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Dietary supplement

Pau d'Arco Alcohol-Free Ingredients & Drug Interactions

by Herb Pharm

Pau d'Arco Alcohol-Free label
See full label image
Liquid Category: Botanical
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 16, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Pau d'Arco Alcohol-Free 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

The interaction bottom line Most serious interaction: Moderate

Pau d'Arco Alcohol-Free is a dietary supplement by Herb Pharm with 1 active ingredient. Its ingredients are commonly taken for infections (bacterial, fungal, yeast), inflammation, immune support.Based on those ingredients, 122 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Pau d'Arco inner bark (Handroanthus impetiginosus) extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

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Check Your Meds Against Pau d'Arco Alcohol-Free by Herb Pharm

Ask about any prescription or over-the-counter medication and we check it for interactions with Pau d'Arco Alcohol-Free by Herb Pharm — and tell you which ingredient is responsible.

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HelloPharmacist Scorecard of Pau d'Arco Alcohol-Free by Herb Pharm

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.

From our pharmacy team — supplement deep dive

Generated from HelloPharmacist’s pharmacist-curated databases and editorial rules · Last generated Sep 3, 2026

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 1 of its 1 active ingredient.
  • No proprietary blends here — you can verify the dose of every single component.

This product contains one active ingredient: pau d'arco inner bark extract from Handroanthus impetiginosus. Pau d'arco has been used traditionally for a range of purposes, though rigorous evidence for most of them remains limited.

The extract also contains two inactive ingredients — certified organic vegetable glycerin and distilled water — to make it a drinkable liquid.

Does it work?

Couldn't assess
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Not assessable

This is a single-ingredient Pau D'arco product and its label doesn't state a use — see Pau D'arco's own graded uses on its monograph.

Why this rating?
  • We looked at the product name, claims, and label statements and couldn't find a stated purpose to grade.

The evidence for pau d'arco doesn't yet support its use for cancer, peptic ulcers, wound healing, or dysmenorrhea (painful menstrual cramps). All four conditions carry a rating of insufficient reliable evidence, meaning the research either hasn't been done, isn't strong enough, or is too contradictory to draw a firm conclusion.

If you're considering this product for any of those reasons, talk with your doctor about what evidence-based options are available.

The evidence, ingredient by ingredient Pau D'arco

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Pau d'arco is generally well tolerated at typical doses, but human safety data is limited and higher doses carry real risks. Doses of lapachol (pau d'arco's main active compound) above 1.5 grams daily may cause severe nausea, vomiting, diarrhea, anemia, and increased bleeding.

The safety data advises against using pau d'arco during pregnancy due to possible harm to a developing baby. There isn't enough safety information available to use it while breastfeeding, so it's best to avoid it unless your doctor or pharmacist tells you otherwise.

Side effects, ingredient by ingredient Pau D'arco

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 1 of the 1 matched ingredient can interact with medications — Pau D'arco.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs.
  • For scale: 122 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

If you take blood thinners or antiplatelet drugs (warfarin, aspirin, clopidogrel, dabigatran, rivaroxaban, and others), check with your doctor or pharmacist before using this product. Pau d'arco may increase your bleeding risk, and the effect is stronger at higher doses.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

Pau d'Arco Alcohol-Free is one to check before you start, especially if you take blood thinners or antiplatelet medications. The evidence for its traditional uses isn't strong enough yet to recommend it for cancer, ulcers, wound healing, or period pain.

Talk with your doctor or pharmacist about whether pau d'arco is right for you, and definitely clear it with them if you're on any bleeding-prevention drugs.

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 Apr 25, 2019.

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

At a glance

General information

Key facts about Pau d'Arco Alcohol-Free, straight from the product label.

Brand Herb Pharm
Barcode (UPC) 090700002909
Net contents 4 fl. Oz.; 120 mL
Market status On market
Date entered into DSLD Apr 25, 2019
DSLD ID 199622
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years), Gluten Free
From the 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 Pau d'Arco Alcohol-Free by Herb Pharm, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
0.7 mL
Maximum serving Sizes:
0.7 mL
Servings per container
168
UPC/BARCODE
090700002909
IngredientAmount% DV
Pau d'Arco inner bark (Handroanthus impetiginosus) extract805 mg--

Other ingredients: certified organic Vegetable Glycerin, distilled Water

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions

Suggested Use Shake well before using Add 1 full squeeze of the dropper bulb to 2 oz. of water or juice, 2 to 4 times per day. Best taken between meals.

Precautions

Keep out of the reach of children

Storage

Store away from heat & light

General

011

Formulation

Alcohol-free

Gluten-free

Contains no alcohol

Formula

Handroanthus impetiginosus

Pau d'Arco glycerite (Lapacho - Taheebo)

Prepared from the inner bark of purple-flowered Handroanthus impetiginosus trees which are responsibly wildcrafted in their natural habitat.

General Statements

Cleanse & detoxify

Dry herb/menstruum ratio: 1:4

FDA Statement of Identity

Herbal Supplement

FDA Disclaimer Statement

This statement has not been evaluated by the FDA. 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.

See for yourself

Pau d'Arco Alcohol-Free by Herb Pharm label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

Pau d'Arco Alcohol-Free label

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)
What’s inside

The Ingredients in Pau d'Arco Alcohol-Free by Herb Pharm

This is the 1 active ingredient this product is made of. Select it to open its full monograph.

Serving size0.7 mL Dosage formLiquid Servings per container168 Amounts shown are per serving.

Pau d'Arco inner bark (Handroanthus impetiginosus) extract

Interacts with
122 drugs
805 mg per serving

Pau d'arco is a South American tree bark traditionally used for infections and inflammation, and it contains compounds like lapachol that show activit...

Pau d'Arco inner bark (Handroanthus impetiginosus) extract monograph & interactions

Other (inactive) ingredients: Certified organic Vegetable Glycerin, Distilled Water. These complete the product’s ingredient list but are not active constituents.

Interaction report

Pau d'Arco Alcohol-Free by Herb Pharm Drug Interactions

Want to check YOUR meds against Pau d'Arco Alcohol-Free?

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 checker
122Drugs
122 Moderate

Ingredients driving the most interactions

Pau d'Arco inner bark (Handroanthus impetiginosus) extract 122

Individual Drug Interactions

The ingredients in Pau d'Arco Alcohol-Free interact with 122 drugs. Click any drug to see the details.

1 of the 1 ingredient in Pau d'Arco Alcohol-Free interact with drugs. Each result below shows which ingredient is responsible. Pau d'Arco inner bark (Handroanthus impetiginosus) extract

Each ingredient & the kinds of drugs it affects

For each ingredient in Pau d'Arco Alcohol-Free 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.

Pau d'Arco inner bark (Handroanthus impetiginosus) extract1 drug type · 122 drugs

Anticoagulant/Antiplatelet Drugs

Theoretically, pau d'arco might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
In vitro research shows that pau d'arco reduces platelet aggregation and may interfere with vitamin K. One clinical study shows that taking the lapachol constituent of pau d'arco in doses above 1.5 grams daily increases the risk of bleeding. The effects of whole pau d'arco or pau d'arco extract in humans are unclear.

Likelihood Possible Evidence D
Pau d'Arco inner bark (Handroanthus impetiginosus) extract full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Pau d'Arco Alcohol-Free, from the product label.

Herb Pharm

See all Herb Pharm products
Name
Herb Pharm
City
Williams
State
OR
ZipCode
97544
Phone Number
800-348-4372
Web Address
www.herb-pharm.com
Pharmacist Counseling Corner

Pau d'Arco Alcohol-Free by Herb Pharm: Common Questions

Does Pau d'Arco Alcohol-Free by Herb Pharm interact with any medications?
Yes. Based on its ingredients, Pau d'Arco Alcohol-Free has a known interaction with 122 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Pau d'Arco Alcohol-Free contains a single active ingredient, and that one ingredient can interact with many different medications on its own. We check it against each medication and show the mechanism responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Can I take this while I'm pregnant?
No, the safety data advises against it. Pau d'arco may cause harm to a developing baby, and there isn't enough safety information to recommend it during pregnancy. Talk with your doctor about safer alternatives if you need support during pregnancy.
Is this safe while breastfeeding?
There isn't enough safety information to recommend pau d'arco while breastfeeding, so it's best to avoid it. If you're looking for a specific benefit, your doctor or pharmacist can suggest options that have better safety data for nursing.
What dose is in this product?
The product facts don't specify the amount of pau d'arco extract per dose. Check the label on your bottle or contact the manufacturer to confirm how much you're taking, especially if you're concerned about the 1.5-gram threshold mentioned for lapachol side effects.
Does pau d'arco actually work for cancer?
The evidence isn't there yet. All the main uses pau d'arco is promoted for — cancer, ulcers, wound healing, and period pain — are rated insufficient reliable evidence, meaning we don't have strong research backing them up.
What side effects can this cause?
At typical doses, it's generally well tolerated. At higher doses of pau d'arco (specifically its lapachol part), you may experience severe nausea, vomiting, diarrhea, anemia, and increased bleeding. Human safety data is limited, so watch for any unusual symptoms.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.

Pau d'Arco Alcohol-Free label
Go deeper

The Full Monographs Behind Pau d'Arco Alcohol-Free’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Herb & supplement monograph

Pau D'arco

Interacts with 122 drugs

Pau d'arco is a South American tree bark traditionally used for infections and inflammation, and it contains compounds like lapachol that show activity in lab studies. However, strong human...

Read the full Pau D'arco monograph →
Sources

Sources & How We Checked

Pau d'Arco Alcohol-Free'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.

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 6 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.

Pau D'arco 6 references
  1. Gómez Castellanos JR, Prieto JM, Heinrich M. Red Lapacho (Tabebuia impetiginosa)--a global ethnopharmacological commodity? J Ethnopharmacol 2009;121:1-13. PubMed
  2. Guerra, Mde O., Mazoni, A. S., Brandao, M. A., and Peters, V. M. Toxicology of Lapachol in rats: embryolethality. Braz.J Biol. 2001;61(1):171-174. PubMed
  3. Felicio, A. C., Chang, C. V., Brandao, M. A., Peters, V. M., and Guerra, Mde O. Fetal growth in rats treated with lapachol. Contraception 2002;66(4):289-293. PubMed
  4. Son, D. J., Lim, Y., Park, Y. H., Chang, S. K., Yun, Y. P., Hong, J. T., Takeoka, G. R., Lee, K. G., Lee, S. E., Kim, M. R., Kim, J. H., and Park, B. S. Inhibitory effects of Tabebuia impetiginosa inner bark extract on platelet aggregation and vascular s
  5. Block JB, Serpick AA, Miller W, Wiernik PH. Early clinical studies with lapachol (NSC-11905). Cancer Chemother Rep 2. 1974;4(4):27-8.
  6. Algranti E, Mendonça EM, Ali SA, Kokron CM, Raile V. Occupational asthma caused by Ipe (Tabebuia spp) dust. J Investig Allergol Clin Immunol 2005;15(1):81-3.

See these in context on the Pau D'arco monograph →

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

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