Psoriaid Ingredients & Drug Interactions
by Merry Clinic
What is this page for?
First and foremost: checking Psoriaid 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
Psoriaid is a dietary supplement by Merry Clinic with 12 active ingredients. Its ingredients are commonly taken for menstrual cramps and irregular periods, muscle cramps and spasms, anxiety and stress.Based on those ingredients, 1,277 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Phellodendron, Chinese Salvia, Chinese Peony. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Psoriaid by Merry Clinic
Ask about any prescription or over-the-counter medication and we check it for interactions with Psoriaid by Merry Clinic — 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
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of Psoriaid by Merry Clinic
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
Psoriaid contains 12 ingredients, including a proprietary herbal blend. The active components include Chinese Peony, Japanese Sophora, Phellodendron, Scrophularia, Rehmannia, Tree Peony, Arnebia, and others—traditional herbs used in Chinese formulations.
The product also contains inactive ingredients: gelatin, microcrystalline cellulose, and magnesium stearate.
Does it work?
Not established
The evidence for Psoriaid's effectiveness is not established in the data we hold. For the peony ingredients, the documented uses—aging skin, anal fissures, atherosclerosis, chronic fatigue, cirrhosis, and migraine—all carry insufficient reliable evidence ratings.
Rehmannia is rated possibly effective for chronic kidney disease, but the other conditions it's studied for lack sufficient evidence. No effectiveness ratings are on file for most other ingredients in this product.
How safe is it?
Well-documented data
Peony (Chinese Peony and Tree Peony) is generally well tolerated for short-term use, though high-quality safety data are limited. Gastrointestinal side effects—nausea, diarrhea, abdominal distension, and loss of appetite—have been reported by some users.
There is one case of increased bleeding in a person on warfarin who switched to a similar Chinese herbal product containing peony. Phellodendron is generally used short-term in traditional medicine with limited human safety data; rare side effects in combination products have included headache, fatigue, and heartburn.
Rehmannia has limited safety data and quality varies between products. Japanese Sophora seed may cause serious effects with long-term use, including edema and death.
Meds to double-check
Major interaction found
Before taking Psoriaid, check your medications against blood thinners and antiplatelet drugs, liver-metabolism drugs (especially those processed through CYP2D6, CYP2C9, or CYP3A4), blood pressure medications, diabetes medications, sedating drugs (CNS depressants), diuretics, lithium, hormone-based contraceptives, hormone replacement therapy, and caffeine. Use the tool on this page to confirm your exact medications.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Major medication interactions have been identified, and safety information is well characterized.
Psoriaid is a multi-ingredient herbal formula with Moderate-severity interactions documented across peony, phellodendron, and other components. If you take any blood thinners, diabetes or blood pressure medications, sedating drugs, diuretics, lithium, contraceptives, or hormone therapy, run this product through our medication checker before starting.
Talk with your pharmacist or doctor about whether it's right for your specific situation.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 8 of 12 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Feb 23, 2025.
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 Psoriaid, straight from the product label.
| Brand | Merry Clinic |
|---|---|
| Net contents | 150 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Feb 23, 2025 |
| DSLD ID | 319347 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Women (not pregnant or lactating) |
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 Psoriaid by Merry Clinic, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Herbal Blend | 4000 mg | -- |
| Chinese Peony | 0 NP | -- |
| Japanese Sophora | 0 NP | -- |
| Shrubby Sophora | 0 NP | -- |
| Phellodendron | 0 NP | -- |
| Scrophularia | 0 NP | -- |
| Spatholobus | 0 NP | -- |
| Dittany | 0 NP | -- |
| Tree Peony | 0 NP | -- |
| Rehmannia | 0 NP | -- |
| Chinese Peony | 0 NP | -- |
| Arnebia | 0 NP | -- |
| Chinese Salvia | 0 NP | -- |
Other ingredients: Gelatin, Microcrystalline Cellulose, Magnesium Stearate
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.
Suggested/Recommended/Usage/Directions
Directions for use: For adults, take 8 capsules each time, two times daily, preferably after a meal.
Formula
This product is a safe and effective blend of Chinese herbal extracts that may provide natural relief from symptoms of scaling, flaking, itching and redness of the skin.
Precautions
Warning: Do not use while pregnant or provide it to a child without consulting a physician.
Warning: Do not use while pregnant or provide it to a child without consulting a physician.
Do not take if you are allergic to any of the ingredients.
Storage
Storage: Keep cap tightly closed in a cool, dry place.
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
Order on the web www.merryclinic.com
Formulation
Enhanced formula
Made in U.S.A.
FDA Statement of Identity
Herbal Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Psoriaid by Merry Clinic 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 Psoriaid by Merry Clinic
These are the 12 active ingredients this product is made of. Select any to open its full monograph.
Serving size8 Capsule(s) Dosage formCapsule Servings per container19 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
- › Chinese Peony
- › Japanese Sophora
- › Shrubby Sophora
- › Phellodendron
- › Scrophularia
- › Spatholobus
- › Dittany
- › Tree Peony
- › Rehmannia
- › Chinese Peony
- › Arnebia
- › Chinese Salvia
Other (inactive) ingredients: Gelatin, Microcrystalline Cellulose, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Psoriaid by Merry Clinic Drug Interactions
HelloPharmacist Interaction Report
Psoriaid by Merry Clinic contains several herbal ingredients with documented interactions with medications.
The most serious concern involves the peony ingredients (Chinese Peony and Tree Peony), which can theoretically increase bleeding risk when combined with blood thinners and antiplatelet drugs (anticoagulants/antiplatelets).
Read the full breakdown — every affected drug type, severity by severity
The product interacts with multiple drug classes across its ingredients. Phellodendron may increase levels of drugs metabolized through several liver pathways (CYP2D6, CYP2C9, CYP3A4) and may compound the effects of blood pressure medications, sedating drugs, diabetes medications, and blood thinners.
The two peony ingredients also theoretically affect metabolism of drugs processed through CYP1A2 and CYP3A4, and may interfere with hormone-based contraceptives and hormone replacement therapy. Japanese Sophora may slow caffeine clearance.
Scrophularia may interact with diuretic drugs and lithium. Rehmannia may add to the effects of blood pressure and diabetes medications.
Several ingredients—Shrubby Sophora, Spatholobus, Dittany, and Chinese Salvia—could not be checked against our interaction database. Altogether, these interactions span 1,193 individual medications.
Use the medication checker below to verify your exact drugs before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Psoriaid?
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 Psoriaid interact with 1,277 drugs. Click any drug to see the details.
6 of the 12 ingredients in Psoriaid interact with drugs. Each result below shows which ingredient is responsible. Phellodendron Chinese Salvia Chinese Peony Rehmannia Scrophularia Japanese Sophora
AbciximabReoPro
How Abciximab interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Abciximab interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Abciximab interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Cytochrome P450 2c9 (cyp2c9) Substrates Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Abrocitinib interactionPhellodendronCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP2C9.
Read the full Phellodendron + Abrocitinib interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Abrocitinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Acenocoumarol interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Acenocoumarol interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +3 Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Salvia + Acetaminophen, Aspirin interactionChinese PeonyCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Peony + Acetaminophen, Aspirin interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs +4 Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Salvia + Acetaminophen, Aspirin, Caffeine interactionPhellodendronAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Acetaminophen, Aspirin, Caffeine interactionChinese PeonyCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Peony + Acetaminophen, Aspirin, Caffeine interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates +3 Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Salvia + Acetaminophen, Ibuprofen interactionChinese PeonyAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Acetaminophen, Ibuprofen interactionPhellodendronCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP2C9.
Read the full Phellodendron + Acetaminophen, Ibuprofen interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAspirin, Anticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Acetylsalicylic Acid interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Acetylsalicylic Acid interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Acetylsalicylic Acid interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Alteplase, Tpa interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Alteplase, Tpa interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAspirin, Anticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionPhellodendronCns Depressants, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full Phellodendron + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Aspirin Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Anacaulase-bcdb interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Anacaulase-bcdb interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Salvia + Anagrelide interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Anagrelide interactionChinese PeonyAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Anisindione interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Anisindione interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Anisindione interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Antithrombin Iii interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Antithrombin Iii interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Antithrombin Iii interactionApixabanEliquis
How Apixaban interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs +1 Major
Interaction Summary
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Salvia + Apixaban interactionChinese PeonyCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Peony + Apixaban interactionPhellodendronCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron + Apixaban interactionArgatrobanArgatroban
How Argatroban interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Argatroban interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Argatroban interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Argatroban interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Aspirin Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aspirin interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Aspirin interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Aspirin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAspirin, Anticoagulant/antiplatelet Drugs Major
Interaction Summary
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Read the full Chinese Salvia + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionPhellodendronAnticoagulant/antiplatelet Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, ButalbitalAxotal
How Aspirin, Butalbital interacts with Psoriaid — through 3 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Aspirin Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aspirin, Butalbital interactionPhellodendronAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Aspirin, Butalbital interactionChinese PeonyAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Aspirin, Butalbital interactionAspirin, Butalbital, CaffeineFiorinal
How Aspirin, Butalbital, Caffeine interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 1a2 (cyp1a2) Substrates, Aspirin +2 Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Salvia + Aspirin, Butalbital, Caffeine interactionChinese PeonyAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Aspirin, Butalbital, Caffeine interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Butalbital, Caffeine interactionPhellodendronAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Aspirin, Butalbital, Caffeine interactionAspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine
How Aspirin, Butalbital, Caffeine, Codeine Phosphate interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Aspirin +2 Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionPhellodendronCns Depressants, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full Phellodendron + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionChinese PeonyCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Peony + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionAspirin, Butalbital, Caffeine, PhenacetinMarnal
How Aspirin, Butalbital, Caffeine, Phenacetin interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs +2 Major
Interaction Summary
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Salvia + Aspirin, Butalbital, Caffeine, Phenacetin interactionPhellodendronCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron + Aspirin, Butalbital, Caffeine, Phenacetin interactionChinese PeonyCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Peony + Aspirin, Butalbital, Caffeine, Phenacetin interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Butalbital, Caffeine, Phenacetin interactionAspirin, CaffeineAnacin
How Aspirin, Caffeine interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 1a2 (cyp1a2) Substrates, Aspirin +2 Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Salvia + Aspirin, Caffeine interactionChinese PeonyAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Aspirin, Caffeine interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Caffeine interactionPhellodendronAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Aspirin, Caffeine interactionAspirin, Caffeine, Codeine PhosphateAnacin w/ Codeine
How Aspirin, Caffeine, Codeine Phosphate interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 3a4 (cyp3a4) Substrates, Aspirin +2 Major
Interaction Summary
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Salvia + Aspirin, Caffeine, Codeine Phosphate interactionPhellodendronCns Depressants, Cytochrome P450 2d6 (cyp2d6) Substrates +2 Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full Phellodendron + Aspirin, Caffeine, Codeine Phosphate interactionChinese PeonyCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Peony + Aspirin, Caffeine, Codeine Phosphate interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Caffeine, Codeine Phosphate interactionAspirin, Caffeine, Dihydrocodeine BitartrateSynalgos DC
How Aspirin, Caffeine, Dihydrocodeine Bitartrate interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs +2 Major
Interaction Summary
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Salvia + Aspirin, Caffeine, Dihydrocodeine Bitartrate interactionPhellodendronCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs +2 Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron + Aspirin, Caffeine, Dihydrocodeine Bitartrate interactionChinese PeonyCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Peony + Aspirin, Caffeine, Dihydrocodeine Bitartrate interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Caffeine, Dihydrocodeine Bitartrate interactionAspirin, Caffeine, Dover's PwdAcedoval, Dovacet
How Aspirin, Caffeine, Dover's Pwd interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs +2 Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Salvia + Aspirin, Caffeine, Dover's Pwd interactionChinese PeonyAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Aspirin, Caffeine, Dover's Pwd interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Caffeine, Dover's Pwd interactionPhellodendronAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Aspirin, Caffeine, Dover's Pwd interactionAspirin, Caffeine, HydrocodoneDamason-P
How Aspirin, Caffeine, Hydrocodone interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs +2 Major
Interaction Summary
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Salvia + Aspirin, Caffeine, Hydrocodone interactionPhellodendronCns Depressants, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full Phellodendron + Aspirin, Caffeine, Hydrocodone interactionChinese PeonyCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Peony + Aspirin, Caffeine, Hydrocodone interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Caffeine, Hydrocodone interactionAspirin, Caffeine, Isobutylallylbarbituric Acid, PhenacetinLanorinal
How Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaAnticoagulant/antiplatelet Drugs, Aspirin +2 Major
Interaction Summary
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Chinese Salvia + Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interactionPhellodendronAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron + Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interactionChinese PeonyCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Peony + Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Caffeine, Isobutylallylbarbituric Acid, Phenacetin interactionAspirin, Caffeine, OrphenadrineInvagesic, Invagesic Forte, Norgesic, Norgesic Forte, Orphengesic, Orphengesic Forte
How Aspirin, Caffeine, Orphenadrine interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Major
Interaction Summary
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
Read the full Chinese Salvia + Aspirin, Caffeine, Orphenadrine interactionChinese PeonyAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Aspirin, Caffeine, Orphenadrine interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Caffeine, Orphenadrine interactionPhellodendronCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron + Aspirin, Caffeine, Orphenadrine interactionAspirin, Caffeine, Phenacetin, PropoxypheneMargesic Comp. 65
How Aspirin, Caffeine, Phenacetin, Propoxyphene interacts with Psoriaid — through 4 ingredients. Tap an ingredient for the detail:
Chinese SalviaCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs +2 Major
Interaction Summary
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Read the full Chinese Salvia + Aspirin, Caffeine, Phenacetin, Propoxyphene interactionPhellodendronCns Depressants, Anticoagulant/antiplatelet Drugs +2 Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full Phellodendron + Aspirin, Caffeine, Phenacetin, Propoxyphene interactionChinese PeonyAnticoagulant/antiplatelet Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Chinese Peony + Aspirin, Caffeine, Phenacetin, Propoxyphene interactionJapanese SophoraCaffeine Moderate
Interaction Summary
Theoretically, pagoda tree might reduce the clearance of caffeine.
Read the full Japanese Sophora + Aspirin, Caffeine, Phenacetin, Propoxyphene interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Psoriaid 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.
Phellodendron
Anticoagulant/Antiplatelet Drugs
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Phellodendron contains berberine. In vitro and in vivo research suggest that berberine can inhibit platelet aggregation. Theoretically, phellodendron might also inhibit platelet aggregation.
Antidiabetes Drugs
Theoretically, phellodendron may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Phellodendron contains berberine. Clinical research shows that berberine may lower blood glucose levels. Theoretically, phellodendron might also lower blood glucose levels.
Antihypertensive Drugs
Theoretically, phellodendron might have additive effects with antihypertensive drugs.
Phellodendron contains berberine. Animal research suggests that berberine can have hypotensive effects. Also, a clinical study suggests that taking berberine in combination with amlodipine can lower systolic and diastolic blood pressure when compared with amlodipine alone. Theoretically, phellodendron might also reduce blood pressure.
Cns Depressants
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Phellodendron contains berberine. Animal research suggests that berberine may have sedative effects. Theoretically, phellodendron might also have CNS depressants effects.
Cyclosporine (Neoral, Sandimmune)
Theoretically, phellodendron might increase blood levels of cyclosporine.
Phellodendron contains berberine. Preliminary clinical research shows that berberine can reduce metabolism of cyclosporine and increase serum levels, likely through inhibition of cytochrome P450 3A4 (CYP3A4), which metabolizes cyclosporine. Theoretically, phellodendron might also reduce the metabolism of cyclosporine.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP2C9.
Phellodendron contains berberine. Preliminary clinical research shows that berberine can inhibit CYP2C9. Theoretically, phellodendron might also inhibit CYP2C9.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP2D6.
Phellodendron contains berberine. In vitro research and preliminary clinical evidence show that berberine can inhibit CYP2D6. Theoretically, phellodendron might also inhibit CYP2D6.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Phellodendron contains berberine. In vitro research and preliminary clinical research show that berberine moderately inhibits CYP3A4. Theoretically, phellodendron might also inhibit CYP3A4.
Dextromethorphan (Robitussin Dm, Others)
Theoretically, phellodendron may increase serum levels of dextromethorphan.
Phellodendron contains berberine. Preliminary clinical research shows that berberine can inhibit cytochrome P450 2D6 (CYP2D6) activity and reduce the metabolism of dextromethorphan. Theoretically, phellodendron may also inhibit the metabolism of dextromethorphan.
Losartan (Cozaar)
Theoretically, phellodendron might reduce the therapeutic effects of losartan by decreasing its conversion to its active form.
Phellodendron contains berberine. Preliminary clinical research suggests that berberine can inhibit cytochrome P450 2C9 (CYP2C9) activity and reduce metabolism of losartan. Theoretically, phellodendron might also inhibit the metabolism of losartan.
Metformin (Glucophage)
Theoretically, phellodendron might increase the therapeutic and adverse effects of metformin.
Phellodendron contains berberine. In vitro and animal studies show that berberine can increase the systemic exposure and half-life of metformin, potentially increasing metformin's effects and side effects. This interaction seems to be most apparent when berberine is administered 2 hours prior to metformin. Taking berberine and metformin at the same time does not appear to increase systemic exposure to metformin. It is unclear if phellodendron might have this same effect.
Midazolam (Versed)
Theoretically, phellodendron might reduce metabolism of midazolam, which might increase the risk of severe adverse effects.
Phellodendron contains berberine. Preliminary clinical research shows that berberine can inhibit cytochrome P450 3A4 (CYP3A4) activity and reduce metabolism of midazolam. Theoretically, phellodendron might also inhibit the metabolism of midazolam.
Pentobarbital (Nembutal)
Theoretically, phellodendron might increase the sedative effect of pentobarbital.
Phellodendron contains berberine. Animal research shows that berberine can prolong pentobarbital-induced sleeping time. Theoretically, phellodendron might increase the sedative effects of pentobarbital.
Tacrolimus (Prograf)
Theoretically, phellodendron might increase blood levels of tacrolimus.
Phellodendron contains berberine. In a 16-year-old patient with idiopathic nephrotic syndrome who was being treated with tacrolimus 6.5 mg twice daily, intake of berberine 200 mg three times daily increased the blood concentration of tacrolimus from 8 to 22 ng/mL. Following a reduction of the tacrolimus dose to 3 mg daily, blood levels of tacrolimus decreased to 12 ng/mL. It is unclear if phellodendron might have this same effect.
Chinese Salvia
Anticoagulant/Antiplatelet Drugs
Theoretically, danshen may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Danshen has been reported to have antithrombotic effects. Animal research also suggests that taking a danshen combination formula with clopidogrel exhibits a synergistic increase in antiplatelet aggregation and prolongation of coagulation time when compared with either taken alone.
Digoxin (Lanoxin)
Theoretically, using danshen with digoxin might increase the risk of adverse effects.
Danshen has structural and pharmacological similarities to cardiac glycosides.
Amlodipine (Norvasc)
Theoretically, taking danshen in combination with amlodipine may decrease the clinical effects of amlodipine.
In animal research, taking danshen orally in combination with amlodipine reduced blood levels of amlodipine by about 52%. This may have been due to induction of cytochrome P450 3A4 (CYP3A4) by danshen, which has been demonstrated in vitro. So far, this interaction has not been reported in humans.
Antihypertensive Drugs
Theoretically, taking danshen with antihypertensive drugs might increase the risk of hypotension.
Animal research suggests that danshen can produce dose-dependent hypotensive effects. Furthermore, concomitant use with captopril appears to potentiate this effect.
Aspirin
Theoretically, danshen may increase the levels of aspirin and the risk of bleeding.
Research in healthy adult males shows that taking a combination of danshen and kudzu with aspirin increases plasma aspirin area under the curve by approximately 3.4-fold. Animal research also shows that taking a combination of danshen and kudzu (danshen-gegen formula) with aspirin increases maximal blood levels of aspirin and salicylic acid by approximately 4-fold and 3.7-fold, respectively, without impacting blood loss. Taking danshen increases the antiplatelet activity of aspirin and might increase the side effects of aspirin.
Clopidogrel (Plavix)
Theoretically, danshen may increase the risk of bleeding if taken with clopidogrel.
Clopidogrel is an antiplatelet prodrug that is metabolized by carboxyl esterase 1 (CES1) to an inactive metabolite. Animal research shows that a danshen combination formula decreases the activity of CES1, decreasing levels of the inactive metabolite in the blood and possibly increasing levels of the active metabolite. Animal research also suggests that taking a danshen combination formula with clopidogrel exhibits a synergistic increase in antiplatelet aggregation and prolongation of coagulation time when compared with either taken alone.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP1A2.
In vitro research shows that danshen tincture and various constituents of danshen inhibit the activity of CYP1A2. However, this activity has not been shown in humans when theophylline, a CYP1A2 substrate, was used as a target drug.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP2C9.
In vitro research shows that various constituents of danshen inhibit the activity of CYP2C9. So far, this interaction has not been reported in humans.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Theoretically, danshen may increase the levels and clinical effects of drugs metabolized by CYP2E1.
In vitro research shows that various constituents of danshen inhibit the activity of CYP2E1. So far, this interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Danshen might alter the levels and clinical effects of drugs metabolized by CYP3A4.
Preliminary clinical research in healthy males shows that the administration of danshen for 10-14 days induces intestinal CYP3A4 and increases the clearance of midazolam, a CYP3A4 substrate. The maximum concentration of midazolam was decreased by 31% to 67%, and drug levels were decreased by 27% to 80%. However, a single dose of danshen has the opposite effect, increasing maximum concentrations of midazolam by 87%.
Fexofenadine (Allegra)
Danshen might increase the levels and clinical effects of fexofenadine.
Pharmacokinetic research in healthy volunteers shows that taking danshen extract 1 gram three times daily for 10 days prior to receiving fexofenadine 60 mg increases peak levels of fexofenadine, a p-glycoprotein substrate, by 27.4% and area under the curve (AUC) by 37.2%.
Glucuronidated Drugs
Theoretically, danshen might affect the levels and clinical effects of drugs requiring glucuronidation.
In vitro research shows that danshen induces the expression of glucuronosyltransferases. However, it also inhibits the activity of glucuronosyltransferases, including various members of the 1A and 2B families. The extent of inhibition of a specific glucuronosyltransferase seems to be dependent on whether or not the danshen is processed via 'sweating'. This type of processing may affect the levels of constituents in danshen that alter glucuronosyltransferase activity. So far, this interaction has not been reported in humans.
Midazolam (Versed)
Danshen might alter the levels and clinical effects of midazolam.
Preliminary clinical research in healthy males shows that the administration of danshen for 10-14 days induces intestinal CYP3A4 and increases midazolam clearance. The maximum concentration was decreased by 31% to 67%, and drug levels were decreased by 27% to 80%. However, a single dose of danshen has the opposite effect, increasing maximum concentrations of midazolam by 87%.
P-Glycoprotein Substrates
Danshen might alter the levels of drugs cleared by p-glycoprotein.
Pharmacokinetic research in healthy volunteers suggests that danshen might affect p-glycoprotein activity. Taking danshen extract 1 gram three times daily for 10 days prior to receiving fexofenadine 60 mg increases peak levels of fexofenadine, a p-glycoprotein substrate, by 27.4% and area under the curve (AUC) by 37.2%.
Rosuvastatin (Crestor)
Theoretically, danshen might increase the levels and clinical effects of rosuvastatin.
Animal research shows that a single dose of danshen increases levels of rosuvastatin at least 2-fold, possibly by increasing absorption and/or decreasing elimination. So far, this interaction has not been reported in humans.
Warfarin (Coumadin)
Theoretically, danshen may increase the risk of bleeding if used with warfarin.
There have been several case reports of increased international normalized ratio (INR) after concomitant use of danshen and warfarin. Elevations in INR have occurred as early as 3-5 days after start of danshen. However, a clinical trial in adults taking warfarin with stable INR found that the addition of compound danshen dripping pills, containing danshen extract, Panax notoginseng, and borneol, 270 mg three times daily for 4 weeks did not alter INR levels or the average required warfarin dose when compared to baseline. These findings are consistent with animal research, which found no change in warfarin pharmacokinetics with the use of danshen. Other research in healthy adult males also shows that taking a combination of danshen and kudzu with warfarin does not increases plasma warfarin area under the curve, but may reduce plasma soluble thrombomodulin levels. However, other research shows that danshen might increase the rate of absorption and decrease the elimination rate of warfarin. Also, research in healthy adult males shows that taking a combination of danshen and kudzu with warfarin increases plasma area under the curve of danshensu, a constituent of danshen, by approximately 29.5-fold. Danshen should be used cautiously in patients taking warfarin.
Chinese Peony
Anticoagulant/Antiplatelet Drugs
Theoretically, combining peony with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
In vitro research suggests that peony might have antiplatelet, anticoagulant, and antithrombotic effects.
Clozapine (Clozaril)
Theoretically, peony might increase the levels and clinical effects of clozapine.
In vitro research shows that peony suppresses the metabolism of clozapine via weak-to-moderate inhibitory effects on cytochromes P450 (CYP) 1A2 and CYP3A4. This effect has not been reported in humans.
Contraceptive Drugs
Theoretically, peony might interfere with contraceptive drugs due to competition for estrogen receptors.
In vitro and animal research shows that peony extract has estrogenic activity. Concomitant use might also increase the risk for estrogen-related adverse effects.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP1A2.
In vitro research shows that peony suppresses the metabolism of clozapine via weak-to-moderate inhibitory effects on CYP1A2 and CYP3A4. This effect has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, use of peony may increase the levels and clinical effects of drugs metabolized by CYP3A4.
In vitro research shows that peony suppresses the metabolism of clozapine via weak-to-moderate inhibitory effects on CYP1A2 and CYP3A4. This effect has not been reported in humans.
Estrogens
Theoretically, concomitant use of large amounts of peony might interfere with hormone replacement therapy and/or increase the risk for estrogen-related adverse effects.
In vitro and animal research shows that peony extract has estrogenic activity. Theoretically, peony might compete for estrogen receptors and/or cause additive estrogenic effects.
Phenytoin (Dilantin)
Theoretically, peony might reduce the levels and clinical effects of phenytoin.
Animal research shows that taking peony root reduces levels of phenytoin. Some researchers suggest that peony root might affect cytochrome P450 (CYP) 2C9, which metabolizes phenytoin. However, preliminary research in humans shows that peony root does not alter levels of losartan (Cozaar), which is also metabolized by CYP2C9.
Rehmannia
Antidiabetes Drugs
Theoretically, rehmannia might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal research shows that rehmannia may have hypoglycemic effects.
Antihypertensive Drugs
Theoretically, rehmannia might increase the risk of hypotension when taken with antihypertensive drugs.
Animal research shows that rehmannia may have hypotensive effects. Laboratory research shows that formulations of dried and processed rehmannia root inhibit angiotensin-converting enzyme (ACE).
Scrophularia
Diuretic Drugs
Theoretically, overuse of figwort might compound diuretic-induced potassium loss. There is some concern that people taking figwort along with potassium depleting diuretics might have an increased risk for hypokalemia. Initiation of potassium supplementation or an increase in potassium supplement dose may be necessary for some patients. Some diuretics that can deplete potassium include chlorothiazide (Diuril), chlorthalidone (Thalitone), furosemide (Lasix), hydrochlorothiazide (HCTZ, Hydrodiuril, Microzide), and others.
Lithium
Figwort is thought to have diuretic properties. Theoretically, due to these potential diuretic effects, figwort might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.
Japanese Sophora
Caffeine
Theoretically, pagoda tree might reduce the clearance of caffeine.
Pagoda tree contains genistein. Taking genistein 1 gram daily for 14 days seems to inhibit caffeine clearance and metabolism in healthy females. This effect has been attributed to inhibition of the cytochrome P450 1A2 (CYP1A2) enzyme, which is involved in caffeine metabolism. It is unclear if this effect occurs with the lower amounts of genistein found in pagoda tree.
Brand information
Manufacturer and brand details for Psoriaid, from the product label.
Merry Clinic
See all Merry Clinic products- Name
- Merry Clinic
- City
- San Bruno
- State
- CA
- ZipCode
- 94066
- Web Address
- www.merryclinic.com
Psoriaid by Merry Clinic: Common Questions
Does Psoriaid by Merry Clinic interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take Psoriaid if I'm on a blood thinner like warfarin?
Is Psoriaid safe during pregnancy?
Can I breastfeed while taking Psoriaid?
What side effects might I experience with Psoriaid?
Does Psoriaid actually work for psoriasis or skin problems?
Can I take Psoriaid with my diabetes or blood pressure medication?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Psoriaid is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
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 Psoriaid’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Peony
Interacts with 811 drugsPeony root is a traditional Chinese medicine herb often used for menstrual problems, cramps, and inflammation, frequently as part of combination formulas. Human evidence for most uses is lim...
Read the full Peony monograph → Herb & supplement monographPagoda Tree
Interacts with 29 drugsPagoda Tree (Styphnolobium japonicum, also called the Japanese pagoda tree) is a traditional Asian medicinal plant best known as a natural source of the flavonoid rutin. While it has a long...
Read the full Pagoda Tree monograph → Herb & supplement monographPhellodendron
Interacts with 1,160 drugsPhellodendron is a traditional Chinese medicine bark (Huang Bai) that contains berberine and other plant compounds with antimicrobial and anti-inflammatory activity in lab studies. Human evi...
Read the full Phellodendron monograph → Herb & supplement monographFigwort
Interacts with 76 drugsFigwort is a traditional herb used mainly for skin problems and minor swelling, but solid human studies are lacking, so its benefits remain unproven. It is generally used short-term and topi...
Read the full Figwort monograph → Herb & supplement monographRehmannia
Interacts with 258 drugsRehmannia is a root used for centuries in Traditional Chinese Medicine, often to 'tonify' the kidneys and support energy or blood health. Human evidence for most modern uses is limited, so i...
Read the full Rehmannia monograph → Herb & supplement monographDanshen
Interacts with 1,059 drugsDanshen is a root used in traditional Chinese medicine, mainly for heart and circulation problems. Some early research is promising, but the evidence is not strong enough to confirm it works...
Read the full Danshen monograph →Sources & How We Checked
Psoriaid'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 71 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.
Peony 15 references
- Chen LC, Chou MH, Lin MF, Yang LL. Effects of Paeoniae Radix, a traditional Chinese medicine, on the pharmacokinetics of phenytoin. J Clin Pharm Ther 2001;26:271-8. PubMed
- Guo TL, Zhou XW. [Clinical observations on the treatment of the gestational hypertension syndrome with Angelica and Paeonia powder]. Zhong Xi Yi Jie He Za Zhi 1986;6:714-6, 707.
- Xie HJ, Yasar U, Sandberg M, Rane A. Paeoniae Radix, a traditional Chinese medicine, and CYP2C9 activity. J Clin Pharm Ther 2002;27:229-30. . PubMed
- Harada M, Suzuki M, Ozaki Y. Effect of Japanese Angelica root and peony root on uterine contraction in the rabbit in situ. J Pharmacobiodyn 1984;7:304-11. PubMed
- Anon. Monograph. Peony (Paeonia spp). Alt Med Rev 2001;6:495-9.
- Bruynzeel DP. Contact Dermatitis Due to Paeonia (Peony). Contact Dermatitis 1989; 20:152-3..
- Bian, X., Xu, Y., Zhu, L., Gao, P., Liu, X., Liu, S., Qian, M., Gai, M., Yang, J., and Wu, Y. Prevention of maternal-fetal blood group incompatibility with traditional Chinese herbal medicine. Chin Med J (Engl.) 1998;111(7):585-587.
- Wong, A. L. and Chan, T. Y. Interaction between warfarin and the herbal product quilinggao. Ann Pharmacother 2003;37(6):836-838.
- Cai Y, Yuan Q, Xu K, et al. Assessment of the therapeutic effect of total glycosides of peony for juvenile idiopathic arthritis: a systematic review and meta-analysis. Evid Based Complement Alternat Med 2016;2016:8292486.
- Koo YK, Kim JM, Koo JY, et al. Platelet anti-aggregatory and blood anti-coagulant effects of compounds isolated from Paeonia lactiflora and Paeonia suffruticosa. Pharmazie 2010;65(8):624-8.
- Wang W, Tian DD, Zheng B, et al. Peony-glycyrrhiza decoction, an herbal preparation, inhibits clozapine metabolism via cytochrome P450s, but not flavin-containing monooxygenase in in vitro models. Drug Metab Dispos 2015;43(7):1147-53. PubMed
- Zhou Y, Jin L, Kong F, et al. Clinical and immunological consequences of total glucosides of paeony treatment in Sjögren's syndrome: A randomized controlled pilot trial. Int Immunopharmacol. 2016 Oct;39:314-319. doi: 10.1016/j.intimp.2016.08.006. PubMed
- Zhu Q, Qi X, Wu Y, Wang K. Clinical study of total glucosides of paeony for the treatment of diabetic kidney disease in patients with diabetes mellitus. Int Urol Nephrol. 2016 Nov;48(11):1873-1880. doi: 10.1007/s11255-016-1345-5. PubMed
- Xu Y, Li X, Chen T, et al. Radix Paeoniae Alba increases serum estrogen level and up-regulates estrogen receptor expression in uterus and vagina of immature/ovariectomized mice. Phytother Res. 2019;33(1):117-29. [RETRACTED].
- Liu X, Li X, Li X, et al. The efficacy and safety of total glucosides of peony in the treatment of primary Sjögren's syndrome: a multi-center, randomized, double-blinded, placebo-controlled clinical trial. Clin Rheumatol. 2019;38(3):657-64. Erratum i
Pagoda Tree 2 references
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Chen, Y., Xiao, C. Q., He, Y. J., Chen, B. L., Wang, G., Zhou, G., Zhang, W., Tan, Z. R., Cao, S., Wang, L. P., and Zhou, H. H. Genistein alters caffeine exposure in healthy female volunteers. Eur.J Clin.Pharmacol. 2011;67(4):347-353. PubMed
Phellodendron 22 references
- Chan E. Displacement of bilirubin from albumin by berberine. Biol Neonate 1993;63:201-8. PubMed
- Janbaz KH, Gilani AH. Studies on preventive and curative effects of berberine on chemical-induced hepatotoxicity in rodents. Fitoterapia 2000;71:25-33.. PubMed
- Wu X, Li Q, Xin H, Yu A, Zhong M. Effects of berberine on the blood concentration of cyclosporin A in renal transplanted recipients: clinical and pharmacokinetic study. Eur J Clin Pharmacol 2005;61:567-72. PubMed
- Garrison R, Chambliss WG. Effect of a proprietary Magnolia and Phellodendron extract on weight management: a pilot, double-blind, placebo-controlled clinical trial. Altern Ther Health Med 2006;12:50-4.
- Zhang Y, Li X, Zou D, et al. Treatment of type 2 diabetes and dyslipidemia with the natural plant alkaloid berberine. J Clin Endocrinol Metab 2008;93:2559-65. PubMed
- Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine 2000;7:273-82. PubMed
- Chatterjee P, Franklin MR. Human cytochrome p450 inhibition and metabolic-intermediate complex formation by goldenseal extract and its methylenedioxyphenyl components. Drug Metab Dispos 2003;31:1391-7. PubMed
- Shanbhag, S. M., Kulkarni, H. J., and Gaitonde, B. B. Pharmacological actions of berberine on the central nervous system. Jpn.J Pharmacol 1970;20(4):482-487. PubMed
- Wu, J. F. and Liu, T. P. [Effects of berberine on platelet aggregation and plasma levels of TXB2 and 6-keto-PGF1 alpha in rats with reversible middle cerebral artery occlusion]. Yao Xue.Xue.Bao. 1995;30(2):98-102.
- Peng, W. H., Hsieh, M. T., and Wu, C. R. Effect of long-term administration of berberine on scopolamine-induced amnesia in rats. Jpn J Pharmacol 1997;74(3):261-266. DOI
- Sabir M and Bhide NK. Study of some pharmacological actions of berberine. Ind J Physiol & Pharmac 1971;15(3):111-132.
- Tripathi YB and Shukla SD. Berberis artistata inhibits PAF induced aggregation of rabbit platelets. Phytotherapy Research 1996;10:628-630.
- Yin, J., Xing, H., and Ye, J. Efficacy of berberine in patients with type 2 diabetes mellitus. Metabolism 2008;57(5):712-717. PubMed
- Zhang, H., Wei, J., Xue, R., Wu, J. D., Zhao, W., Wang, Z. Z., Wang, S. K., Zhou, Z. X., Song, D. Q., Wang, Y. M., Pan, H. N., Kong, W. J., and Jiang, J. D. Berberine lowers blood glucose in type 2 diabetes mellitus patients through increasing insulin re
- Guo, Y., Chen, Y., Tan, Z. R., Klaassen, C. D., and Zhou, H. H. Repeated administration of berberine inhibits cytochromes P450 in humans. Eur J Clin Pharmacol 2012;68(2):213-217. PubMed
- Wei, W., Zhao, H., Wang, A., Sui, M., Liang, K., Deng, H., Ma, Y., Zhang, Y., Zhang, H., and Guan, Y. A clinical study on the short-term effect of berberine in comparison to metformin on the metabolic characteristics of women with polycystic ovary syndro
- Hermann, R. and von, Richter O. Clinical evidence of herbal drugs as perpetrators of pharmacokinetic drug interactions. Planta Med 2012;78(13):1458-1477. PubMed
- Chun YT, Yip TT, Lau KL, and et al. A biochemical study on the hypotensive effect of berberine in rats. Gen Pharmac 1979;10:177-182. PubMed
- Hou Q, Han W, Fu X. Pharmacokinetic interaction between tacrolimus and berberine in a child with idiopathic nephrotic syndrome. Eur J Clin Pharmacol 2013;69(10):1861-2. PubMed
- Lan J, Zhao Y, Dong F, et al. Meta-analysis of the effect and safety of berberine in the treatment of type 2 diabetes mellitus, hyperlipemia and hypertension. J Ethnopharmacol. 2015;161:69-81. PubMed
- Kalman DS, Feldman S, Feldman R, et al. Effect of a proprietary magnolia and phellodendron extract on stress levels in healthy women: a pilot, double-blind, placebo-controlled clinical trial. Nutr J 2008;7:11.
- Lyu Y, Zhang Y, Yang M, et al. Pharmacokinetic interactions between metformin and berberine in rats: Role of oral administration sequences and microbiota. Life Sci. 2019;235:116818. PubMed
Figwort 1 reference
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
Rehmannia 3 references
- Zhang R, Zhou J, Jia Z, et al. Hypoglycemic effect of Rehmannia glutinosa oligosaccharide in hyperglycemic and alloxan-induced diabetic rats and its mechanism. J Ethnopharmacol 2004;90:39-43. PubMed
- Zhang RX, Li MX, Jia ZP. Rehmannia glutinosa: review of botany, chemistry and pharmacology. J Ethnopharmacol 2008;117(2):199-214. PubMed
- Chao CH, Hsu JL, Chen MF, et al. Anti-hypertensive effects of Radix Rehmanniae and its active ingredients. Nat Prod Res. 2020;34(11):1547-1552.
Danshen 28 references
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Yu CM, Chan JC, Sanderson JE. Chinese herbs and warfarin potentiation by danshen. J Intern Med 1997;241:337-9. PubMed
- Tam LS, et al. Warfarin interacions with Chinese traditional medicines: danshen and methyl salicylate medicated oil. Aust N Z J Med 1995;25:258.
- Chan TY. Interaction between warfarin and danshen (Salvia miltiorrhiza). Ann Pharmacother 2001;35:501-4. DOI
- Chan TY. Drug interactions as a cause of overanticoagulation and bleedings in Chinese patients receiving warfarin. Int J Clin Pharmacol Ther 1998;36:403-5.
- Izzat MB, Yim APC, El-Zufari MH. A taste of Chinese medicine! Ann Thorac Surg 1998;66:941-2. PubMed
- Heck AM, DeWitt BA, Lukes AL. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm 2000;57:1221-7. DOI
- Wahed A, Dasgupta A. Positive and negative in vitro interference of Chinese medicine dan shen in serum digoxin measurement. Elimination of interference by monitoring free digoxin concentration. Am J Clin Pathol 2001;116:403-408. PubMed
- Wu B, Liu M, Zhang S. Dan Shen agents for acute ischaemic stroke. Cochrane Database Syst Rev 2007;(2):CD004295. PubMed
- Qiu F, Wang G, Zhang R, Sun J, et al. Effect of danshen extract on the activity of CYP3A4 in healthy volunteers. Br J Clin Pharmacol 2010;69:656-62. PubMed
- Li CP, Yung KH, and Chiu KW. Hypotensive action of Salvia miltiorrhiza cell culture extract. American Journal of Chinese Medicine 1990;18(3-4):157-166.
- Chu Y, Zhang L, Wang XY, Guo JH, Guo ZX, Ma XH. The effect of Compound Danshen Dripping Pills, a Chinese herb medicine, on the pharmacokinetics and pharmacodynamics of warfarin in rats. J Ethnopharmacol. 2011 Oct 11;137(3):1457-61. PubMed
- Ma S, Ju W, Dai G, Zhao W, Cheng X, Fang Z, Tan H, Wang X. Synergistic effects of clopidogrel and fufang danshen dripping pills by modulation of the metabolism target and pharmacokinetics. Evid Based Complement Alternat Med. 2014;2014:789142. PubMed
- Qiu F, Jiang J, Ma Y, Wang G, Gao C, Zhang X, Zhang L, Liu S, He M, Zhu L, Ye Y, Li Q, Miao P. Opposite Effects of Single-Dose and Multidose Administration of the Ethanol Extract of Danshen on CYP3A in Healthy Volunteers. Evid Based Complement Alternat Me PubMed
- Qiu F, Zeng J, Liu S, He M, Zhu L, Ye Y, Miao P, Shen S, Jiang J. Effects of danshen ethanol extract on the pharmacokinetics of fexofenadine in healthy volunteers. Evid Based Complement Alternat Med. 2014;2014:473213. PubMed
- Wang X, Cheung CM, Lee WY, Or PM, Yeung JH. Major tanshinones of Danshen (Salvia miltiorrhiza) exhibit different modes of inhibition on human CYP1A2, CYP2C9, CYP2E1 and CYP3A4 activities in vitro. Phytomedicine. 2010 Sep;17(11):868-75. PubMed
- Wang X, Yeung JH. Investigation of cytochrome P450 1A2 and 3A inhibitory properties of Danshen tincture. Phytomedicine. 2012 Feb 15;19(3-4):348-54. PubMed
- Wen JH, Xiong YQ. The effect of herbal medicine danshensu and ursolic acid on pharmacokinetics of rosuvastatin in rats. Eur J Drug Metab Pharmacokinet. 2011 Dec;36(4):205-11. PubMed
- Zhang Z, Ge B, Zhou L, Lam TN, Zuo Z. Induction of liver cytochrome P450s by Danshen-Gegen formula is the leading cause for its pharmacokinetic interactions with warfarin. J Ethnopharmacol. 2014 Jul 3;154(3):672-86. PubMed
- Zhou X, Chan K, Yeung JH. Herb-drug interactions with Danshen (Salvia miltiorrhiza): a review on the role of cytochrome P450 enzymes. Drug Metabol Drug Interact. 2012 Mar 2;27(1):9-18.
- Zhou L, Wang S, Zhang Z, Lau BS, Fung KP, Leung PC, Zuo Z. Pharmacokinetic and pharmacodynamic interaction of Danshen-Gegen extract with warfarin and aspirin. J Ethnopharmacol. 2012 Sep 28;143(2):648-55. PubMed
- Lv C, Liu C, Yao Z, et al. The clinical pharmacokinetics and pharmacodynamics of warfarin when combined with compound danshen: a case study for combined treatment of coronary heart diseases with atrial fibrillation. Front Pharmacol. 2017 Nov 21;8:826. PubMed
- Yin QS, Chen L, Mi RH, Ai H, Yin JJ, Liu XJ, Wei XD. Efficacy and safety of danshen compound tablets in preventing thalidomide-associated thromboembolism in patients with multiple myeloma: a multicenter retrospective study. Med Sci Monit. 2016 Oct 20;22:3 PubMed
- Zhang H, Han X, Li Y, Li H, Guo X. Effects of danshen tablets on pharmacokinetics of amlodipine in rats. Pharm Biol. 2019;57(1):306-309. PubMed
- Zhang Y, Yang M, Ho NJ, et al. Is it safe to take Radix Salvia Miltiorrhiza - Radix Pueraria Lobate product with warfarin and aspirin? A pilot study in healthy human subjects. J Ethnopharmacol. 2020 Nov 15;262:113151. PubMed
- Ma XJ, Duan WH, Zhang Y, et al. Combination of activating blood circulation and detoxifying Chinese medicines played an anti-inflammatory role in unstable angina patients after percutaneous coronary intervention: A multicenter, open-labeled, randomized co
- Liu J, Shi Y, Wu C, et al. Comparison of sweated and non-sweated ethanol extracts of Salvia miltiorrhiza Bge. (Danshen) effects on human and rat hepatic UDP-glucuronosyltransferase and preclinic herb-drug interaction potential evaluation. Curr Drug Metab
- Zheng D, Zhang W, Hou M, et al. Evaluation of herb-drug interactions between compound Danshen dripping pills and clopidogrel based on the pharmacokinetics and pharmacodynamics in rats. Biomed Chromatogr. 2023;37(9):e5684. 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