Parasite Cleansing Complex Ingredients & Drug Interactions
by TerraVita
What is this page for?
First and foremost: checking Parasite Cleansing Complex 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
Parasite Cleansing Complex is a dietary supplement by TerraVita with 8 active ingredients. Its ingredients are commonly taken for anxiety and stress, sleep and relaxation, digestive upset.Based on those ingredients, 2,122 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Marshmallow Root Glycerite Liquid Extract, White Slippery Elm Glycerite Liquid Extract, Chamomile Flower Glycerite Liquid Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Parasite Cleansing Complex by TerraVita
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AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Parasite Cleansing Complex by TerraVita
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
Parasite Cleansing Complex contains eight active ingredients, all delivered as glycerite liquid extracts: chamomile flower, marshmallow root, cascara sagrada, black walnut, slippery elm, pumpkin seed, violet, and mullein. These are blended together in a proprietary formula, so the individual amounts of each ingredient per serving are not listed.
The only other ingredient is glycerin, which is an inactive ingredient used as a carrier and preservative in the liquid formulation.
Does it work?
Not established
The evidence supporting this product's ingredients for parasite cleansing is not established in the data we hold. Individual ingredients show insufficient reliable evidence for most of their traditional uses—chamomile for anxiety and hay fever, marshmallow for respiratory and digestive tract issues, cascara sagrada for constipation, pumpkin seed for urinary tract health, mullein for cough and bronchitis, and the others for their respective conditions.
No ingredient in this blend carries a strong evidence rating for any use.
How safe is it?
Well-documented data
Most of these ingredients are generally well tolerated for short-term use, though human safety data are often limited. The main safety concerns are allergic reactions—chamomile can trigger reactions in people sensitive to ragweed, black walnut is a tree nut (a major food allergen), and mullein pollen is an allergen.
Cascara sagrada, a stimulant laxative, carries real risks with long-term use and can cause electrolyte imbalances. Chamomile tea has caused severe allergic reactions including anaphylaxis in rare cases.
For pregnancy, cascara sagrada and marshmallow are best avoided entirely; chamomile, black walnut, slippery elm, violet, and mullein all lack enough safety data and should only be used if your doctor approves. For breastfeeding, cascara sagrada is possibly unsafe, and the others have insufficient data—discuss with your doctor or pharmacist before use.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your pharmacist or doctor if you're on warfarin or other blood thinners (anticoagulants or antiplatelet drugs)—chamomile and cascara sagrada both may increase bleeding risk. Also flag it if you take lithium, digoxin, corticosteroids, diuretics, birth control pills, hormone replacement therapy, tamoxifen, CNS depressants like sedatives, or any drug metabolized by liver enzymes (CYP2D6, CYP2C9, CYP3A4).
The cascara sagrada in this blend is a potent laxative and carries particular caution with long-term use.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
This is a multi-ingredient herbal blend with no established evidence that it works for parasite cleansing. It carries documented interactions with blood thinners, heart medications, psychiatric drugs, birth control, and many others—and because the amounts of each ingredient are hidden in a proprietary blend, it's hard to know your actual risk.
If you're on any regular medications, especially warfarin, lithium, digoxin, corticosteroids, or oral birth control, check your specific drugs with the tool on this page before starting. Talk it over with your own doctor or pharmacist to decide if this product makes sense for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 8 of 8 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jan 23, 2023.
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 Parasite Cleansing Complex, straight from the product label.
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Parasite Cleansing Complex by TerraVita, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 0.13 mL | -- |
| Chamomile Flower Glycerite Liquid Extract | 0 NP | -- |
| Marshmallow Root Glycerite Liquid Extract | 0 NP | -- |
| Cascara Sagrada Glycerite Liquid Extract | 0 NP | -- |
| Black Walnut Glycerite Liquid Extract | 0 NP | -- |
| White Slippery Elm Glycerite Liquid Extract | 0 NP | -- |
| Pumpkin Seed Glycerite Liquid Extract | 0 NP | -- |
| Violet Glycerite Liquid Extract | 0 NP | -- |
| Mullein Glycerite Liquid Extract | 0 NP | -- |
Other ingredients: Glycerin
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.
Brand IP Statement(s)
Copyright 2018 TerraVita - Distributed by ZooScape LLC, All Rights Reserved.
Formula
Glycerite liquid extract (1:5)
Formulation
Alcohol free
No flavor
Suggested/Recommended/Usage/Directions
Suggested Use: Take 25-40 drops of extract in a small amount of warm water 3-4 times daily. Shake well before using.
Precautions
Keep away from children.
Do not use if safety seal around cap is broken or missing.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Parasite Cleansing Complex by TerraVita 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 Parasite Cleansing Complex by TerraVita
These are the 8 active ingredients this product is made of. Select any to open its full monograph.
Serving size25 Drop(s) Dosage formLiquid Servings per container227 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Proprietary Blend
- › Chamomile Flower Glycerite Liquid Extract
- › Marshmallow Root Glycerite Liquid Extract
- › Cascara Sagrada Glycerite Liquid Extract
- › Black Walnut Glycerite Liquid Extract
- › White Slippery Elm Glycerite Liquid Extract
- › Pumpkin Seed Glycerite Liquid Extract
- › Violet Glycerite Liquid Extract
- › Mullein Glycerite Liquid Extract
Other (inactive) ingredients: Glycerin. These complete the product’s ingredient list but are not active constituents.
Parasite Cleansing Complex by TerraVita Drug Interactions
HelloPharmacist Interaction Report
TerraVita's Parasite Cleansing Complex contains eight ingredients, several of which carry documented interactions with medications.
Through its chamomile, marshmallow, cascara sagrada, slippery elm, pumpkin seed, and mullein content, this product may interact with a range of drugs. The most serious documented interaction is chamomile's potential to increase the bleeding risk when combined with warfarin (Coumadin), a blood thinner.
Read the full breakdown — every affected drug type, severity by severity
Chamomile poses moderate-severity interactions with CNS depressants (sedating drugs), several liver enzyme systems that metabolize many medications (CYP2D6, CYP2C9, and CYP3A4 substrates), birth control pills and hormone replacement therapy, and the cancer drug tamoxifen. Cascara sagrada—a stimulant laxative in this blend—interacts moderately with corticosteroids, diuretics (water pills), other stimulant laxatives, warfarin, and digoxin (a heart medication), and may reduce the effectiveness of CYP3A4 substrates.
Marshmallow carries moderate concerns with lithium (a psychiatric medication) and minor concerns with oral medications generally, as well as anticoagulants and antiplatelet drugs (blood thinners). Slippery elm may slow absorption of oral medications.
Pumpkin seed interacts moderately with lithium. Mullein has minor interactions with anticoagulant and antiplatelet drugs.
Black walnut and violet are included in this product but carry no documented interactions in our data. Altogether, these interactions span 2,123 individual medications.
Because this product contains a proprietary blend, the exact amount of each ingredient per dose is not disclosed—which makes it harder to predict how likely an interaction is. Before adding this to your routine, use the medication checker on this page to see if any of your prescriptions or over-the-counter drugs are affected.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Parasite Cleansing Complex?
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 Parasite Cleansing Complex interact with 2,122 drugs. Click any drug to see the details.
6 of the 8 ingredients in Parasite Cleansing Complex interact with drugs. Each result below shows which ingredient is responsible. Marshmallow Root Glycerite Liquid Extract White Slippery Elm Glycerite Liquid Extract Chamomile Flower Glycerite Liquid Extract Cascara Sagrada Glycerite Liquid Extract Mullein Glycerite Liquid Extract Pumpkin Seed Glycerite Liquid Extract
Anacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Mullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Anacaulase-bcdb interactionMarshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Anacaulase-bcdb interactionBendamustineBelrapzo, Treanda, Vivimusta
How Bendamustine interacts with Parasite Cleansing Complex — through 1 ingredient. Tap an ingredient for the detail:
Chamomile Flower Glycerite Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, German chamomile might inhibit CYP1A2 and increase levels of drugs metabolized by these enzymes.
Read the full Chamomile Flower Glycerite Liquid Extract + Bendamustine interactionBendamustine HydrochlorideBendeka
How Bendamustine Hydrochloride interacts with Parasite Cleansing Complex — through 1 ingredient. Tap an ingredient for the detail:
Chamomile Flower Glycerite Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, German chamomile might inhibit CYP1A2 and increase levels of drugs metabolized by these enzymes.
Read the full Chamomile Flower Glycerite Liquid Extract + Bendamustine Hydrochloride interactionBivalirudinAngiomax, Angiomax Rtu, Angiox
How Bivalirudin interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Mullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Bivalirudin interactionMarshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Bivalirudin interactionBromfenac SodiumBromsite, Prolensa
How Bromfenac Sodium interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Mullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Bromfenac Sodium interactionMarshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Bromfenac Sodium interactionCabliviCablivi
How Cablivi interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Mullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Cablivi interactionMarshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Cablivi interactionCangrelorKengreal
How Cangrelor interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Marshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Cangrelor interactionMullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Cangrelor interactionDefibrotide SodiumDefitelio
How Defibrotide Sodium interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Marshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Defibrotide Sodium interactionMullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Defibrotide Sodium interactionEnoxaparinLovenox
How Enoxaparin interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Marshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Enoxaparin interactionMullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Enoxaparin interactionFish Oil TriglyceridesOmegaven
How Fish Oil Triglycerides interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Marshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Fish Oil Triglycerides interactionMullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Fish Oil Triglycerides interactionFondaparinuxArixtra
How Fondaparinux interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Mullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Fondaparinux interactionMarshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Fondaparinux interactionHeparinHeparin
How Heparin interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Marshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Heparin interactionMullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Heparin interactionInotersenTegsedi
How Inotersen interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Marshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Inotersen interactionMullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Inotersen interactionNusinersen SodiumSpinraza
How Nusinersen Sodium interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Mullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Nusinersen Sodium interactionMarshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Nusinersen Sodium interactionRopivacaineNaropin
How Ropivacaine interacts with Parasite Cleansing Complex — through 1 ingredient. Tap an ingredient for the detail:
Chamomile Flower Glycerite Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, German chamomile might inhibit CYP1A2 and increase levels of drugs metabolized by these enzymes.
Read the full Chamomile Flower Glycerite Liquid Extract + Ropivacaine interactionTenecteplaseTNKase
How Tenecteplase interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Mullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Tenecteplase interactionMarshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Tenecteplase interactionTirofibanAggrastat
How Tirofiban interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Mullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Tirofiban interactionMarshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Tirofiban interactionTreprostinil (iv)Remodulin
How Treprostinil (iv) interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Mullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Treprostinil (iv) interactionMarshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Treprostinil (iv) interactionTreprostinil (inh)Tyvaso
How Treprostinil (inh) interacts with Parasite Cleansing Complex — through 2 ingredients. Tap an ingredient for the detail:
Marshmallow Root Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Theoretically, marshmallow flower might have antiplatelet effects.
Read the full Marshmallow Root Glycerite Liquid Extract + Treprostinil (inh) interactionMullein Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot.
Read the full Mullein Glycerite Liquid Extract + Treprostinil (inh) interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Parasite Cleansing Complex with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Marshmallow Root Glycerite Liquid Extract
Lithium
Theoretically, due to potential diuretic effects, marshmallow might reduce excretion and increase levels of lithium.
Marshmallow is thought to have diuretic properties. To avoid lithium toxicity, the dose of lithium might need to be decreased when used with marshmallow.
Anticoagulant/Antiplatelet Drugs
Theoretically, marshmallow flower might have antiplatelet effects.
Animal research suggests that marshmallow flower extract has antiplatelet effects. However, the root and leaf of marshmallow, not the flower, are the plant parts most commonly found in dietary supplements. Theoretically, use of marshmallow flower with anticoagulant/antiplatelet drugs can have additive effects, and might increase the risk for bleeding in some patients.
Oral Drugs
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Marshmallow contains mucilage which can affect oral drug absorption. To avoid changes in absorption, take marshmallow 30-60 minutes after oral medications.
White Slippery Elm Glycerite Liquid Extract
Oral Drugs
Theoretically, slippery elm may slow the absorption and reduce serum levels of oral drugs.
Slippery elm inner bark contains mucilage, which may interfere with the absorption of orally administered drugs.
Chamomile Flower Glycerite Liquid Extract
Cns Depressants
Theoretically, German chamomile might have additive effects when used with CNS depressants.
German chamomile has mild sedative effects. Theoretically, concomitant use with drugs with sedative properties can cause additive effects and side effects.
Contraceptive Drugs
Theoretically, large amounts of German chamomile might reduce the effectiveness of oral contraceptives.
In vitro, German chamomile has demonstrated antiestrogenic activity. Theoretically, concomitant use of large amounts of German chamomile might interfere with contraceptive drugs through competition for estrogen receptors.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, German chamomile might inhibit CYP2C9 and increase levels of drugs metabolized by these enzymes.
In vitro evidence shows that German chamomile might inhibit CYP2C9. So far, this interaction has not been reported in humans. However, there might be an increase in the levels of drugs metabolized by CYP2C9 in patients taking German chamomile.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, German chamomile might inhibit CYP2D6 and increase levels of drugs metabolized by these enzymes.
In vitro evidence shows that German chamomile might inhibit CYP2D6. So far, this interaction has not been reported in humans. However, there might be an increase in the levels of drugs metabolized by CYP2D6 in patients taking German chamomile.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, German chamomile might inhibit CYP3A4 and increase levels of drugs metabolized by these enzymes.
In vitro evidence shows that German chamomile might inhibit CYP3A4. So far, this interaction has not been reported in humans. However, there might be an increase in the levels of drugs metabolized by CYP3A4 in patients taking German chamomile.
Estrogens
Theoretically, large amounts of German chamomile might reduce the effectiveness of estrogens.
In vitro, German chamomile has demonstrated antiestrogenic activity. Theoretically, large amounts of German chamomile might interfere with hormone replacement therapy through competition for estrogen receptors.
Tamoxifen (Nolvadex)
Theoretically, large amounts of German chamomile might interfere with the activity of tamoxifen.
In vitro, German chamomile has demonstrated antiestrogenic activity.
Warfarin (Coumadin)
German chamomile might increase the effects of warfarin and increase the risk of bleeding.
In one case, a 70-year-old female taking warfarin developed retroperitoneal hematoma and bilateral recti muscle bleeding along with an INR of 7.9 following ingestion of German chamomile tea 4-5 cups daily and use of a topical chamomile-based lotion applied 4-5 times daily.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, German chamomile might inhibit CYP1A2 and increase levels of drugs metabolized by these enzymes.
In vitro and animal research shows that German chamomile might inhibit CYP1A2. So far, this interaction has not been reported in humans. However, there might be an increase in the levels of drugs metabolized by CYP1A2 in patients taking German chamomile.
Cascara Sagrada Glycerite Liquid Extract
Corticosteroids
Theoretically, cascara sagrada might increase the risk of hypokalemia when taken with corticosteroids.
Cascara sagrada has stimulant laxative effects, and long-term use has been associated with hypokalemia.
Digoxin (Lanoxin)
Theoretically, cascara sagrada might cause hypokalemia, potentially increasing the risk of digoxin toxicity.
Cascara sagrada has stimulant laxative effects, and long-term use has been associated with hypokalemia.
Diuretic Drugs
Theoretically, cascara sagrada might increase the risk of hypokalemia when taken with diuretic drugs.
Cascara sagrada has stimulant laxative effects, and long-term use has been associated with hypokalemia.
Stimulant Laxatives
Theoretically, cascara sagrada might have additive adverse effects when taken with stimulant laxatives.
Cascara sagrada has stimulant laxative effects and might compound fluid and electrolyte losses when taken with stimulant laxatives.
Warfarin (Coumadin)
Theoretically, cascara sagrada might increase the risk of bleeding when taken with warfarin.
Cascara sagrada has stimulant laxative effects. In some people, cascara sagrada can cause diarrhea. Diarrhea can increase the effects of warfarin, increase international normalized ratio (INR), and increase the risk of bleeding.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, cascara sagrada might decrease the effects of CYP3A4 substrates.
In vitro research suggests that cascara sagrada can induce CYP3A4 enzymes, albeit to a much lower degree than rifampin, a known CYP3A4 inducer.
Mullein Glycerite Liquid Extract
Anticoagulant/Antiplatelet Drugs
Lab tests on extracts from different parts of common and dense-flowered mullein plants show that they do have some blood-thinning effects, as they increase the time it takes for blood to clot. This is likely due to at least one of the known constituents of muellein, triterpenoid saponins. However, the effects appear to be mild and results have been inconsistent. Extracts from different plant parts have been show to have varying anticoagulant strengths, with water-based ones being more potent than alcohol-based extracts.
Pumpkin Seed Glycerite Liquid Extract
Lithium
Pumpkin might reduce excretion and increase levels of lithium.
Pumpkin is thought to have diuretic properties. Theoretically, this might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.
Brand information
Manufacturer and brand details for Parasite Cleansing Complex, from the product label.
TerraVita
See all TerraVita products- Name
- ZooScape LLC
- Phone Number
- 844-449-0444
- Web Address
- www.ZooScape.com
Parasite Cleansing Complex by TerraVita: Common Questions
Does Parasite Cleansing Complex by TerraVita interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Does this product actually work to get rid of parasites?
Can I take this if I'm pregnant or breastfeeding?
Will this interact with my birth control?
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Parasite Cleansing Complex’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
German Chamomile
Interacts with 960 drugsGerman chamomile is a widely used herbal remedy taken mainly as a tea for calming, sleep, and digestive complaints. Early research suggests possible benefits for mild anxiety and some skin o...
Read the full German Chamomile monograph → Herb & supplement monographMarshmallow
Interacts with 2,040 drugsMarshmallow root is a traditional herb rich in soothing, gel-like fibers called mucilage, which is why it has long been used for coughs, sore throats, and stomach irritation. Evidence for th...
Read the full Marshmallow monograph → Herb & supplement monographCascara Sagrada
Interacts with 745 drugsCascara sagrada is a stimulant laxative made from the aged bark of a Pacific Northwest tree, used mainly for short-term relief of constipation. Because it can cause cramping, dehydration, an...
Read the full Cascara Sagrada monograph → Herb & supplement monographBlack Walnut
Black walnut is a tree whose green hulls are traditionally used as a natural antiparasitic and digestive remedy, but solid human evidence for these uses is lacking. It contains a compound ca...
Read the full Black Walnut monograph → Herb & supplement monographSlippery Elm
Interacts with 2,022 drugsSlippery elm is a traditional herbal remedy made from the inner bark of a North American elm tree, used mainly to soothe sore throats and irritated digestive tracts. Its mucilage can coat an...
Read the full Slippery Elm monograph → Herb & supplement monographPumpkin
Interacts with 1 drugPumpkin is a nutritious squash, and its seeds and seed oil are the parts most often used as supplements, mainly for urinary and prostate symptoms. The evidence for these uses is limited and...
Read the full Pumpkin monograph → Herb & supplement monographHeart's Ease
Heart's Ease (Viola tricolor) is a traditional European herb used mostly for skin problems and mild coughs. Modern human evidence for these uses is very limited, so it should be seen as a ge...
Read the full Heart's Ease monograph → Herb & supplement monographMullein
Interacts with 122 drugsMullein is a traditional herbal remedy most often used as a tea or syrup to soothe coughs, sore throats, and respiratory irritation. High-quality human studies are lacking, so its benefits a...
Read the full Mullein monograph →Sources & How We Checked
Parasite Cleansing Complex'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 46 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.
German Chamomile 15 references
- Subiza J, Subiza JL, Hinojosa M, et al. Anaphylactic reaction after the ingestion of chamomile tea; a study of cross-reactivity with other composite pollens. J Allergy Clin Immunol 1989;84:353-8. PubMed
- Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine 2000;7:273-82. PubMed
- Viola H, Wasowski C, Levi de Stein M, et al. Apigenin, a component of Matricaria recutita flowers, is a central benzodiazepine receptors-ligand with anxiolytic effects. Planta Med 1995;61:213-6.
- van Ketel WG. Allergy to Matricaria chamomilla. Contact Dermatitis 1982;8:143. PubMed
- van Ketel WG. Allergy to Matricaria chamomilla. Contact Dermatitis 1987;16:50-1. PubMed
- Hormann HP, Korting HC. Evidence for the efficacy and safety of topical herbal drugs in dermatology: part I: anti-inflammatory agents. Phytomedicine 1994;1:161-71. PubMed
- Avallone R, Zanoli P, Puia G, et al. Pharmacological profile of apigenin, a flavonoid isolated from Matricaria chamomilla. Biochem Pharmacol 2000;59:1387-94. PubMed
- Kassi E, Papoutsi Z, Fokialakis N, et al. Greek plant extracts exhibit selective estrogen receptor modulator (SERM)-like properties. J Agric Food Chem 2004;52:6956-61. PubMed
- Maliakal PP, Wanwimolruk S. Effect of herbal teas on hepatic drug metabolizing enzymes in rats. J Pharm Pharmacol 2001;53:1323-9. PubMed
- Segal R, Pilote L. Warfarin interaction with Matricaria chamomilla. CMAJ 2006;174:1281-2. PubMed
- Loggia RD, Traversa U, Scarcia V, et al. Depressive effects of Chamomilla recutita (L.) Rausch, tubular flowers, on central nervous system in mice. Pharmacol Res Commun 1982;14(2):153-162. PubMed
- Ganzera M, Schneider P, Stuppner H. Inhibitory effects of the essential oil of chamomile (Matricaria recutita L.) and its major constituents on human cytochrome P450 enzymes. Life Sci 2006;78(8):856-861. PubMed
- Benito P, Rodríguez-Perez R, García F, Juste S, Moneo I, Caballero ML. Occupational allergic rhinoconjunctivitis induced by Matricaria chamomilla with tolerance of chamomile tea. J Investig Allergol Clin Immunol. 2014;24(5):369-70. No abstract available.
- Braga FT, Santos AC, Bueno PC, et al. Use of Chamomilla recutita in the prevention and treatment of oral mucositis in patients undergoing hematopoietic stem cell transplantation: a randomized, controlled, phase II clinical trial. Cancer Nurs 2015;38(4):32 PubMed
- Sarris J, Ravindran A, Yatham LN, et al. Clinician guidelines for the treatment of psychiatric disorders with nutraceuticals and phytoceuticals: The World Federation of Societies of Biological Psychiatry (WFSBP) and Canadian Network for Mood and Anxiety T
Marshmallow 5 references
- Monographs on the medicinal uses of plant drugs. Exeter, UK: European Scientific Co-op Phytother, 1997.
- Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Hage-Sleiman R, Mroueh M, Daher CF. Pharmacological evaluation of aqueous extract of Althaea officinalis flower grown in Lebanon. Pharm Biol 2011;49(3):327-33.
Cascara Sagrada 9 references
- Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Covington TR, et al. Handbook of Nonprescription Drugs. 11th ed. Washington, DC: American Pharmaceutical Association, 1996.
- 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
- Nadir A, Reddy D, Van Thiel DH. Cascara-sagrada induced intrahepatic cholestasis causing portal hypertension: case report and review of herbal hepatotoxicity. Am J Gastroenterol 2000;95:3634-7. PubMed
- Nakasone ES, Tokeshi J. A serendipitous find: a case of cholangiocarcinoma identified incidentally after acute liver injury due to cascara sagrada ingestion. Hawaii J Med Public Health 2015;74(6):200-2.
- Cirillo C, Capasso R. Constipation and botanical medicines: an overview. Phytother Res 2015;29(10):1488-93. PubMed
- Mazzari ALDA, Lacerda MG, Milton FA, et al. In vitro effects of European and Latin-American medicinal plants in CYP3A4 gene expression, glutathione levels, and P-glycoprotein activity. Front Pharmacol 2022;13:826395. PubMed
Black Walnut 3 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.
- Food and Drug Administration. Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA); Public Law 108-282, Title II. Accessed on May 19, 2021. Available at: https://www.fda.gov/food/food-allergensgluten-free-guidance-documents-regulatory-infor
Slippery Elm 3 references
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Czarnecki D, Nixon R, Bekhor P, and et al. Delayed prolonged contact urticaria from the elm tree. Contact Dermatitis 1993;28:196-197. PubMed
Pumpkin 5 references
- Marks L, Partin AW, Epstein JI, et al. Effects of a saw palmetto herbal blend in men with symptomatic benign prostatic hyperplasia. J Urol 2000;163:1451-6. DOI
- Cho YH, Lee SY, Jeong DW, et al. Effect of pumpkin seed oil on hair growth in men with androgenetic alopecia: a randomized, double-blind, placebo-controlled trial. Evid Based Complement Alternat Med 2014;2014:549721. PubMed
- Vahlensieck W, Theurer C, Pfitzer E, Patz B, Banik N, Engelmann U. Effects of pumpkin seed in men with lower urinary tract symptoms due to benign prostatic hyperplasia in the one-year, randomized, placebo-controlled GRANU study. Urol Int 2015;94(3):286-95 PubMed
- Assouly P. Hair loss associated with cucurbit poisoning. JAMA Dermatol. 2018 May 1;154(5):617-618. PubMed
- Gawryjolek J, Ludwig H, Zbikowska-Götz M, Bartuzi Z, Krogulska A. Anaphylaxis after consumption of pumpkin seeds in a 2-y-old child tolerant to its pulp: A case study. Nutrition 2021;89:111272. PubMed
Heart's Ease 4 references
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Behmanesh Y, Abdollahi M. Hemolysis after consumption of Viola tricolor. WHO Drug Inf (Iran) 2002;16:15-16.
- Klovekorn, W., Tepe, A., and Danesch, U. A randomized, double-blind, vehicle-controlled, half-side comparison with a herbal ointment containing Mahonia aquifolium, Viola tricolor and Centella asiatica for the treatment of mild-to-moderate atopic dermatit
- Kirichenko TV, Sobenin IA, Markina YV, et al. Clinical effectiveness of a combination of black elder berries, violet herb, and calendula flowers in chronic obstructive pulmonary disease: the results of a double-blinded placebo-controlled study. Biology (B PubMed
Mullein 2 references
- Castro AI, Carmona JB, Gonzales FG, Nestar OB. Occupational airborne dermatitis from gordolobo (Verbascum densiflorum). Contact Dermatitis 2006;55(5):301.
- Flores Echaiz C, Al Ali A, Cao AQ, Sasseville D. Simultaneous contact dermatitis caused by Asteraceae and Verbascum thapsus. Contact Dermatitis 2017;76(5):316-8.
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