Periwinkle/Red Clover Extract Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Periwinkle/Red Clover Extract 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
Periwinkle/Red Clover Extract is a dietary supplement by MBi Nutraceuticals with 2 active ingredients. Its ingredients are commonly taken for menopause symptoms (hot flashes), high cholesterol, bone health/osteoporosis.Based on those ingredients, 991 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Red Clover, Periwinkle. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Periwinkle/Red Clover Extract by MBi Nutraceuticals
Ask about any prescription or over-the-counter medication and we check it for interactions with Periwinkle/Red Clover Extract by MBi Nutraceuticals — 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 Periwinkle/Red Clover Extract by MBi Nutraceuticals
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
This product contains 2 active ingredients: red clover and periwinkle, both delivered in liquid form. Red clover is a plant source of isoflavones—compounds with estrogen-like activity in the body.
Periwinkle contains vinca alkaloids, potent plant compounds that affect blood vessel function and other systems. The liquid also includes inactive ingredients (deionized water, ethanol, and glycerin) as the base.
Does it work?
Not established
Evidence for red clover's effectiveness is insufficient to rate it for any of the claimed uses we hold data on—androgenic alopecia (hair loss), menopausal symptoms, osteoarthritis, and osteoporosis. No effectiveness ratings are documented for periwinkle in our data.
If you're considering this product for a specific condition, talk with your doctor or pharmacist about whether the evidence supports its use for your situation.
How safe is it?
Well-documented data
Red clover is generally well tolerated short-term in healthy adults, though its estrogen-like activity requires caution in certain people. The most commonly reported side effects from red clover are muscle pain, nausea, and vaginal spotting.
There's theoretical concern that red clover isoflavones might increase breast density in premenopausal women, though studies have not confirmed a clinical risk. Periwinkle, by contrast, is regarded as unsafe for use—its vinca alkaloids can cause liver, kidney, and nerve damage at higher doses, and even at typical doses may cause stomach upset, skin flushing, and low blood pressure.
For pregnancy, red clover safety data is limited; the ingredient is listed as possibly unsafe due to its estrogen-like effects. Periwinkle is considered unsafe in pregnancy.
Neither ingredient has enough safety data for breastfeeding, so both should be avoided.
Meds to double-check
Moderate interaction found
Before taking this product, check with your doctor or pharmacist if you take methotrexate, estrogen-containing medications, tamoxifen, or blood pressure medications—these carry Moderate-severity interaction risks. Also flag any drugs your liver metabolizes (CYP1A2, CYP2C19, CYP2C9, or CYP3A4 substrates) and any blood thinners or antiplatelet drugs, though human evidence for the latter is limited.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
This product combines two ingredients with limited evidence for effectiveness and notable safety concerns, especially periwinkle's potential for toxicity. If you take methotrexate, blood pressure medications, hormone therapy, tamoxifen, or any liver-metabolized drug, you need to review this product with your own doctor or pharmacist before starting.
Pregnant or breastfeeding women should not use it.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients 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 Periwinkle/Red Clover Extract, straight from the product label.
| Brand | MBi Nutraceuticals |
|---|---|
| Net contents | 2 fl. Oz. |
| Market status | On market |
| Date entered into DSLD | Aug 23, 2020 |
| DSLD ID | 231775 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Children 4 or More Years of Age, Adult (18 - 50 Years) |
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 Periwinkle/Red Clover Extract by MBi Nutraceuticals, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Red Clover | 100 mg | -- |
| Periwinkle | 100 mg | -- |
Other ingredients: deionized Water, Ethanol, 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.
Formulation
Periwinkle/Red Clover Extract is made from imported and domestic herbs. Purifies the blood, treats asthma, bronchitis, psoriasis, and more.
Phyto-Fresh Liquid Herbal Therapy
Suggested/Recommended/Usage/Directions
Recommendation: Adults or children four or more years of age; take 25 drops 3 or 4 times per day or as directed by your health care professional.
General Statements
Shake well before using.
Precautions
Warning: Keep out of the reach of children.
If pregnant or nursing, consult your physician before using this product.
If tamper resistant seals are broken do not use this product.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Periwinkle/Red Clover Extract by MBi Nutraceuticals 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 Periwinkle/Red Clover Extract by MBi Nutraceuticals
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size25 Drop(s) Dosage formLiquid Servings per container60 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.
Red Clover
Interacts with867 drugs
Red clover is a plant rich in isoflavones (plant compounds with weak estrogen-like activity) that is most often used for menopause symptoms like hot f...
Red Clover monograph & interactionsPeriwinkle
Interacts with172 drugs
Periwinkle (Vinca minor) is a flowering plant whose alkaloids are the source of vinpocetine, a compound marketed for memory and brain circulation. Evi...
Periwinkle monograph & interactionsOther (inactive) ingredients: Deionized Water, Ethanol, Glycerin. These complete the product’s ingredient list but are not active constituents.
Periwinkle/Red Clover Extract by MBi Nutraceuticals Drug Interactions
HelloPharmacist Interaction Report
Red Clover/Periwinkle Extract by MBi Nutraceuticals has documented interactions through both its red clover and periwinkle content.
The most serious concern is red clover's interaction with methotrexate (Trexall) — a Moderate-severity risk of increased toxicity, including severe nausea and stomach pain. A case report documented this when someone taking methotrexate injections for psoriasis developed toxicity symptoms after three days on red clover.
Read the full breakdown — every affected drug type, severity by severity
Red clover also carries Moderate-severity concerns with estrogens and tamoxifen (Nolvadex). Because red clover contains plant estrogens (phytoestrogens), it may interfere with hormone therapy or potentially reduce how well tamoxifen works against cancer.
Minor interactions are documented with drugs metabolized by your liver's CYP1A2, CYP2C19, CYP2C9, and CYP3A4 enzymes—though clinical studies at standard doses showed minimal effect—and with blood thinners and antiplatelet drugs, though human evidence is lacking.
Periwinkle brings a Moderate-severity interaction with blood pressure medications (antihypertensives); its active constituent vincamine may lower blood pressure further, potentially too much. Altogether, these interactions span 992 individual medications.
Before starting this product, check your exact medications with your doctor or pharmacist—especially if you take methotrexate, hormone therapy, tamoxifen, blood pressure drugs, or any liver-metabolized medication.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Periwinkle/Red Clover Extract?
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 Periwinkle/Red Clover Extract interact with 991 drugs. Click any drug to see the details.
2 of the 2 ingredients in Periwinkle/Red Clover Extract interact with drugs. Each result below shows which ingredient is responsible. Red Clover Periwinkle
BumetanideBurinex
How Bumetanide interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Bumetanide interactionBumetanide (iv)Bumex
How Bumetanide (iv) interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Bumetanide (iv) interactionBumetanide (oral)Bumex
How Bumetanide (oral) interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Bumetanide (oral) interactionCandesartan CilexetilAmias, Atacand
How Candesartan Cilexetil interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Candesartan Cilexetil interactionCandesartan Cilexetil, HydrochlorothiazideAtacand HCT
How Candesartan Cilexetil, Hydrochlorothiazide interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Candesartan Cilexetil, Hydrochlorothiazide interactionCaptoprilAcepril, Capoten
How Captopril interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Captopril interactionCaptopril, HydrochlorothiazideAcezide, Capozide
How Captopril, Hydrochlorothiazide interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Captopril, Hydrochlorothiazide interactionCarteololCartrol, Ocupress
How Carteolol interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Carteolol interactionCarvedilolCoreg, Coreg CR
How Carvedilol interacts with Periwinkle/Red Clover Extract — through 2 ingredients. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Carvedilol interactionRed CloverCytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP2C9; however, a small clinical study found no effect.
Read the full Red Clover + Carvedilol interactionCeliprololCelicard
How Celiprolol interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Celiprolol interactionChlorothiazideDiuril
How Chlorothiazide interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Chlorothiazide interactionChlorothiazide, MethyldopaAldochlor, Aldoclor 150, Aldoclor 250
How Chlorothiazide, Methyldopa interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Chlorothiazide, Methyldopa interactionChlorothiazide, ReserpineDiupres
How Chlorothiazide, Reserpine interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Chlorothiazide, Reserpine interactionChlorthalidoneHygroton, Thalitone
How Chlorthalidone interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Chlorthalidone interactionChlorthalidone, ClonidineClorpres, Combipres
How Chlorthalidone, Clonidine interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Chlorthalidone, Clonidine interactionCilazaprilInhibace
How Cilazapril interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Cilazapril interactionClevidipineCleviprex
How Clevidipine interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Clevidipine interactionClonidineCatapres
How Clonidine interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Clonidine interactionConjugated EstrogensCenestin, Enjuvia, Premarin, Premarin Vaginal Cream
How Conjugated Estrogens interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
Red CloverCytochrome P450 3a4 (cyp3a4) Substrates, Estrogens Moderate
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
Read the full Red Clover + Conjugated Estrogens interactionConjugated Estrogens, Medroxyprogesterone AcetatePremplus, Prempro
How Conjugated Estrogens, Medroxyprogesterone Acetate interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
Red CloverEstrogens, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use of large amounts of red clover might interfere with estrogen therapy.
Read the full Red Clover + Conjugated Estrogens, Medroxyprogesterone Acetate interactionConjugated Estrogens, MeprobamatePMB 200, PMB 400
How Conjugated Estrogens, Meprobamate interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
Red CloverCytochrome P450 3a4 (cyp3a4) Substrates, Estrogens Moderate
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
Read the full Red Clover + Conjugated Estrogens, Meprobamate interactionConjugated Estrogens, MethyltestosteronePremarin with Methyltestosterone
How Conjugated Estrogens, Methyltestosterone interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
Red CloverEstrogens, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concomitant use of large amounts of red clover might interfere with estrogen therapy.
Read the full Red Clover + Conjugated Estrogens, Methyltestosterone interactionCryptenamine, MethyclothiazideDiutensen
How Cryptenamine, Methyclothiazide interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Cryptenamine, Methyclothiazide interactionCyclothiazideAnhydron, Fluidil
How Cyclothiazide interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Cyclothiazide interactionCyproterone Acetate, Ethinyl EstradiolDiane-35, Dianette
How Cyproterone Acetate, Ethinyl Estradiol interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
Red CloverCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
Read the full Red Clover + Cyproterone Acetate, Ethinyl Estradiol interactionDeserpidineHarmonyl
How Deserpidine interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Deserpidine interactionDeserpidine, HydrochlorothiazideOreticyl, Oreticyl Forte
How Deserpidine, Hydrochlorothiazide interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Deserpidine, Hydrochlorothiazide interactionDeserpidine, MethyclothiazideEnduronyl, Enduronyl Forte
How Deserpidine, Methyclothiazide interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Deserpidine, Methyclothiazide interactionDesogestrel, Ethinyl EstradiolDesogen, Marvelon, Marvelon 21, Marvelon 28, Mircette, Ortho-Cept +2 more
How Desogestrel, Ethinyl Estradiol interacts with Periwinkle/Red Clover Extract — through 1 ingredient. Tap an ingredient for the detail:
Red CloverCytochrome P450 2c9 (cyp2c9) Substrates, Estrogens +2 Moderate
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP2C9; however, a small clinical study found no effect.
Read the full Red Clover + Desogestrel, Ethinyl Estradiol interactionDiltiazemAdizem-SR, Adizem-XL, Angitil SR, Angitil XL, Calcicard CR, Cardizem +23 more
How Diltiazem interacts with Periwinkle/Red Clover Extract — through 2 ingredients. Tap an ingredient for the detail:
PeriwinkleAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Read the full Periwinkle + Diltiazem interactionRed CloverCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
Read the full Red Clover + Diltiazem interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Periwinkle/Red Clover Extract 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.
Red Clover
Estrogens
Theoretically, concomitant use of large amounts of red clover might interfere with estrogen therapy.
Red clover contains phytoestrogens which might have estrogenic activity in some people. Theoretically, red clover might compete for estrogen receptors and interfere with estrogen-containing drug therapy.
Methotrexate (Trexall, Others)
Theoretically, red clover might increase the risk of methotrexate toxicity.
In a case report, a 52-year-old female receiving weekly methotrexate injections for psoriasis developed symptoms of methotrexate toxicity, including severe vomiting and epigastric pain, after three days of taking red clover 430 mg daily. Toxicity resolved after red clover was discontinued. However, no liver function tests or methotrexate levels were reported.
Tamoxifen (Nolvadex)
Theoretically, the phytoestrogens in red clover might interfere with tamoxifen.
In vitro and animal research suggests that genistein, a constituent of red clover, might antagonize the antitumor effects of tamoxifen. However, there is some evidence from an animal study that red clover does not reduce the efficacy of tamoxifen. Until more is known, tell patients taking tamoxifen to avoid red clover.
Anticoagulant/Antiplatelet Drugs
Although some laboratory research suggests that red clover may have anticoagulant and antiplatelet activity, clinical research has not shown this effect.
In vitro research suggests that genistein in red clover has antiplatelet effects, and historically, red clover was thought to have anticoagulant effects due to its coumarin content. However, some experts state that this is unlikely as most natural coumarins have not been shown to have anticoagulant effects, and their content in red clover is low. Additionally, some clinical research in postmenopausal patients found no effect on coagulation or prothrombin time with the use of red clover flowering tops 378 mg daily for 12 months or red clover isoflavone (Rimostil) 50 mg daily for 2 years.
Caffeine
Theoretically, soy might reduce the clearance of caffeine; however, a small clinical study found no effect.
Red clover contains genistein. Taking genistein 1 gram daily for 14 days seems to inhibit caffeine clearance and metabolism in healthy females. However, this effect does not seem to occur with the lower amounts of genistein found in red clover. A clinical study in healthy postmenopausal individuals shows that taking red clover capsules standardized to contain 60 mg isoflavones twice daily for 14 days does not affect the pharmacokinetics of caffeine.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, red clover might increase levels of drugs metabolized by CYP1A2; however, a small clinical study found no effect.
In vitro evidence shows that red clover inhibits CYP1A2. However, a clinical study in healthy postmenopausal individuals shows that taking red clover capsules standardized to contain 60 mg isoflavones twice daily for 14 days does not affect the pharmacokinetics of caffeine, a CYP1A2 probe substrate.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, red clover might increase the levels and clinical effects of drugs metabolized by CYP2C19.
In vitro evidence suggests that red clover weakly inhibits CYP2C19. This interaction has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, red clover might increase levels of drugs metabolized by CYP2C9; however, a small clinical study found no effect.
In vitro evidence suggests that red clover might inhibit CYP2C9. However, a clinical study in healthy postmenopausal individuals shows that taking red clover capsules standardized to contain 60 mg isoflavones twice daily for 14 days does not affect the pharmacokinetics of tolbutamide, a CYP2C9 probe substrate.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, red clover might increase levels of drugs metabolized by CYP3A4; however, a small clinical study found no effect.
In vitro evidence shows that red clover might inhibit CYP3A4 isoenzymes. However, a clinical study in healthy postmenopausal individuals shows that taking red clover capsules standardized to contain 60 mg isoflavones twice daily for 14 days does not affect the pharmacokinetics of alprazolam, a CYP3A4 probe substrate.
Periwinkle
Antihypertensive Drugs
Theoretically, taking periwinkle may increase the effects of antihypertensive drugs due to the hypotensive activity of vincamine, a constituent of periwinkle.
Brand information
Manufacturer and brand details for Periwinkle/Red Clover Extract, from the product label.
MBi Nutraceuticals
See all MBi Nutraceuticals products- Name
- MBi Nutraceuticals
- City
- Lindon
- State
- UT
- ZipCode
- 84042
- Phone Number
- 800-321-3740
Periwinkle/Red Clover Extract by MBi Nutraceuticals: Common Questions
Does Periwinkle/Red Clover Extract by MBi Nutraceuticals interact with any medications?
How can one product interact with so many drugs?
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What side effects might I experience?
Does this product actually work for hair loss, hot flashes, joint pain, or bone health?
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Is this safe if I don't take any prescription drugs?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Periwinkle/Red Clover Extract’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Red Clover
Interacts with 867 drugsRed clover is a plant rich in isoflavones (plant compounds with weak estrogen-like activity) that is most often used for menopause symptoms like hot flashes. The evidence is mixed and genera...
Read the full Red Clover monograph → Herb & supplement monographPeriwinkle
Interacts with 172 drugsPeriwinkle (Vinca minor) is a flowering plant whose alkaloids are the source of vinpocetine, a compound marketed for memory and brain circulation. Evidence in humans is limited and mixed, an...
Read the full Periwinkle monograph →Sources & How We Checked
Periwinkle/Red Clover Extract'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 29 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.
Red Clover 24 references
- Kurzer MS, Xu X. Dietary phytoestrogens. Annu Rev Nutr 1997;17:353-81. PubMed
- Electronic Code of Federal Regulations. Title 21. Part 182 -- Substances Generally Recognized As Safe. Available at: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=182
- 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
- This P, De La Rochefordiere A, Clough K, et al. Phytoestrogens after breast cancer. Endocr Relat Cancer 2001;8:129-34. PubMed
- Tice J, Cummings SR, Ettinger B, et al. Few adverse effects of two red clover extracts rich in phytoestrogens: a multicenter, placebo-controlled trial. Alt Ther 2001;7:S33.
- Ingram DM, Hickling C, West L, et al. A double-blind randomized controlled trial of isoflavones in the treatment of cyclical mastalgia. The Breast 2002;11:170-4. PubMed
- Unger M, Frank A. Simultaneous determination of the inhibitory potency of herbal extracts on the activity of six major cytochrome P450 enzymes using liquid chromatography/mass spectrometry and automated online extraction. Rapid Commun Mass Spectrom 2004;1 PubMed
- Cheong JL, Bucknall R. Retinal vein thrombosis associated with a herbal phytoestrogen preparation in a susceptible patient. Postgrad Med J 2005;81:266-7.. PubMed
- Geller SE, Shulman LP, van Breemen RB, et al. Safety and efficacy of black cohosh and red clover for the management of vasomotor symptoms: a randomized controlled trial. Menopause 2009;16:1156-66. PubMed
- Hidalgo LA, Chedraui PA, Morocho N, et al. The effect of red clover isoflavones on menopausal symptoms, lipids and vaginal cytology in menopausal women: a randomized, double-blind, placebo-controlled study. Gynecol Endocrinol 2005;21(5):257-264. PubMed
- Campbell MJ, Woodside JV, Honour JW, et al. Effect of red clover-derived isoflavone supplementation on insulin-like growth factor, lipid and antioxidant status in healthy female volunteers: a pilot study. Eur J Clin Nutr 2004;58(1):173-179. PubMed
- Guerrero JA, Lozano ML, Castillo J, et al. Flavonoids inhibit platelet function through binding to the thromboxane A2 receptor. J Thromb Haemost 2005;3(2):369-376. PubMed
- Kondo K, Suzuki Y, Ikeda Y, Umemura K. Genistein, an isoflavone included in soy, inhibits thrombotic vessel occlusion in the mouse femoral artery and in vitro platelet aggregation. Eur J Pharmacol 2002;455(1):53-57. PubMed
- Polini N, Rauschemberger MB, Mendiberri J, et al. Effect of genistein and raloxifene on vascular dependent platelet aggregation. Mol Cell Endocrinol 2007;267(1-2):55-62. PubMed
- Wuttke W, Jarry H, Seidlova-Wuttke D. Plant-derived alternative treatments for the aging male: facts and myths. Aging Male 2010;13(2):75-81. PubMed
- Villaseca P. Non-estrogen conventional and phytochemical treatments for vasomotor symptoms: what needs to be known for practice. Climacteric 2012;15(2):115-124. PubMed
- Chen, Y., Xiao, C. Q., He, Y. J., Chen, B. L., Wang, G., Zhou, G., Zhang, W., Tan, Z. R., Cao, S., Wang, L. P., and Zhou, H. H. Genistein alters caffeine exposure in healthy female volunteers. Eur.J Clin.Pharmacol. 2011;67(4):347-353. PubMed
- Friedman, J. A., Taylor, S. A., McDermott, W., and Alikhani, P. Multifocal and recurrent subarachnoid hemorrhage due to an herbal supplement containing natural coumarins. Neurocrit.Care 2007;7(1):76-80. PubMed
- Hooper, L., Madhavan, G., Tice, J. A., Leinster, S. J., and Cassidy, A. Effects of isoflavones on breast density in pre- and post-menopausal women: a systematic review and meta-analysis of randomized controlled trials. Hum.Reprod.Update. 2010;16(6):745-7 PubMed
- Orr A and Parker R. Red clover causing symptoms suggestive of methotrexate toxicity in a patient on high-dose methotrexate. Menopause Int. 2013;19(3):133-134. PubMed
- Clifton-Bligh PB, et al. Red cover isoflavones enriched with formononetin lower serum LDL cholesterol- a randomized, double-blind, placebo-controlled trial. Eur J Clin Nutr. 2015;69(1):134-142.
- Risk assessment for peri- and post-menopausal women taking food supplements containing isolated isoflavones. EFSA Panel on Food Additives and Nutrient Sources added to Food (ANS). 2015. DOI
- Ferraris C, Ballestra B, Listorti C, et al. Red clover and lifestyle changes to contrast menopausal symptoms in premenopausal patients with hormone-sensitive breast cancer receiving tamoxifen. Breast Cancer Res Treat 2020;180(1):157-65. doi: 10.1007/s1054 PubMed
- Chen L, Choi J, Leonard SW, et al. No Clinically Relevant Pharmacokinetic Interactions of a Red Clover Dietary Supplement with Cytochrome P450 Enzymes in Women. J Agric Food Chem. 2020;68(47):13929-13939. PubMed
Periwinkle 5 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.
- Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 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.
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DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
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