Menopause 731 Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Menopause 731 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
Menopause 731 is a dietary supplement by Life Extension with 1 active ingredient. Its ingredients are commonly taken for constipation, digestive upset, menopausal symptoms.Based on those ingredients, 658 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are ERr 731 Siberian Rhubarb (Rheum rhaponticum L.) extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Menopause 731 by Life Extension
Ask about any prescription or over-the-counter medication and we check it for interactions with Menopause 731 by Life Extension — 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 Menopause 731 by Life Extension
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
Menopause 731 contains one active ingredient: ERr 731 Siberian Rhubarb extract, a concentrated form of compounds from the rhubarb root used traditionally to address menopausal symptoms. The inactive ingredients include microcrystalline cellulose, stearic acid, croscarmellose sodium, silica, and an enteric coating to control where the tablet breaks down in your digestive system.
Does it work?
Moderate evidence
The evidence we hold shows that Siberian rhubarb extract is possibly effective for menopausal symptoms and for pancreatitis. The data is insufficient to rate its use for appendicitis, nasopharyngeal cancer, nonalcoholic fatty liver disease, or constipation.
How safe is it?
Well-documented data
Rhubarb root taken medicinally is generally well tolerated, though cramping and diarrhea are the most common side effects. The data advises against taking medicinal rhubarb during pregnancy because it may stimulate the uterus and bowels; the same concern applies to breastfeeding, where laxative compounds can pass into milk.
Long-term use should be avoided due to the risk of potassium depletion and kidney or liver stress, and you should not use the root if you have kidney disease or are prone to kidney problems.
Meds to double-check
Moderate interaction found
Before taking this product, check with your pharmacist if you use drugs that strain the kidneys or liver, blood thinners like warfarin, heart medications such as digoxin, water pills (diuretics), corticosteroids, other laxatives, or cyclosporine. Rhubarb can worsen potassium loss and may reduce the effectiveness of some medications or increase the risk of bleeding.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Menopause 731 may help with menopausal symptoms, but it's not a long-term supplement. It carries a real risk of potassium loss and kidney or liver strain, especially over weeks or months.
If you take any medication for your heart, blood pressure, kidneys, liver, or blood clotting—or any corticosteroid or immunosuppressant—talk to your pharmacist before starting this product.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Aug 23, 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 Menopause 731, straight from the product label.
| Brand | Life Extension |
|---|---|
| Barcode (UPC) | 737870220435 |
| Net contents | 30 Enteric Coated Vegetarian Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Aug 23, 2020 |
| DSLD ID | 232725 |
| Product type | Botanical |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult Female (18 - 50 Years), Menopause, Seniors/Mature (>50 Years) - Women ONLY |
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 Menopause 731 by Life Extension, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| ERr 731 Siberian Rhubarb (Rheum rhaponticum L.) extract | 4 mg | -- |
Other ingredients: Microcrystalline Cellulose, Stearic Acid, Croscarmellose Sodium, Silica, Enteric Coating
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
Read the entire label and follow the directions carefully prior to use. Directions: Take one (1) tablet daily, or as recommended by a healthcare practitioner.
1 daily
Precautions
Caution: Consult with your healthcare practitioner if you have, or have a history of, estrogen-dependent tumors.
Warnings: Keep out of reach of children.
Do not exceed recommended dose. Do not purchase if outer seal is broken or damaged.
When using nutritional supplements, please consult with your physician if you are undergoing treatment for a medical condition or if you are pregnant or lactating.
To report a serious adverse event or obtain product information, contact 1-866-280-2852.
Storage
Store tightly closed in a cool, dry place.
Brand IP Statement(s)
ERr 731 is a registered trademark of Chemisch-Pharmazeutische Fabrik Goppingen Carl Muller Apotheker GmbH & Co.
Seals/Symbols
Non GMO LE Certified
Formulation
Non GMO LE Certified
Comprehensive relief for 11 menopause discomforts
FDA Statement of Identity
Dietary Supplement
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.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Menopause 731 by Life Extension 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 Menopause 731 by Life Extension
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Vegetarian Capsule(s) Dosage formTablet Or Pill Amounts shown are per serving.
ERr 731 Siberian Rhubarb (Rheum rhaponticum L.) extract
Interacts with658 drugs
Rhubarb root has a long history of use as a laxative and in traditional Chinese medicine, and its edible stalks are a common food. Most medicinal clai...
ERr 731 Siberian Rhubarb (Rheum rhaponticum L.) extract monograph & interactionsOther (inactive) ingredients: Microcrystalline Cellulose, Stearic Acid, Croscarmellose Sodium, Silica, Enteric Coating. These complete the product’s ingredient list but are not active constituents.
Menopause 731 by Life Extension Drug Interactions
HelloPharmacist Interaction Report
Menopause 731 by Life Extension contains a single active ingredient—Siberian rhubarb extract—that does interact with several medication types.
The most serious concern involves drugs that stress the kidneys (nephrotoxic drugs): rhubarb's anthraquinone compounds may theoretically increase kidney damage risk with long-term use, and there is a case report of kidney failure in a patient taking rhubarb alongside a nephrotoxic medication.
Read the full breakdown — every affected drug type, severity by severity
Moderate interactions are also documented with liver-stressing drugs (hepatotoxic drugs), corticosteroids, water pills (diuretics), other stimulant laxatives, the blood thinner warfarin, the heart drug digoxin, and the immunosuppressant cyclosporine. The rhubarb extract's laxative action can deplete potassium, raising the risk of low blood potassium (hypokalemia) when combined with corticosteroids or diuretics, and increasing the risk of heart rhythm problems or bleeding in patients on digoxin or warfarin.
Cyclosporine levels may drop when taken with rhubarb.
Additionally, we have no interaction data for the inactive ingredients in this product. Altogether, these interactions span 642 individual medications.
Check your exact medications with the search tool on this page before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Menopause 731?
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 Menopause 731 interact with 658 drugs. Click any drug to see the details.
1 of the 1 ingredient in Menopause 731 interact with drugs. Each result below shows which ingredient is responsible. ERr 731 Siberian Rhubarb (Rheum rhaponticum L.) extract
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Abacavir, Lamivudine interactionAbiraterone
How Abiraterone interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Abiraterone Acetate interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acebutolol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) 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 Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs +1 Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) 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 Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractHepatotoxic Drugs, Nephrotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with Menopause 731 — through 1 ingredient. Tap an ingredient for the detail:
Err 731 Siberian Rhubarb (rheum Rhaponticum L.) ExtractNephrotoxic Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
Read the full Err 731 Siberian Rhubarb (rheum Rhaponticum L.) Extract + Acetaminophen, Chlorpheniramine, Phenylephrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Menopause 731 with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
ERr 731 Siberian Rhubarb (Rheum rhaponticum L.) extract
Corticosteroids
Theoretically, frequent and high doses of rhubarb might increase the risk of hypokalemia when taken with corticosteroids.
Rhubarb has stimulant laxative effects. Overuse of rhubarb might compound corticosteroid-induced potassium loss.
Cyclosporine (Neoral, Sandimmune)
Theoretically, taking rhubarb with cyclosporine might reduce cyclosporine levels.
Animal research shows that co-administration of rhubarb decoction 0.25 or 1 gram/kg with cyclosporine 2.5 mg/kg, decreases cyclosporine maximum plasma concentration and overall exposure levels when compared with taking cyclosporine alone. The authors theorize that rhubarb might reduce cyclosporine bioavailability by inducing of P-glycoprotein and/or cytochrome P450 3A4. However, since rhubarb was administered as a single oral dose and enzyme induction usually occurs after multiple doses, it is possible that cyclosporine absorption was actually reduced via rhubarb's stimulant laxative effects. Also, the composition of the rhubarb decoction was not described.
Digoxin (Lanoxin)
Theoretically, overuse of rhubarb might increase the risk of adverse effects when taken with digoxin.
Rhubarb has stimulant laxative effects. Overuse of rhubarb might cause potassium depletion, increasing the risk of digoxin toxicity.
Diuretic Drugs
Theoretically, frequent and high doses of rhubarb might increase the risk of hypokalemia.
Rhubarb has stimulant laxative effects. Overuse of rhubarb might cause potassium depletion and compound diuretic-induced potassium loss.
Hepatotoxic Drugs
Theoretically, concomitant use of rhubarb with potentially hepatotoxic drugs might increase the risk of developing liver damage.
Some animal research suggests that anthraquinones in rhubarb might have hepatotoxic effects. Also, rhubarb use has been linked to at least 24 cases of liver injury, although details on the dose of rhubarb and duration of use in these cases is unclear.
Nephrotoxic Drugs
Theoretically, long-term use of anthraquinones from rhubarb might increase the risk of nephrotoxicity when used with nephrotoxic drugs.
The anthraquinone constituents of rhubarb have been shown to induce nephrotoxicity in animal research. Additionally, in a case report, a 23-year old female presented with kidney failure after taking 6 tablets of a proprietary slimming agent (found to contain the anthraquinones emodin and aloe-emodin from rhubarb) daily for 6 weeks and then adding diclofenac 25 mg 4 times daily for 2 days. The authors postulate that the anthraquinone constituents of rhubarb contributed to the renal dysfunction, and the addition of diclofenac, a nephrotoxic drug, led to renal failure. Until more is known, advise patients to avoid taking rhubarb if they are taking other potentially nephrotoxic drugs.
Stimulant Laxatives
Theoretically, rhubarb might increase the risk for fluid and electrolyte loss when taken with other stimulant laxatives.
Rhubarb has stimulant laxative effects. Concomitant use with stimulant laxatives might compound fluid and electrolyte loss.
Warfarin (Coumadin)
Theoretically, excessive use of rhubarb might increase the risk of bleeding when taken with warfarin.
Rhubarb has stimulant laxative effects and can cause diarrhea. Diarrhea can increase the effects of warfarin, increase international normalized ratio (INR), and increase the risk of bleeding. Advise patients who take warfarin not to take excessive amounts of rhubarb.
Brand information
Manufacturer and brand details for Menopause 731, from the product label.
Life Extension
See all Life Extension products- Name
- Quality Supplements and Vitamins, Inc.
- City
- Ft. Lauderdale
- State
- FL
- ZipCode
- 33309
- Phone Number
- 1-866-280-2852
- Web Address
- LifeExtension.com
Menopause 731 by Life Extension: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Menopause 731’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Menopause 731'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 20 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.
Rhubarb 20 references
- Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Nusko G, Schneider B, Schneider I, et al. Anthranoid laxative use is not a risk factor for colorectal neoplasia: results of a prospective case control study. Gut 2000;46:651-5. PubMed
- Kwan TH, Tong MK, Leung KT, et al. Acute renal failure associated with prolonged intake of slimming pills containing anthraquinones. Hong Kong Med J 2006;12:394-7.
- Fairbairn JW. The anthraquinone laxatives. Biological assay and its relation to chemical structure. Pharmacology 1976;14:48-61. PubMed
- Siegers, C. P., Hertzberg-Lottin, E., Otte, M., and Schneider, B. Anthranoid laxative abuse--a risk for colorectal cancer? Gut 1993;34(8):1099-1101. PubMed
- Fan, J. G. Evaluating the efficacy and safety of Danning Pian in the short-term treatment of patients with non-alcoholic fatty liver disease: a multicenter clinical trial. Hepatobiliary.Pancreat.Dis.Int 2004;3(3):375-380.
- Yan, M., Zhang, L. Y., Sun, L. X., Jiang, Z. Z., and Xiao, X. H. Nephrotoxicity study of total rhubarb anthraquinones on Sprague Dawley rats using DNA microarrays. J Ethnopharmacol. 4-15-2006; PubMed
- Zhang, J. H., Li, L. S., and Zhang, M. Clinical effects of rheum and captopril on preventing progression of chronic renal failure. Chin Med J (Engl.) 1990;103(10):788-793.
- Mitsuma, T., Yokozawa, T., Oura, H., and Terasawa, K. [Rhubarb therapy in patients with chronic renal failure (Part 2)]. Nippon Jinzo Gakkai Shi 1987;29(2):195-207.
- Wu, C. X. [A preliminary study on the effect of a single Rheum officinale in heavy doses in the treatment of acute icteric hepatitis]. Zhong.Xi.Yi.Jie.He.Za Zhi.(Chinese Journal of Modern Developments in Traditional Medicine) 1984;4(2):88-89.
- Jiao, D. H. [Clinical research on the hemostatic effect of rhubarb on peptic ulcer with acute bleeding]. Zhong.Xi.Yi.Jie.He.Za Zhi.(Chinese Journal of Modern Developments in Traditional Medicine) 1984;4(10):597-600, 579.
- Jiao, D. H., Ma, Y. H., Chen, S. J., Liu, C. T., Shu, H. N., and Chu, C. M. Resume of 400 cases of acute upper digestive tract bleeding treated by rhubarb alone. Pharmacology 1980;20 Suppl 1:128-130.
- Zhang, JH, Yao, XD, Song, Y, and et al. [Long-term treating effects of rhubarb and captopril in delaying the progression of renal failure]. Chinese Kidney Disease Journal 1993;9(4):197-201.
- Rehman H, Begum W, Anjum F, Tabasum H, Zahid S. Effect of rhubarb (Rheum emodi) in primary dysmenorrhoea: a single-blind randomized controlled trial. J Complement Integr Med. 2015 Mar;12(1):61-9.
- Yu CP, Lin HJ, Lin SP, Shia CS, Chang PH, Hou YC, Hsieh YW. Rhubarb decreased the systemic exposure of cyclosporine, a probe substrate of P-glycoprotein and CYP 3A. Xenobiotica. 2016 Aug;46(8):677-82. PubMed
- Byeon JH, Kil JH, Ahn YC, Son CG. Systematic review of published data on herb induced liver injury. J Ethnopharmacol 2019;233:190-6. PubMed
- Zhao D, Feng SX, Zhang HJ, et al. Pharmacokinetics, tissue distribution and excretion of five rhubarb anthraquinones in rats after oral administration of effective fraction of anthraquinones from rheum officinale. Xenobiotica. 2021;51(8):916-925. PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC