Premium Organic Japanese Knotweed Ingredients & Drug Interactions
by ZenMen
What is this page for?
First and foremost: checking Premium Organic Japanese Knotweed 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
Premium Organic Japanese Knotweed is a dietary supplement by ZenMen with 1 active ingredient. Its ingredients are commonly taken for source of resveratrol, heart and circulation support, inflammation.Based on those ingredients, 826 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Japanese Knotweed extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Premium Organic Japanese Knotweed by ZenMen
Ask about any prescription or over-the-counter medication and we check it for interactions with Premium Organic Japanese Knotweed by ZenMen — 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 Premium Organic Japanese Knotweed by ZenMen
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: Japanese Knotweed extract (also called Hu Zhang). Japanese Knotweed is a plant used in traditional medicine; the extract concentrates its active compounds, including a polyphenol called resveratrol.
The liquid also contains two inactive ingredients — sunflower glycerin and cane alcohol — which serve as the base and preservative.
Does it work?
Couldn't assess
The evidence supporting Japanese Knotweed extract for its traditional uses isn't well established yet. Our data shows insufficient reliable evidence to rate it for hepatitis, rheumatoid arthritis, wound healing, gout, osteoarthritis, and unstable angina.
That doesn't mean it doesn't work — it means controlled human studies haven't been done or published widely enough to draw firm conclusions. If you're considering it for a specific condition, talk with your pharmacist or doctor about what the current research really shows.
How safe is it?
Some data gaps
Japanese Knotweed has been used in traditional medicine, but human safety data for supplements are limited. The plant contains emodin, a compound that may cause digestive upset in some people.
Importantly, the safety data advises against use during pregnancy and breastfeeding — there isn't enough information to know whether it's safe for your baby, so this is one to skip if you're pregnant or nursing.
Meds to double-check
Moderate interaction found
Before taking ZenMen's Japanese Knotweed, double-check if you're on blood thinners or antiplatelet drugs (like warfarin or aspirin) — the supplement may increase bleeding risk. Also flag any medications broken down by your liver's CYP1A2, CYP2C19, CYP3A4, or CYP2E1 enzymes, estrogen replacement therapy, or carbamazepine (Tegretol).
Use the medication checker on this page with your exact medications to be sure.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no assessable stated purpose. Moderate medication interactions have been identified, and some safety-information gaps remain.
If you take blood thinners, seizure medications, or drugs metabolized by your liver's cytochrome P450 enzymes, check with your pharmacist before starting this. The evidence for its health benefits isn't established in the data we have.
Pregnant or breastfeeding? Avoid it.
Otherwise, discuss whether it fits your situation with your pharmacist or doctor.
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 20, 2024.
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 Premium Organic Japanese Knotweed, straight from the product label.
| Brand | ZenMen |
|---|---|
| Barcode (UPC) | X003YPX26N |
| Net contents | 1.2 Ounce(s); 30 mL |
| Market status | On market |
| Date entered into DSLD | Jun 20, 2024 |
| DSLD ID | 310003 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Adult (18 - 50 Years), Organic, Gluten Free, Dairy 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 Premium Organic Japanese Knotweed by ZenMen, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Japanese Knotweed extract | 0 NP | -- |
Other ingredients: Sunflower Glycerin, Cane Alcohol
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
ZenMen Premium & Organic Japanese Knotweed: A pure supplement derived from Japanese knotweed, known for its antioxidants and anti-inflammatory properties. It may support overall wellness and immune function, potentially aiding in promoting health.
Precautions
Consult a healthcare professional before use.
Caution: Do not exceed recommended dose.
Pregnant or nursing mothers, children under the age of 18 and individuals with a known medical condition should consult with a physician before taking this or any supplement.
Pregnant or nursing mothers, children under the age of 18 and individuals with a known medical condition should consult with a physician before taking this or any supplement. Keep out of reach of children.
Do not use if safety seal is damaged or missing.
Allergen information: Contains tree nut ingredients.
Suggested/Recommended/Usage/Directions
Suggested use: As a dietary supplement, adults take one (1) ml daily or as recommended by a healthcare professional. For best results, use continuously for 3 months.
Storage
Store in a cool, dry place.
Formulation
Not manufactured with wheat, gluten, soy, milk, egg, fish, shellfish, or sesame seed ingredients.
Tick wellness aid
USDA Organic
Gluten Free GMO Free
Vegan
GMP
Certified Organic by Montana Department of Agriculture.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
General Statements
Zen inspired wellness
Naturopathic doctor formulated
Scan Me Scan to view certificates
Seals/Symbols
Manufactured in USA Third Party Tested USDA Organic
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Premium Organic Japanese Knotweed by ZenMen 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 Premium Organic Japanese Knotweed by ZenMen
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 mL Dosage formLiquid Servings per container30 Amounts shown are per serving.
Japanese Knotweed extract
Interacts with826 drugs
Hu Zhang (Japanese knotweed root) is a traditional Chinese herb that is one of the richest natural sources of resveratrol and emodin. Some lab and ear...
Japanese Knotweed extract monograph & interactionsOther (inactive) ingredients: Sunflower Glycerin, Cane Alcohol. These complete the product’s ingredient list but are not active constituents.
Premium Organic Japanese Knotweed by ZenMen Drug Interactions
HelloPharmacist Interaction Report
ZenMen's Premium Organic Japanese Knotweed contains Japanese Knotweed extract, which has documented interactions with several medication categories.
The extract's active constituent, resveratrol, can inhibit enzymes in your liver (called cytochrome P450 enzymes) that break down many drugs — potentially raising their blood levels and increasing side effects.
Read the full breakdown — every affected drug type, severity by severity
The most serious documented concern is with blood thinners and antiplatelet drugs (like warfarin or aspirin). Resveratrol appears to thin the blood itself, so combining it with these medications could raise your bleeding risk.
Additionally, this extract may interact with CYP1A2, CYP2C19, CYP3A4, and CYP2E1 substrate medications — a broad category that includes many common prescriptions — by causing them to stay in your system longer. It may also theoretically interfere with estrogen replacement therapy by competing with how your body uses estrogen.
One specific medication flagged is carbamazepine (Tegretol, a seizure and nerve-pain drug), which animal studies suggest could reach higher levels when combined with this extract.
Additionally, if you're not on any of these drug types, this extract was not formally checked against every medication in use. Altogether, these interactions span 816 individual medications.
Before you start, use the medication checker on this page or ask your pharmacist to verify your exact prescriptions.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Premium Organic Japanese Knotweed?
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 Premium Organic Japanese Knotweed interact with 826 drugs. Click any drug to see the details.
1 of the 1 ingredient in Premium Organic Japanese Knotweed interact with drugs. Each result below shows which ingredient is responsible. Japanese Knotweed extract
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, hu zhang might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Japanese Knotweed Extract + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractAnticoagulant/antiplatelet Drugs, Cytochrome P450 2c19 (cyp2c19) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Japanese Knotweed Extract + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Acalabrutinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, hu zhang might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Japanese Knotweed Extract + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP2E1.
Read the full Japanese Knotweed Extract + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Japanese Knotweed Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractAnticoagulant/antiplatelet Drugs, Cytochrome P450 2e1 (cyp2e1) Substrates +2 Moderate
Interaction Summary
Theoretically, hu zhang might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Japanese Knotweed Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Japanese Knotweed Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP2E1.
Read the full Japanese Knotweed Extract + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Japanese Knotweed Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Japanese Knotweed Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP2E1.
Read the full Japanese Knotweed Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Japanese Knotweed Extract + 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 Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Japanese Knotweed Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Japanese Knotweed Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Japanese Knotweed Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Japanese Knotweed Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP2E1.
Read the full Japanese Knotweed Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP2E1.
Read the full Japanese Knotweed Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Read the full Japanese Knotweed Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Premium Organic Japanese Knotweed — through 1 ingredient. Tap an ingredient for the detail:
Japanese Knotweed ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Read the full Japanese Knotweed Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Premium Organic Japanese Knotweed 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.
Japanese Knotweed extract
Anticoagulant/Antiplatelet Drugs
Theoretically, hu zhang might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Hu zhang contains the constituent resveratrol. Resveratrol seems to have antiplatelet effects.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, hu zhang might increase levels of drugs metabolized by CYP1A2.
Hu zhang contains the constituent resveratrol. In vitro research shows that resveratrol might inhibit the CYP1A2 enzyme. This interaction has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, hu zhang might increase levels of drugs metabolized by CYP2C19.
Hu zhang contains the constituent resveratrol. In vitro research shows that resveratrol might inhibit the CYP2C19 enzyme. This interaction has not been reported in humans.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Theoretically, hu zhang might increase levels of drugs metabolized by CYP2E1.
Hu zhang contains the constituent resveratrol. In vitro research shows that resveratrol might inhibit the CYP2E1 enzyme. Also, a pharmacokinetic study shows that taking resveratrol 500 mg daily for 10 days prior to taking a single dose of chlorzoxazone 250 mg increases the maximum concentration of chlorzoxazone by about 54%, the area under the curve of chlorzoxazone by about 72%, and the half-life of chlorzoxazone by about 35%. Chlorzoxazone is used as a probe drug for CYP2E1.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, hu zhang might increase levels of drugs metabolized by CYP3A4.
Hu zhang contains the constituent resveratrol. In vitro research shows that resveratrol might inhibit the CYP3A4 enzyme. However, a clinical study in adults with NAFLD found that adding resveratrol 3000 mg daily for 8 weeks did not necessitate dose adjustments to any established medications metabolized by CYP3A4.
Estrogens
Theoretically, hu zhang might competitively inhibit the effects of estrogen replacement therapy.
In vitro research shows that hu zhang might have estrogenic activity.
Carbamazepine (Tegretol)
Theoretically, hu zhang might increase the effects and adverse effects of carbamazepine.
In animals, blood and tissue levels of carbamazepine were increased when given in combination with hu zhang. It is thought that increased levels of carbamazepine are due to cytochrome P450 3A4 (CYP3A4) inhibition. This interaction has not been reported in humans.
Brand information
Manufacturer and brand details for Premium Organic Japanese Knotweed, from the product label.
ZenMen
See all ZenMen products- Name
- ZenMen
- Street Address
- 18695 Pony Express Dr #1541
- City
- Parker
- State
- CO
- ZipCode
- 80134
- Web Address
- ZenMenHealth.com
Premium Organic Japanese Knotweed by ZenMen: Common Questions
Does Premium Organic Japanese Knotweed by ZenMen interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What is Japanese Knotweed extract and why is it in this product?
Can I take this while pregnant or breastfeeding?
What side effects might I experience?
Does this product actually work for the conditions it claims to help with?
Why is there cane alcohol in a supplement?
If I'm on multiple medications, how do I know if this is safe for me?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Premium Organic Japanese Knotweed is safe with your meds?
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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 Premium Organic Japanese Knotweed’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Premium Organic Japanese Knotweed'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 19 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.
Hu Zhang 19 references
- Pace-Asciak CR, Rounova O, Hahn SE, et al. Wines and grape juices as modulators of platelet aggregation in healthy human subjects. Clin Chim Acta 1996;246:163-82. PubMed
- Bertelli AA, Giovannini L, Bernini W, et al. Antiplatelet activity of cis-resveratrol. Drugs Exp Clin Res 1996;22:61-3.
- Pace-Asciak CR, Hahn S, Diamandis EP, et al. The red wine phenolics trans-resveratrol and quercetin block human platelet aggregation and eicosanoid synthesis: implications for protection against coronary heart disease. Clin Chim Acta 1995;235:207-19.
- Bertelli A, Bertelli AA, Gozzini A, Giovannini L. Plasma and tissue resveratrol concentrations and pharmacological activity. Drugs Exp Clin Res 1998;24:133-8.
- Bertelli AA, Giovannini L, Giannessi D, et al. Antiplatelet activity of synthetic and natural resveratrol in red wine. Int J Tissue React 1995;17:1-3.
- Piver B, Berthou F, Dreano Y, Lucas D. Inhibition of CYP3A, CYP1A and CYP2E1 activities by resveratrol and other non volatile red wine components. Toxicol Lett 2001;125:83-91. PubMed
- Matsuda H, Shimoda H, Morikawa T, Yoshikawa M. Phytoestrogens from the roots of Polygonum cuspidatum (Polygonaceae): structure-requirement of hydroxyanthraquinones for estrogenic activity. Bioorg Med Chem Lett 2001;11:1839-42. PubMed
- Zhang CZ, Wang SX, Zhang Y, et al. In vitro estrogenic activities of Chinese medicinal plants traditionally used for the management of menopausal symptoms. J Ethnopharmacol 2005;98:295-300. PubMed
- Chang, T. K., Chen, J., and Lee, W. B. Differential inhibition and inactivation of human CYP1 enzymes by trans-resveratrol: evidence for mechanism-based inactivation of CYP1A2. J.Pharmacol.Exp.Ther. 2001;299(3):874-882.
- Dobrydneva, Y., Williams, R. L., and Blackmore, P. F. trans-Resveratrol inhibits calcium influx in thrombin-stimulated human platelets. Br.J.Pharmacol. 1999;128(1):149-157.
- Kirk, R. I., Deitch, J. A., Wu, J. M., and Lerea, K. M. Resveratrol decreases early signaling events in washed platelets but has little effect on platalet in whole food. Blood Cells Mol.Dis. 2000;26(2):144-150.
- Zbikowska, H. M. and Olas, B. Antioxidants with carcinostatic activity (resveratrol, vitamin E and selenium) in modulation of blood platelet adhesion. J Physiol Pharmacol. 2000;51(3):513-520.
- Olas, B., Wachowicz, B., Saluk-Juszczak, J., and Zielinski, T. Effect of resveratrol, a natural polyphenolic compound, on platelet activation induced by endotoxin or thrombin. Thromb.Res 8-15-2002;107(3-4):141-145. PubMed
- Yu, C., Shin, Y. G., Kosmeder, J. W., Pezzuto, J. M., and van Breemen, R. B. Liquid chromatography/tandem mass spectrometric determination of inhibition of human cytochrome P450 isozymes by resveratrol and resveratrol-3-sulfate. Rapid Commun.Mass Spectro PubMed
- Ma, Z. H. and Ma, Q. Y. Resveratrol: a medical drug for acute pancreatitis. World J Gastroenterol. 6-7-2005;11(21):3171-3174. PubMed
- Pendurthi, U. R., Williams, J. T., and Rao, L. V. Resveratrol, a polyphenolic compound found in wine, inhibits tissue factor expression in vascular cells : A possible mechanism for the cardiovascular benefits associated with moderate consumption of wine. PubMed
- Chachay VS, Macdonald GA, Martin JH, Whitehead JP, O'Moore-Sullivan TM, Lee P, Franklin M, Klein K, Taylor PJ, Ferguson M, Coombes JS, Thomas GP, Cowin GJ, Kirkpatrick CM, Prins JB, Hickman IJ. Resveratrol does not benefit patients with nonalcoholic fatty
- Bedada SK, Neerati P. Resveratrol Pretreatment Affects CYP2E1 Activity of Chlorzoxazone in Healthy Human Volunteers. Phytother Res. 2016;30(3):463-8. PubMed
- Chi YC, Lin SP, Hou YC. A new herb-drug interaction of Polygonum cuspidatum, a resveratrol-rich nutraceutical, with carbamazepine in rats. Toxicol Appl Pharmacol 2012;263(3):315-22. 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