Phyllanthus Niruri with Xanthium Chinese 1000 mg Ingredients & Drug Interactions
by GM Germa
What is this page for?
First and foremost: checking Phyllanthus Niruri with Xanthium Chinese 1000 mg 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
Phyllanthus Niruri with Xanthium Chinese 1000 mg is a dietary supplement by GM Germa with 2 active ingredients. Its ingredients are commonly taken for kidney stones, gallstones, liver support.Based on those ingredients, 1,266 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Chanca Piedra, Xanthium Chinese. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Phyllanthus Niruri with Xanthium Chinese 1000 mg by GM Germa
Ask about any prescription or over-the-counter medication and we check it for interactions with Phyllanthus Niruri with Xanthium Chinese 1000 mg by GM Germa — 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 Phyllanthus Niruri with Xanthium Chinese 1000 mg by GM Germa
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: chanca piedra (also called Phyllanthus niruri) and Xanthium Chinese, delivered as a proprietary herbal blend at 1000 mg per capsule. The inactive ingredients are magnesium stearate, microcrystalline cellulose, and a gelatin capsule.
Does it work?
Moderate evidence
Chanca piedra is possibly effective for kidney stones. The evidence for other uses — including anemia of chronic disease and benign prostatic hyperplasia — is insufficient to rate.
Chanca piedra is considered likely ineffective for hepatitis B. For Xanthium Chinese, no effectiveness data are on file in our system.
How safe is it?
Well-documented data
Chanca piedra is often well tolerated short-term, but high-quality safety data are limited. The most common side effects reported are abdominal pain, nausea, and vomiting; fatigue has also been reported.
The safety data advise against use during pregnancy and while breastfeeding. Xanthium Chinese is regarded as unsafe for use — it contains toxic compounds and has caused serious poisoning even after processing.
The ingredient is likely unsafe in pregnancy and lactation due to toxicity risk and lack of safety data. Early side effects include abdominal pain, nausea, vomiting, severe low blood sugar, liver damage, bleeding risk, drowsiness, dizziness, shortness of breath, sweating, fever, and heart palpitations; symptoms can progress to dangerous changes in blood acid levels and heart rhythm problems.
Meds to double-check
Major interaction found
Before taking this product, check with your doctor or pharmacist if you take antidiabetes medications (especially critical — severe low blood sugar is documented), drugs that damage the liver or kidneys, blood thinners, diuretics, lithium, blood pressure medications, or any drug your liver metabolizes through the CYP1A2 or CYP3A4 pathways. Do not use if you are pregnant or breastfeeding.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence behind its ingredients' uses. Major medication interactions have been identified, and safety information is well characterized.
Chanca piedra may help with kidney stones, but this product's Xanthium Chinese component is flagged as unsafe and has caused serious toxicity. If you're considering this product for kidney stones, talk with your doctor or pharmacist first — they can help you weigh whether the chanca piedra benefit is worth the Xanthium Chinese risk, or suggest alternatives.
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 Nov 22, 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 Phyllanthus Niruri with Xanthium Chinese 1000 mg, straight from the product label.
| Brand | GM Germa |
|---|---|
| Barcode (UPC) | 790933502060 |
| Net contents | 60 Cap(s) |
| Market status | On market |
| Date entered into DSLD | Nov 22, 2023 |
| DSLD ID | 303180 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Women (not pregnant or lactating), Sugar Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Phyllanthus Niruri with Xanthium Chinese 1000 mg by GM Germa, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Herbal Blend | 500 mg | -- |
| Chanca Piedra | 250 mg | -- |
| Xanthium Chinese | 250 mg | -- |
Other ingredients: Magnesium Stearate, Microcrystalline Cellulose, Gelatin Capsule
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
Natural product, free of Sugar, Sodium, Starch, and Artificial Flavors.
Promotes Urinary Tract Health
No sugar No starch No artificial color No artificial flavor No preservatives
Suggested/Recommended/Usage/Directions
Suggested Use: Adults, take two capsules daily as a dietary supplement, preferably with meal, with a full glass of water.
Precautions
Warning: Do not use if pregnant or nursing, ask a physician before use. Do not use if taking any medication or have any medical condition.
Do not use if allergic to any of the ingredients.
Do not use if any adverse reactions occur. In case of accidental overdose, get medical help or contact a Poison Control Center immediately. Do not use if either seal is torn, broken or missing.
Not intended for use by person under the age of 18. Keep out of the reach of children.
Storage
Store at controlled room temperature between 15 degrees and 30 degrees C (59 degrees-89 degrees F).
General Statements
Please Recycle Questions or Comments: 1-305-278-0033, M-F, 9-5 Eastern
FDA Disclaimer Statement
These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
Formula
Phyllanthus Niruri with Xanthium Chinese
Phyllanthus Niruri with Xanthium Chinese 1000 mg per serving
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Phyllanthus Niruri with Xanthium Chinese 1000 mg by GM Germa 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 Phyllanthus Niruri with Xanthium Chinese 1000 mg by GM Germa
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Proprietary Herbal Blend
Other (inactive) ingredients: Magnesium Stearate, Microcrystalline Cellulose, Gelatin Capsule. These complete the product’s ingredient list but are not active constituents.
Phyllanthus Niruri with Xanthium Chinese 1000 mg by GM Germa Drug Interactions
HelloPharmacist Interaction Report
Phyllanthus Niruri with Xanthium Chinese by GM Germa carries documented interactions through both its chanca piedra and Xanthium Chinese (Siberian cocklebur) content.
The most serious concern is Xanthium Chinese's Major-severity interaction with antidiabetes drugs — it has caused severe low blood sugar (hypoglycemia) in humans, sometimes within hours of use and worsening over time. This is a real risk, not theoretical.
Read the full breakdown — every affected drug type, severity by severity
Xanthium Chinese also carries Major-severity interactions with drugs that damage the liver (hepatotoxic drugs) and kidneys (nephrotoxic drugs). The ingredient itself can harm both organs and has been linked to liver failure; combined with medications that do the same, the risk compounds.
Chanca piedra raises Moderate concerns with blood thinners (anticoagulants and antiplatelets), diuretics, lithium, certain blood pressure medications (norepinephrine), and drugs your liver breaks down through the CYP1A2 and CYP3A4 pathways — it may speed up or slow down how those drugs work. It also carries a Minor-severity interaction with blood pressure medications and diabetes drugs.
Altogether, these interactions span 1,267 individual medications. If you take any prescription medication — especially for blood sugar, blood pressure, blood clotting, heart rhythm, or kidney or liver function — run it through the checker on this page before you start this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Phyllanthus Niruri with Xanthium Chinese 1000 mg?
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 Phyllanthus Niruri with Xanthium Chinese 1000 mg interact with 1,266 drugs. Click any drug to see the details.
2 of the 2 ingredients in Phyllanthus Niruri with Xanthium Chinese 1000 mg interact with drugs. Each result below shows which ingredient is responsible. Chanca Piedra Xanthium Chinese
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 1 ingredient. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Abacavir, Lamivudine interactionAbiraterone
How Abiraterone interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Abiraterone interactionChanca PiedraCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of chanca piedra might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Chanca Piedra + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Abiraterone Acetate interactionChanca PiedraCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of chanca piedra might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Chanca Piedra + Abiraterone Acetate interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Antidiabetes Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acarbose interactionChanca PiedraAntidiabetes Drugs Minor
Interaction Summary
Theoretically, concomitant use with antidiabetes drugs might affect glucose control and increase the risk of hypoglycemia.
Read the full Chanca Piedra + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acebutolol interactionChanca PiedraAntihypertensive Drugs Minor
Interaction Summary
Theoretically, concomitant use of chanca piedra with antihypertensive drugs might have additive blood pressure lowering effects.
Read the full Chanca Piedra + Acebutolol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Aspirin interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Aspirin, Caffeine interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Butalbital interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseNephrotoxic Drugs, Hepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the kidney.
Read the full Xanthium Chinese + Acetaminophen, Butalbital, Caffeine interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseNephrotoxic Drugs, Hepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the kidney.
Read the full Xanthium Chinese + Acetaminophen, Butalbital, Caffeine, Codeine interactionChanca PiedraCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, use of chanca piedra might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Chanca Piedra + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Butalbital, Codeine interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Butalbital, Codeine Phosphate interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseNephrotoxic Drugs, Hepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the kidney.
Read the full Xanthium Chinese + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Caffeine, Codeine interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Caffeine, Codeine, Salicylamide interactionChanca PiedraCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, use of chanca piedra might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Chanca Piedra + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Caffeine, Dihydrocodeine interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseNephrotoxic Drugs, Hepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the kidney.
Read the full Xanthium Chinese + Acetaminophen, Caffeine, Isometheptene interactionChanca PiedraCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, use of chanca piedra might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Chanca Piedra + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Caffeine, Pyrilamine interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionChanca PiedraCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, use of chanca piedra might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Chanca Piedra + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseNephrotoxic Drugs, Hepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the kidney.
Read the full Xanthium Chinese + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionChanca PiedraCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, use of chanca piedra might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Chanca Piedra + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionChanca PiedraCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, use of chanca piedra might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Chanca Piedra + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseNephrotoxic Drugs, Hepatotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the kidney.
Read the full Xanthium Chinese + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionChanca PiedraCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
Read the full Chanca Piedra + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with Phyllanthus Niruri with Xanthium Chinese 1000 mg — through 2 ingredients. Tap an ingredient for the detail:
Xanthium ChineseHepatotoxic Drugs, Nephrotoxic Drugs Major
Interaction Summary
Siberian cocklebur can adversely affect the liver.
Read the full Xanthium Chinese + Acetaminophen, Chlorpheniramine, Phenylephrine interactionChanca PiedraCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, use of chanca piedra might increase the levels and clinical effects of CYP3A4 substrates.
Read the full Chanca Piedra + Acetaminophen, Chlorpheniramine, Phenylephrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Phyllanthus Niruri with Xanthium Chinese 1000 mg 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.
Chanca Piedra
Anticoagulant/Antiplatelet Drugs
Theoretically, chanca piedra might increase the risk of bleeding when used concomitantly with anticoagulant/antiplatelet drugs.
In vitro research suggests that methyl brevifolincarboxylate, a constituent isolated from chanca piedra, can inhibit platelet aggregation. This effect has not been reported in humans.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, chanca piedra might reduce the levels and clinical effects of CYP1A2 substrates.
In vitro research shows that chanca piedra extract increases CYP1A2 activity. Theoretically, chanca piedra might increase metabolism of CYP1A2 substrates and lower serum concentrations. This interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, use of chanca piedra might increase the levels and clinical effects of CYP3A4 substrates.
In vitro research shows that chanca piedra extract inhibits CYP3A4. Theoretically, chanca piedra might increase the levels of CYP3A4 substrates. This interaction has not been reported in humans.
Diuretic Drugs
Theoretically, concomitant use of chanca piedra with diuretics might increase diuresis.
Some preliminary clinical research in adults with hypertension shows that chanca piedra has diuretic properties. However, higher quality research in adults with kidney stones shows taking chanca piedra does not increase urine volume when compared with placebo. Until more is known, use cautiously in patients taking diuretic drugs.
Lithium
Theoretically, chanca piedra might reduce excretion and increase levels of lithium.
Some preliminary clinical research in adults with hypertension shows that chanca piedra has diuretic properties. However, higher quality research in adults with kidney stones shows that taking chanca piedra does not increase urine volume when compared with placebo. Until more is known, use cautiously in patients taking lithium. The dose of lithium might need to be decreased.
Norepinephrine (Levophed)
Theoretically, chanca piedra may reduce the effects of norepinephrine.
Animal research suggests that methyl brevifolincarboxylate, a constituent isolated from chanca piedra, can reverse blood vessel contraction caused by norepinephrine.
Antidiabetes Drugs
Theoretically, concomitant use with antidiabetes drugs might affect glucose control and increase the risk of hypoglycemia.
Animal research suggests that chanca piedra can have hypoglycemic effects. However, a small clinical study in adults with diabetes shows that chanca piedra extract 25 grams orally daily for 1 week does not lower fasting or postprandial blood glucose levels.
Antihypertensive Drugs
Theoretically, concomitant use of chanca piedra with antihypertensive drugs might have additive blood pressure lowering effects.
Animal research suggests that chanca piedra can decrease blood pressure. However, this effect was not observed in most hypertensive patients treated with chanca piedra for 10 days.
Xanthium Chinese
Antidiabetes Drugs
Siberian cocklebur seedlings and seeds have caused severe hypoglycemia in humans. Hypoglycemia occurs soon after consumption and worsens with time in most cases. Do not use Siberian cocklebur in people taking medications that also lower blood glucose.
Some antidiabetes drugs include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), and others.
Hepatotoxic Drugs
Siberian cocklebur can adversely affect the liver. It has been linked to many cases of hepatotoxicity and some cases of liver failure. Theoretically, concomitant use with other potentially hepatotoxic drugs might increase the risk of developing liver damage. Some of these drugs include acarbose (Precose, Prandase), amiodarone (Cordarone), atorvastatin (Lipitor), azathioprine (Imuran), carbamazepine (Tegretol), cerivastatin (Baycol), diclofenac (Voltaren), felbamate (Felbatol), fenofibrate (TriCor), fluvastatin (Lescol), gemfibrozil (Lopid), isoniazid, itraconazole, (Sporanox), ketoconazole (Nizoral), leflunomide (Arava), lovastatin (Mevacor), methotrexate (Rheumatrex), nevirapine (Viramune), niacin, nitrofurantoin (Macrodantin), pioglitazone (Actos), pravastatin (Pravachol), pyrazinamide, rifampin (Rifadin), ritonavir (Norvir), rosiglitazone (Avandia), simvastatin (Zocor), tacrine (Cognex), tamoxifen, terbinafine (Lamisil), valproic acid, and zileuton (Zyflo).
Nephrotoxic Drugs
Siberian cocklebur can adversely affect the kidney. Theoretically, combining Siberian cocklebur with potentially nephrotoxic drugs might have additive harmful effects on kidney function.
Some potentially nephrotoxic drugs include cyclosporine (Neoral, Sandimmune); aminoglycosides including amikacin (Amikin), gentamicin (Garamycin, Gentak, others), and tobramycin (Nebcin, others); nonsteroidal anti-inflammatory drugs (NSAIDs) including ibuprofen (Advil, Motrin, Nuprin, others), indomethacin (Indocin), naproxen (Aleve, Anaprox, Naprelan, Naprosyn), piroxicam (Feldene); and numerous others.
Brand information
Manufacturer and brand details for Phyllanthus Niruri with Xanthium Chinese 1000 mg, from the product label.
GM Germa
See all GM Germa products- Name
- Germa Products, LLC
- Street Address
- 13121 SW 122 Avenue
- City
- Miami
- State
- FL
- ZipCode
- 33186
- Phone Number
- 1-305-278-0033
- Web Address
- www.germa.net
Phyllanthus Niruri with Xanthium Chinese 1000 mg by GM Germa: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Phyllanthus Niruri with Xanthium Chinese 1000 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Chanca Piedra
Interacts with 1,020 drugsChanca piedra is a tropical herb traditionally used as a 'stone breaker' for kidney and gallstones, and for liver and urinary health. Human evidence for these uses is limited and mostly smal...
Read the full Chanca Piedra monograph → Herb & supplement monographSiberian Cocklebur
Interacts with 662 drugsSiberian cocklebur is a fruit used in traditional Chinese and other Asian herbal medicine, mainly for nasal congestion, sinus issues, and allergies. Human evidence is very limited, and the p...
Read the full Siberian Cocklebur monograph →Sources & How We Checked
Phyllanthus Niruri with Xanthium Chinese 1000 mg'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 22 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.
Chanca Piedra 18 references
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Srividya N, Periwal S. Diuretic, hypotensive and hypoglycaemic effect of Phyllanthus amarus. Indian J Exp Biol 1995; 33:861-4.
- Rao, M. V. and Alice, K. M. Contraceptive effects of Phyllanthus amarus in female mice. Phytother.Res 2001;15(3):265-267.
- Moshi, M. J., Lutale, J. J., Rimoy, G. H., Abbas, Z. G., Josiah, R. M., and Swai, A. B. The effect of Phyllanthus amarus aqueous extract on blood glucose in non-insulin dependent diabetic patients. Phytother.Res 2001;15(7):577-580.
- Nishiura, J. L., Campos, A. H., Boim, M. A., Heilberg, I. P., and Schor, N. Phyllanthus niruri normalizes elevated urinary calcium levels in calcium stone forming (CSF) patients. Urol.Res 2004;32(5):362-366. PubMed
- Iizuka, T., Moriyama, H., and Nagai, M. Vasorelaxant effects of methyl brevifolincarboxylate from the leaves of Phyllanthus niruri. Biol.Pharm.Bull. 2006;29(1):177-179. PubMed
- Adeneye, A. A., Amole, O. O., and Adeneye, A. K. Hypoglycemic and hypocholesterolemic activities of the aqueous leaf and seed extract of Phyllanthus amarus in mice. Fitoterapia 2006;77(7-8):511-514. PubMed
- Iizuka, T., Nagai, M., Taniguchi, A., Moriyama, H., and Hoshi, K. Inhibitory effects of methyl brevifolincarboxylate isolated from Phyllanthus niruri L. on platelet aggregation. Biol.Pharm.Bull. 2007;30(2):382-384. PubMed
- Amaechina, F. C. and Omogbai, E. K. Hypotensive effect of aqueous extract of the leaves of Phyllanthus amarus Schum and Thonn (Euphorbiaceae). Acta Pol.Pharm. 2007;64(6):547-552.
- Okoli, C. O., Obidike, I. C., Ezike, A. C., Akah, P. A., and Salawu, O. A. Studies on the possible mechanisms of antidiabetic activity of extract of aerial parts of Phyllanthus niruri. Pharm.Biol. 2011;49(3):248-255.
- Moshi MJ, Uiso FC Mahunnah RL et al. A study of the effect of Phyllanthus amarus extracts on blood glucose in rabbits. International Journal of Pharmacognosy 1997;35(3):167-173. DOI
- Kumar NG, Nair AN Raghunandanan VR et al. Hypoglycaemic effect of Phyllanthus niruri leaves in rabbits. Kerala Journal of Veterinary Science 1989;20(1):77-80.
- Navarro M, Coussio J Hnatyszyn O et al. Hypoglycemic Effect of an Aqueous Extract of Phyllanthus sellowianus ("sarandi blanco") in C57BL/Ks mice. Acta Farmaceutica Bonaerense 2004;23:520-523.
- Etta HE, Udoh PB Asuquo BO et al. Effect of Phyllanthus amarus on breeding efficiency of female albino rats. Global Journal of Agricultural Sciences 2007;215-217. DOI
- Etta H. Effects of Phyllanthus amarus on litter traits in albino rats. Scientific Research and Essays 2008;370-372.
- Pucci ND, Marchini GS, Mazzucchi E, et al. Effect of phyllanthus niruri on metabolic parameters of patients with kidney stone: a perspective for disease prevention. Int Braz J Urol 2018;44(4):758-64. PubMed
- Sowjanya K, Girish C, Bammigatti C, Prasanna Lakshmi NC. Efficacy of Phyllanthus niruri on improving liver functions in patients with alcoholic hepatitis: A double-blind randomized controlled trial. Indian J Pharmacol 2021;53(6):448-456. PubMed
- Husain I, Abdulrahman B, Dale OR, et al. Interaction of Phyllanthus amarus extract and its lignans with human xenobiotic receptors, drug metabolizing enzymes and drug transporters. J Ethnopharmacol 2025;339:119142. PubMed
Siberian Cocklebur 4 references
- Wu, M. L., Wang, C. P., and Deng, J. F. Fatal hepatic failure due to fructus xanthii in a child. Abstracts of the 2005 North American Congress of Clinical Toxicology Annual Meeting. Clin Toxicol 2005;43:639. DOI
- Gurley ES, Rahman M, Hossain MJ, et al. Fatal outbreak from consuming Xanthium strumarium seedlings during time of food scarcity in northeastern Bangladesh. PLoS One 2010 Mar 18;5(3):e9756. PubMed
- Turgut M, Alhan CC, Gurgoze M, et al. Carboxyatractyloside poisoning in humans. Ann Trop Paediatr 2005;25(2):125-34. PubMed
- Karabiber H, Almis H, Selimoglu MA, Yakinci C, Yilmaz S. Xanthium strumarium poisoning requiring liver transplantation. J Pediatr Gastroenterol Nutr. 2014;58(1):e6-9.
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