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 The Vitamin Shoppe with 2 active ingredients. Its ingredients are commonly taken for digestive complaints and diarrhea, inflammation and joint discomfort, stress and weight management (in combination products).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 a proprietary extract from Phellodendron amurense, patented extract from Magnolia officinalis. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Relora 250 mg by The Vitamin Shoppe
Ask about any prescription or over-the-counter medication and we check it for interactions with Relora 250 mg by The Vitamin Shoppe — 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 Relora 250 mg by The Vitamin Shoppe
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
Relora 250 mg contains 2 active ingredients: a proprietary extract from Phellodendron amurense (also called amur cork tree) and a patented extract from Magnolia officinalis. Both are plant-derived compounds used traditionally to support relaxation and stress response.
The inactive ingredients are microcrystalline cellulose (a binder), gelatin (capsule material), and magnesium stearate (a flow agent).
Does it work?
Not established
The evidence on file for these ingredients is limited. For phellodendron, we hold insufficient reliable evidence to rate its use for acne, benign prostatic hyperplasia, diabetes, obesity, osteoarthritis, or peptic ulcers.
Magnolia shows possibly effective evidence for gingivitis, but we have insufficient reliable evidence for its use with allergic rhinitis, anxiety, or dental plaque. Neither ingredient has established effectiveness data for stress or relaxation in our records.
How safe is it?
Well-documented data
Human safety data for both ingredients are limited, and they're typically used short-term in traditional medicine. Phellodendron contains berberine, which the safety data advise against in pregnancy and while breastfeeding — berberine may pass to infants and cause harm.
Magnolia safety during pregnancy is rated unsafe due to insufficient information and concern about uterine effects; it should also be avoided while breastfeeding. Adverse effects from combination trials (phellodendron plus magnolia together) are rare but include a single report each of sexual dysfunction, shaking hands, perilabial numbness, fatigue, headache, and heartburn — though it's unclear which ingredient, if any, was responsible.
Magnolia applied to the skin may cause contact dermatitis.
Meds to double-check
Moderate interaction found
Before taking Relora, double-check with your doctor or pharmacist if you take CNS depressants (sedatives, sleep aids, anxiety medications), blood pressure medications, blood thinners or anti-clotting drugs, diabetes medications or metformin, or any drug metabolized by liver enzymes CYP2D6, CYP2C9, or CYP3A4. Moderate interactions are documented for all of these.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
Relora may appeal to people seeking traditional plant extracts for stress support, but the evidence for its effectiveness is not established in our data. The bigger issue is its potential to interact with many common medications, especially sedatives, blood pressure drugs, blood thinners, and diabetes treatments.
If you're pregnant, planning to become pregnant, or breastfeeding, avoid this product. Talk with your doctor or pharmacist before starting, especially if you take any prescription medications.
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 Oct 10, 2014.
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 | The Vitamin Shoppe |
|---|---|
| Barcode (UPC) | 766536018123 |
| Net contents | 90 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Oct 10, 2014 |
| DSLD ID | 37553 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy Free, Sugar Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Relora 250 mg by The Vitamin Shoppe, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Relora(R) | 250 mg | -- |
| a proprietary extract from Phellodendron amurense | 0 NP | -- |
| patented extract from Magnolia officinalis | 0 NP | -- |
Other ingredients: Microcrystalline Cellulose, Gelatin, 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.
General Statements
Visit www.vitaminshoppe.com or call 1-800-223-1216 for more information and to reorder.
herb
mood relaxation
{capsule} actual size
clinically studied ingredient
General
Item No. VS-1812 1487752 AO 1
Brand IP Statement(s)
dietary supplement
Relora(R) is a registered trademark of NPI, LLC.
**U.S. Patent No. US 6,582,735
Formulation
gluten free dairy free soy free nut free
Does not contain: Yeast, Wheat, Gluten, Sugar, Salt, Soy, Dairy, Citrus, Fish, Preservatives, Artificial Colors or Flavors.
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.
Suggested/Recommended/Usage/Directions
DIRECTIONS: As a dietary supplement, take one (1) capsule up to three times daily with meals.
Precautions
WARNING: Do not use this product if you are pregnant or nursing.
Not for use by children or with alcohol.
Consult your physician if you have any medical condition or are taking any medication, especially related to a cardiac condition.
Use caution when operating a vehicle or heavy machinery.
KEEP OUT OF REACH OF CHILDREN.
Storage
STORE IN A COOL, DRY PLACE.
Seals/Symbols
TAMPER EVIDENT Do not use if outer seal is broken or missing.
RELORA(R)
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Relora 250 mg by The Vitamin Shoppe 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 The Vitamin Shoppe
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 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: Microcrystalline Cellulose, Gelatin, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Relora 250 mg by The Vitamin Shoppe Drug Interactions
HelloPharmacist Interaction Report
Relora 250 mg by The Vitamin Shoppe, through its phellodendron and magnolia extracts, interacts with multiple medication types.
The most serious concern is with CNS depressants (sedatives, sleep aids, anti-anxiety medications) — both ingredients may theoretically add to their sedative effects, increasing drowsiness and impairing alertness.
Read the full breakdown — every affected drug type, severity by severity
Phellodendron poses moderate interactions with blood pressure medications (antihypertensives), blood thinners and anti-clotting drugs (anticoagulants and antiplatelet agents), diabetes medications, and metformin specifically. It may also slow how your liver clears drugs metabolized by CYP2D6, CYP2C9, and CYP3A4 enzymes — a broad group that includes many common prescriptions — potentially raising their blood levels and side effects.
Magnolia adds a moderate risk with blood thinners as well.
Because phellodendron contains berberine, which can lower blood sugar and blood pressure, combining it with medications for those conditions could push levels too low. The liver enzyme interactions mean drugs like certain antidepressants, pain relievers, and heart medications could accumulate in your system.
Altogether, these interactions span 1,161 individual medications.
Before you start Relora, run your exact medications through the search tool on this page, or check with your doctor or pharmacist — especially if you take sedatives, blood pressure drugs, blood thinners, diabetes medications, or any prescription metabolized by those liver enzymes.
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. a proprietary extract from Phellodendron amurense patented extract from Magnolia officinalis
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full A Proprietary Extract From Phellodendron Amurense + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
A Proprietary Extract From Phellodendron AmurenseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full A Proprietary Extract From Phellodendron Amurense + Abciximab interactionPatented Extract From Magnolia OfficinalisAnticoagulant/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 Patented Extract From Magnolia Officinalis + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full A Proprietary Extract From Phellodendron Amurense + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full A Proprietary Extract From Phellodendron Amurense + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full A Proprietary Extract From Phellodendron Amurense + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Patented Extract From Magnolia OfficinalisAnticoagulant/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 Patented Extract From Magnolia Officinalis + Abrocitinib interactionA Proprietary Extract From Phellodendron AmurenseAnticoagulant/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 A Proprietary Extract From Phellodendron Amurense + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full A Proprietary Extract From Phellodendron Amurense + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
A Proprietary Extract From Phellodendron AmurenseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, phellodendron may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full A Proprietary Extract From Phellodendron Amurense + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
A Proprietary Extract From Phellodendron AmurenseAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, phellodendron might have additive effects with antihypertensive drugs.
Read the full A Proprietary Extract From Phellodendron Amurense + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Patented Extract From Magnolia OfficinalisAnticoagulant/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 Patented Extract From Magnolia Officinalis + Acenocoumarol interactionA Proprietary Extract From Phellodendron AmurenseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full A Proprietary Extract From Phellodendron Amurense + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Patented Extract From Magnolia OfficinalisCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Patented Extract From Magnolia Officinalis + Acepromazine interactionA Proprietary Extract From Phellodendron AmurenseCns Depressants Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full A Proprietary Extract From Phellodendron Amurense + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Relora 250 mg — through 2 ingredients. Tap an ingredient for the detail:
Patented Extract From Magnolia OfficinalisAnticoagulant/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 Patented Extract From Magnolia Officinalis + Acetaminophen, Aspirin interactionA Proprietary Extract From Phellodendron AmurenseAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, phellodendron might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseAnticoagulant/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 A Proprietary Extract From Phellodendron Amurense + Acetaminophen, Aspirin, Caffeine interactionPatented Extract From Magnolia OfficinalisAnticoagulant/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 Patented Extract From Magnolia Officinalis + 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:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full A Proprietary Extract From Phellodendron Amurense + Acetaminophen, Butalbital, Caffeine, Codeine interactionPatented Extract From Magnolia OfficinalisCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Patented Extract From Magnolia Officinalis + 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:
Patented Extract From Magnolia OfficinalisCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Patented Extract From Magnolia Officinalis + Acetaminophen, Butalbital, Codeine interactionA Proprietary Extract From Phellodendron AmurenseCns Depressants, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP2D6.
Read the full A Proprietary Extract From Phellodendron Amurense + Acetaminophen, Butalbital, Codeine Phosphate interactionPatented Extract From Magnolia OfficinalisCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Patented Extract From Magnolia Officinalis + 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:
A Proprietary Extract From Phellodendron AmurenseCns Depressants, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full A Proprietary Extract From Phellodendron Amurense + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionPatented Extract From Magnolia OfficinalisCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Patented Extract From Magnolia Officinalis + 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:
Patented Extract From Magnolia OfficinalisCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Patented Extract From Magnolia Officinalis + Acetaminophen, Caffeine, Codeine interactionA Proprietary Extract From Phellodendron AmurenseCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP2D6.
Read the full A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseCytochrome 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 A Proprietary Extract From Phellodendron Amurense + Acetaminophen, Caffeine, Codeine, Salicylamide interactionPatented Extract From Magnolia OfficinalisCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Patented Extract From Magnolia Officinalis + 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:
A Proprietary Extract From Phellodendron AmurenseCns Depressants, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron might increase the sedative effects of CNS depressants.
Read the full A Proprietary Extract From Phellodendron Amurense + Acetaminophen, Caffeine, Dihydrocodeine interactionPatented Extract From Magnolia OfficinalisCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Patented Extract From Magnolia Officinalis + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Relora 250 mg — through 1 ingredient. Tap an ingredient for the detail:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseDextromethorphan (robitussin Dm, Others), Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron may increase serum levels of dextromethorphan.
Read the full A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseCytochrome 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 A Proprietary Extract From Phellodendron Amurense + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionPatented Extract From Magnolia OfficinalisCns Depressants Moderate
Interaction Summary
Theoretically, concomitant use of large doses of magnolia bark and CNS depressants might have additive effects.
Read the full Patented Extract From Magnolia Officinalis + 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:
A Proprietary Extract From Phellodendron AmurenseCytochrome 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 A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseDextromethorphan (robitussin Dm, Others), Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron may increase serum levels of dextromethorphan.
Read the full A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseCytochrome 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 A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseDextromethorphan (robitussin Dm, Others), Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, phellodendron may increase serum levels of dextromethorphan.
Read the full A Proprietary Extract From Phellodendron Amurense + 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:
A Proprietary Extract From Phellodendron AmurenseCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, phellodendron might increase serum levels of drugs metabolized by CYP3A4.
Read the full A Proprietary Extract From Phellodendron Amurense + 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.
a proprietary extract from Phellodendron amurense
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.
patented extract from Magnolia officinalis
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.
The Vitamin Shoppe
See all The Vitamin Shoppe products- Name
- Vitamin Shoppe, Inc.
- City
- Secaucus
- State
- NJ
- ZipCode
- 07094
- Phone Number
- 1-800-223-1216
- Web Address
- www.vitaminshoppe.com
Relora 250 mg by The Vitamin Shoppe: Common Questions
Does Relora 250 mg by The Vitamin Shoppe interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm pregnant or breastfeeding?
Does Relora actually work for stress or anxiety?
What are the most common side effects?
Why does this product interact with so many medications?
Is this product safe to take with my blood pressure medication?
How long can I safely take Relora?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Relora 250 mg 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 Relora 250 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Phellodendron
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 monographMagnolia
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 →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.
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
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.
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