Herbal Respiratory Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Herbal Respiratory 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 Respiratory is a dietary supplement by Mountain Meadow Herbs with 7 active ingredients. Its ingredients are commonly taken for sore throat and cough, heartburn and stomach upset, mouth ulcers and digestive complaints.Based on those ingredients, 1,358 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Licorice root extract, Thyme leaf extract, Elecampane root extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Herbal Respiratory by Mountain Meadow Herbs
Ask about any prescription or over-the-counter medication and we check it for interactions with Herbal Respiratory by Mountain Meadow Herbs — 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 Respiratory by Mountain Meadow Herbs
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
Herbal Respiratory contains 7 active ingredients: licorice root extract, stinging nettle leaf extract, elecampane root extract, bayberry bark extract, anise seed extract, thyme leaf extract, and European Elder flower extract. These are combined in a liquid form with vegetable glycerine, distilled water, and organic grain alcohol as inactive ingredients.
Each ingredient is included for traditional respiratory or systemic support, though the scientific evidence for most conditions is limited or not yet established. The product also lists its active herbs again among the inactive ingredients, which is common in herbal liquid preparations where parts of the herbs serve as both the extract source and the final formulation base.
Does it work?
Insufficient evidence
The evidence for most uses of this product's ingredients is not established in the data we hold. Licorice root shows possibly effective evidence for atopic dermatitis (eczema) and canker sores, but insufficient evidence for asthma or Addison disease.
Stinging nettle is rated possibly effective for diabetes but has insufficient evidence for hay fever, anemia, asthma, benign prostatic hyperplasia, and gingivitis. Anise seed, thyme leaf, and elecampane all show insufficient evidence for their listed uses — which include migraine, menopausal symptoms, dysmenorrhea, bronchitis, cough, and common cold.
Bayberry has no effectiveness data on file. European Elder flower's effectiveness is not documented in our data.
How safe is it?
Well-documented data
Licorice root is generally well tolerated in small food amounts, but high doses or long-term use can cause serious problems due to its glycyrrhizin content. The most common side effects are headache, nausea, and vomiting when taken orally.
Stinging nettle is generally well tolerated for most adults, though it may cause constipation or diarrhea; fresh plant contact causes itching, rash, and stinging. A rare case of liver injury has been reported.
Anise seed is well tolerated orally and generally safe as food or tea; topically it may cause contact dermatitis, and rare severe allergic reactions (anaphylaxis) have been reported. Thyme is well tolerated in food and medicinal amounts; it may occasionally cause diarrhea, dizziness, headache, heartburn, nausea, or vomiting.
Elecampane can cause allergic contact dermatitis in sensitive individuals and gastrointestinal upset; at high doses it may cause more serious effects. Bayberry can cause gastrointestinal irritation, vomiting, and liver damage, possibly due to its tannin content.
Meds to double-check
Moderate interaction found
Before taking Herbal Respiratory, check with your doctor or pharmacist if you take any of these: blood thinners like warfarin, heart medications including digoxin, diabetes drugs, diuretics (water pills), lithium, estrogen or contraceptive medications, sedatives or anti-anxiety drugs like diazepam or midazolam, antidepressants like fluoxetine or imipramine, pain medications like codeine, chemotherapy drugs like cisplatin or paclitaxel, or anticholinergic/cholinergic drugs. Several ingredients in this product may change how these medications work.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with insufficient evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This herbal blend is aimed at respiratory support, but the evidence for most claimed uses isn't firmly established. If you take any blood thinners, heart medications, diabetes drugs, sedatives, antidepressants, or lithium — or any other regular prescription — you'll need to check with your doctor or pharmacist before starting, because several ingredients have documented interactions.
Pregnant people and those breastfeeding should also discuss this product with their healthcare provider first.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 6 of 7 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 24, 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
General information
Key facts about Herbal Respiratory, straight from the product label.
| Brand | Mountain Meadow Herbs |
|---|---|
| Barcode (UPC) | 7640116925434 |
| Net contents | 4 Fluid Ounce(s); 120 mL |
| Market status | On market |
| Date entered into DSLD | Jun 24, 2020 |
| DSLD ID | 223581 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Children (All), Infants/Baby (0 - 1 Year) |
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 Respiratory by Mountain Meadow Herbs, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Licorice root extract | 0 NP | -- |
| Stinging Nettle leaf extract | 0 NP | -- |
| Proprietary Blend of extracts | 1.25 mL | -- |
| Elecampane root extract | 0 NP | -- |
| Bayberry bark extract | 0 NP | -- |
| Anise Seed Extract | 0 NP | -- |
| Thyme leaf extract | 0 NP | -- |
| European Elder flower extract | 0 NP | -- |
Other ingredients: Vegetable Glycerine, distilled Water, organic Grain Alcohol, Anise, European Elder, Elecampane, Thyme, Stinging Nettle, Licorice, Bayberry
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.
General Statements
English
Nominal weight: 120 g
% DV = % Daily Value
Suggested/Recommended/Usage/Directions
Adults and children 12 or more years of age 1/4 tsp., children 3-11 years 1/8 tsp., children 0-2 years 5-10 drops 1-4 times daily in water. 1/8 teaspoon = approximately 1 full dropper. Shake well before use.
Precautions
Store out of reach of young children.
If you are pregnant, nursing, have a medical condition, or are taking a prescription, consult your health care provider before using this product.
Dietary supplements/food supplements should not be used as a substitute for a varied diet. Do not exceed the stated recommended daily dose.
Storage
Store in a dry, cool place.
FDA Disclaimer Statement
These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
Formulation
Respiratory system support
Made in the USA.
FDA Statement of Identity
Dietary Supplement/Food Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Herbal Respiratory by Mountain Meadow Herbs 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 Respiratory by Mountain Meadow Herbs
These are the 7 active ingredients this product is made of. Select any to open its full monograph.
Serving size0.25 tsp Dosage formLiquid Servings per container96 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.
Proprietary Blend of extracts
- › Licorice root extract
- › Stinging Nettle leaf extract
- › Elecampane root extract
- › Bayberry bark extract
- › Anise Seed Extract
- › Thyme leaf extract
- › European Elder flower extract
Other (inactive) ingredients: Vegetable Glycerine, Distilled Water, Organic Grain Alcohol, Anise, European Elder, Elecampane, Thyme, Stinging Nettle, Licorice, Bayberry. These complete the product’s ingredient list but are not active constituents.
Herbal Respiratory by Mountain Meadow Herbs Drug Interactions
HelloPharmacist Interaction Report
Herbal Respiratory by Mountain Meadow Herbs contains several ingredients with documented interactions: licorice root, stinging nettle, elecampane, anise seed, and thyme leaf extracts.
The most serious interaction we have on file is Moderate in severity — licorice root may increase the risk of cardiac toxicity when taken with digoxin (Lanoxin), a heart medication, especially if licorice is overused or misused.
Read the full breakdown — every affected drug type, severity by severity
Licorice root interacts with a wide range of medications. It may decrease the effectiveness of warfarin (a blood thinner), midazolam (a sedative), paclitaxel (a cancer drug), and cisplatin (a chemotherapy drug).
It may also increase levels of certain medications metabolized by the liver, including those broken down by CYP2B6 and CYP2C19 pathways, and may enhance the mineral-altering effects of loop diuretics (water pills like furosemide).
Stinging nettle may have additive effects with diabetes medications and diuretics, may interfere with warfarin, and may increase lithium levels (a mood-stabilizing drug). Anise seed interacts with estrogens and contraceptive drugs, antidiabetes medications, fluoxetine (Prozac), caffeine, codeine, diazepam (Valium), and imipramine (Tofranil).
Thyme leaf may have additive effects with blood thinners and antiplatelet drugs, may interfere with estrogens, and may affect anticholinergic and cholinergic drugs. Elecampane may add to the effects of sedating medications (CNS depressants).
We could not check European Elder flower extract — no interaction data is on file for it. Altogether, these interactions span 1,359 individual medications.
Check your exact medications with the search tool on this page before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Herbal Respiratory?
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 Respiratory interact with 1,358 drugs. Click any drug to see the details.
5 of the 7 ingredients in Herbal Respiratory interact with drugs. Each result below shows which ingredient is responsible. Licorice root extract Thyme leaf extract Elecampane root extract Anise Seed Extract Stinging Nettle leaf extract
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Herbal Respiratory — through 1 ingredient. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Herbal Respiratory — through 1 ingredient. Tap an ingredient for the detail:
Thyme Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, thyme leaf extract might have additive effects with anticoagulant or antiplatelet drugs.
Read the full Thyme Leaf Extract + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Herbal Respiratory — through 1 ingredient. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Herbal Respiratory — through 1 ingredient. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Herbal Respiratory — through 1 ingredient. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Herbal Respiratory — through 2 ingredients. Tap an ingredient for the detail:
Thyme Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, thyme leaf extract might have additive effects with anticoagulant or antiplatelet drugs.
Read the full Thyme Leaf Extract + Abrocitinib interactionLicorice Root ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 2c19 (cyp2c19) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Licorice Root Extract + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Herbal Respiratory — through 1 ingredient. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, P-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Herbal Respiratory — through 2 ingredients. Tap an ingredient for the detail:
Stinging Nettle Leaf ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, stinging nettle might have additive effects with antidiabetes drugs.
Read the full Stinging Nettle Leaf Extract + Acarbose interactionAnise Seed ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, anise seed might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Anise Seed Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Herbal Respiratory — through 1 ingredient. Tap an ingredient for the detail:
Licorice Root ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, licorice might reduce the effects of antihypertensive drugs.
Read the full Licorice Root Extract + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Herbal Respiratory — through 1 ingredient. Tap an ingredient for the detail:
Thyme Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, thyme leaf extract might have additive effects with anticoagulant or antiplatelet drugs.
Read the full Thyme Leaf Extract + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Herbal Respiratory — through 2 ingredients. Tap an ingredient for the detail:
Thyme Leaf ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme Leaf Extract + Acepromazine interactionElecampane Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, elecampane may cause additive sedative effects when taken with CNS depressants.
Read the full Elecampane Root Extract + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Thyme Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, thyme leaf extract might have additive effects with anticoagulant or antiplatelet drugs.
Read the full Thyme Leaf Extract + Acetaminophen, Aspirin interactionLicorice Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Licorice Root Extract + Acetaminophen, Aspirin interactionAnise Seed ExtractAcetaminophen (tylenol, Others) Minor
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Anise Seed ExtractAcetaminophen (tylenol, Others), Caffeine Moderate
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Aspirin, Caffeine interactionLicorice Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Licorice Root Extract + Acetaminophen, Aspirin, Caffeine interactionThyme Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, thyme leaf extract might have additive effects with anticoagulant or antiplatelet drugs.
Read the full Thyme Leaf Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Herbal Respiratory — through 2 ingredients. Tap an ingredient for the detail:
Anise Seed ExtractAcetaminophen (tylenol, Others), Caffeine Moderate
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Butalbital, Caffeine interactionLicorice Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Licorice Root Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAnise Seed ExtractAcetaminophen (tylenol, Others), Caffeine +1 Moderate
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionElecampane Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, elecampane may cause additive sedative effects when taken with CNS depressants.
Read the full Elecampane Root Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Anise Seed ExtractCodeine, Acetaminophen (tylenol, Others) Moderate
Interaction Summary
Theoretically, anise oil might increase the effects and adverse effects of codeine.
Read the full Anise Seed Extract + Acetaminophen, Butalbital, Codeine interactionElecampane Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, elecampane may cause additive sedative effects when taken with CNS depressants.
Read the full Elecampane Root Extract + Acetaminophen, Butalbital, Codeine interactionLicorice Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Licorice Root Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Elecampane Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, elecampane may cause additive sedative effects when taken with CNS depressants.
Read the full Elecampane Root Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAnise Seed ExtractCodeine, Acetaminophen (tylenol, Others) Moderate
Interaction Summary
Theoretically, anise oil might increase the effects and adverse effects of codeine.
Read the full Anise Seed Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionLicorice Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Licorice Root Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Herbal Respiratory — through 4 ingredients. Tap an ingredient for the detail:
Anise Seed ExtractAcetaminophen (tylenol, Others), Caffeine Moderate
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionElecampane Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, elecampane may cause additive sedative effects when taken with CNS depressants.
Read the full Elecampane Root Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionLicorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionThyme Leaf ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme Leaf Extract + 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 Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Elecampane Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, elecampane may cause additive sedative effects when taken with CNS depressants.
Read the full Elecampane Root Extract + Acetaminophen, Caffeine, Codeine interactionAnise Seed ExtractAcetaminophen (tylenol, Others), Caffeine +1 Moderate
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Caffeine, Codeine interactionLicorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Licorice Root Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionElecampane Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, elecampane may cause additive sedative effects when taken with CNS depressants.
Read the full Elecampane Root Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAnise Seed ExtractAcetaminophen (tylenol, Others), Caffeine +1 Moderate
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Anise Seed ExtractCaffeine, Acetaminophen (tylenol, Others) Moderate
Interaction Summary
Theoretically, anise oil might decrease the efficacy of caffeine.
Read the full Anise Seed Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionLicorice Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Licorice Root Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionElecampane Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, elecampane may cause additive sedative effects when taken with CNS depressants.
Read the full Elecampane Root Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Herbal Respiratory — through 2 ingredients. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acetaminophen, Caffeine, Isometheptene interactionAnise Seed ExtractCaffeine, Acetaminophen (tylenol, Others) Moderate
Interaction Summary
Theoretically, anise oil might decrease the efficacy of caffeine.
Read the full Anise Seed Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Herbal Respiratory — through 4 ingredients. Tap an ingredient for the detail:
Anise Seed ExtractAcetaminophen (tylenol, Others), Caffeine Moderate
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Caffeine, Pyrilamine interactionLicorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Diuretic Drugs +1 Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acetaminophen, Caffeine, Pyrilamine interactionThyme Leaf ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme Leaf Extract + Acetaminophen, Caffeine, Pyrilamine interactionStinging Nettle Leaf ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, combining stinging nettle with diuretic drugs may have additive effects.
Read the full Stinging Nettle Leaf Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionThyme Leaf ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme Leaf Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAnise Seed ExtractAcetaminophen (tylenol, Others) Minor
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Herbal Respiratory — through 4 ingredients. Tap an ingredient for the detail:
Anise Seed ExtractCodeine, Acetaminophen (tylenol, Others) Moderate
Interaction Summary
Theoretically, anise oil might increase the effects and adverse effects of codeine.
Read the full Anise Seed Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionThyme Leaf ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme Leaf Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionLicorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionElecampane Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, elecampane may cause additive sedative effects when taken with CNS depressants.
Read the full Elecampane Root Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Thyme Leaf ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme Leaf Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionLicorice Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Licorice Root Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAnise Seed ExtractAcetaminophen (tylenol, Others) Minor
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionThyme Leaf ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme Leaf Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAnise Seed ExtractAcetaminophen (tylenol, Others) Minor
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Thyme Leaf ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme Leaf Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionLicorice Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Licorice Root Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAnise Seed ExtractAcetaminophen (tylenol, Others) Minor
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionThyme Leaf ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme Leaf Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAnise Seed ExtractAcetaminophen (tylenol, Others) Minor
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Herbal Respiratory — through 3 ingredients. Tap an ingredient for the detail:
Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Licorice Root Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionThyme Leaf ExtractAnticholinergic Drugs Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
Read the full Thyme Leaf Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAnise Seed ExtractAcetaminophen (tylenol, Others) Minor
Interaction Summary
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Read the full Anise Seed Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Herbal Respiratory 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.
Licorice root extract
Antihypertensive Drugs
Theoretically, licorice might reduce the effects of antihypertensive drugs.
In human research, licorice increases blood pressure in a dose-dependent manner.
Cisplatin (Platinol-Aq)
Theoretically, licorice might reduce the effects of cisplatin.
In animal research, licorice diminished the therapeutic efficacy of cisplatin.
Corticosteroids
Theoretically, concomitant use of licorice and corticosteroids might increase the side effects of corticosteroids.
Case reports suggest that concomitant use of licorice and oral corticosteroids, such as hydrocortisone, can potentiate the duration of activity and increase blood levels of corticosteroids. Additionally, in one case report, a patient with neurogenic orthostatic hypertension stabilized on fludrocortisone 0.1 mg twice daily developed pseudohyperaldosteronism after recent consumption of large amounts of black licorice.
Cytochrome P450 2B6 (Cyp2B6) Substrates
Theoretically, licorice might increase levels of drugs metabolized by CYP2B6.
In vitro research shows that licorice extract and glabridin, a licorice constituent, inhibit CYP2B6 isoenzymes. Licorice extract from the species G. uralensis seems to inhibit CYP2B6 isoenzymes to a greater degree than G. glabra extract in vitro. Theoretically, these species of licorice might increase levels of drugs metabolized by CYP2B6; however, these interactions have not yet been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, licorice might increase levels of drugs metabolized by CYP2C19.
In vitro, licorice extracts from the species G. glabra and G. uralensis inhibit CYP2C19 isoenzymes in vitro. Theoretically, these species of licorice might increase levels of drugs metabolized by CYP2C19; however, this interaction has not yet been reported in humans.
Cytochrome P450 2C8 (Cyp2C8) Substrates
Theoretically, licorice might increase levels of drugs metabolized by CYP2C8.
In vitro, licorice extract from the species G. glabra and G. uralensis inhibits CYP2C8 isoenzymes. Theoretically, these species of licorice might increase levels of drugs metabolized by CYP2C8; however, this interaction has not yet been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP2C9.
There is conflicting evidence about the effect of licorice on CYP2C9 enzyme activity. In vitro research shows that extracts from the licorice species G. glabra and G. uralensis moderately inhibit CYP2C9 isoenzymes. However, evidence from an animal model shows that licorice extract from the species G. uralensis can induce hepatic CYP2C9 activity. Until more is known, licorice should be used cautiously in people taking CYP2C9 substrates.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Pharmacokinetic research shows that the licorice constituent glycyrrhizin, taken in a dosage of 150 mg orally twice daily for 14 days, modestly decreases the area under the concentration-time curve of midazolam by about 20%. Midazolam is a substrate of CYP3A4, suggesting that glycyrrhizin modestly induces CYP3A4 activity. Animal research also shows that licorice extract from the species G. uralensis induces CYP3A4 activity. However, licorice extract from G. glabra species appear to inhibit CYP3A4-induced metabolism of testosterone in vitro. It is thought that the G. glabra inhibits CYP3A4 due to its constituent glabridin, which is a moderate CYP3A4 inhibitor in vitro and not present in other licorice species. Until more is known, licorice should be used cautiously in people taking CYP3A4 substrates.
Digoxin (Lanoxin)
Theoretically, concomitant use of licorice with digoxin might increase the risk of cardiac toxicity.
Overuse or misuse of licorice with cardiac glycoside therapy might increase the risk of cardiac toxicity due to potassium loss.
Diuretic Drugs
Theoretically, concomitant use of licorice with diuretic drugs might increase the risk of hypokalemia.
Overuse of licorice might compound diuretic-induced potassium loss. In one case report, a 72-year-old male with a past medical history of hypertension, type 2 diabetes, hyperlipidemia, arrhythmia, stroke, and hepatic dysfunction was hospitalized with severe hypokalemia and uncontrolled hypertension due to pseudohyperaldosteronism. This was thought to be provoked by concomitant daily consumption of a product containing 225 mg of glycyrrhizin, a constituent of licorice, and hydrochlorothiazide 12.5 mg for 1 month.
Estrogens
Theoretically, licorice might increase or decrease the effects of estrogen therapy.
Theoretically, licorice might interfere with estrogen therapy due to estrogenic and anti-estrogenic effects.
Loop Diuretics
Theoretically, loop diuretics might increase the mineralocorticoid effects of licorice.
Theoretically, loop diuretics might enhance the mineralocorticoid effects of licorice by inhibiting the enzyme that converts cortisol to cortisone; however, bumetanide (Bumex) does not appear to have this effect.
Midazolam (Versed)
Theoretically, licorice might decrease levels of midazolam.
In humans, the licorice constituent glycyrrhizin appears to moderately induce the metabolism of midazolam. This is likely due to induction of cytochrome P450 3A4 by licorice. Until more is known, licorice should be used cautiously in people taking midazolam.
P-Glycoprotein Substrates
Theoretically, licorice might decrease the absorption of P-glycoprotein substrates.
In vitro research shows that licorice can increase P-glycoprotein activity.
Paclitaxel (Abraxane, Onxol)
Theoretically, licorice might decrease plasma levels and clinical effects of paclitaxel.
Multiple doses of licorice taken concomitantly with paclitaxel might reduce the effectiveness of paclitaxel. Animal research shows that licorice 3 grams/kg given orally for 14 days before intravenous administration of paclitaxel decreases the exposure to paclitaxel and increases its clearance. Theoretically, this occurs because licorice induces cytochrome P450 3A4 enzymes, which metabolize paclitaxel. Notably, a single dose of licorice did not affect exposure or clearance of paclitaxel.
Warfarin (Coumadin)
Theoretically, licorice might decrease plasma levels and clinical effects of warfarin.
Licorice seems to increase metabolism and decrease levels of warfarin in animal models. This is likely due to induction of cytochrome P450 2C9 (CYP2C9) metabolism by licorice. Advise patients taking warfarin to avoid taking licorice.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
In vitro research shows that licorice induces CYP1A2 enzymes.
Methotrexate (Trexall, Others)
Theoretically, licorice might increase levels of methotrexate.
Animal research suggests that intravenous administration of glycyrrhizin, a licorice constituent, and high-dose methotrexate may delay methotrexate excretion and increase systemic exposure, leading to transient elevations in liver enzymes and total bilirubin. This interaction has not yet been reported in humans.
Thyme leaf extract
Anticholinergic Drugs
Theoretically, concurrent use of anticholinergic drugs and thyme essential oil might reduce the effects of anticholinergic drugs.
In vitro evidence suggests that thyme essential oil and specific essential oil constituents like thymohydroquinone and carvacrol can inhibit acetylcholinesterase (AChE). However, this effect has not been observed in humans.
Anticoagulant/Antiplatelet Drugs
Theoretically, thyme leaf extract might have additive effects with anticoagulant or antiplatelet drugs.
In vitro and animal research suggests that thyme leaf extract has antiplatelet effects. However, this effect has not been observed in humans.
Cholinergic Drugs
Theoretically, concurrent use of cholinergic drugs and thyme essential oil might cause additive cholinergic effects.
In vitro evidence suggests that thyme essential oil and specific essential oil constituents like thymohydroquinone and carvacrol can inhibit acetylcholinesterase (AChE). However, this effect has not been observed in humans.
Estrogens
Theoretically, thyme might competitively inhibit the effects of estrogen replacement therapy.
In vitro research shows that thyme has estrogen receptor-binding activity and phytoestrogen content. However, this effect has not been observed in humans.
Elecampane root extract
Cns Depressants
Theoretically, elecampane may cause additive sedative effects when taken with CNS depressants.
Elecampane might have sedative effects.
Anise Seed Extract
Antidiabetes Drugs
Theoretically, anise seed might increase the risk of hypoglycemia when taken with antidiabetes drugs.
A small clinical study shows that anise seed powder decreases fasting blood glucose levels by 36% when compared to baseline.
Caffeine
Theoretically, anise oil might decrease the efficacy of caffeine.
Animal research shows that taking anise oil with caffeine decreases the bioavailability of caffeine. Whether this interaction will occur in humans is unclear.
Codeine
Theoretically, anise oil might increase the effects and adverse effects of codeine.
Animal research shows that anise oil increases the analgesic effects of codeine, possibly by inducing its phase I metabolism and increasing conversion to morphine. Whether this interaction occurs in humans is unclear.
Contraceptive Drugs
Theoretically, anise might interfere with contraceptive drug therapy.
Some in vitro research suggests that anise has estrogenic effects, while other in vitro research suggests that anise has antiestrogenic effects.
Diazepam (Valium)
Theoretically, anise oil might increase the effects and adverse effects of diazepam.
Animal research shows that taking anise oil with diazepam increases the motor impairment associated with diazepam, possibly by inhibiting its breakdown by cytochrome P450 3A4. Whether this interaction occurs in humans is unclear.
Estrogens
Theoretically, anise might interfere with estrogen-based hormone replacement therapy.
Some in vitro research suggests that anise has estrogenic effects, while other in vitro research suggests that anise has antiestrogenic effects.
Fluoxetine (Prozac)
Theoretically, anise oil might decrease the efficacy of fluoxetine.
Animal research shows that taking anise oil with fluoxetine reduces the antidepressant effects of fluoxetine, possibly by promoting its breakdown by cytochrome P450 2D6. Whether this interaction occurs in humans is unclear.
Imipramine (Tofranil)
Theoretically, anise oil might decrease the efficacy of imipramine.
Animal research shows that taking anise oil with imipramine reduces the antidepressant effects of imipramine, possibly by promoting its breakdown by cytochrome P450 2D6. Whether this interaction occurs in humans is unclear.
Midazolam (Versed)
Theoretically, anise oil might increase the effects and adverse effects of midazolam.
Animal research shows that taking anise oil with midazolam increases the motor impairment associated with midazolam, possibly by inhibiting its breakdown by cytochrome P450 3A4. Whether this interaction occurs in humans is unclear.
Tamoxifen (Nolvadex)
Theoretically, anise might interfere with tamoxifen therapy.
Some in vitro research suggests that anise has estrogenic effects, while other in vitro research suggests that anise has antiestrogenic effects.
Acetaminophen (Tylenol, Others)
Theoretically, anise oil might decrease the levels and clinical effects of acetaminophen.
Animal research shows that taking anise oil with acetaminophen decreases peak plasma levels of acetaminophen but does not reduce overall bioavailability. Whether this interaction will occur in humans is unclear.
Stinging Nettle leaf extract
Antidiabetes Drugs
Theoretically, stinging nettle might have additive effects with antidiabetes drugs.
Clinical research shows that stinging nettle might decrease blood glucose levels in patients with diabetes.
Diuretic Drugs
Theoretically, combining stinging nettle with diuretic drugs may have additive effects.
Animal research suggests that the above ground parts and roots of stinging nettle may have a diuretic effect.
Lithium
Theoretically, stinging nettle might reduce excretion and increase levels of lithium.
Animal research suggests that stinging nettle has diuretic and natriuretic properties, which could alter the excretion of lithium. The dose of lithium might need to be decreased.
Warfarin (Coumadin)
There is some concern that stinging nettle might decrease the effects of anticoagulant drugs such as warfarin.
Stinging nettle contains a significant amount of vitamin K. When taken in large quantities, this might interfere with the activity of warfarin.
Brand information
Manufacturer and brand details for Herbal Respiratory, from the product label.
Mountain Meadow Herbs
See all Mountain Meadow Herbs products- Name
- Mountain Meadow Herbs Inc.
- Street Address
- PO Box 9227
- City
- Kalispell
- State
- MT
- ZipCode
- 59904
- Phone Number
- (888) 528 8615
- Web Address
- www.mountainmeadowherbs.com
Herbal Respiratory by Mountain Meadow Herbs: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Herbal Respiratory’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Licorice
Interacts with 1,040 drugsLicorice root is a traditional remedy used for sore throats, coughs, and digestive complaints, but solid human evidence is limited for most uses. Regular licorice contains glycyrrhizin, whic...
Read the full Licorice monograph → Herb & supplement monographStinging Nettle
Interacts with 164 drugsStinging nettle is a common plant used as food and in traditional medicine, most often for prostate symptoms, allergies, and joint pain. The evidence is mixed and mostly preliminary, so it i...
Read the full Stinging Nettle monograph → Herb & supplement monographElecampane
Interacts with 248 drugsElecampane is a traditional herb used mainly for coughs and other respiratory complaints, and as a bitter for digestion. Modern human evidence is very limited, so it should be seen as a folk...
Read the full Elecampane monograph → Herb & supplement monographBayberry
Bayberry is a traditional herb used mainly as an astringent for diarrhea, sore throats, and minor skin or gum problems, but there is very little modern human research to confirm it works. It...
Read the full Bayberry monograph → Herb & supplement monographAnise
Interacts with 245 drugsAnise is a fragrant, licorice-flavored seed used for centuries to ease digestion and soothe coughs. Most of its health claims are based on tradition and small or laboratory studies rather th...
Read the full Anise monograph → Herb & supplement monographThyme
Interacts with 379 drugsThyme is a common kitchen herb that has long been used for coughs, sore throats, and digestive complaints. It is generally safe in the amounts found in food, and some cough products that com...
Read the full Thyme monograph →Sources & How We Checked
Herbal Respiratory'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 153 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.
Licorice 92 references
- Farese RV Jr, Biglieri EG, Shackleton CH, et al. Licorice-induced hypermineralocorticoidism. N Engl J Med 1991;325:1223-7. PubMed
- Sigurjonsdottir HA, Ragnarsson J, Franzson L, Sigurdsson G. Is blood pressure commonly raised by moderate consumption of liquorice? J Hum Hypertens 1995;9:345-8.
- Armanini D, Lewicka S, Pratesi C, et al. Further studies on the mechanism of the mineralocorticoid action of licorice in humans. J Endocrinol Invest 1996;19:624-9. PubMed
- Zhang YD, Lorenzo B, Reidenberg MM. Inhibition of 11 beta hydroxysteroid dehydrogenase obtained from guinea pig kidney by furosemide, naringenin and some other compounds. J Steroid Biochem Mol Biol 1994;49:81-5.
- Strandberg TE, Jarvenpaa AL, Vanhanen H, McKeigue PM. Birth outcome in relation to licorice consumption during pregnancy. Am J Epidemiol 2001;153:1085-8. PubMed
- Sigurjonsdottir HA, Franzson L, Manhem K, et al. Liquorice-induced rise in blood pressure: a linear dose-response relationship. J Hum Hypertens 2001;15:549-52. PubMed
- Amato P, Christophe S, Mellon PL. Estrogenic activity of herbs commonly used as remedies for menopausal symptoms. Menopause 2002;9:145-50. PubMed
- Kent UM, Aviram M, Rosenblat M, Hollenberg PF. The licorice root derived isoflavan glabridin inhibits the activities of human cytochrome P450S 3A4, 2B6, and 2C9. Drug Metab Dispos 2002;30:709-15.. PubMed
- Yoshida S, Takayama Y. Licorice-induced hypokalemia as a treatable cause of dropped head syndrome. Clin Neurol Neurosurg 2003;105:286-7.. PubMed
- Strandberg TE, Andersson S, Jarvenpaa AL, et al. Preterm birth and licorice consumption during pregnancy. Am J Epidemiol 2002;156:803-5.. PubMed
- Hussain RM. The sweet cake that reaches parts other cakes can't! Postgrad Med J 2003;79:115-6.. PubMed
- Morris DJ, Davis E, Latif SA. Licorice, tobacco chewing, and hypertension. N Engl J Med 1990;322:849-50. PubMed
- Quinkler M, Stewart PM. Hypertension and the cortisol-cortisone shuttle. J Clin Endocrinol Metab 2003;88:2384-92. PubMed
- Westman EC, Guthrie GP. Licorice, tobacco chewing, and hypertension. N Engl J Med 1990;322:850. PubMed
- Mu Y, Zhang J, Zhang S, et al. Traditional Chinese medicines Wu Wei Zi (Schisandra chinensis Baill) and Gan Cao (Glycyrrhiza uralensis Fisch) activate pregnane X receptor and increase warfarin clearance in rats. J Pharmacol Exp Ther 2006;316:1369-77. PubMed
- Yasue H, Itoh T, Mizuno Y, Harada E. Severe hypokalemia, rhabdomyolysis, muscle paralysis, and respiratory impairment in a hypertensive patient taking herbal medicines containing licorice. Intern Med 2007;46:575-8. PubMed
- Brayley J, Jones J. Life-threatening hypokalemia associated with excessive licorice ingestion (letter). Am J Psychiatry 1994;151:617-8. PubMed
- de Klerk GJ, Nieuwenhuis G, Beutler JJ. Hypokalaemia and hypertension associated with use of liquorice flavoured chewing gum. BMJ 1997;314:731-2.
- Dellow EL, Unwin RJ, Honour JW. Pontefract cakes can be bad for you: refractory hypertension and liquorice excess. Nephol Dial Transplant 1999;14:218-20. PubMed
- Elinav E, Chajek-Shaul T. Licorice consumption causing severe hypokalemic paralysis. Mayo Clin Proc 2003;78:767-8. PubMed
- Eriksson JW, Carlberg B, Hillom V. Life-threatening ventricular tachycardia due to liquorice-induced hypokalemia. J Intern Med 1999;245:307-10.
- Janse A, van Iersel M, Hoefnagels WH, Olde Rikker MG. The old lady who liked liquorice: hypertension due to chronic intoxication in a memory-impaired patient. Neth J Med 2005;63:149-50.
- Lin SH, Yang SS, Chau T, Halperin ML. An unusual cause of hypokalemic paralysis: chronic licorice ingestion. Am J Med Sci 2003;325:153-6. PubMed
- van den Bosch AE, van der Klooster JM, Zuidgeest DM, et al. Severe hypokalemic paralysis and rhabdomyolysis due to ingestion of liquorice. Neth J Med 2005;63:146-8.
- van Uum SH. Liquorice and hypertension. Neth J Med 2005;63:119-20.
- Russo S, Mastropasqua M, Mosetti MA, et al. Low doses of liquorice can induce hypertension encephalopathy. Am J Nephrol 2000;20:145-8. PubMed
- Stormer FC, Reistad R, Alexander J. Glycyrrhizic acid in liquorice - evaluation of health hazard. Food Chem Toxicol 1993;31:303-12. PubMed
- Sontia B, Mooney J, Gaudet L, Touyz RM. Pseudohyperaldosteronism, liquorice, and hypertension. J Clin Hypertens (Greenwich) 2008;10:153-7. PubMed
- Francini-Pesenti F, Puato M, Piccoli A, Brocadello F. Liquorice-induced hypokalaemia and water retention in the absence of hypertension. Phytother Res 2008;22:563-5. PubMed
- Lapi F, Gallo E, Bernasconi S, et al. Myopathies associated with red yeast rice and liquorice: spontaneous reports from the Italian Surveillance System of Natural Health Products. Br J Clin Pharmacol 2008;66:572-4. PubMed
- Chen MF, Shimada F, Kato H, Yano S, Kanaoka M. Effect of glycyrrhizin on the pharmacokinetics of prednisolone following low dosage of prednisolone hemisuccinate. Endocrinol Jpn 1990;37:331-41. PubMed
- Teelucksingh S, Mackie AD, Burt D, McIntyre MA, Brett L, Edwards CR. Potentiation of hydrocortisone activity in skin by glycyrrhetinic acid. Lancet 1990;335(8697):1060-3. PubMed
- Heidemann HT, Kreuzfelder E. Hypokalemic rhabdomyolysis with myoglobinuria due to licorice ingestion and diuretic treatment. Klin Wochenschr 1983;61:303-5. PubMed
- Hukkanen J, Ukkola O, Savolainen MJ. Effects of low-dose liquorice alone or in combination with hydrochlorothiazide on the plasma potassium in healthy volunteers. Blood Press 2009;18:192-5. PubMed
- Bisogni V, Rossi GP, Calò LA. Apparent mineralcorticoid excess syndrome, an often forgotten or unrecognized cause of hypokalemia and hypertension: case report and appraisal of the pathophysiology. Blood Press. 2014 Jun;23(3):189-92. PubMed
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