Pippali (Fruit) Powder Ingredients & Drug Interactions
by Herbal Hills
What is this page for?
First and foremost: checking Pippali (Fruit) Powder 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
Pippali (Fruit) Powder is a dietary supplement by Herbal Hills with 1 active ingredient. Its ingredients are commonly taken for digestive upset, respiratory and cough complaints, boosting absorption of other supplements.Based on those ingredients, 896 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Pippali (fruit) powder. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Pippali (Fruit) Powder by Herbal Hills
Ask about any prescription or over-the-counter medication and we check it for interactions with Pippali (Fruit) Powder by Herbal Hills — 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 Pippali (Fruit) Powder by Herbal Hills
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Low disclosure
This product contains one active ingredient: pippali fruit powder, also called Indian long pepper. It's a single-ingredient supplement with no added fillers or other inactive ingredients.
Does it work?
Not established
The evidence base for pippali fruit powder is not established in our data. Effectiveness ratings for bronchitis, asthma, cancer, cardiovascular disease, and liver disease are all listed as insufficient reliable evidence to rate, meaning there isn't enough rigorous research yet to say whether it works for these uses.
How safe is it?
Some data gaps
Pippali fruit powder is likely safe when used in food amounts as a spice, but concentrated supplement doses lack strong safety data. The piperine it contains can alter how your body absorbs other substances, which is one reason medicinal amounts aren't well studied.
During pregnancy, medicinal doses are traditionally discouraged and not well researched — avoid supplement amounts and talk with your doctor or pharmacist about what's right for you. The same goes for breastfeeding: there isn't enough safety information to recommend it in medicinal amounts, so discuss this with your healthcare provider before using it.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you take blood thinners or antiplatelet drugs (like warfarin or aspirin). You should also confirm it's safe with beta-blockers such as propranolol, diabetes medications, theophylline, pentobarbital, cyclosporine, or any drug that relies on the CYP3A4 enzyme or P-glycoprotein for absorption — because piperine can raise their levels in your blood.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and some safety-information gaps remain.
Pippali powder is a single-ingredient supplement with limited evidence for its claimed uses. The bigger issue is its potential to interfere with how your body processes many medications — especially blood thinners, diabetes drugs, and heart medications.
If you take any prescription drugs, check them against this product before starting, or talk it over with your doctor or pharmacist first.
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 Jun 24, 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
General information
Key facts about Pippali (Fruit) Powder, straight from the product label.
| Brand | Herbal Hills |
|---|---|
| Barcode (UPC) | 8906068410831 |
| Net contents | 1 kg |
| Market status | On market |
| Date entered into DSLD | Jun 24, 2019 |
| DSLD ID | 203770 |
| Product type | Botanical |
| Supplement form | Powder |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Halal |
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 Pippali (Fruit) Powder by Herbal Hills, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Pippali (fruit) powder | 0 NP | -- |
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.
Formula
According to traditional literature Pippali is one of the most powerful 'Rasayan'. It may help regulate the digestive functions and respiratory system. It may help enhance the functioning of the immune system. It is considered to be a powerful rasayan with great therapeutic benefits. May help regulate the respiratory system. May help regulate the digestive system. It may help enhance the immune system.
Halal India www.Halalindia.com S No. 001548
Suggested/Recommended/Usage/Directions
Dosage: Take 2 gms powder, 1 to 2 times a day or as advised by the physician.
Precautions
Caution: Pregnant or lactating women are advised to consume herbal products under the advice of the physician.
Keep out of reach of children.
Do not use if pouch is broken.
FDA Disclaimer Statement
These statements have not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Storage
Store in a cool dry place away from direct sunlight.
FDA Statement of Identity
Ayurvedic Product
General Statements
Mfg. Lic. No.: PD/AYU/002/10 (An ISO 22000:2005 Certified Company) Customer Care: 91 22 28686868 (10 a.m to 6 p.m on weekdays)
Seals/Symbols
ISO Certified Company 22000:2005 Halal India www.Halalindia.com S No. 001548 GMP Good Manufacturing Practice
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Pippali (Fruit) Powder by Herbal Hills 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 Pippali (Fruit) Powder by Herbal Hills
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size2 Not Present Dosage formPowder Amounts shown are per serving.
Pippali (fruit) powder
Interacts with896 drugs
Indian long pepper (pippali) is a spice long used in Ayurvedic medicine and is best known for its piperine content, which may increase how well the bo...
Pippali (fruit) powder monograph & interactionsPippali (Fruit) Powder by Herbal Hills Drug Interactions
HelloPharmacist Interaction Report
Pippali (Fruit) Powder by Herbal Hills interacts with medications through its piperine content, a compound that affects how your body processes and absorbs drugs.
The most serious concern is with blood thinners and antiplatelet drugs (like warfarin or aspirin) — piperine can increase bleeding risk by interfering with how platelets clump together. You'll want to check with your doctor or pharmacist before combining this with any blood thinner or antiplatelet medication.
Read the full breakdown — every affected drug type, severity by severity
Several other drug types are affected at a Moderate level. Piperine can boost blood levels of beta-blockers like propranolol, certain diabetes medications (raising the risk of low blood sugar), theophylline (a breathing medication), pentobarbital (a sedative), and cyclosporine (an immunosuppressant).
It also inhibits an enzyme called CYP3A4 and a transport protein called P-glycoprotein, both of which move many common medications through your body — meaning this powder could raise levels of any drug that depends on them.
Although we could not check interactions for every medication, the scope of effects on drug-processing enzymes and proteins means the list of potentially affected drugs is substantial. Before you start this supplement, run your exact medications through the interaction checker on this page or discuss them with your doctor or pharmacist.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Pippali (Fruit) Powder?
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 Pippali (Fruit) Powder interact with 896 drugs. Click any drug to see the details.
1 of the 1 ingredient in Pippali (Fruit) Powder interact with drugs. Each result below shows which ingredient is responsible. Pippali (fruit) powder
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Read the full Pippali (fruit) Powder + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Read the full Pippali (fruit) Powder + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates, P-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Pippali (fruit) Powder + Acarbose interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Read the full Pippali (fruit) Powder + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Read the full Pippali (fruit) Powder + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
Read the full Pippali (fruit) Powder + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + 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 Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule
How Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interacts with Pippali (Fruit) Powder — through 1 ingredient. Tap an ingredient for the detail:
Pippali (fruit) PowderCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
Read the full Pippali (fruit) Powder + Acetaminophen, Chlorpheniramine, Phenylpropanolamine, Opium interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Pippali (Fruit) Powder 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.
Pippali (fruit) powder
Anticoagulant/Antiplatelet Drugs
Theoretically, Indian long pepper might increase the risk of bleeding when taken with anticoagulant/antiplatelet drugs.
In vitro research shows that Indian long pepper extract inhibits platelet aggregation.
Antidiabetes Drugs
Theoretically, Indian long pepper might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal research shows that piperine, a constituent of Indian long pepper, can reduce blood glucose levels. Monitor blood glucose levels closely. Dose adjustments might be necessary.
Cyclosporine (Neoral, Sandimmune)
Theoretically, Indian long pepper might increase the effects and adverse effects of cyclosporine.
In vitro research shows that piperine, a constituent of Indian long pepper, increases the bioavailability of cyclosporine.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, Indian long pepper might increase the effects and adverse effects of CYP3A4 substrates.
In vitro research shows that piperine, a constituent of Indian long pepper, inhibits CYP3A4.
Nevirapine (Viramune)
Theoretically, Indian long pepper might increase blood levels of nevirapine.
A small pharmacokinetic study shows that piperine, a constituent of Indian long pepper, increases the plasma concentration and systemic exposure of nevirapine. However, no adverse effects were associated with the elevated plasma levels of nevirapine.
P-Glycoprotein Substrates
Theoretically, Indian long pepper might increase levels of P-glycoprotein substrates.
In vitro research shows that piperine, a constituent of Indian long pepper, can inhibit P-glycoprotein.
Pentobarbital (Nembutal)
Theoretically, Indian long pepper might increase the sedative effects of pentobarbital.
Animal research shows that piperine, a constituent of Indian long pepper, can increase pentobarbitone-induced sleeping time.
Phenytoin (Dilantin)
Theoretically, Indian long pepper might increase blood levels of phenytoin.
A small pharmacokinetic study shows that piperine, a constituent of Indian long pepper, increases phenytoin serum levels and slows its elimination.
Propranolol (Inderal)
Theoretically, Indian long pepper might increase blood levels of propranolol.
A small pharmacokinetic study shows that piperine, a constituent of Indian long pepper, accelerates absorption and increases serum concentrations of propranolol.
Rifampin (Rifadin)
Theoretically, Indian long pepper might increase blood levels of rifampin.
Piperine, a constituent of Indian long pepper, seems to increase absorption and serum levels of rifampin.
Theophylline
Indian long pepper might increase blood levels of theophylline.
A small pharmacokinetic study shows that piperine, a constituent of Indian long pepper, increases serum concentrations and slows elimination of theophylline.
Amoxicillin (Amoxil, Trimox)
Theoretically, Indian long pepper might increase the effects and adverse effects of amoxicillin.
Evidence from animal research shows that piperine, a constituent of Indian long pepper, increases the plasma levels of amoxicillin when taken concomitantly.
Carbamazepine (Tegretol)
Theoretically, Indian long pepper might increase blood levels of carbamazepine.
A small pharmacokinetic study in patients taking carbamazepine 300 mg or 500 mg twice daily shows that a single 20 mg dose of purified piperine, which is a constituent of Indian long pepper, increases carbamazepine levels. Piperine may increase absorption by increasing blood flow to the GI tract, increasing the surface area of the small intestine, or by cytochrome P450 3A4 (CYP3A4) inhibition in the gut wall. Absorption was significantly increased by 7-10 mcg/mL/hour. The time to eliminate carbamazepine was also increased by 4-8 hours. Although carbamazepine levels were increased, this did not appear to increase side effects.
Cefotaxime (Claforan)
Theoretically, Indian long pepper might increase the effects and adverse effects of cefotaxime.
Animal research shows that piperine, a constituent of Indian long pepper, increases the plasma levels of cefotaxime when taken concomitantly.
Brand information
Manufacturer and brand details for Pippali (Fruit) Powder, from the product label.
Herbal Hills
See all Herbal Hills products- Name
- Isha Agro Developers Pvt. Ltd.
- Street Address
- 36A/55AB, Lonavala Co.op. Indl. Est. Ltd.
- City
- Village - Nangargaon, Lonavala, Pune
- State
- Maharashtra
- Phone Number
- 91 22 28686868
- Web Address
- www.herbalhills.in
Pippali (Fruit) Powder by Herbal Hills: Common Questions
Does Pippali (Fruit) Powder by Herbal Hills interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take pippali powder if I'm pregnant or breastfeeding?
Does pippali powder actually work for asthma, bronchitis, or any of these conditions?
Why does this supplement interact with so many medications?
Is pippali powder safe to use as a spice in cooking?
What is pippali, exactly?
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The Full Monographs Behind Pippali (Fruit) Powder’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Pippali (Fruit) Powder'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 12 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.
Indian Long Pepper 12 references
- Bano G, Amla V, Raina RK, et al. The effect of piperine on pharmacokinetics of phenytoin in healthy volunteers. Planta Med 1987;53:568-9. PubMed
- Bano G, et al. Effect of piperine on bioavailability and pharmacokinetics of propranolol and theophylline in healthy volunteers. Eur J Clin Pharmacol 1991;41;615-7. PubMed
- Bhardwaj RK, Glaeser H, Becquemont L, et al. Piperine, a major constituent of black pepper, inhibits human P-glycoprotein and CYP3A4. J Pharmacol Exp Ther 2002;302:645-50. PubMed
- Pattanaik S, Hota D, Prabhakar S, et al. Pharmacokinetic interaction of a single dose of piperine with steady-state carbamazepine in epilepsy patients. Phytother Res 2009;23:1281-6.
- Kasibhatta, R. and Naidu, M. U. Influence of piperine on the pharmacokinetics of nevirapine under fasting conditions: a randomised, crossover, placebo-controlled study. Drugs R.D. 2007;8(6):383-391. PubMed
- Mujumdar, A. M., Dhuley, J. N., Deshmukh, V. K., Raman, P. H., Thorat, S. L., and Naik, S. R. Effect of piperine on pentobarbitone induced hypnosis in rats. Indian J Exp.Biol. 1990;28(5):486-487.
- Panda, S. and Kar, A. Piperine lowers the serum concentrations of thyroid hormones, glucose and hepatic 5'D activity in adult male mice. Horm.Metab Res. 2003;35(9):523-526. PubMed
- Hiwale, A. R., Dhuley, J. N., and Naik, S. R. Effect of co-administration of piperine on pharmacokinetics of beta-lactam antibiotics in rats. Indian J Exp.Biol. 2002;40(3):277-281.
- Han, Y., Chin Tan, T. M., and Lim, L. Y. In vitro and in vivo evaluation of the effects of piperine on P-gp function and expression. Toxicol.Appl.Pharmacol. 8-1-2008;230(3):283-289. PubMed
- Sharma, P., Varma, M. V., Chawla, H. P., and Panchagnula, R. In situ and in vivo efficacy of peroral absorption enhancers in rats and correlation to in vitro mechanistic studies. Farmaco 2005;60(11-12):874-883. PubMed
- Zutshi, R. K., Singh, R., Zutshi, U., Johri, R. K., and Atal, C. K. Influence of piperine on rifampicin blood levels in patients of pulmonary tuberculosis. J Assoc.Physicians India 1985;33(3):223-224.
- Yadav V, Krishnan A, Vohora D. A systematic review on Piper longum L.: Bridging traditional knowledge and pharmacological evidence for future translational research. J Ethnopharmacol. 2020;247:112255. PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC