fruit polysaccharides or goji root bark with antidiabetes drugs might have additive effects.
Read the full Goji, Fermented + Acarbose interactionApple Cider Vinegar CultureAntidiabetes Drugs Minor
Interaction Summary
Theoretically, taking apple cider vinegar with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Apple Cider Vinegar Culture + Acarbose interactionMoringa, FermentedAntidiabetes Drugs Minor
Interaction Summary
Theoretically, moringa might have additive effects when used with antidiabetes drugs; however, research is conflicting.
Read the full Moringa, Fermented + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Herbal Cider Vinegar Tincture — through 2 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Acebutolol interactionGoji, FermentedAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of goji root bark, but not goji fruit, with antihypertensive drugs might have additive effects.
Read the full Goji, Fermented + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Herbal Cider Vinegar Tincture — through 2 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Turmeric may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Turmeric, Fermented + Acenocoumarol interactionHoly Basil, FermentedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, holy basil seed oil might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Holy Basil, Fermented + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Herbal Cider Vinegar Tincture — through 1 ingredient. Tap an ingredient for the detail:
Key Lime, FermentedPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, concomitant use of lime oil with photosensitizing drugs may increase the risk of phototoxicity.
Read the full Key Lime, Fermented + Acepromazine interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Herbal Cider Vinegar Tincture — through 2 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Acetaminophen interactionMoringa, FermentedCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Moringa, Fermented + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Herbal Cider Vinegar Tincture — through 3 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs +1 Moderate
Interaction Summary
Theoretically, turmeric might increase levels of drugs metabolized by CYP1A2.
Read the full Turmeric, Fermented + Acetaminophen, Aspirin interactionHoly Basil, FermentedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, holy basil seed oil might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Holy Basil, Fermented + Acetaminophen, Aspirin interactionMoringa, FermentedCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Moringa, Fermented + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Herbal Cider Vinegar Tincture — through 5 ingredients. Tap an ingredient for the detail:
Holy Basil, FermentedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, holy basil seed oil might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Holy Basil, Fermented + Acetaminophen, Aspirin, Caffeine interactionMoringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Acetaminophen, Aspirin, Caffeine interactionGoji, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
Read the full Goji, Fermented + Acetaminophen, Aspirin, Caffeine interactionTurmeric, FermentedHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +2 Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Acetaminophen, Aspirin, Caffeine interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Herbal Cider Vinegar Tincture — through 3 ingredients. Tap an ingredient for the detail:
Key Lime, FermentedPhotosensitizing Drugs Moderate
Interaction Summary
Theoretically, concomitant use of lime oil with photosensitizing drugs may increase the risk of phototoxicity.
Read the full Key Lime, Fermented + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionTurmeric, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, turmeric might increase levels of drugs metabolized by CYP1A2.
Read the full Turmeric, Fermented + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionMoringa, FermentedCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Moringa, Fermented + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Herbal Cider Vinegar Tincture — through 2 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Acetaminophen, Butalbital interactionMoringa, FermentedCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Moringa, Fermented + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Key Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Acetaminophen, Butalbital, Caffeine interactionTurmeric, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs +1 Moderate
Interaction Summary
Theoretically, turmeric might increase levels of drugs metabolized by CYP1A2.
Read the full Turmeric, Fermented + Acetaminophen, Butalbital, Caffeine interactionGoji, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
Read the full Goji, Fermented + Acetaminophen, Butalbital, Caffeine interactionMoringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Moringa, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Moringa, Fermented + Acetaminophen, Butalbital, Caffeine, Codeine interactionTurmeric, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Turmeric might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Turmeric, Fermented + Acetaminophen, Butalbital, Caffeine, Codeine interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Acetaminophen, Butalbital, Caffeine, Codeine interactionGoji, FermentedCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP2D6 and reduce metabolism of CYP2D6 substrates.
Read the full Goji, Fermented + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Herbal Cider Vinegar Tincture — through 3 ingredients. Tap an ingredient for the detail:
Goji, FermentedCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP2D6 and reduce metabolism of CYP2D6 substrates.
Read the full Goji, Fermented + Acetaminophen, Butalbital, Codeine interactionTurmeric, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, turmeric might increase levels of drugs metabolized by CYP1A2.
Read the full Turmeric, Fermented + Acetaminophen, Butalbital, Codeine interactionMoringa, FermentedCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Moringa, Fermented + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Herbal Cider Vinegar Tincture — through 3 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, turmeric might increase levels of drugs metabolized by CYP1A2.
Read the full Turmeric, Fermented + Acetaminophen, Butalbital, Codeine Phosphate interactionGoji, FermentedCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP2D6 and reduce metabolism of CYP2D6 substrates.
Read the full Goji, Fermented + Acetaminophen, Butalbital, Codeine Phosphate interactionMoringa, FermentedCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Moringa, Fermented + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Moringa, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Moringa, Fermented + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionTurmeric, FermentedHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionKey Lime, FermentedPhotosensitizing Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use of lime oil with photosensitizing drugs may increase the risk of phototoxicity.
Read the full Key Lime, Fermented + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionGoji, FermentedCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP2D6 and reduce metabolism of CYP2D6 substrates.
Read the full Goji, Fermented + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Goji, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
Read the full Goji, Fermented + Acetaminophen, Caffeine, Codeine interactionMoringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Acetaminophen, Caffeine, Codeine interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Acetaminophen, Caffeine, Codeine interactionTurmeric, FermentedHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Turmeric, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs +1 Moderate
Interaction Summary
Turmeric might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Turmeric, Fermented + Acetaminophen, Caffeine, Codeine, Salicylamide interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Acetaminophen, Caffeine, Codeine, Salicylamide interactionMoringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Acetaminophen, Caffeine, Codeine, Salicylamide interactionGoji, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
Read the full Goji, Fermented + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Moringa, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Moringa, Fermented + Acetaminophen, Caffeine, Dihydrocodeine interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Acetaminophen, Caffeine, Dihydrocodeine interactionTurmeric, FermentedCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs +1 Moderate
Interaction Summary
Theoretically, turmeric might increase levels of drugs metabolized by CYP1A2.
Read the full Turmeric, Fermented + Acetaminophen, Caffeine, Dihydrocodeine interactionGoji, FermentedCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP2D6 and reduce metabolism of CYP2D6 substrates.
Read the full Goji, Fermented + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Herbal Cider Vinegar Tincture — through 4 ingredients. Tap an ingredient for the detail:
Goji, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
Read the full Goji, Fermented + Acetaminophen, Caffeine, Isometheptene interactionMoringa, FermentedCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Read the full Moringa, Fermented + Acetaminophen, Caffeine, Isometheptene interactionTurmeric, FermentedHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Turmeric, Fermented + Acetaminophen, Caffeine, Isometheptene interactionKey Lime, FermentedCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.
Read the full Key Lime, Fermented + Acetaminophen, Caffeine, Isometheptene interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Herbal Cider Vinegar Tincture 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.
Turmeric, Fermented
Alkylating Agents
Turmeric has antioxidant effects. Theoretically, this may reduce the activity of chemotherapy drugs that generate free radicals. However, research is conflicting.
In vitro research suggests that curcumin, a constituent of turmeric, inhibits mechlorethamine-induced apoptosis of breast cancer cells by up to 70%. Also, animal research shows that curcumin inhibits cyclophosphamide-induced tumor regression. However, some in vitro research shows that curcumin does not affect the apoptosis capacity of etoposide. Also, other laboratory research suggests that curcumin might augment the cytotoxic effects of alkylating agents. Reasons for the discrepancies may relate to the dose of curcumin and the specific chemotherapeutic agent. Lower doses of curcumin might have antioxidant effects while higher doses might have pro-oxidant effects. More evidence is needed to determine what effect, if any, turmeric might have on alkylating agents.
Amlodipine (Norvasc)
Taking turmeric with amlodipine may increase levels of amlodipine.
Animal research shows that giving amlodipine 1 mg/kg as a single dose following the use of turmeric extract 200 mg/kg daily for 2 weeks increases the maximum concentration and area under the curve by 53% and 56%, respectively, when compared with amlodipine alone. Additional animal research shows that taking amlodipine 1 mg/kg with a curcumin 2 mg/kg pretreatment for 10 days increases the maximum concentration and area under the curve by about 2-fold when compared with amlodipine alone.
Anticoagulant/Antiplatelet Drugs
Turmeric may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs. However, research is conflicting.
Curcumin, a constituent of turmeric, has demonstrated antiplatelet effects in vitro. Furthermore, two case reports have found that taking turmeric along with warfarin or fluindione was associated with an increased international normalized ratio (INR). However, one clinical study in healthy volunteers shows that taking curcumin 500 mg daily for 3 weeks, alone or with aspirin 100 mg, does not increase antiplatelet effects or bleeding risk. It is possible that the dose of turmeric used in this study was too low to produce a notable effect.
Antidiabetes Drugs
Theoretically, taking turmeric with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research and case reports suggest that curcumin, a turmeric constituent, can reduce blood glucose levels in patients with diabetes. Furthermore, clinical research in adults with type 2 diabetes shows that taking curcumin 475 mg daily for 10 days prior to taking glyburide 5 mg decreased postprandial glucose levels for up to 24 hours when compared with glyburide alone, despite the lack of a significant pharmacokinetic interaction. Other clinical studies in patients with diabetes show that taking curcumin daily can reduce blood glucose levels when compared with placebo.
Antitumor Antibiotics
Turmeric has antioxidant effects. Theoretically, this may reduce the activity of chemotherapy drugs that generate free radicals. However, research is conflicting.
In vitro and animal research shows that curcumin, a constituent of turmeric, inhibits doxorubicin-induced apoptosis of breast cancer cells by up to 65%. However, curcumin does not seem to affect the apoptosis capacity of daunorubicin. In fact, some research shows that curcumin might augment the cytotoxic effects of antitumor antibiotics, increasing their effectiveness. Reasons for the discrepancies may relate to the dose of curcumin and the chemotherapeutic agent. Lower doses of curcumin might have antioxidant effects while higher doses might have pro-oxidant effects. More evidence is needed to determine what effects, if any, antioxidants such as turmeric have on antitumor antibiotics.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Turmeric might increase or decrease levels of drugs metabolized by CYP3A4.
In vitro and animal research show that turmeric and its constituents curcumin and curcuminoids inhibit CYP3A4. Also, 8 case reports from the World Health Organization (WHO) adverse drug reaction database describe increased toxicity in patients taking turmeric and cancer medications that are CYP3A4 substrates, including everolimus, ruxolitinib, ibrutinib, and palbociclib, and bortezomib. In another case report, a transplant patient presented with acute nephrotoxicity and elevated tacrolimus levels after consuming turmeric powder at a dose of 15 or more spoonfuls daily for ten days prior. It was thought that turmeric increased levels of tacrolimus due to CYP3A4 inhibition.
Conversely, other in vitro research suggests that turmeric induces CYP3A4 activity, leading to reduced levels of CYP3A4 substrates. An animal model suggests that induction of CYP3A4 occurs after daily curcumin use for 1 week. However, the induction of CYP3A4 by turmeric has not been reported in humans.
Hepatotoxic Drugs
Theoretically, turmeric might increase the risk of liver damage when taken with hepatotoxic drugs.
There is concern that turmeric might cause hepatotoxicity, especially when highly bioavailable formulations are used in high doses.
Methotrexate (Trexall, Others)
Theoretically, turmeric might have additive effects when used with hepatotoxic drugs such as methotrexate.
In one case report, a 39-year-old female taking methotrexate, turmeric, and linseed oil developed hepatotoxicity.
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Theoretically, turmeric might increase blood levels of OATP4C1 substrates.
In vitro research shows that the turmeric constituent curcumin competitively inhibits OATP4C1 transport. This transporter is expressed in the kidney and facilitates the renal excretion of certain drugs. Theoretically, taking turmeric might decrease renal excretion of OATP substrates.
Sulfasalazine (Azulfidine)
Turmeric might increase the effects and adverse effects of sulfasalazine.
Clinical research shows that taking the turmeric constituent, curcumin, can increase blood levels of sulfasalazine by 3.2-fold.
Tacrolimus (Prograf)
Turmeric might increase the effects and adverse effects of tacrolimus.
In one case report, a transplant patient presented with acute nephrotoxicity and elevated tacrolimus levels of 29 ng/mL. The patient previously had tacrolimus levels within the therapeutic range at 9.7 ng/mL. Ten days prior to presenting at the emergency room the patient started consumption of turmeric powder at a dose of 15 or more spoonfuls daily. It was thought that turmeric increased levels of tacrolimus due to cytochrome P450 3A4 (CYP3A4) inhibition. In vitro and animal research show that turmeric and its constituent curcumin inhibit CYP3A4.
Talinolol
Turmeric may reduce the absorption of talinolol in some situations.
Clinical research shows that taking curcumin for 6 days decreases the bioavailability of talinolol when taken together on the seventh day. The clinical significance of this effect is unclear.
Tamoxifen (Nolvadex)
Theoretically, turmeric might reduce the levels and clinical effects of tamoxifen.
In a small clinical trial in patients with breast cancer taking tamoxifen 20-30 mg daily, adding curcumin 1200 mg plus piperine 10 mg three times daily reduces the 24-hour area under the curve of tamoxifen and the active metabolite endoxifen by 12.8% and 12.4%, respectively, as well as the maximum concentrations of tamoxifen, when compared with tamoxifen alone. However, in the absence of piperine, the area under the curve for endoxifen and the maximum concentration of tamoxifen were not significantly reduced. Effects were most pronounced in patients who were extensive cytochrome P450 (CYP) 2D6 metabolizers.
Topoisomerase I Inhibitors
Turmeric has antioxidant effects. There is some concern that this may reduce the activity of chemotherapy drugs that generate free radicals. However, research is conflicting.
In vitro research shows that curcumin, a constituent of turmeric, inhibits camptothecin-induced apoptosis of breast cancer cells by up to 71%. However, other in vitro research shows that curcumin augments the cytotoxic effects of camptothecin. Reasons for the discrepancies may relate to the dose of curcumin and the chemotherapeutic agents. Lower doses of curcumin might have antioxidant effects while higher doses might have pro-oxidant effects. More evidence is needed to determine what effect, if any, turmeric might have.
Tramadol (Ultram)
Theoretically, turmeric might increase or decrease levels of tramadol.
Animal research suggests that a single dose of curcumin, a constituent of turmeric, may increase tramadol's maximum concentration (Cmax) by inhibiting metabolism, while continued daily use for 7 days may reduce the area under the curve (AUC) due to the induction of drug-metabolizing enzymes such as cytochrome P450 3A4 (CYP3A4). However, this interaction has not been reported in humans.
Warfarin (Coumadin)
Turmeric might increase the risk of bleeding with warfarin.
One case of increased international normalized ratio (INR) has been reported for a patient taking warfarin who began taking turmeric. Prior to taking turmeric, the patient had stable INR measurements. Within a few weeks of starting turmeric supplementation, the patient's INR increased to 10. Additionally, curcumin, the active constituent in turmeric, has demonstrated antiplatelet effects in vitro, which may produce additive effects when taken with warfarin.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, turmeric might increase levels of drugs metabolized by CYP1A2. However, research is conflicting.
In vitro and animal research show that the turmeric constituent, curcumin, inhibits CYP1A2. However, other in vitro research suggests that curcumin does not significantly affect CYP1A2.
Docetaxel (Taxotere)
Theoretically, turmeric might increase blood levels of oral docetaxel.
Animal research suggests that the turmeric constituent, curcumin, enhances the oral bioavailability of docetaxel. However, the significance of this interaction is unclear, as this drug is typically administered intravenously in clinical settings.
Estrogens
Theoretically, large amounts of turmeric might interfere with hormone replacement therapy through competition for estrogen receptors.
In vitro research shows that curcumin, a constituent of turmeric, displaces the binding of estrogen to its receptors.
Glyburide (Diabeta, Others)
Theoretically, taking turmeric and glyburide in combination might increase the risk of hypoglycemia.
Clinical research shows that taking curcumin 475 mg daily for 10 days prior to taking glyburide 5 mg increases blood levels of glyburide by 12% at 2 hours after the dose in patients with type 2 diabetes. While maximal blood concentrations of glyburide were not affected, turmeric modestly decreased postprandial glucose levels for up to 24 hours when compared to glyburide alone, possibly due to the hypoglycemic effect of turmeric demonstrated in animal research.
Losartan (Cozaar)
Theoretically, turmeric might increase the effects of losartan.
Research in hypertensive rats shows that taking turmeric can increase the hypotensive effects of losartan.
Norfloxacin (Noroxin)
Theoretically, turmeric might increase the effects and adverse effects of norfloxacin.
Animal research shows that taking curcumin, a turmeric constituent, can increase blood levels of orally administered norfloxacin.
P-Glycoprotein Substrates
Theoretically, turmeric might increase the absorption of P-glycoprotein substrates.
In vitro and animal research shows that curcuminoids and other constituents found in turmeric can inhibit P-glycoprotein expression and activity.
Paclitaxel (Abraxane, Onxol)
Theoretically, turmeric might alter blood levels of paclitaxel, although any effect may not be clinically relevant.
Clinical research in adults with breast cancer receiving intravenous paclitaxel suggests that taking turmeric may modestly alter paclitaxel pharmacokinetics. Patients received paclitaxel on day 1, followed by either no treatment or turmeric 2 grams daily from days 2-22. Pharmacokinetic modeling suggests that turmeric reduces the maximum concentration and area under the curve of paclitaxel by 12.1% and 7.7%, respectively. However, these changes are not likely to be considered clinically relevant. Conversely, animal research suggests that curcumin, a constituent of turmeric, enhances the oral bioavailability of paclitaxel. However, the significance of this interaction is unclear, as this drug is typically administered intravenously in clinical settings.
Goji, Fermented
Warfarin (Coumadin)
Goji can increase the effects of warfarin and possibly increase the risk of bleeding.
There are at least 5 case reports of increased international normalized ratio (INR) in patients stabilized on warfarin who began drinking goji juice, concentrated goji tea, or goji wine. Goji may inhibit the metabolism of warfarin by cytochrome P450 2C9 (CYP2C9).
Antihypertensive Drugs
Theoretically, concomitant use of goji root bark, but not goji fruit, with antihypertensive drugs might have additive effects.
Animal and in vitro research suggest that goji root bark has hypotensive effects. However, goji fruit juice does not appear to reduce systolic or diastolic blood pressure in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, goji berry might inhibit CYP2C19 and reduce metabolism of CYP2C19 substrates.
In vitro research shows that goji berry tincture and juice inhibit CYP2C19 enzymes. Concomitant use with goji may decrease metabolism and increase levels of CYP2C19 substrates. However, this has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, goji berry might inhibit CYP2C9 and reduce metabolism of CYP2C9 substrates.
In vitro research shows that goji berry tincture and juice inhibit CYP2C9 enzymes. Additionally, multiple case reports suggest that goji berry concentrated tea and juice inhibit the metabolism of warfarin, a CYP2C9 substrate. Concomitant use with goji may decrease metabolism and increase levels of CYP2C9 substrates.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, goji berry might inhibit CYP2D6 and reduce metabolism of CYP2D6 substrates.
In vitro research shows that goji berry juice inhibits CYP2D6 enzymes. Concomitant use with goji may decrease metabolism and increase levels of CYP2D6 substrates. However, this has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, goji berry might inhibit CYP3A4 and reduce metabolism of CYP3A4 substrates.
In vitro research shows that goji berry juice inhibits CYP3A4 enzymes. Concomitant use with goji may decrease metabolism and increase levels of CYP3A4 substrates. However, this has not been reported in humans.
Flecainide (Tambocor)
Theoretically, goji berry might increase the levels and clinical effects of flecainide.
In one case report, a 75-year-old patient stable on flecainide and warfarin presented to the emergency room with fainting and pleomorphic arrhythmia caused by flecainide toxicity. Flecainide toxicity was attributed to drinking 1-2 glasses of concentrated goji tea daily for 2 weeks. Theoretically, goji may have inhibited the cytochrome P450 2D6 (CYP2D6) metabolism of flecainide.
Antidiabetes Drugs
Theoretically, concomitant use of goji fruit polysaccharides or goji root bark with antidiabetes drugs might have additive effects.
Animal and in vitro research show that goji root bark and fruit polysaccharides might have hypoglycemic effects. However, clinical research has only shown that taking goji fruit polysaccharides with or without antidiabetes drugs modestly reduces postprandial glucose when compared with control, with no reports of hypoglycemia.
Key Lime, Fermented
Cytochrome P450 3A4 (Cyp3A4) Substrates
Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4. This has been demonstrated in rats treated with sildenafil, a CYP3A4 substrate, and high doses of lime juice.
Photosensitizing Drugs
Theoretically, concomitant use of lime oil with photosensitizing drugs may increase the risk of phototoxicity.
Moringa, Fermented
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, moringa might increase or decrease levels of CYP3A4 substrates.
Some in vitro research suggests that moringa inhibits cytochrome P450 3A4 (CYP3A4). However, other in vitro research suggests that moringa extract induces CYP3A4 enzymes. A pharmacokinetic study in patients with HIV shows no change in the pharmacokinetics of nevirapine, which is partially metabolized by CYP3A4, when administered concomitantly with moringa leaf powder 1.85 grams daily for 14 days.
Levothyroxine (Synthroid, Others)
Theoretically, moringa leaf can antagonize the effects of levothyroxine.
Animal research suggests that moringa aqueous leaf extract might reduce serum triiodothyronine (T3) concentrations by inhibiting the peripheral conversion of thyroxine (T4) to T3.
P-Glycoprotein Substrates
Theoretically, moringa leaf extract might increase the levels and clinical effects of P-glycoprotein substrates.
In vitro research shows that moringa leaf extract inhibits renal P-glycoprotein transport activity. So far, this reaction has not been reported in humans.
Antidiabetes Drugs
Theoretically, moringa might have additive effects when used with antidiabetes drugs; however, research is conflicting.
Animal research shows that moringa can lower blood glucose levels. However, research in humans has not shown consistent blood glucose lowering effects.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, moringa might decrease the levels and clinical effects of CYP1A2 substrates.
In vitro research shows that moringa extract induces CYP1A2 enzymes.
Nevirapine (Viramune)
Moringa leaf is unlikely to have a clinically significant interaction with nevirapine.
Nevirapine is partially metabolized by cytochrome P450 3A4 (CYP3A4). In vitro evidence suggests that moringa inhibits CYP3A4. However, a pharmacokinetic study in patients with HIV shows no change in nevirapine pharmacokinetics when administered concomitantly with moringa leaf powder 1.85 grams daily for 14 days.
Holy Basil, Fermented
Anticoagulant/Antiplatelet Drugs
Theoretically, holy basil seed oil might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Animal research shows that holy basil seed oil can prolong bleeding time, possibly due to inhibition of platelet aggregation. However, it is not known if this occurs in humans.
Antidiabetes Drugs
Theoretically, holy basil might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Small clinical studies show that taking holy basil can decrease fasting blood glucose and other measures of glycemic control in patients with type 2 diabetes.
Pentobarbital (Nembutal)
Theoretically, holy basil seed oil might increase the sedative effects of pentobarbital.
Animal research shows that holy basil seed oil increases pentobarbitone-induced sleeping time. However, it is not known if this occurs in humans or if this applies to other barbiturates or sedatives.
Apple Cider Vinegar Culture
Digoxin (Lanoxin)
Theoretically, concomitant use of apple cider vinegar with digoxin might increase the risk of cardiac toxicity.
A case of hypokalemia related to chronic use of apple cider vinegar has been reported. Theoretically, overuse of apple cider vinegar could decrease potassium levels, increasing the risk of toxicity with digoxin.
Diuretic Drugs
Theoretically, concomitant use of apple cider vinegar with diuretic drugs might increase the risk of hypokalemia.
A case of hypokalemia related to chronic use of apple cider vinegar has been reported. There is some concern that people taking apple cider vinegar along with potassium depleting diuretics might have an increased risk for hypokalemia.
Insulin
Theoretically, concomitant use of apple cider vinegar with insulin might increase the risk of hypokalemia.
A case of hypokalemia related to chronic use of apple cider vinegar has been reported. Theoretically, overuse of apple cider vinegar concomitantly with insulin might increase the risk of hypokalemia.
Antidiabetes Drugs
Theoretically, taking apple cider vinegar with antidiabetes drugs might increase the risk of hypoglycemia.
Apple cider vinegar might reduce fasting and postprandial blood glucose levels and decrease gastric emptying in people with diabetes. However, not all research agrees. Theoretically, it might have additive effects on glucose levels when used with antidiabetes drugs.
Elderberry, Fermented
Immunosuppressants
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Elderberry has immunostimulant activity, increasing the production of cytokines, including interleukin and tumor necrosis factor.
Pazopanib (Votrient)
Theoretically, elderberry might interact with pazopanib, potentially increasing the risk of adverse effects.
Guava, Fermented
Antidiabetes Drugs
Theoretically, concomitant use with antidiabetes drugs might have additive effects and increase the risk of hypoglycemia. Animal research shows that guava leaf extract or guava fruit can have hypoglycemic effects. Monitor blood glucose levels closely. Medication dose adjustments may be necessary. Some antidiabetes drugs include glimepiride (Amaryl), glyburide (Diabeta, Glynase PresTab, Micronase), insulin, metformin, pioglitazone (Actos), rosiglitazone (Avandia), and others.
Brand information
Manufacturer and brand details for Herbal Cider Vinegar Tincture, from the product label.
Ancient Nutrition
See all Ancient Nutrition products- Name
- Ancient Nutrition, LLC
- Street Address
- 3480 Summertown Hwy
- City
- Summertown
- State
- TN
- ZipCode
- 38483
- Web Address
- www.AncientNutrition.com
Herbal Cider Vinegar Tincture by Ancient Nutrition: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Herbal Cider Vinegar Tincture is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Herbal Cider Vinegar Tincture’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Turmeric
Interacts with 1,133 drugsTurmeric is a popular spice whose main active compounds, curcuminoids, are studied mostly for inflammation and joint pain. Some research is promising, but quality is mixed and curcumin is po...
Read the full Turmeric monograph → Herb & supplement monographElderberry
Interacts with 121 drugsElderberry is a popular herbal supplement, mainly taken to help with colds and flu. Some small studies suggest it may modestly shorten cold or flu symptoms, but the evidence is limited and n...
Read the full Elderberry monograph → Herb & supplement monographGuava
Interacts with 86 drugsGuava is a tropical fruit tree whose leaves and fruit have a long history of folk use for diarrhea, blood sugar, and general wellness. The fruit is a nutritious food rich in vitamin C, but e...
Read the full Guava monograph → Herb & supplement monographMoringa
Interacts with 869 drugsMoringa is a nutrient-rich plant whose leaves are widely used as a food and supplement, especially in parts of the world where malnutrition is common. Early research hints at possible benefi...
Read the full Moringa monograph → Herb & supplement monographHoly Basil
Interacts with 212 drugsHoly basil (tulsi) is a traditional Ayurvedic herb most often used today for stress and general wellness, but the human evidence is mostly small and preliminary. It is generally well tolerat...
Read the full Holy Basil monograph → Herb & supplement monographLime
Interacts with 886 drugsLime is a common citrus fruit and a good natural source of vitamin C and plant antioxidants. As a food it is generally safe and enjoyed by most people, but evidence that lime treats any spec...
Read the full Lime monograph → Herb & supplement monographGoji
Interacts with 1,000 drugsGoji berries are a nutritious fruit rich in antioxidants, vitamins, and plant polysaccharides, and they are safe for most people as a food. While they are popular for eye health, immune supp...
Read the full Goji monograph → Herb & supplement monographApple Cider Vinegar
Interacts with 162 drugsApple cider vinegar is a fermented apple product that many people use hoping to help with blood sugar, weight, or digestion. The evidence for most of these uses is limited and mixed, and the...
Read the full Apple Cider Vinegar monograph →Sources & How We Checked
Herbal Cider Vinegar Tincture'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 191 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.
Turmeric 102 references
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- Lamb, S. R. and Wilkinson, S. M. Contact allergy to tetrahydrocurcumin. Contact Dermatitis 2003;48(4):227. PubMed
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