Relora 250 mg Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Relora 250 mg against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Relora 250 mg is a dietary supplement by Nature's Harmony with 2 active ingredients. Its ingredients are commonly taken for anxiety and stress, sleep problems, digestive upset.Based on those ingredients, 1,160 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Phellodendron (Phellodendron amurense) bark extract, Magnolia (Magnolia officinalis) bark extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Relora 250 mg by Nature's Harmony
Ask about any prescription or over-the-counter medication and we check it for interactions with Relora 250 mg by Nature's Harmony — 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 Relora 250 mg by Nature's Harmony
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
Relora 250 mg contains 2 active ingredients: Magnolia officinalis bark extract and Phellodendron amurense bark extract. Magnolia bark is traditionally used for relaxation and has been studied for effects on anxiety and gum health.
Phellodendron bark, which contains a compound called berberine, has been researched for various conditions including blood sugar control and inflammation. The capsule also contains several inactive ingredients — cellulose, magnesium stearate, modified food starch, corn starch, silicon dioxide, and gelatin — which serve as binders and fillers to create the finished capsule.
Does it work?
Not established
The evidence on Relora's ingredients is limited. Magnolia bark is rated possibly effective for gingivitis (gum inflammation), but there isn't enough reliable evidence to rate it for anxiety, allergic rhinitis (hay fever), or dental plaque.
Phellodendron similarly lacks sufficient reliable evidence for the conditions it's been studied in — acne, benign prostatic hyperplasia, diabetes, obesity, osteoarthritis, and peptic ulcers. If you're considering this product for anxiety or another specific condition, talk with your doctor or pharmacist about what the current research actually supports.
How safe is it?
Well-documented data
When taken by mouth, magnolia and phellodendron are generally well tolerated, though safety data in humans is limited. The most commonly reported side effects in clinical trials of the combination — sexual dysfunction, shaking hands, numbness around the lips, fatigue, and headache — appeared in individual trial participants, and it's unclear whether they were caused by these ingredients or other factors.
Magnolia is unsafe in pregnancy and should be avoided while breastfeeding due to insufficient safety data. Phellodendron is also unsafe in pregnancy and likely unsafe while breastfeeding, since berberine can pass into breast milk and may harm infants.
Meds to double-check
Moderate interaction found
Before starting Relora, double-check the following with your doctor or pharmacist: drugs that slow the central nervous system (like sleep aids, sedatives, or anti-anxiety medications), blood thinners or antiplatelet drugs, blood pressure medications, diabetes drugs (especially metformin), and any medications broken down by your liver through the CYP2D6, CYP2C9, or CYP3A4 pathways. These interactions are rated Moderate severity.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
Relora is a two-ingredient herbal combination with potential interactions across a wide range of medications, especially those that rely on liver processing or work in the central nervous system, as well as blood thinners and diabetes drugs. If you take any regular prescriptions — particularly for sleep, anxiety, blood pressure, diabetes, or blood clotting — you'll want to check them against this product before starting and discuss it with your doctor or pharmacist.
It's not suitable during pregnancy or breastfeeding.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated May 24, 2013.
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 Relora 250 mg, straight from the product label.
| Brand | Nature's Harmony |
|---|---|
| Barcode (UPC) | 063047056003 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | May 24, 2013 |
| DSLD ID | 21853 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), 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 Relora 250 mg by Nature's Harmony, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Magnolia (Magnolia officinalis) bark extract | 75 mg | -- |
| Relora(R) | 250 mg | -- |
| Phellodendron (Phellodendron amurense) bark extract | 25 mg | -- |
Other ingredients: Cellulose, Magnesium Stearate, modified Food Starch, Corn Starch, Silicon Dioxide, Gelatin
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
Recommended Use: For the reduction of stress and stress-related symptoms. Recommended Dose (Adults): Take 2 to 3 capsules daily or as recommended by a health care practitioner.
Precautions
Risk Information: Do not use if pregnant or breastfeeding.
This product may cause drowsiness; use with caution while driving a motor vehicle or operating machinery.
KEEP OUT OF REACH OF CHILDREN.
DO NOT USE IF SEAL UNDER CAP IS BROKEN.
Consult a health care practitioner prior to use if taking sedatives.
Formulation
This product does not contain dairy, egg, gluten, shellfish, soy or artificial colours, flavours or preservatives.
Storage
STORE IN A COOL, DRY PLACE.
General Statements
For the Reduction of Stress and Stress-Related Symptoms
{Capsule} Actual Size
A Proud Canadian Company
General
400600.01-05
Seals/Symbols
SunOpta A healthy products company
Brand IP Statement(s)
Relora(R) is a registered trademark of NPI, LLC.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Relora 250 mg by Nature's Harmony 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 Relora 250 mg by Nature's Harmony
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule 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.
Other (inactive) ingredients: Cellulose, Magnesium Stearate, Modified Food Starch, Corn Starch, Silicon Dioxide, Gelatin. These complete the product’s ingredient list but are not active constituents.
Relora 250 mg by Nature's Harmony Drug Interactions
HelloPharmacist Interaction Report
Relora 250 mg by Nature's Harmony contains magnolia and phellodendron bark extracts, both of which interact with medications.
The most serious concerns involve phellodendron's effects on how your liver breaks down certain drugs — it may slow the clearance of medications metabolized by CYP2D6, CYP2C9, and CYP3A4 enzymes, potentially raising their levels in your blood. Altogether, these interactions span 1,161 individual medications.
Read the full breakdown — every affected drug type, severity by severity
Magnolia and phellodendron both carry Moderate-severity risks with CNS depressants (sedatives, sleep aids, anti-anxiety drugs) and blood thinners (anticoagulants and antiplatelet drugs like warfarin or aspirin). Phellodendron also theoretically increases the risk of low blood sugar (hypoglycemia) when combined with diabetes medications, including metformin, and may raise blood pressure medication effects.
Additionally, phellodendron may interfere with how your body processes many other prescription drugs through multiple enzyme pathways.
Because the magnitude of interaction risk here is substantial, it's important to check your exact medications before starting this product. Use the interaction checker on this page with each of your current prescriptions, and talk with your doctor or pharmacist about whether Relora is appropriate for you.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Relora 250 mg?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Relora 250 mg interact with 1,160 drugs. Click any drug to see the details.
2 of the 2 ingredients in Relora 250 mg interact with drugs. Each result below shows which ingredient is responsible. Phellodendron (Phellodendron amurense) bark extract Magnolia (Magnolia officinalis) bark extract
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Abciximab interactionMagnolia (magnolia Officinalis) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, magnolia might have additive effects and increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Magnolia (magnolia Officinalis) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, magnolia might have additive effects and increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Abrocitinib interactionPhellodendron (phellodendron Amurense) Bark ExtractAnticoagulant/antiplatelet Drugs, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, phellodendron may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, phellodendron might have additive effects with antihypertensive drugs.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Magnolia (magnolia Officinalis) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, magnolia might have additive effects and increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acenocoumarol interactionPhellodendron (phellodendron Amurense) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Magnolia (magnolia Officinalis) Bark ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acepromazine interactionPhellodendron (phellodendron Amurense) Bark ExtractCns Depressants Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Magnolia (magnolia Officinalis) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, magnolia might have additive effects and increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acetaminophen, Aspirin interactionPhellodendron (phellodendron Amurense) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractAnticoagulant/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 (phellodendron Amurense) Bark Extract + Acetaminophen, Aspirin, Caffeine interactionMagnolia (magnolia Officinalis) Bark ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, magnolia might have additive effects and increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionMagnolia (magnolia Officinalis) Bark ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Magnolia (magnolia Officinalis) Bark ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acetaminophen, Butalbital, Codeine interactionPhellodendron (phellodendron Amurense) Bark ExtractCns Depressants, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP2D6.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionMagnolia (magnolia Officinalis) Bark ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCns Depressants, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionMagnolia (magnolia Officinalis) Bark ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Magnolia (magnolia Officinalis) Bark 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 Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Magnolia (magnolia Officinalis) Bark ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acetaminophen, Caffeine, Codeine interactionPhellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP2D6.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionMagnolia (magnolia Officinalis) Bark ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCns Depressants, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionMagnolia (magnolia Officinalis) Bark ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractDextromethorphan (robitussin Dm, Others), Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron may increase serum levels of dextromethorphan.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionMagnolia (magnolia Officinalis) Bark ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Magnolia (magnolia Officinalis) Bark Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractDextromethorphan (robitussin Dm, Others), Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron may increase serum levels of dextromethorphan.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP2D6.
Read the full Phellodendron (phellodendron Amurense) Bark 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 Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractDextromethorphan (robitussin Dm, Others), Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron may increase serum levels of dextromethorphan.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
Phellodendron (phellodendron Amurense) Bark ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full Phellodendron (phellodendron Amurense) Bark Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Relora 250 mg with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Phellodendron (Phellodendron amurense) bark extract
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.
Magnolia (Magnolia officinalis) bark extract
Anticoagulant/Antiplatelet Drugs
Theoretically, magnolia might have additive effects and increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
In vitro research shows that the chemicals magnolol and honokiol, isolated from magnolia bark, inhibit platelet aggregation that is experimentally induced by collagen and arachidonic acid. However, they do not inhibit platelet aggregation that is induced by adenosine diphosphate, platelet-activating factor, or thrombin. This interaction has not been reported in humans.
Cns Depressants
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
In vitro and animal research shows that constituents extracted from magnolia bark, especially honokiol and magnolol, have sedative effects. These effects may be due to the inhibition of catecholamine release and modulation of gamma-aminobutyric acid-A (GABA-A) receptors.
Brand information
Manufacturer and brand details for Relora 250 mg, from the product label.
Nature's Harmony
See all Nature's Harmony products- Name
- SunOpta Inc.
- Street Address
- 6 Commerce Crescent
- City
- Acton
- State
- ON
- ZipCode
- L7J 2X3
Relora 250 mg by Nature's Harmony: Common Questions
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What is phellodendron, and why does it interact with so many drugs?
Are there any side effects I should watch for?
Is there good evidence that Relora works for anxiety?
Does Relora contain any fillers?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Relora 250 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Magnolia
Interacts with 351 drugsMagnolia bark and flower buds have a long history in traditional Chinese and Japanese medicine, often for stress, sleep, and digestion. Modern human research is still limited, so we can't be...
Read the full Magnolia 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 →Sources & How We Checked
Relora 250 mg's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 31 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.
Magnolia 9 references
- Kuribara H, Kishi E, Hattori N, et al. The anxiolytic effect of two oriental herbal drugs in Japan attributed to honokiol from magnolia bark. J Pharm Pharmacol 2000;52:1425-9. PubMed
- Tachikawa E, Takahashi M, Kashimoto T. Effects of extract and ingredients isolated from Magnolia obovata thunberg on catecholamine secretion from bovine adrenal chromaffin cells. Biochem Pharmacol 2000;60:433-40. PubMed
- Jung KY, Kim DS, Oh SR, et al. Magnone A and B, novel anti-PAF tetrahydrofuran lignans from the flower buds of Magnolia fargesii. J Nat Prod 1998;61:808-11.
- 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.
- Teng CM, Chen CC, Ko FN, et al. Two antiplatelet agents from Magnolia officinalis. Thromb Res 1988;50:757-65. PubMed
- Ghys K, De Palma A, Vandevenne A, Werbrouck J, Goossens A. Magnolia officinalis bark extract, a recently identified contact allergen in 'anti-ageing' cosmetics. Contact Dermatitis. 2015 Aug;73(2):130-2.
- Raison-Peyron N, Césaire A, Du-Thanh A, Dereure O. Allergic contact dermatitis caused by Magnolia officinalis bark extract in a facial anti-ageing cream. Contact Dermatitis. 2015 Jun;72(6):416-7.
- Nilausen TD, Johansen JD, Thyssen JP. Allergic contact dermatitis of the face caused by Magnolia officinalis bark extract. Contact Dermatitis. 2016;75(6):385-87.
- Amat-Samaranch V, López-Sánchez C, Tubau C, Puig L, Serra-Baldrich E. Vulvar allergic contact dermatitis caused by Magnolia officinalis bark extract. Contact Dermatitis 2022;87(1):96-97.
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
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