LC-W Ingredients & Drug Interactions
by Pure Herbs
What is this page for?
First and foremost: checking LC-W 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
LC-W is a dietary supplement by Pure Herbs with 5 active ingredients. Its ingredients are commonly taken for psoriasis (topical), eczema and other skin conditions, digestive upset.Based on those ingredients, 2,155 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Marshmallow Root Extract, Oregon Grape Root Extract, Mullein Leaf Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against LC-W by Pure Herbs
Ask about any prescription or over-the-counter medication and we check it for interactions with LC-W by Pure 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 LC-W by Pure 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
Pure Herbs LC-W is a liquid blend with 5 active ingredients: Oregon grape root extract, mullein leaf extract, marshmallow root extract, blue flag root extract, and stillingia root extract. Each brings its own traditional herbal profile — Oregon grape is a bitter traditionally used for skin and digestion, mullein for respiratory concerns, marshmallow for soothing and mucous membrane support, blue flag as a stimulating laxative, and stillingia as a traditional remedy for various conditions.
There are no other inactive ingredients listed.
Does it work?
Couldn't assess
The evidence for what this blend may do is limited. Oregon grape shows possibly effective for psoriasis, but evidence for atopic dermatitis (eczema), GERD, and peptic ulcers is insufficient.
For mullein, marshmallow, blue flag, and stillingia — whether for bronchitis, asthma, cough, diarrhea, respiratory infections, or other purposes — the evidence we have is insufficient to establish whether they work. This doesn't mean they don't; it means the data aren't robust enough to say.
How safe is it?
Well-documented data
Oral use of this product should be approached carefully. Oregon grape is well tolerated topically but less well studied when taken by mouth.
Blue flag root can cause nausea, vomiting, and mucous membrane irritation, especially if fresh. Stillingia contains irritant compounds and has minimal modern safety data, so it requires cautious use.
A small number of mullein users have reported dermatitis from skin contact with the plant. Because Oregon grape, blue flag, and stillingia contain berberine or irritant compounds, safety data advises against use during pregnancy and breastfeeding.
Mullein and marshmallow lack sufficient safety information for pregnancy and breastfeeding, so it's best to avoid them in those situations too. Talk with your doctor or pharmacist about whether this product is right for you if you're pregnant, breastfeeding, or planning either.
Meds to double-check
Major interaction found
Before taking this product, check with your doctor or pharmacist if you take digoxin (Lanoxin) or any other heart medication — Oregon grape and blue flag interact with these at Moderate to Major severity. Also flag blood pressure medications, blood thinners (warfarin, aspirin, or antiplatelet drugs), diabetes medications, cyclosporine, lithium, diuretics, or any drug your liver metabolizes through the CYP2D6, CYP2C9, or CYP3A4 pathways.
If you're unsure whether your medications are affected, use the interaction checker on this page or ask your pharmacist.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no assessable stated purpose. Major medication interactions have been identified, and safety information is well characterized.
Pure Herbs LC-W is a multi-ingredient herbal blend meant for traditional uses, but it carries several documented interactions with common medications — most seriously with digoxin and other heart, blood pressure, diabetes, and blood-thinning drugs. It's not suitable during pregnancy or breastfeeding.
If you take any prescription or over-the-counter medications, check them against this product's ingredients with your doctor or pharmacist before starting.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 5 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 22, 2022.
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 LC-W, straight from the product label.
| Brand | Pure Herbs |
|---|---|
| Net contents | 1 Fluid Ounce(s); 30 mL |
| Market status | On market |
| Date entered into DSLD | Nov 22, 2022 |
| DSLD ID | 279948 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Women (not pregnant or lactating) |
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 LC-W by Pure Herbs, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 1897 mg | -- |
| Oregon Grape Root Extract | 0 NP | -- |
| Mullein Leaf Extract | 0 NP | -- |
| Marshmallow Root Extract | 0 NP | -- |
| Blue Flag Root Extract | 0 NP | -- |
| Stillingia root extract | 0 NP | -- |
Other ingredients: None
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.
Suggested/Recommended/Usage/Directions
Directions: For adults, mix 2 mL (abt. 1/2 tsp) of extract in 2 fl. oz (60 mL) water one time daily preferably with a meal.
Shake well before use
Formulation
Supports a healthy lymphatic and circulatory system.
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.
Precautions
Warning: Not intended for use by pregnant or nursing women. If you have a medical condition or are taking medication, consult your doctor prior to use.
Discontinue use and consult with your doctor if any adverse reactions occur.
Keep out of reach of children
Brand IP Statement(s)
Pure Herbs, Ltd. Natural Herbal Extracts
FDA Statement of Identity
Dietary Supplement
General Statements
"No expense has been spared to provide the finest nature has to offer."
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
LC-W by Pure 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 LC-W by Pure Herbs
These are the 5 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 mL Dosage formLiquid Servings per container15 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
Other (inactive) ingredients: None. These complete the product’s ingredient list but are not active constituents.
LC-W by Pure Herbs Drug Interactions
HelloPharmacist Interaction Report
Pure Herbs LC-W contains several ingredients with documented interactions with medications.
Through its Oregon grape root, mullein leaf, marshmallow root, and blue flag root content, this product may affect how your body handles or responds to a number of drugs. The most serious concern is blue flag root's potential to increase the risk of toxicity from digoxin (Lanoxin), a heart medication — this is a Major-level interaction.
Read the full breakdown — every affected drug type, severity by severity
Oregon grape root carries Moderate interactions with blood pressure medications (antihypertensive drugs), which it may strengthen and lower blood pressure further, and with blood thinners and antiplatelet drugs (like aspirin or warfarin), where it may increase bleeding risk. It can also raise levels of drugs your liver breaks down through three enzyme pathways (CYP2D6, CYP2C9, and CYP3A4 substrates), potentially making those drugs stronger.
Additionally, Oregon grape may increase the effect of diabetes medications and raise the risk of low blood sugar (hypoglycemia), and it could worsen the effects of cyclosporine (Neoral, Sandimmune), an immunosuppressant.
Blue flag root may worsen the effects of warfarin by triggering diarrhea, which can increase bleeding risk. If you take diuretics (water pills), overuse of blue flag might compound potassium loss and increase the risk of low potassium (hypokalemia).
Marshmallow root carries Moderate risk with lithium, where it may raise lithium levels and cause toxicity, and Minor risk with blood thinners and most oral medications — the mucilage in it may interfere with how your body absorbs drugs taken by mouth. Mullein leaf has a Minor interaction with blood thinners.
Altogether, these interactions span 2,156 individual medications.
Stillingia root extract was not checked — we hold no monograph data for it. Use the search tool below to check your exact medications against each ingredient before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against LC-W?
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 LC-W interact with 2,155 drugs. Click any drug to see the details.
4 of the 5 ingredients in LC-W interact with drugs. Each result below shows which ingredient is responsible. Marshmallow Root Extract Oregon Grape Root Extract Mullein Leaf Extract Blue Flag Root Extract
IrbesartanAprovel, Avapro
How Irbesartan interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP2C9.
Read the full Oregon Grape Root Extract + Irbesartan interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Irbesartan interactionIrbesartan, HydrochlorothiazideCoAprovel
How Irbesartan, Hydrochlorothiazide interacts with LC-W — through 3 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP2C9.
Read the full Oregon Grape Root Extract + Irbesartan, Hydrochlorothiazide interactionBlue Flag Root ExtractDiuretic Drugs Moderate
Interaction Summary
Overuse of blue flag might compound diuretic-induced potassium loss.
Read the full Blue Flag Root Extract + Irbesartan, Hydrochlorothiazide interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Irbesartan, Hydrochlorothiazide interactionIrinotecanCamptosar, Onivyde
How Irinotecan interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Irinotecan interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Irinotecan interactionIrinotecan Hydrochloride
How Irinotecan Hydrochloride interacts with LC-W — through 1 ingredient. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Irinotecan Hydrochloride interactionIsavuconazonium Sulfate
How Isavuconazonium Sulfate interacts with LC-W — through 1 ingredient. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Isavuconazonium Sulfate interactionIsavuconazonium Sulfate (iv)Cresemba
How Isavuconazonium Sulfate (iv) interacts with LC-W — through 1 ingredient. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Isavuconazonium Sulfate (iv) interactionIsavuconazonium Sulfate (oral)Cresemba
How Isavuconazonium Sulfate (oral) interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Isavuconazonium Sulfate (oral) interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Isavuconazonium Sulfate (oral) interactionIsosorbide Dinitrate, HydralazineBiDil
How Isosorbide Dinitrate, Hydralazine interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, Oregon grape might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Oregon Grape Root Extract + Isosorbide Dinitrate, Hydralazine interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Isosorbide Dinitrate, Hydralazine interactionIsradipineDynacirc CR
How Isradipine interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Isradipine interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Isradipine interactionIstradefyllineNourianz
How Istradefylline interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Istradefylline interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Istradefylline interactionItraconazoleSporanox, Sporanox Injection, Tolsura
How Itraconazole interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractP-glycoprotein Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs that are P-glycoprotein (P-gp) substrates.
Read the full Oregon Grape Root Extract + Itraconazole interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Itraconazole interactionIvabradineCoralan, Corlanor, Corlentor, Procoralan
How Ivabradine interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Ivabradine interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Ivabradine interactionIvacaftorKalydeco
How Ivacaftor interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Ivacaftor interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Ivacaftor interactionIvacaftor, LumacaftorOrkambi
How Ivacaftor, Lumacaftor interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Ivacaftor, Lumacaftor interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Ivacaftor, Lumacaftor interactionIvermectinMectizan, Sklice, Soolantra, Stromectol
How Ivermectin interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs that are P-glycoprotein (P-gp) substrates.
Read the full Oregon Grape Root Extract + Ivermectin interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Ivermectin interactionIvosidenibTibsovo
How Ivosidenib interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Ivosidenib interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Ivosidenib interactionIxazomib CitrateNinlaro
How Ixazomib Citrate interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Ixazomib Citrate interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Ixazomib Citrate interactionKetazolamLoftran
How Ketazolam interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, Oregon grape might increase the sedative effects of CNS depressants.
Read the full Oregon Grape Root Extract + Ketazolam interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Ketazolam interactionKetoconazoleNizoral
How Ketoconazole interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Ketoconazole interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Ketoconazole interactionKetoprofenOrudis, Oruvail Gel, Oruvail Injection, Powergel
How Ketoprofen interacts with LC-W — through 3 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Oregon grape might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Oregon Grape Root Extract + Ketoprofen interactionMarshmallow Root ExtractAnticoagulant/antiplatelet Drugs, Oral Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Extract + Ketoprofen interactionMullein Leaf ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Leaf Extract + Ketoprofen interactionLabetalolNormodyne, Trandate
How Labetalol interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, Oregon grape might increase the risk of hypotension when taken with antihypertensive drugs.
Read the full Oregon Grape Root Extract + Labetalol interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Labetalol interactionLacosamideMotpoly XR, Vimpat
How Lacosamide interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Lacosamide interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Lacosamide interactionLamotrigineLamictal
How Lamotrigine interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, Oregon grape might increase the sedative effects of CNS depressants.
Read the full Oregon Grape Root Extract + Lamotrigine interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Lamotrigine interactionLansoprazolePrevacid
How Lansoprazole interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Lansoprazole interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Lansoprazole interactionLansoprazole, Amoxicillin, ClarithromycinPrevpac
How Lansoprazole, Amoxicillin, Clarithromycin interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Lansoprazole, Amoxicillin, Clarithromycin interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Lansoprazole, Amoxicillin, Clarithromycin interactionLapatinibTykerb
How Lapatinib interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Lapatinib interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Lapatinib interactionLarotrectinibVitrakvi
How Larotrectinib interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Larotrectinib interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Larotrectinib interactionLasmiditan SuccinateReyvow
How Lasmiditan Succinate interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCns Depressants Moderate
Interaction Summary
Theoretically, Oregon grape might increase the sedative effects of CNS depressants.
Read the full Oregon Grape Root Extract + Lasmiditan Succinate interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Lasmiditan Succinate interactionLedipasvir, SofosbuvirHarvoni
How Ledipasvir, Sofosbuvir interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs that are P-glycoprotein (P-gp) substrates.
Read the full Oregon Grape Root Extract + Ledipasvir, Sofosbuvir interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Ledipasvir, Sofosbuvir interactionLefamulin AcetateXenleta
How Lefamulin Acetate interacts with LC-W — through 2 ingredients. Tap an ingredient for the detail:
Oregon Grape Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
Read the full Oregon Grape Root Extract + Lefamulin Acetate interactionMarshmallow Root ExtractOral Drugs Minor
Interaction Summary
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow Root Extract + Lefamulin Acetate interactionEach ingredient & the kinds of drugs it affects
For each ingredient in LC-W 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.
Marshmallow Root Extract
Lithium
Theoretically, due to potential diuretic effects, marshmallow might reduce excretion and increase levels of lithium.
Marshmallow is thought to have diuretic properties. To avoid lithium toxicity, the dose of lithium might need to be decreased when used with marshmallow.
Anticoagulant/Antiplatelet Drugs
Theoretically, marshmallow flower might have antiplatelet effects.
Animal research suggests that marshmallow flower extract has antiplatelet effects. However, the root and leaf of marshmallow, not the flower, are the plant parts most commonly found in dietary supplements. Theoretically, use of marshmallow flower with anticoagulant/antiplatelet drugs can have additive effects, and might increase the risk for bleeding in some patients.
Oral Drugs
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Marshmallow contains mucilage which can affect oral drug absorption. To avoid changes in absorption, take marshmallow 30-60 minutes after oral medications.
Oregon Grape Root Extract
Anticoagulant/Antiplatelet Drugs
Theoretically, Oregon grape might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
In vitro and in vivo research suggests that berberine, a constituent of Oregon grape, can inhibit platelet aggregation.
Antidiabetes Drugs
Theoretically, Oregon grape might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Clinical research suggests that berberine, a constituent of Oregon grape, can lower blood glucose levels.
Antihypertensive Drugs
Theoretically, Oregon grape might increase the risk of hypotension when taken with antihypertensive drugs.
Animal research suggests that berberine, a constituent of Oregon grape, can have hypotensive effects. Also, an analysis of clinical evidence suggests that taking berberine in combination with amlodipine (Norvasc) can lower systolic and diastolic blood pressure when compared with taking amlodipine alone.
Cns Depressants
Theoretically, Oregon grape might increase the sedative effects of CNS depressants.
Animal research suggests that berberine, a constituent of Oregon grape, can have sedative effects.
Cyclosporine (Neoral, Sandimmune)
Theoretically, Oregon grape might increase the effects and adverse effects of cyclosporine.
Berberine, a constituent of Oregon grape, can reduce metabolism of cyclosporine and increase serum levels. It might inhibit cytochrome P450 3A4 (CYP3A4), which metabolizes cyclosporine.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP2C9.
Preliminary clinical evidence suggests that berberine, a constituent of Oregon grape, can inhibit cytochrome P450 2C9 (CYP2C9).
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP2D6.
In vitro research and preliminary clinical evidence suggest that berberine, a constituent of Oregon grape, can inhibit cytochrome P450 2D6 (CYP2D6).
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, Oregon grape might increase serum levels of drugs metabolized by CYP3A4.
In vitro research and preliminary clinical evidence suggest that berberine, a constituent of Oregon grape, moderately inhibits cytochrome P450 3A4 (CYP3A4).
P-Glycoprotein Substrates
Theoretically, Oregon grape might increase serum levels of drugs that are P-glycoprotein (P-gp) substrates.
In vitro research suggests that Oregon grape extracts inhibit P-gp efflux.
Mullein Leaf Extract
Anticoagulant/Antiplatelet Drugs
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot. This is likely due to at least one of the known constituents of muellein, triterpenoid saponins. However, the effects appear to be mild and results have been inconsistent. Extracts from different plant parts have been show to have varying anticoagulant strengths, with water-based ones being more potent than alcohol-based extracts.
Blue Flag Root Extract
Digoxin (Lanoxin)
Theoretically, overuse or abuse of this product increases the risk of adverse effects from cardiac glycoside drugs.
Diuretic Drugs
Overuse of blue flag might compound diuretic-induced potassium loss. There is some concern that people taking blue flag along with potassium depleting diuretics might have an increased risk for hypokalemia. Initiation of potassium supplementation or an increase in potassium supplement dose may be necessary for some patients. Some diuretics that can deplete potassium include chlorothiazide (Diuril), chlorthalidone (Thalitone), furosemide (Lasix), hydrochlorothiazide (HCTZ, Hydrodiuril, Microzide), and others.
Warfarin (Coumadin)
Blue flag has stimulant laxative effects. In some people blue flag can cause diarrhea. Diarrhea can increase the effects of warfarin, increase international normalized ratio (INR), and increase the risk of bleeding. Advise patients who take warfarin not to take excessive amounts of blue flag.
Brand information
Manufacturer and brand details for LC-W, from the product label.
Pure Herbs
See all Pure Herbs products- Name
- Pure Herbs, Ltd.
- City
- Sterling Heights
- State
- MI
- Phone Number
- (800) 860-4372
- Web Address
- www.pureherbs.com
LC-W by Pure 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 LC-W’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Oregon Grape
Interacts with 1,219 drugsOregon grape is a shrub whose root contains berberine and related compounds. The strongest (though still modest) evidence is for topical creams that may slightly ease psoriasis; evidence for...
Read the full Oregon Grape monograph → Herb & supplement monographMullein
Interacts with 122 drugsMullein is a traditional herbal remedy most often used as a tea or syrup to soothe coughs, sore throats, and respiratory irritation. High-quality human studies are lacking, so its benefits a...
Read the full Mullein monograph → Herb & supplement monographMarshmallow
Interacts with 2,040 drugsMarshmallow root is a traditional herb rich in soothing, gel-like fibers called mucilage, which is why it has long been used for coughs, sore throats, and stomach irritation. Evidence for th...
Read the full Marshmallow monograph → Herb & supplement monographBlue Flag
Interacts with 78 drugsBlue Flag is a flowering plant whose root has been used in traditional and herbal medicine for skin and digestive complaints, but there is very little modern scientific evidence to support t...
Read the full Blue Flag monograph → Herb & supplement monographQueen's Delight
Queen's Delight (Stillingia sylvatica) is a traditional North American herb once used as a 'blood purifier' and for skin and throat problems. There is very little modern scientific evidence...
Read the full Queen's Delight monograph →Sources & How We Checked
LC-W'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 35 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.
Oregon Grape 21 references
- Wiesenauer M, Lydtke R. Mahonia aquifolium in patients with Psoriasis vulgaris; an intraindividual study. Phytomedicine 1996;3:231-5.
- Chan E. Displacement of bilirubin from albumin by berberine. Biol Neonate 1993;63:201-8. PubMed
- Janbaz KH, Gilani AH. Studies on preventive and curative effects of berberine on chemical-induced hepatotoxicity in rodents. Fitoterapia 2000;71:25-33.. PubMed
- Wu X, Li Q, Xin H, Yu A, Zhong M. Effects of berberine on the blood concentration of cyclosporin A in renal transplanted recipients: clinical and pharmacokinetic study. Eur J Clin Pharmacol 2005;61:567-72. PubMed
- Gulliver WP, Donsky HJ. A report on three recent clinical trials using Mahonia aquifolium 10% topical cream and a review of the worldwide clinical experience with Mahonia aquifolium for the treatment of plaque psoriasis. Am J Ther 2005;12:398-406. PubMed
- Zhang Y, Li X, Zou D, et al. Treatment of type 2 diabetes and dyslipidemia with the natural plant alkaloid berberine. J Clin Endocrinol Metab 2008;93:2559-65. PubMed
- Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine 2000;7:273-82. PubMed
- Chatterjee P, Franklin MR. Human cytochrome p450 inhibition and metabolic-intermediate complex formation by goldenseal extract and its methylenedioxyphenyl components. Drug Metab Dispos 2003;31:1391-7. PubMed
- Shanbhag, S. M., Kulkarni, H. J., and Gaitonde, B. B. Pharmacological actions of berberine on the central nervous system. Jpn.J Pharmacol 1970;20(4):482-487. PubMed
- Wu, J. F. and Liu, T. P. [Effects of berberine on platelet aggregation and plasma levels of TXB2 and 6-keto-PGF1 alpha in rats with reversible middle cerebral artery occlusion]. Yao Xue.Xue.Bao. 1995;30(2):98-102.
- Peng, W. H., Hsieh, M. T., and Wu, C. R. Effect of long-term administration of berberine on scopolamine-induced amnesia in rats. Jpn J Pharmacol 1997;74(3):261-266. DOI
- Sabir M and Bhide NK. Study of some pharmacological actions of berberine. Ind J Physiol & Pharmac 1971;15(3):111-132.
- Tripathi YB and Shukla SD. Berberis artistata inhibits PAF induced aggregation of rabbit platelets. Phytotherapy Research 1996;10:628-630.
- Yin, J., Xing, H., and Ye, J. Efficacy of berberine in patients with type 2 diabetes mellitus. Metabolism 2008;57(5):712-717. PubMed
- Zhang, H., Wei, J., Xue, R., Wu, J. D., Zhao, W., Wang, Z. Z., Wang, S. K., Zhou, Z. X., Song, D. Q., Wang, Y. M., Pan, H. N., Kong, W. J., and Jiang, J. D. Berberine lowers blood glucose in type 2 diabetes mellitus patients through increasing insulin re
- Guo, Y., Chen, Y., Tan, Z. R., Klaassen, C. D., and Zhou, H. H. Repeated administration of berberine inhibits cytochromes P450 in humans. Eur J Clin Pharmacol 2012;68(2):213-217. PubMed
- Wei, W., Zhao, H., Wang, A., Sui, M., Liang, K., Deng, H., Ma, Y., Zhang, Y., Zhang, H., and Guan, Y. A clinical study on the short-term effect of berberine in comparison to metformin on the metabolic characteristics of women with polycystic ovary syndro
- Hermann, R. and von, Richter O. Clinical evidence of herbal drugs as perpetrators of pharmacokinetic drug interactions. Planta Med 2012;78(13):1458-1477. PubMed
- Chun YT, Yip TT, Lau KL, and et al. A biochemical study on the hypotensive effect of berberine in rats. Gen Pharmac 1979;10:177-182. PubMed
- Lan J, Zhao Y, Dong F, et al. Meta-analysis of the effect and safety of berberine in the treatment of type 2 diabetes mellitus, hyperlipemia and hypertension. J Ethnopharmacol. 2015;161:69-81. PubMed
- Fan Y, Zhou Z, Zhang L. Effect of Oregon grape root extracts on P-glycoprotein mediated transport in in vitro cell lines. J Pharm Pharm Sci 2024;26:11927. PubMed
Mullein 2 references
- Castro AI, Carmona JB, Gonzales FG, Nestar OB. Occupational airborne dermatitis from gordolobo (Verbascum densiflorum). Contact Dermatitis 2006;55(5):301.
- Flores Echaiz C, Al Ali A, Cao AQ, Sasseville D. Simultaneous contact dermatitis caused by Asteraceae and Verbascum thapsus. Contact Dermatitis 2017;76(5):316-8.
Marshmallow 5 references
- Monographs on the medicinal uses of plant drugs. Exeter, UK: European Scientific Co-op Phytother, 1997.
- Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Hage-Sleiman R, Mroueh M, Daher CF. Pharmacological evaluation of aqueous extract of Althaea officinalis flower grown in Lebanon. Pharm Biol 2011;49(3):327-33.
Blue Flag 3 references
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
Queen's Delight 4 references
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC