Liv-Cleanse Formula Ingredients & Drug Interactions
by Yerba Prima
What is this page for?
First and foremost: checking Liv-Cleanse Formula 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
Liv-Cleanse Formula is a dietary supplement by Yerba Prima with 3 active ingredients. Its ingredients are commonly taken for water retention (diuretic), digestive upset, liver and gallbladder support.Based on those ingredients, 1,128 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Milk Thistle seed extract, Dandelion root & leaf extract, Yellow Dock root extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Liv-Cleanse Formula by Yerba Prima
Ask about any prescription or over-the-counter medication and we check it for interactions with Liv-Cleanse Formula by Yerba Prima — 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 Liv-Cleanse Formula by Yerba Prima
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
Liv-Cleanse Formula has three active ingredients. Dandelion root & leaf extract and milk thistle seed extract are both traditionally used to support liver function.
Yellow dock root extract is included for digestive support, though it acts as a mild laxative. We also hold no data on the Liver Support Herb Blend component—its individual parts aren't listed in the product facts we have.
The formula includes rice flour as an inactive ingredient.
Does it work?
Insufficient evidence
Evidence for these ingredients is limited. Milk thistle is possibly effective for type 2 diabetes, based on research showing it can lower blood glucose levels.
For dandelion, the evidence is insufficient for the conditions studied—joint pain, tonsillitis, and postoperative pain and swelling. Yellow dock has no effectiveness data on file.
Overall, the science supporting this formula's liver-cleanse claims isn't established in the data we hold.
How safe is it?
Well-documented data
Dandelion is generally well tolerated as a food but may cause diarrhea, heartburn, or stomach discomfort at supplement-strength doses; it can also trigger allergic reactions, including anaphylaxis, in sensitive individuals. Milk thistle is generally well tolerated, though mild stomach upset—bloating, nausea, diarrhea, flatulence—can occur.
Yellow dock acts as a laxative and contains oxalates, so it should be used short-term and with care. Raw yellow dock leaves or rhizomes are unsafe and can cause vomiting and kidney stones.
We don't have enough data to recommend dandelion during breastfeeding, and milk thistle and yellow dock should both be avoided during breastfeeding due to laxative compounds potentially passing into milk. During pregnancy, milk thistle should be avoided, and yellow dock should also be avoided; dandelion has insufficient pregnancy safety data.
Meds to double-check
Major interaction found
Before taking Liv-Cleanse Formula, check with your pharmacist if you take water pills (diuretics)—yellow dock can dangerously lower potassium. Also ask about digoxin (a heart medication) or blood thinners like warfarin, as both carry Major interactions with yellow dock.
Check your list if you take diabetes drugs, blood thinners, liver-metabolized medications, lithium, fluoroquinolone antibiotics, morphine, or hepatitis C antivirals, as dandelion and/or milk thistle may affect them at Moderate severity.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with insufficient evidence for its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
This formula is not suitable if you take water pills (diuretics), heart medications like digoxin, blood thinners, diabetes medications, or lithium. If you take any prescription medications, check them against this product before starting—the interaction count is substantial.
Talk with your pharmacist about whether this formula fits your health plan.
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 Dec 26, 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 Liv-Cleanse Formula, straight from the product label.
| Brand | Yerba Prima |
|---|---|
| Barcode (UPC) | 046352004112 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Dec 26, 2020 |
| DSLD ID | 241563 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Children 4 or More Years of Age, Adult (18 - 50 Years), Gluten Free |
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 Liv-Cleanse Formula by Yerba Prima, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Dandelion root & leaf extract | 0 NP | -- |
| Milk Thistle seed extract | 0 NP | -- |
| Yellow Dock root extract | 0 NP | -- |
| Liver Support Herb Blend | 215 mg | -- |
Other ingredients: Rice Flour
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
Suggested Use: Adults and children over 12: Normal use: 1 capsule 2-3 times a day as long as desired. Intensive use: 2 capsules 3 times a day for 2-8 weeks. Best taken between meals, with liquid. May be used with a Yerba Prima fiber formula.
Storage
Store at room temperature. Keep lid tightly closed to protect from humidity.
Formulation
Made in U.S.A.
Support for normal, healthy liver function
Supports liver health
Gluten Free Lab Tested Non GMO
Yerba Prima Liv-Cleanse ingredients provide proven support for normal, healthy liver function.
Brand IP Statement(s)
Yerba Prima 2020
Seals/Symbols
Made in U.S.A.
Formula
Milk thistle extract plus
Yerba Prima Liv-Cleanse contains 100 mg per capsule of milk thistle seed extract standardized to 80% silymarin. A healthy liver is essential for good digestion and for purifying the blood. The liver is stressed by exposure to alcohol, chemicals, cosmetics, tobacco, air pollution and water pollution.
FDA Statement of Identity
Premium Dietary Supplement
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
Safety Sealed: Do not use this product if printed band around cap or seal under cap is broken or missing. Caution: Do not take capsules if you have difficulty in swallowing.
If you are pregnant, nursing, taking medication or are under a doctor's care, consult a health professional before use.
California residents only: Proposition 65 Warning: This product contains a chemical known to the State of California to cause birth defects or other reproductive harm. For more information about Prop 65, see www.yerbaprima.com.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Liv-Cleanse Formula by Yerba Prima 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 Liv-Cleanse Formula by Yerba Prima
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule 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.
Liver Support Herb Blend
Other (inactive) ingredients: Rice Flour. These complete the product’s ingredient list but are not active constituents.
Liv-Cleanse Formula by Yerba Prima Drug Interactions
HelloPharmacist Interaction Report
Liv-Cleanse Formula by Yerba Prima contains three active ingredients—dandelion root & leaf extract, milk thistle seed extract, and yellow dock root extract—and together they interact with a significant number of medications.
Yellow dock carries the most serious concerns: it can trigger dandelion toxicity (digoxin toxicity) and increase bleeding risk with blood thinners (warfarin), both Major severity interactions. Yellow dock may also cause dangerous potassium loss when combined with water pills (diuretics).
Read the full breakdown — every affected drug type, severity by severity
Dandelion root & leaf extract interacts with several drug types at Moderate severity: it may raise levels of certain medications metabolized by the liver (CYP1A2 substrates), increase bleeding risk with blood thinners (anticoagulant/antiplatelet drugs), heighten low blood sugar risk (hypoglycemia) with diabetes medications, affect blood thinner levels (glucuronidated drugs), raise lithium levels, and lower fluoroquinolone antibiotic effectiveness.
Milk thistle seed extract carries Moderate interactions with liver-metabolized drugs (CYP2B6 substrates), hepatitis C antivirals (ledipasvir and sofosbuvir), diabetes medications (hypoglycemia risk), glucuronidated drugs, pain relievers (morphine), blood thinners (warfarin), and transplant medications (sirolimus).
Although we could not check the Liver Support Herb Blend component for interactions in our data, you should review your exact medications with the search tool on this page before starting. Altogether, these interactions span 1,114 individual medications.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Liv-Cleanse Formula?
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 Liv-Cleanse Formula interact with 1,128 drugs. Click any drug to see the details.
3 of the 3 ingredients in Liv-Cleanse Formula interact with drugs. Each result below shows which ingredient is responsible. Milk Thistle seed extract Dandelion root & leaf extract Yellow Dock root extract
Acetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Liv-Cleanse Formula — through 3 ingredients. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Acetaminophen, Caffeine, Pyrilamine interactionDandelion Root & Leaf ExtractGlucuronidated Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, dandelion might increase the clearance of drugs that are UDP-glucuronosyltransferase substrates.
Read the full Dandelion Root & Leaf Extract + Acetaminophen, Caffeine, Pyrilamine interactionMilk Thistle Seed ExtractGlucuronidated Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, milk thistle might affect the clearance of drugs that undergo glucuronidation.
Read the full Milk Thistle Seed Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Liv-Cleanse Formula — through 3 ingredients. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Acetaminophen, Pamabrom, Pyrilamine interactionDandelion Root & Leaf ExtractGlucuronidated Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, dandelion might increase the clearance of drugs that are UDP-glucuronosyltransferase substrates.
Read the full Dandelion Root & Leaf Extract + Acetaminophen, Pamabrom, Pyrilamine interactionMilk Thistle Seed ExtractGlucuronidated Drugs Moderate
Interaction Summary
Theoretically, milk thistle might affect the clearance of drugs that undergo glucuronidation.
Read the full Milk Thistle Seed Extract + Acetaminophen, Pamabrom, Pyrilamine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Acetazolamide interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Liv-Cleanse Formula — through 2 ingredients. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Amiloride, Hydrochlorothiazide interactionDandelion Root & Leaf ExtractPotassium-sparing Diuretics Moderate
Interaction Summary
Theoretically, dandelion might increase the risk of hyperkalemia when taken with potassium-sparing diuretics.
Read the full Dandelion Root & Leaf Extract + Amiloride, Hydrochlorothiazide interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Ammonium Chloride interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Atenolol, Chlorthalidone interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Liv-Cleanse Formula — through 2 ingredients. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Azilsartan, Chlorthalidone interactionMilk Thistle Seed ExtractCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
It is unclear if milk thistle inhibits CYP2C9; research is conflicting.
Read the full Milk Thistle Seed Extract + Azilsartan, Chlorthalidone interactionBenazepril, HydrochlorothiazideLotensin HCT
How Benazepril, Hydrochlorothiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Benazepril, Hydrochlorothiazide interactionBendroflumethiazideAprinox, Naturetin, Neo-NaClex
How Bendroflumethiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Bendroflumethiazide interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Bendroflumethiazide, Nadolol interactionBendroflumethiazide, PotassiumCentyl K, Neo-NaClex-K
How Bendroflumethiazide, Potassium interacts with Liv-Cleanse Formula — through 2 ingredients. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Bendroflumethiazide, Potassium interactionDandelion Root & Leaf ExtractPotassium-sparing Diuretics Moderate
Interaction Summary
Theoretically, dandelion might increase the risk of hyperkalemia when taken with potassium-sparing diuretics.
Read the full Dandelion Root & Leaf Extract + Bendroflumethiazide, Potassium interactionBendroflumethiazide, Rauwolfia SerpentinaRauzide
How Bendroflumethiazide, Rauwolfia Serpentina interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Bendroflumethiazide, Rauwolfia Serpentina interactionBenzthiazideExna
How Benzthiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Benzthiazide interactionBisoprolol, HydrochlorothiazideZiac
How Bisoprolol, Hydrochlorothiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Bisoprolol, Hydrochlorothiazide interactionBumetanideBurinex
How Bumetanide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Bumetanide interactionBumetanide, PotassiumBurinex K
How Bumetanide, Potassium interacts with Liv-Cleanse Formula — through 2 ingredients. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Bumetanide, Potassium interactionDandelion Root & Leaf ExtractPotassium-sparing Diuretics Moderate
Interaction Summary
Theoretically, dandelion might increase the risk of hyperkalemia when taken with potassium-sparing diuretics.
Read the full Dandelion Root & Leaf Extract + Bumetanide, Potassium interactionCaffeine, Potassium Salicylate, SalicylamideTrim-Elim
How Caffeine, Potassium Salicylate, Salicylamide interacts with Liv-Cleanse Formula — through 3 ingredients. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Caffeine, Potassium Salicylate, Salicylamide interactionDandelion Root & Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, dandelion might increase levels of drugs metabolized by CYP1A2.
Read the full Dandelion Root & Leaf Extract + Caffeine, Potassium Salicylate, Salicylamide interactionMilk Thistle Seed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
It is unclear if milk thistle inhibits CYP3A4; research is conflicting.
Read the full Milk Thistle Seed Extract + Caffeine, Potassium Salicylate, Salicylamide interactionCandesartan Cilexetil, HydrochlorothiazideAtacand HCT
How Candesartan Cilexetil, Hydrochlorothiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Candesartan Cilexetil, Hydrochlorothiazide interactionCaptopril, HydrochlorothiazideAcezide, Capozide
How Captopril, Hydrochlorothiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Captopril, Hydrochlorothiazide interactionChlorothiazideDiuril
How Chlorothiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Chlorothiazide interactionChlorothiazide, MethyldopaAldochlor, Aldoclor 150, Aldoclor 250
How Chlorothiazide, Methyldopa interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Chlorothiazide, Methyldopa interactionChlorothiazide, ReserpineDiupres
How Chlorothiazide, Reserpine interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Chlorothiazide, Reserpine interactionChlorthalidoneHygroton, Thalitone
How Chlorthalidone interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Chlorthalidone interactionChlorthalidone, ClonidineClorpres, Combipres
How Chlorthalidone, Clonidine interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Chlorthalidone, Clonidine interactionCryptenamine, MethyclothiazideDiutensen
How Cryptenamine, Methyclothiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Cryptenamine, Methyclothiazide interactionCyclothiazideAnhydron, Fluidil
How Cyclothiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Cyclothiazide interactionDeserpidine, HydrochlorothiazideOreticyl, Oreticyl Forte
How Deserpidine, Hydrochlorothiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Deserpidine, Hydrochlorothiazide interactionDeserpidine, MethyclothiazideEnduronyl, Enduronyl Forte
How Deserpidine, Methyclothiazide interacts with Liv-Cleanse Formula — through 1 ingredient. Tap an ingredient for the detail:
Yellow Dock Root ExtractDiuretic Drugs Major
Interaction Summary
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
Read the full Yellow Dock Root Extract + Deserpidine, Methyclothiazide interactionDigoxinDigitek, Lanoxicaps, Lanoxin
How Digoxin interacts with Liv-Cleanse Formula — through 3 ingredients. Tap an ingredient for the detail:
Yellow Dock Root ExtractDigoxin (lanoxin) Major
Interaction Summary
Theoretically, yellow dock might increase the risk of digoxin toxicity when used long-term or in large amount.
Read the full Yellow Dock Root Extract + Digoxin interactionDandelion Root & Leaf ExtractGlucuronidated Drugs Moderate
Interaction Summary
Theoretically, dandelion might increase the clearance of drugs that are UDP-glucuronosyltransferase substrates.
Read the full Dandelion Root & Leaf Extract + Digoxin interactionMilk Thistle Seed ExtractGlucuronidated Drugs, P-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, milk thistle might affect the clearance of drugs that undergo glucuronidation.
Read the full Milk Thistle Seed Extract + Digoxin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Liv-Cleanse Formula 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.
Milk Thistle seed extract
Antidiabetes Drugs
Taking milk thistle with antidiabetes drugs may increase the risk of hypoglycemia.
Clinical research shows that milk thistle extract, alone or along with tree turmeric extract, can lower blood glucose levels and glycated hemoglobin (HbA1c) in patients with type 2 diabetes, including those already taking antidiabetes drugs. Additionally, animal research shows that milk thistle extract increases the metformin maximum plasma concentration and area under the curve and decreases the renal clearance of metformin, due to inhibition of the multi-drug and toxin extrusion protein 1 (MATE1) renal tubular transport protein.
Cytochrome P450 2B6 (Cyp2B6) Substrates
Theoretically, milk thistle might inhibit CYP2B6.
An in vitro study shows that silybin, a constituent of milk thistle, binds to and noncompetitively inhibits CYP2B6. Additionally, silybin might downregulate the expression of CYP2B6 by decreasing mRNA and protein levels.
Glucuronidated Drugs
Theoretically, milk thistle might affect the clearance of drugs that undergo glucuronidation.
Laboratory research shows that milk thistle constituents inhibit uridine diphosphoglucuronosyl transferase (UGT), the major phase 2 enzyme that is responsible for glucuronidation. Theoretically, this could decrease the clearance and increase levels of glucuronidated drugs. Other laboratory research suggests that a milk thistle extract of silymarin might inhibit beta-glucuronidase, although the significance of this effect is unclear.
Ledipasvir
Theoretically, milk thistle might increase the levels and clinical effects of ledipasvir.
Animal research in rats shows that milk thistle increases the area under the curve (AUC) for ledipasvir and slows its elimination.
Morphine
Theoretically, concomitant use of milk thistle with morphine might affect serum levels of morphine and either increase or decrease its effects.
Animal research shows that milk thistle reduces serum levels of morphine by up to 66%. In contrast, laboratory research shows that milk thistle constituents inhibit uridine diphosphoglucuronosyl transferase (UGT), the major phase 2 enzyme that is responsible for glucuronidation. Theoretically, this could decrease the clearance and increase morphine levels. The effect of taking milk thistle on morphine metabolism in humans is not known.
Raloxifene (Evista)
Theoretically, milk thistle might decrease the clearance and increase levels of raloxifene.
Laboratory research suggests that the milk thistle constituents silibinin and silymarin inhibit the glucuronidation of raloxifene in the intestines.
Sirolimus (Rapamune)
Milk thistle might decrease the clearance of sirolimus.
Pharmacokinetic research shows that a milk thistle extract of silymarin decreases the apparent clearance of sirolimus in hepatically impaired renal transplant patients. It is unclear if this interaction occurs in patients without hepatic impairment.
Sofosbuvir (Solvaldi)
Theoretically, milk thistle might decrease the levels and clinical effects of sofosbuvir.
Animal research in rats shows that milk thistle reduces the metabolism of sofosbuvir, as well as the hepatic uptake of its active metabolite.
Tamoxifen (Nolvadex)
Theoretically, the milk thistle constituent silibinin might increase tamoxifen levels and interfere with its conversion to an active metabolite.
Animal research suggests that the milk thistle constituent silibinin might increase plasma levels of tamoxifen and alter its conversion to an active metabolite. The mechanism appears to involve inhibition of pre-systemic metabolism of tamoxifen by cytochrome P450 (CYP) 2C9 and CYP3A4, and inhibition of P-glycoprotein-mediated efflux of tamoxifen into the intestine for excretion. Whether this interaction occurs in humans is not known.
Warfarin (Coumadin)
Theoretically, milk thistle might increase the effects of warfarin.
In one case report, a man stabilized on warfarin experienced an increase in INR from 2.64 to 4.12 after taking a combination product containing milk thistle 200 mg daily, as well as dandelion, wild yam, niacinamide, and vitamin B12. Levels returned to normal after stopping the supplement. Although a direct correlation between milk thistle and the change in INR cannot be confirmed, some in vitro research suggests that milk thistle might inhibit cytochrome P450 2C9 (CYP2C9), an enzyme involved in the metabolism of various drugs, including warfarin.
Cytochrome P450 2C9 (Cyp2C9) Substrates
It is unclear if milk thistle inhibits CYP2C9; research is conflicting.
In vitro research suggests that milk thistle might inhibit CYP2C9. Additionally, 3 case reports from the World Health Organization (WHO) adverse drug reaction database describe increased toxicity in patients taking milk thistle and cancer medications that are CYP2C9 substrates, including imatinib and capecitabine. However, contradictory clinical research shows that milk thistle extract does not inhibit CYP2C9 or significantly affect levels of the CYP2C9 substrate tolbutamide. Differences in results could be due to differences in dosages or formulations utilized.
Cytochrome P450 3A4 (Cyp3A4) Substrates
It is unclear if milk thistle inhibits CYP3A4; research is conflicting.
While laboratory research shows conflicting results, pharmacokinetic research shows that taking milk thistle extract 420-1350 mg daily does not significantly affect the metabolism of the CYP3A4 substrates irinotecan, midazolam, or indinavir. However, 8 case reports from the World Health Organization (WHO) adverse drug reaction database describe increased toxicity in patients taking milk thistle and cancer medications that are CYP3A4 substrates, including gefitinib, sorafenib, doxorubicin, and vincristine.
Estrogens
Theoretically, milk thistle might interfere with estrogen therapy through competition for estrogen receptors.
Animal research suggests that a milk thistle extract of silymarin binds to estrogen receptor beta.
Hmg-Coa Reductase Inhibitors ("Statins")
Theoretically, milk thistle might interfere with statin therapy by decreasing the activity of organic anion transporting polypeptide 1B1 (OATB1B1) and inhibiting breast cancer resistance protein (BCRP).
Preliminary evidence suggests that a milk thistle extract of silymarin can decrease the activity of the OATP1B1, which transports HMG-CoA reductase inhibitors into the liver to their site of action, and animal research shows this increases the maximum plasma concentration of pitavastatin and pravastatin. The silibinin component also inhibits BCRP, which transports statins from the liver into the bile for excretion. However, in a preliminary study in healthy males, silymarin 140 mg three times daily had no effect on the pharmacokinetics of a single 10 mg dose of rosuvastatin.
Indinavir (Crixivan)
Theoretically, milk thistle may induce cytochrome P450 3A4 (CYP3A4) enzymes and increase the metabolism of indinavir; however, results are conflicting.
One pharmacokinetic study shows that taking milk thistle (Standardized Milk Thistle, General Nutrition Corp.) 175 mg three times daily in combination with multiple doses of indinavir 800 mg every 8 hours decreases the mean trough levels of indinavir by 25%. However, results from the same pharmacokinetic study show that milk thistle does not affect the overall exposure to indinavir. Furthermore, two other pharmacokinetic studies show that taking specific milk thistle extract (Legalon, Rottapharm Madaus; Thisilyn, Nature's Way) 160-450 mg every 8 hours in combination with multiple doses of indinavir 800 mg every 8 hours does not reduce levels of indinavir.
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Milk thistle may inhibit one form of OATP, OATP-B1, which could reduce the bioavailability and clinical effects of OATP-B1 substrates.
In vitro research shows that milk thistle inhibits OATP-B1. Two case reports from the World Health Organization (WHO) adverse drug reaction database describe increased toxicity in patients taking milk thistle and cancer medications that are OATP substrates, including sorafenib and methotrexate. OATPs are expressed in the small intestine and liver and are responsible for the uptake of drugs and other compounds into the body. Inhibition of OATP may reduce the bioavailability of oral drugs that are substrates of OATP.
P-Glycoprotein Substrates
Theoretically, milk thistle might increase the absorption of P-glycoprotein substrates. However, this effect does not seem to be clinically significant.
In vitro research shows that milk thistle can inhibit P-glycoprotein activity and 1 case report from the World Health Organization (WHO) adverse drug reaction database describes increased abdominal pain in a patient taking milk thistle and the cancer medication vincristine, a P-glycoprotein substrate, though this patient was also taking methotrexate. However, a small pharmacokinetic study in healthy volunteers shows that taking milk thistle (Enzymatic Therapy Inc.) 900 mg, standardized to 80% silymarin, in 3 divided doses daily for 14 days does not affect absorption of digoxin, a P-glycoprotein substrate.
Dandelion root & leaf extract
Anticoagulant/Antiplatelet Drugs
Theoretically, taking dandelion root along with anticoagulant or antiplatelet drugs might increase the risk of bruising and bleeding.
In vitro research suggests that dandelion root inhibits platelet aggregation.
Antidiabetes Drugs
Theoretically, dandelion might increase the risk for hypoglycemia when used with antidiabetes drugs.
Laboratory research suggests that dandelion extract may have moderate alpha-glucosidase inhibitor activity and might also increase insulin secretion. Also, in a case report, a 58-year-old woman with type 2 diabetes who was being treated with insulin developed hypoglycemia 2 weeks after beginning to eat salads containing dandelion.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, dandelion might increase levels of drugs metabolized by CYP1A2.
Laboratory research suggests that dandelion might inhibit CYP1A2. So far, this interaction has not been reported in humans. However, until more is known, watch for an increase in the levels of drugs metabolized by CYP1A2 in patients taking dandelion.
Glucuronidated Drugs
Theoretically, dandelion might increase the clearance of drugs that are UDP-glucuronosyltransferase substrates.
There is some preliminary evidence that dandelion might induce UDP-glucuronosyltransferase, a phase II enzyme.
Lithium
Theoretically, through diuretic effects, dandelion might reduce excretion and increase levels of lithium.
Animal research suggests that dandelion has diuretic properties. As diuretics can increase serum lithium levels, the dose of lithium might need to be decreased when taken with dandelion.
Potassium-Sparing Diuretics
Theoretically, dandelion might increase the risk of hyperkalemia when taken with potassium-sparing diuretics.
Dandelion contains significant amounts of potassium.
Quinolone Antibiotics
Theoretically, dandelion might lower fluoroquinolone levels.
Animal research shows that dandelion reduces absorption of ciprofloxacin and can lower levels by 73%. However, this effect has not been reported in humans.
Yellow Dock root extract
Digoxin (Lanoxin)
Theoretically, yellow dock might increase the risk of digoxin toxicity when used long-term or in large amount.
When yellow dock is used chronically or in large amounts, hypokalemia may occur. This might increase the toxic effects of digoxin.
Diuretic Drugs
Theoretically, yellow dock might increase the risk of hypokalemia when taken with diuretics.
When yellow dock is used chronically or in large amounts, hypokalemia may occur, and overuse of yellow dock might compound diuretic-induced potassium loss.
Warfarin (Coumadin)
Theoretically, the laxative effects of yellow dock might increase the effects of warfarin, including the risk of bleeding.
The anthraquinones in yellow dock have a mild stimulant laxative effect. Consuming excessive amounts can cause diarrhea. Diarrhea can increase the effects of warfarin, increase international normalized ratio (INR), and increase the risk of bleeding.
Brand information
Manufacturer and brand details for Liv-Cleanse Formula, from the product label.
Yerba Prima
See all Yerba Prima products- Name
- Yerba Prima, Inc.
- Street Address
- 740 Jefferson Ave.
- City
- Ashland
- State
- OR
- ZipCode
- 97520
- Web Address
- www.yerbaprima.com
Liv-Cleanse Formula by Yerba Prima: 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 Liv-Cleanse Formula’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Dandelion
Interacts with 457 drugsDandelion is a common plant used in food and traditional medicine, often promoted as a natural 'water pill' and digestive aid. Human evidence for these uses is very limited, so its benefits...
Read the full Dandelion monograph → Herb & supplement monographMilk Thistle
Interacts with 954 drugsMilk thistle is a popular herbal supplement most often used for liver health, and its main active component is a group of compounds called silymarin. While it is generally well tolerated, th...
Read the full Milk Thistle monograph → Herb & supplement monographYellow Dock
Interacts with 78 drugsYellow dock is a traditional herb used mostly as a mild laxative and a digestive and skin tonic. Good-quality human studies are lacking, so its benefits are largely unproven, and its natural...
Read the full Yellow Dock monograph →Sources & How We Checked
Liv-Cleanse Formula'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 104 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.
Dandelion 27 references
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Milk Thistle 69 references
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- Anon. Milk thistle: Effects on liver disease and cirrhosis and clinical adverse effects. Summary, Evidence Report/Technology Assessment: Number 21, September 2000. Agency for Healthcare Research and Quality, Rockville, MD. Available at: http://www.ahrq.g
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- Jiao Z, Shi XJ, Li ZD, et al. Population pharmacokinetics of sirolimus in de novo Chinese adult renal transplant patients. Br.J.Clin.Pharmacol. 2009;68(1):47-60.
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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.
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