Internal Liniment Ingredients & Drug Interactions
by Rawleigh
What is this page for?
First and foremost: checking Internal Liniment 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
Internal Liniment is a dietary supplement by Rawleigh with 3 active ingredients. Its ingredients are commonly taken for nerve pain (neuropathy), muscle and joint pain (arthritis), back pain.Based on those ingredients, 769 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Spearmint leaf Oil, Cayenne Pepper Oleoresin. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Internal Liniment by Rawleigh
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AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Internal Liniment by Rawleigh
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This liquid liniment contains three active ingredients. Cayenne pepper oleoresin is the active compound from cayenne peppers, traditionally used for pain and circulation.
Hemlock seed oil is present in the formula. Spearmint leaf oil rounds out the blend.
The product also contains several inactive ingredients—water, ethyl alcohol, polysorbate 80, castile soap, and food colorings—that serve as the liquid base and preservatives.
Does it work?
Strong evidence
Cayenne pepper oleoresin (capsicum) has evidence supporting its use for postherpetic neuralgia (nerve pain after shingles) and diabetic neuropathy (nerve damage from diabetes), where it's rated likely effective. It's possibly effective for cluster headaches, back pain, and nausea after surgery.
Spearmint leaf oil has insufficient evidence to support its use for any of the conditions listed in our data—cognitive decline, memory, gas, irritable bowel syndrome, nausea after surgery, or osteoarthritis. We hold no effectiveness data for hemlock seed oil.
How safe is it?
Well-documented data
Cayenne pepper is generally well tolerated when used in food amounts or topical products approved for that use, though it commonly causes burning and irritation. Orally, it can cause belching, bloating, burning sensations, diarrhea, indigestion, gas, headache, nausea, and skin flushing.
Concentrated supplements at medicinal doses are not well studied. Spearmint is well tolerated by mouth but can cause allergic reactions on the skin, including contact dermatitis and lip swelling.
One person in a trial reported anxiety, though it's unclear if spearmint caused it. Spearmint safety in concentrated supplement amounts during pregnancy and breastfeeding is not well established.
Hemlock seed oil is the grave concern: hemlock is a deadly poison that causes severe burning, vomiting, muscle paralysis, seizures, respiratory failure, and death. It's unsafe in any amount, and the facts explicitly warn against use in pregnancy and while breastfeeding.
Meds to double-check
Moderate interaction found
This product contains hemlock seed oil, which is a deadly poison. Do not use it internally under any circumstance.
Beyond that critical safety issue: if you take blood thinners (anticoagulants like warfarin) or antiplatelet drugs (such as clopidogrel), diabetes medications, theophylline, aspirin, blood pressure medications (ACE inhibitors), the antibiotic ciprofloxacin, sedatives or anti-anxiety medications (CNS depressants), or any drug that can affect your liver, this product poses documented interaction risks.
The bottom line
Scorecard at a glanceFully disclosed formula with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
Do not take this product. Hemlock is a deadly toxin, and no internal liniment containing it should ever be used.
If you've taken this product, contact poison control or your emergency services immediately. Even setting the hemlock aside, the cayenne and spearmint interact with multiple common medications, and a pharmacist needs to clear it with your exact prescriptions.
Talk to your doctor or pharmacist before considering any internal supplement.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jul 24, 2019.
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 Internal Liniment, straight from the product label.
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Internal Liniment by Rawleigh, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Cayenne Pepper Oleoresin | 0.012 mL | -- |
| Hemlock seed Oil | 0.006 mL | -- |
| Spearmint leaf Oil | 0.003 mL | -- |
Other ingredients: Water, Ethyl Alcohol, Polysorbate 80, Castile Soap, FD&C Red 40, FD&C Brown
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.
Precautions
Caution: Do not take internally without diluting. Avoid getting into eyes or nose.
Do not give to children under 10 years of age, except as directed by a physician.
Warning: Consult your physician prior to using this product if you are pregnant, nursing, or have any pre-existing medical conditions.
In case of accidental overdose, seek professional help or contact a Poison Control Center immediately.
Keep out of the reach of children
Do not use if seal is broken
Storage
Store in a cool, dry place
General Statements
Made in the USA
Traditional care Developed to help support a soothing & comfortable feeling for the stomach
Rawleigh A friend of the family since 1889
FDA Disclaimer Statement
This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Directions: Adults: Dilute 1/2 teaspoon in 1/4 cup (2 oz) of sweetened water or milk. Children over 10: Dilute 1/4 teaspoon in 1/4 cup (2 oz.) of sweetened water or milk. Maximum Usage: Adults: Not more than 2 teaspoons daily. Children over 10: Not more than 1 teaspoon daily.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Internal Liniment by Rawleigh 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 Internal Liniment by Rawleigh
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size0.25 tsp Dosage formLiquid Servings per container144 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.
Cayenne Pepper Oleoresin
Interacts with239 drugs
Capsicum (chili pepper) contains capsaicin, which is best known and best studied as a topical treatment for certain types of pain. Topical capsaicin p...
Cayenne Pepper Oleoresin monograph & interactionsHemlock seed Oil
No knowninteractions
Hemlock (Conium maculatum) is a highly poisonous plant that has no safe or proven medicinal use today. Even small amounts can cause paralysis and deat...
Hemlock seed Oil monograph & interactionsSpearmint leaf Oil
Interacts with579 drugs
Spearmint is a common culinary mint that is generally safe in food and tea amounts. Early research suggests possible benefits for digestion, mild horm...
Spearmint leaf Oil monograph & interactionsOther (inactive) ingredients: Water, Ethyl Alcohol, Polysorbate 80, Castile Soap, FD&C Red 40, FD&C Brown. These complete the product’s ingredient list but are not active constituents.
Internal Liniment by Rawleigh Drug Interactions
HelloPharmacist Interaction Report
Rawleigh's Internal Liniment contains three active ingredients, and we have serious concerns about one of them.
Hemlock seed oil is a deadly poison and should never be taken in any amount — the facts are unambiguous that it causes severe toxicity and death, and it has no place in any internal product. Beyond that critical issue, cayenne pepper oleoresin (the source of capsicum) interacts with several medication types.
The most serious documented interactions are Moderate in severity: anticoagulants and antiplatelet drugs (blood thinners and aspirin-type medications), where capsicum may increase bleeding risk; antidiabetes drugs, where it may increase the risk of low blood sugar (hypoglycemia); and theophylline, where it may raise drug levels and side effects. Capsicum also has Moderate interactions with aspirin itself—it may reduce how much aspirin your body absorbs—and Minor interactions with ACE inhibitors (blood pressure drugs) and ciprofloxacin (an antibiotic), though these are less well established in humans.
Read the full breakdown — every affected drug type, severity by severity
Spearmint leaf oil carries Moderate interactions with CNS depressants (sedatives, sleeping pills, anxiety medications), where the effect is unpredictable, and with hepatotoxic drugs (medications that can damage the liver), where high doses might increase that risk.
Altogether, these interactions span 752 individual medications. Because of the hemlock content alone, we cannot recommend this product for internal use under any circumstance.
If you were considering it for any reason, please speak with your pharmacist or doctor immediately.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Internal Liniment?
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 Internal Liniment interact with 769 drugs. Click any drug to see the details.
2 of the 3 ingredients in Internal Liniment interact with drugs. Each result below shows which ingredient is responsible. Spearmint leaf Oil Cayenne Pepper Oleoresin
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Abacavir, Lamivudine interactionAbciximabReoPro
How Abciximab interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Cayenne Pepper OleoresinAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, capsicum may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cayenne Pepper Oleoresin + Abciximab interactionAbiraterone
How Abiraterone interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Cayenne Pepper OleoresinAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, capsicum may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cayenne Pepper Oleoresin + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Internal Liniment — through 2 ingredients. Tap an ingredient for the detail:
Cayenne Pepper OleoresinAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking capsicum with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Cayenne Pepper Oleoresin + Acarbose interactionSpearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Cayenne Pepper OleoresinAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, capsicum may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cayenne Pepper Oleoresin + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilCns Depressants Moderate
Interaction Summary
Theoretically, spearmint might alter the sedative effects of CNS depressants.
Read the full Spearmint Leaf Oil + Acepromazine interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Internal Liniment — through 2 ingredients. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Aspirin interactionCayenne Pepper OleoresinAspirin, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking capsicum with aspirin might reduce the bioavailability of aspirin.
Read the full Cayenne Pepper Oleoresin + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Internal Liniment — through 2 ingredients. Tap an ingredient for the detail:
Cayenne Pepper OleoresinAnticoagulant/antiplatelet Drugs, Aspirin Moderate
Interaction Summary
Theoretically, capsicum may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cayenne Pepper Oleoresin + Acetaminophen, Aspirin, Caffeine interactionSpearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs, Cns Depressants Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilCns Depressants, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, spearmint might alter the sedative effects of CNS depressants.
Read the full Spearmint Leaf Oil + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs, Cns Depressants Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilCns Depressants, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, spearmint might alter the sedative effects of CNS depressants.
Read the full Spearmint Leaf Oil + 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 Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs, Cns Depressants Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilCns Depressants, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, spearmint might alter the sedative effects of CNS depressants.
Read the full Spearmint Leaf Oil + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs, Cns Depressants Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs, Cns Depressants Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Internal Liniment — through 1 ingredient. Tap an ingredient for the detail:
Spearmint Leaf OilHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Read the full Spearmint Leaf Oil + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Internal Liniment 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.
Spearmint leaf Oil
Cns Depressants
Theoretically, spearmint might alter the sedative effects of CNS depressants.
Animal research suggests that (-)-carvone, a major constituent of spearmint, has sedative effects. However, in humans, chewing spearmint-flavored gum induced arousal effects.
Hepatotoxic Drugs
Theoretically, high doses of spearmint might increase the risk of liver damage when taken with hepatotoxic drugs.
Animal research suggests that drinking spearmint tea for 30 days can increase markers of liver damage, including aspartate aminotransferase (AST) and alanine aminotransferase (ALT), and cause liver degeneration and necrosis, in a dose-dependent manner. This effect has not been reported in humans.
Cayenne Pepper Oleoresin
Anticoagulant/Antiplatelet Drugs
Theoretically, capsicum may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro research shows that capsicum might increase the effects of antiplatelet drugs. Also, population research shows that capsicum is associated with an increased risk of self-reported bleeding in patients taking warfarin. However, clinical research shows that taking a single dose of capsaicin (Asian Herbex Ltd.), the active ingredient in capsicum, 400-800 mcg orally in combination with aspirin 500 mg does not decrease platelet aggregation when compared with taking aspirin 500 mg alone. Also, there was no notable effect on measures of platelet aggregation with capsaicin. It is unclear whether capsaicin must be used in more than a single dose to affect platelet aggregation.
Antidiabetes Drugs
Theoretically, taking capsicum with antidiabetes drugs might increase the risk of hypoglycemia.
Preliminary clinical research shows that consuming capsicum 5 grams along with a glucose drink attenuates the rise in plasma glucose after 30 minutes by 21%, decreases the 2-hour postprandial area under the curve of plasma glucose by 11%, and increases the 2-hour postprandial area under the curve of plasma insulin by 58% in healthy individuals when compared with placebo. Other clinical research shows that taking capsicum 5 mg daily for 28 days significantly reduces postprandial blood glucose and insulin levels, but not fasting blood glucose and insulin levels, in patients with gestational diabetes.
Aspirin
Theoretically, taking capsicum with aspirin might reduce the bioavailability of aspirin.
Animal research shows that acute or chronic intake of capsicum pepper reduces oral aspirin bioavailability. This has not been shown in humans.
Theophylline
Theoretically, taking capsicum with theophylline might increase the levels and adverse effects of theophylline.
In animal research, oral administration of capsicum reduced excretion of theophylline. However, capsicum does not seem to affect the pharmacokinetics of theophylline when administered intravenously.
Ace Inhibitors (Aceis)
Theoretically, using topical capsaicin may increase the risk of ACE inhibitor-induced cough.
There is one case report of a topically applied capsaicin cream contributing to the cough reflex in a patient using an ACEI. However, it is unclear if this interaction is clinically significant.
Ciprofloxacin (Cipro)
Theoretically, taking capsicum with ciprofloxacin might increase levels and adverse effects of ciprofloxacin.
Animal research shows that concomitant use of capsaicin, the active constituent of capsicum, and ciprofloxacin increases the bioavailability of ciprofloxacin by up to 70%.
Brand information
Manufacturer and brand details for Internal Liniment, from the product label.
Rawleigh
See all Rawleigh products- Name
- Vitamins Direct (USA), Inc.
- City
- West Palm Beach
- State
- FL
- ZipCode
- 33407
- Phone Number
- 866-354-8384
- Web Address
- www.wtrawleigh.com
Internal Liniment by Rawleigh: Common Questions
Does Internal Liniment by Rawleigh interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is this safe to take internally?
What does cayenne pepper do in a liniment?
Can I use this if I take blood thinners?
What side effects does cayenne pepper cause?
Is spearmint safe during pregnancy?
Can I use this with diabetes medications?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Internal Liniment 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 Internal Liniment’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Capsicum
Interacts with 239 drugsCapsicum (chili pepper) contains capsaicin, which is best known and best studied as a topical treatment for certain types of pain. Topical capsaicin products are supported by reasonable evid...
Read the full Capsicum monograph → Herb & supplement monographHemlock
Hemlock (Conium maculatum) is a highly poisonous plant that has no safe or proven medicinal use today. Even small amounts can cause paralysis and death, so it should never be consumed or app...
Read the full Hemlock monograph → Herb & supplement monographSpearmint
Interacts with 579 drugsSpearmint is a common culinary mint that is generally safe in food and tea amounts. Early research suggests possible benefits for digestion, mild hormone-related issues (such as excess facia...
Read the full Spearmint monograph →Sources & How We Checked
Internal Liniment'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 127 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.
Capsicum 89 references
- Covington TR, et al. Handbook of Nonprescription Drugs. 11th ed. Washington, DC: American Pharmaceutical Association, 1996.
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