MenoComplete Ingredients & Drug Interactions
What is this page for?
First and foremost: checking MenoComplete 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
MenoComplete is a dietary supplement by Terry Naturally with 3 active ingredients. Its ingredients are commonly taken for sleep problems and insomnia, anxiety and restlessness, menopausal symptoms.Based on those ingredients, 1,267 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Pomegranate (Punica granatum) fruit extract, patented Hops (Humulus lupulus L.) cone extract, Black Cohosh (Cimicifuga racemosa) root and rhizome extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against MenoComplete by Terry Naturally
Ask about any prescription or over-the-counter medication and we check it for interactions with MenoComplete by Terry Naturally — 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 MenoComplete by Terry Naturally
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
MenoComplete has 3 active ingredients. The patented hops cone extract is a standardized preparation meant to address menopausal symptoms.
Pomegranate fruit extract and black cohosh root and rhizome extract round out the formula. The product also contains inactive ingredients—cellulose powder, vegetable cellulose capsules (the capsule shell itself), silicon dioxide, and vegetable source magnesium stearate—that serve as filler, flow agents, and binder.
Does it work?
Moderate evidence
For black cohosh, there is possibly effective evidence for menopausal symptoms—the main reason this ingredient is used in menopause support formulas. Pomegranate is possibly effective for high blood pressure, though it's marked as possibly ineffective for cholesterol and blood sugar problems.
The hops extract's effectiveness for menopausal symptoms, anxiety, sleep, attention, digestive upset, or sexual function has insufficient reliable evidence in our data—meaning the evidence base is too limited to establish a clear benefit.
How safe is it?
Well-documented data
Black cohosh and hops are generally well tolerated short-term, but long-term safety isn't well studied for either. Black cohosh carries a rare but documented concern for liver damage, so medical guidance before use is wise.
Pomegranate fruit and juice are generally safe in normal food amounts, but the concentrated extract in this supplement means you should use caution. The most common side effects with pomegranate extract are diarrhea and gas; hops may cause drowsiness.
Black cohosh may cause headache, dizziness, tiredness, breast tenderness, or rash. During pregnancy, black cohosh is considered possibly unsafe due to insufficient safety data and possible effects on the uterus; hops also has not enough safety information and should be avoided.
For breastfeeding, safety data is not established for black cohosh and hops, so both should be avoided. Pomegranate is rated possibly safe in pregnancy and lactation.
Meds to double-check
Moderate interaction found
Before taking MenoComplete, check with your doctor or pharmacist if you take serotonergic antidepressants or anti-anxiety drugs (black cohosh raises the risk of serotonin syndrome), CNS depressants like sedatives (hops may add sedation), blood pressure medications or ACE inhibitors (pomegranate may lower blood pressure further), blood thinners like warfarin (pomegranate may increase bleeding risk), CYP2D6-metabolized drugs such as some antidepressants and pain relievers (both pomegranate and black cohosh), statins like atorvastatin and rosuvastatin (black cohosh and pomegranate respectively carry documented concerns), or hormone therapies including estrogen replacement (hops and black cohosh may interfere). No interactions are documented for the inactive ingredients we could check.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
MenoComplete may help with menopausal symptoms through its black cohosh content, which has some evidence of benefit. However, because all three ingredients interact with a wide range of medications—especially blood pressure drugs, antidepressants, blood thinners, and statins—this is not a product to start without checking your full medication list first.
If you're pregnant, breastfeeding, or take any prescription drugs, talk with your doctor or pharmacist before using it.
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 Oct 22, 2015.
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 MenoComplete, straight from the product label.
| Brand | Terry Naturally |
|---|---|
| Barcode (UPC) | 367703305062 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Oct 22, 2015 |
| DSLD ID | 51804 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Menopause, Seniors/Mature (>50 Years) - Women ONLY, Gluten Free, Dairy 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 MenoComplete by Terry Naturally, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Complex | 560 mg | -- |
| patented Hops (Humulus lupulus L.) cone extract | 0 NP | -- |
| Pomegranate (Punica granatum) fruit extract | 0 NP | -- |
| Black Cohosh (Cimicifuga racemosa) root and rhizome extract | 0 NP | -- |
Other ingredients: Cellulose powder, Vegetable Cellulose Capsules, Silicon Dioxide, Vegetable Source Magnesium Stearate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
General Statements
UNCONDITIONALLY GUARANTEED COMPLETE MENOPAUSE SUPPORT: - Supports breast health - Reduces hot flashes - Promotes natural, restful sleep - Supports heart health - Improves mood and decreases irritability - Supports healthy bone re-mineralization - Supports healthy weight management*
In conjunction with a healthy diet and exercise plan
For Your Good Health Terry
Suggested/Recommended/Usage/Directions
Recommendations: 2 capsules daily.
For optimal menopause relief we also recommend Terry Naturally Tri-Iodine
FDA Disclaimer Statement
THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION. THIS PRODUCT IS NOT INTENDED TO DIAGNOSE, TREAT, CURE OR PREVENT ANY DISEASE.
General
JC 34 91 + 3(5,6)EP L30506.07
Formula
Multi-Symptom Menopause Relief*
FDA Statement of Identity
Dietary Supplement
Seals/Symbols
V VEGAN
Terry Naturally EuroPharma
Formulation
No sugar, soy, yeast, wheat, gluten, corn, dairy products, artificial flavoring, artificial coloring, or artificial preservatives.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
MenoComplete by Terry Naturally 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 MenoComplete by Terry Naturally
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Other (inactive) ingredients: Cellulose powder, Vegetable Cellulose Capsules, Silicon Dioxide, Vegetable Source Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
MenoComplete by Terry Naturally Drug Interactions
HelloPharmacist Interaction Report
MenoComplete by Terry Naturally contains three active ingredients—hops, pomegranate fruit extract, and black cohosh—that together have documented interactions with medications.
The most serious concern is black cohosh's potential to cause serotonin syndrome (high blood pressure, confusion, rapid heartbeat) when combined with serotonergic drugs like SSRIs and SNRIs; this is a Moderate-severity interaction. Altogether, these interactions span 1,268 individual medications.
Read the full breakdown — every affected drug type, severity by severity
Hops may add to the sedating effects of CNS depressants (Moderate), might interfere with hormone replacement therapy by competing for estrogen receptors (Moderate), and theoretically could alter metabolism of certain drug types, though those effects may not be clinically significant (Minor). Pomegranate brings Moderate concerns with blood pressure–lowering drugs, CYP2D6-metabolized medications, ACE inhibitors, warfarin, and the statin rosuvastatin; it also has Minor interactions with other drug metabolism pathways.
Black cohosh carries additional Moderate risks with CYP2D6 substrates, liver-toxic drugs, atorvastatin, cancer medications like cisplatin, estrogen therapy, and OATP transporters (Minor).
Because this product affects so many drug classes and pathways, check your exact medications with the tool on this page before starting. If you take any of the drug types mentioned—blood pressure medications, antidepressants, blood thinners, statins, or hormone therapies—talk with your doctor or pharmacist before adding MenoComplete.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against MenoComplete?
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 MenoComplete interact with 1,267 drugs. Click any drug to see the details.
3 of the 3 ingredients in MenoComplete interact with drugs. Each result below shows which ingredient is responsible. Pomegranate (Punica granatum) fruit extract patented Hops (Humulus lupulus L.) cone extract Black Cohosh (Cimicifuga racemosa) root and rhizome extract
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with MenoComplete — through 1 ingredient. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with MenoComplete — through 1 ingredient. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with MenoComplete — through 1 ingredient. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Abacavir, Lamivudine interactionAbiraterone
How Abiraterone interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Abiraterone interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Abiraterone interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Abiraterone Acetate interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Abiraterone Acetate interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Abiraterone Acetate interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with MenoComplete — through 1 ingredient. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with MenoComplete — through 2 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acebutolol interactionPomegranate (punica Granatum) Fruit ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acebutolol interactionAcepromazineAtravet
How Acepromazine interacts with MenoComplete — through 1 ingredient. Tap an ingredient for the detail:
Patented Hops (humulus Lupulus L.) Cone ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of hops with sedative drugs might cause additive sedation.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acepromazine interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with MenoComplete — through 2 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with MenoComplete — through 2 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Aspirin interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Aspirin, Caffeine interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Aspirin, Caffeine interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with MenoComplete — through 2 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with MenoComplete — through 2 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Butalbital interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Butalbital, Caffeine interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Butalbital, Caffeine interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Pomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionBlack Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Patented Hops (humulus Lupulus L.) Cone ExtractCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, concomitant use of hops with sedative drugs might cause additive sedation.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Butalbital, Codeine interactionBlack Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Butalbital, Codeine interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Patented Hops (humulus Lupulus L.) Cone ExtractCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, concomitant use of hops with sedative drugs might cause additive sedation.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionBlack Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Some research suggests that black cohosh might inhibit CYP2D6, but there is conflicting evidence.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionPatented Hops (humulus Lupulus L.) Cone ExtractCns Depressants, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, concomitant use of hops with sedative drugs might cause additive sedation.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Patented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Caffeine, Codeine interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Caffeine, Codeine interactionBlack Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Some research suggests that black cohosh might inhibit CYP2D6, but there is conflicting evidence.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionPatented Hops (humulus Lupulus L.) Cone ExtractCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, concomitant use of hops with sedative drugs might cause additive sedation.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Patented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionBlack Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Caffeine, Isometheptene interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Caffeine, Isometheptene interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Caffeine, Pyrilamine interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Caffeine, Pyrilamine interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Pomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionBlack Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Hepatotoxic Drugs +1 Moderate
Interaction Summary
Some research suggests that black cohosh might inhibit CYP2D6, but there is conflicting evidence.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractSerotonergic Drugs, Hepatotoxic Drugs +1 Moderate
Interaction Summary
Combining serotonergic drugs with black cohosh might cause additive serotonergic effects.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractSerotonergic Drugs, Hepatotoxic Drugs +1 Moderate
Interaction Summary
Combining serotonergic drugs with black cohosh might cause additive serotonergic effects.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Pomegranate (punica Granatum) Fruit ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionBlack Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractSerotonergic Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Combining serotonergic drugs with black cohosh might cause additive serotonergic effects.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Pomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionBlack Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractSerotonergic Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Combining serotonergic drugs with black cohosh might cause additive serotonergic effects.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with MenoComplete — through 3 ingredients. Tap an ingredient for the detail:
Black Cohosh (cimicifuga Racemosa) Root And Rhizome ExtractHepatotoxic Drugs, Serotonergic Drugs Moderate
Interaction Summary
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
Read the full Black Cohosh (cimicifuga Racemosa) Root And Rhizome Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionPomegranate (punica Granatum) Fruit ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pomegranate (punica Granatum) Fruit Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionPatented Hops (humulus Lupulus L.) Cone ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Read the full Patented Hops (humulus Lupulus L.) Cone Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in MenoComplete 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.
Pomegranate (Punica granatum) fruit extract
Ace Inhibitors (Aceis)
Theoretically, taking pomegranate with ACEIs might increase the risk of adverse effects.
Pomegranate juice is thought to have ACE inhibitor-like effects.
Antihypertensive Drugs
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Consuming pomegranate juice can modestly lower blood pressure.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
In vitro, pomegranate juice inhibits CYP2D6. However, the clinical significance of this potential interaction in humans is not known.
Rosuvastatin (Crestor)
Theoretically, taking pomegranate with rosuvastatin might increase the risk of adverse effects.
In one case, a patient taking rosuvastatin 5 mg every other day in combination with ezetimibe 10 mg daily developed rhabdomyolysis after drinking pomegranate juice 200 mL twice weekly for 3 weeks. This patient had a history of elevated creatine kinase levels while not receiving any statin treatment. This suggests a possible underlying myopathy and predisposition to rhabdomyolysis.
Warfarin (Coumadin)
Theoretically, pomegranate might increase warfarin levels and increase the risk of bleeding. Also, discontinuing regular consumption of pomegranate juice might decrease warfarin levels.
In one case report, a patient had a stable, therapeutic bleeding time, as measured by international normalized ratio (INR), while taking warfarin in combination with pomegranate juice 2-3 times per week. The patient became subtherapeutic within about 10 days after discontinuing pomegranate juice, which required a warfarin dose increase. In another case report, a patient with a stable INR for over one year presented with an INR of 14. The patient noted no changes to medications or diet but did report consuming around 3 liters of pomegranate juice over the previous week. The patient's INR stabilized upon moderation of pomegranate juice consumption. The mechanism of this potential interaction is unclear.
Carbamazepine (Tegretol)
Theoretically, taking pomegranate with carbamazepine might increase the risk of adverse effects, although research suggests this interaction is unlikely to be clinically significant.
Animal research shows that pomegranate juice may inhibit cytochrome P450 3A4 (CYP3A4) metabolism of carbamazepine and increase levels of carbamazepine by 1.5 times without prolonging the elimination half-life. This suggests that pomegranate juice inhibits intestinal CYP3A4, but might not inhibit hepatic CYP3A4. However, some human research suggests that pomegranate does not significantly inhibit CYP3A4 drug metabolism in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2C9.
Some animal and in vitro research shows that pomegranate juice inhibits intestinal, but not hepatic, CYP2C9 isoenzyme activity. However, clinical research shows that neither pomegranate juice nor pomegranate extract have a significant effect on CYP2C9 activity in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Pomegranate contains several polyphenols that have individually been shown to inhibit CYP3A4. However, there is contradictory evidence about the effect of whole pomegranate juice on CYP3A4 activity. In vitro, pomegranate juice significantly inhibits the CYP3A4 enzyme, with comparable inhibition to grapefruit juice. In an animal model, pomegranate juice inhibits CYP3A4 metabolism of carbamazepine and increases levels of carbamazepine by 1.5 times; however, in human volunteers, drinking a single glass of pomegranate juice 240 mL or taking 200 mL daily for 2 weeks does not significantly affect levels of the CYP3A4 substrate midazolam after oral or intravenous administration. Another study in healthy volunteers shows that consuming pomegranate juice 300 mL three times daily for three days also does not significantly affect levels of simvastatin, a CYP3A4 substrate This suggests that pomegranate is unlikely to significantly affect levels of CYP3A4 substrates in humans.
Tolbutamide (Orinase)
Theoretically, pomegranate might increase levels of tolbutamide, although research suggests this interaction is unlikely to be clinically significant.
Animal research shows that pomegranate juice inhibits the cytochrome P450 2C9 (CYP2C9) metabolism of tolbutamide. Pomegranate juice increased tolbutamide levels by 1.2 times without prolonging the elimination half-life. This suggests that pomegranate juice inhibits intestinal CYP2C9, but might not inhibit hepatic CYP2C9. Despite this evidence, clinical research shows that neither pomegranate juice nor pomegranate extract have a significant effect on CYP2C9 activity in humans. This interaction does not appear to be clinically significant in humans.
patented Hops (Humulus lupulus L.) cone extract
Cns Depressants
Theoretically, concomitant use of hops with sedative drugs might cause additive sedation.
Some animal research shows that hops has sedative effects.
Estrogens
Theoretically, concomitant use of large amounts of hops might interfere with hormone replacement therapy due to competition for estrogen receptors.
In vitro research suggests that certain hops constituents can competitively bind to estrogen receptors. However, most hops extracts contain very small amounts of these constituents.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Hops extract does not seem to affect the metabolism of CYP1A2 substrates.
In vitro research suggests that flavonoid constituents of hops inhibit CYP1A2 enzyme activity. However, a pharmacokinetic study in healthy postmenopausal patients shows that taking a standardized extract of spent hops containing prenylated phenols, as 59.5 mg twice daily for 2 weeks, does not affect levels of caffeine, a CYP1A2 probe substrate.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, hops extract might alter metabolism of CYP3A4 substrates; however, this effect may not be clinically significant.
Animal research suggests that specific constituents of hops, called lupulones, can induce hepatic CYP3A4 enzyme activity. However, a pharmacokinetic study in healthy postmenopausal patients with normal metabolism shows that taking a standardized extract of spent hops containing prenylated phenols, as 59.5 mg twice daily for 2 weeks, decreases the concentration of alprazolam, a CYP3A4 probe substrate, by 7.6%. This reduction is unlikely to be clinically relevant.
Black Cohosh (Cimicifuga racemosa) root and rhizome extract
Atorvastatin (Lipitor)
Taking black cohosh with atorvastatin might increase the risk for elevated liver function tests.
In one case report, a patient taking atorvastatin (Lipitor) developed significantly elevated liver function enzymes after starting black cohosh 100 mg four times daily. Liver enzymes returned to normal when black cohosh was discontinued. It is unclear whether the elevated liver enzymes were due to black cohosh itself or an interaction between atorvastatin and black cohosh.
Cisplatin (Platinol-Aq)
Theoretically, black cohosh may reduce the clinical effects of cisplatin.
Animal research suggests that black cohosh might decrease the cytotoxic effect of cisplatin on breast cancer cells.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Some research suggests that black cohosh might inhibit CYP2D6, but there is conflicting evidence.
Some clinical research suggests that black cohosh might modestly inhibit CYP2D6 and increase levels of drugs metabolized by this enzyme. However, contradictory clinical research shows a specific black cohosh product (Remifemin, Enzymatic Therapy) 40 mg twice daily does not significantly inhibit metabolism of a CYP2D6 substrate in healthy study volunteers. Until more is known, use black cohosh cautiously in patients taking drugs metabolized by CYP2D6.
Estrogens
Theoretically, black cohosh may alter the effects of estrogen therapy.
Some research suggests that black cohosh has estrogenic effects. This may enhance or inhibit the effects of estrogen therapy.
Hepatotoxic Drugs
Theoretically, taking black cohosh with hepatotoxic drugs may increase the risk of liver damage.
There is concern that black cohosh might be linked to cases of liver failure and autoimmune hepatitis.
Serotonergic Drugs
Combining serotonergic drugs with black cohosh might cause additive serotonergic effects.
Black cohosh might increase the risk of serotonin syndrome when combined with other serotonergic drugs. Black cohosh acts as an agonist at several serotonin receptor subtypes and might interact with other serotonergic medications. In one case, a 55-year-old female who had been on stable treatment with sertraline 50 mg and duloxetine 60 mg daily developed serotonin syndrome after taking black cohosh extract 40 mg daily for 3 days.
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Black cohosh may inhibit one form of OATP, OATP2B1, which could reduce the bioavailability and clinical effects of OATP2B1 substrates.
In vitro research shows that black cohosh modestly inhibits OATP2B1. 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.
Brand information
Manufacturer and brand details for MenoComplete, from the product label.
Terry Naturally
See all Terry Naturally products- Name
- EuroPharma, Inc.
- City
- Green Bay
- State
- WI
- ZipCode
- 54311
- Phone Number
- (866) 807-2731
- Web Address
- www.EuroPharmaUSA.com
MenoComplete by Terry Naturally: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if MenoComplete 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 MenoComplete’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Hops
Interacts with 863 drugsHops are most often used for sleep and mild anxiety, frequently combined with valerian, but the human evidence is limited and not very strong. They are generally well tolerated when used sho...
Read the full Hops monograph → Herb & supplement monographPomegranate
Interacts with 922 drugsPomegranate is a nutrient-rich fruit that is high in antioxidants and is widely enjoyed as food and juice. Early research suggests it may support heart health and blood pressure, but the evi...
Read the full Pomegranate monograph → Herb & supplement monographBlack Cohosh
Interacts with 652 drugsBlack cohosh is a North American plant most often used to ease menopause symptoms like hot flashes, but the research is mixed and far from settled. It is generally well tolerated for short-t...
Read the full Black Cohosh monograph →Sources & How We Checked
MenoComplete'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 110 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.
Hops 15 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.
- Zava DT, Dollbaum CM, Blen M. Estrogen and progestin bioactivity of foods, herbs, and spices. Proc Soc Exp Biol Med 1998;217:369-78. PubMed
- Milligan SR, Kalita JC, Heyerick A, et al. Identification of a potent phytoestrogen in hops (Humulus lupulus L.) and beer. J Clin Endocrinol Metab 1999;84:2249-52.. PubMed
- Milligan SR, Kalita JC, Pocock V, et al. The endocrine activities of 8-prenylnaringenin and related hop (Humulus lupulus L.) flavonoids. J Clin Endocrinol Metab 2000;85:4912-5.. DOI
- Henderson MC, Miranda CL, Stevens JF, et al. In vitro inhibition of human P450 enzymes by prenylated flavonoids from hops, Humulus lupulus. Xenobiotica 2000;30:235-51.. PubMed
- Mannering, G. J., Shoeman, J. A., and Deloria, L. B. Identification of the antibiotic hops component, colupulone, as an inducer of hepatic cytochrome P-4503A in the mouse. Drug Metab Dispos 1992;20(2):142-147. DOI
- Skorska, C., Mackiewicz, B., Gora, A., Golec, M., and Dutkiewicz, J. Health effects of inhalation exposure to organic dust in hops farmers. Ann.Univ Mariae.Curie Sklodowska [Med] 2003;58(1):459-465.
- Schiller, H., Forster, A., Vonhoff, C., Hegger, M., Biller, A., and Winterhoff, H. Sedating effects of Humulus lupulus L. extracts. Phytomedicine. 2006;13(8):535-541. PubMed
- van Hunsel, F. P. and Kampschoer, P. [Postmenopausal bleeding and dietary supplements: a possible causal relationship with hop- and soy-containing preparations]. Ned.Tijdschr.Geneeskd. 2012;156(41):A5095.
- Fenselau, C. and Talalay, P. Is oestrogenic activity present in hops? Food Cosmet.Toxicol. 1973;11(4):597-602. PubMed
- Godnic-Cvar, J., Zuskin, E., Mustajbegovic, J., Schachter, E. N., Kanceljak, B., Macan, J., Ilic, Z., and Ebling, Z. Respiratory and immunological findings in brewery workers. Am J Ind Med 1999;35(1):68-75. DOI
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- Assessment report on Humulus lupulus L., flos. European Medicines Agency, 2014. Available at: https://www.ema.europa.eu/en/documents/herbal-report/final-assessment-report-humulus-lupulus-l-flos_en.pdf. Accessed September 29, 2021.
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