Rhodiola SAP Ingredients & Drug Interactions
by NFH
What is this page for?
First and foremost: checking Rhodiola SAP 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
Rhodiola SAP is a dietary supplement by NFH with 1 active ingredient. Its ingredients are commonly taken for fatigue and low energy, stress and coping (adaptogen), mental performance and focus.Based on those ingredients, 1,271 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Roseroot Root Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Rhodiola SAP by NFH
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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 Rhodiola SAP by NFH
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
Rhodiola SAP contains one active ingredient: roseroot root extract, a plant-based compound traditionally used to support energy and resilience during stress. The product also includes inactive ingredients—magnesium stearate, microcrystalline cellulose, silicon dioxide, hypromellose, and purified water—which serve as binders, fillers, and capsule material.
Does it work?
Not established
The evidence for roseroot in this product is not established in the data we hold. The conditions listed—altitude sickness, generalized anxiety, arrhythmia, athletic performance, and bladder cancer—all carry a rating of insufficient reliable evidence.
That means the research so far doesn't give us a clear picture of whether it works for these uses. If you're considering this product for a specific reason, it's worth discussing what the current science actually supports with your doctor or pharmacist.
How safe is it?
Well-documented data
Roseroot is generally well tolerated for short-term use, but long-term safety hasn't been well studied, so extended use is less certain. The most common side effects are dizziness and changes in saliva production (either dry mouth or excessive saliva).
The safety data advises against using this product during pregnancy or while breastfeeding because there isn't enough information to know whether it's safe in those situations.
Meds to double-check
Moderate interaction found
Before taking Rhodiola SAP, check with your doctor or pharmacist if you take blood pressure medications, diabetes medications, losartan (Cozaar), or any drug that depends on liver enzymes (CYP2C9, CYP3A4, or CYP1A2) or a cellular pump called P-glycoprotein to be broken down. Also flag immunosuppressant medications.
Rhodiola may increase blood pressure-lowering effects, lower blood sugar further, raise drug levels, or interfere with immune suppression.
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.
Rhodiola SAP may be considered by people looking to manage stress or boost energy in the short term, but the evidence for specific health claims isn't yet established. If you take blood pressure or diabetes medications, or drugs that rely on liver enzyme systems to be broken down, you'll want to check with your own doctor or pharmacist before starting—rhodiola can affect how these drugs work.
Avoid it during pregnancy and breastfeeding. Talk it over with your healthcare provider to see if it's right for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Jan 23, 2023.
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 Rhodiola SAP, straight from the product label.
| Brand | NFH |
|---|---|
| Barcode (UPC) | 856711111371 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jan 23, 2023 |
| DSLD ID | 273442 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, 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 Rhodiola SAP by NFH, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Roseroot Root Extract | 400 mg | -- |
Other ingredients: Magnesium Stearate, Microcrystalline Cellulose, Silicon Dioxide, Hypromellose, Water, Purified
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.
Formulation
Rhodiola SAP is used in herbal medicine as an adaptogen to help temporarily relieve symptoms of stress (such as mental fatigue and sensation of weakness). Rhodiola SAP is used in herbal medicine to help support cognitive function (such as mental focus and mental stamina).
All ingredients listed for this product lot number have been tested by a third-party laboratory for identity, potency, and purity.
Contains no: Gluten, soy, wheat, corn protein, eggs, dairy, yeast, citrus, preservatives, artificial flavor or color, starch, or sugar.
This product is non-GMO and vegan friendly.
This product is non-GMO and vegan friendly.
Color, size and smell may vary from one lot to another.
Helps improve mental fatigue and stamina
Made in Canada
Formula
Rhodiola SAP provides antioxidants.
Suggested/Recommended/Usage/Directions
Directions for use: Adults: Take 1 capsule twice daily or as directed by your healthcare practitioner. Not to be taken immediately before bedtime.
Precautions
Cautions and warnings: Consult a healthcare practitioner if symptoms persist or worsen.
Consult a healthcare practitioner prior to use if you are pregnant or breast-feeding; if you are taking antidepressant medication, or if you are taking hormone replacement therapy (HRT) or birth-control pills.
Contraindications: Do not use this product if you have bipolar disorder or bipolar spectrum disorder.
Known adverse reactions: Discontinue use if you experience irritability or insomnia.
Do not use if seal is broken.
Keep out of reach of children.
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.
FDA Statement of Identity
Dietary Supplement
General Statements
NPN 80073937
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Rhodiola SAP by NFH 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 Rhodiola SAP by NFH
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.
Roseroot Root Extract
Interacts with1,271 drugs
Rhodiola is an herb traditionally used to fight fatigue and help the body cope with stress. Some small studies suggest it may modestly reduce fatigue...
Roseroot Root Extract monograph & interactionsOther (inactive) ingredients: Magnesium Stearate, Microcrystalline Cellulose, Silicon Dioxide, Hypromellose, Water, Purified. These complete the product’s ingredient list but are not active constituents.
Rhodiola SAP by NFH Drug Interactions
HelloPharmacist Interaction Report
Rhodiola SAP by NFH contains roseroot root extract, which has documented interactions with several medication types.
The most serious concern is with blood pressure medications (antihypertensives): rhodiola may lower blood pressure further, raising the risk of excessively low blood pressure (hypotension). This is a Moderate-severity interaction.
Read the full breakdown — every affected drug type, severity by severity
Rhodiola also interacts with diabetes medications—it may lower blood sugar further, increasing hypoglycemia risk. It can increase levels of certain drugs that your liver breaks down using specific enzyme systems (CYP2C9, CYP3A4, and CYP1A2 substrates), potentially raising drug levels and side effects; losartan (Cozaar) is a notable example, where rhodiola reduced its breakdown by 21% in a clinical study.
Drugs that depend on a cellular pump called P-glycoprotein may also accumulate, and immunosuppressant medications could be affected if rhodiola's immune-stimulating properties interfere with their action. All of these are Moderate-severity except CYP1A2 and CYP3A4 substrates, which are Minor.
Although roseroot is the only active ingredient we checked, its effects span a wide range of medication classes. Altogether, these interactions span 1,272 individual medications.
Use the search tool on this page to check your exact prescriptions before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Rhodiola SAP?
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 Rhodiola SAP interact with 1,271 drugs. Click any drug to see the details.
1 of the 1 ingredient in Rhodiola SAP interact with drugs. Each result below shows which ingredient is responsible. Roseroot Root Extract
Amitriptyline, ChlordiazepoxideLimbitrol DS
How Amitriptyline, Chlordiazepoxide interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +3 Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of drugs metabolized by CYP2C9.
Read the full Roseroot Root Extract + Amitriptyline, Chlordiazepoxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates +3 Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of drugs metabolized by CYP1A2.
Read the full Roseroot Root Extract + Amitriptyline, Perphenazine interactionAmlodipineNorliqva
How Amlodipine interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of drugs metabolized by CYP3A4.
Read the full Roseroot Root Extract + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking rhodiola with antihypertensive drugs might increase the risk of hypotension.
Read the full Roseroot Root Extract + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of drugs metabolized by CYP3A4.
Read the full Roseroot Root Extract + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking rhodiola with antihypertensive drugs might increase the risk of hypotension.
Read the full Roseroot Root Extract + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of drugs metabolized by CYP3A4.
Read the full Roseroot Root Extract + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, taking rhodiola with antihypertensive drugs might increase the risk of hypotension.
Read the full Roseroot Root Extract + Amlodipine, Celecoxib interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking rhodiola with antihypertensive drugs might increase the risk of hypotension.
Read the full Roseroot Root Extract + Ammonium Chloride interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of drugs metabolized by CYP2C9.
Read the full Roseroot Root Extract + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of P-glycoprotein substrates.
Read the full Roseroot Root Extract + Amphotericin, Tetracycline interactionAmprenavirAgenerase
How Amprenavir interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractP-glycoprotein Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of P-glycoprotein substrates.
Read the full Roseroot Root Extract + Amprenavir interactionAnifrolumab-fniaSaphnelo
How Anifrolumab-fnia interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, rhodiola use might interfere with immunosuppressive therapy.
Read the full Roseroot Root Extract + Anifrolumab-fnia interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractAntidiabetes Drugs, P-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, taking rhodiola with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Roseroot Root Extract + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionAntithymocyte GlobulinThymoglobulin
How Antithymocyte Globulin interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, rhodiola use might interfere with immunosuppressive therapy.
Read the full Roseroot Root Extract + Antithymocyte Globulin interactionApixabanEliquis
How Apixaban interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractP-glycoprotein Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of P-glycoprotein substrates.
Read the full Roseroot Root Extract + Apixaban interactionApomorphineAPO-go, APO-go Pen, APO-go PFS, Apokyn, Uprima
How Apomorphine interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of P-glycoprotein substrates.
Read the full Roseroot Root Extract + Apomorphine interactionApomorphine HydrochlorideKynmobi
How Apomorphine Hydrochloride interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of P-glycoprotein substrates.
Read the full Roseroot Root Extract + Apomorphine Hydrochloride interactionAprocitentanTryvio
How Aprocitentan interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking rhodiola with antihypertensive drugs might increase the risk of hypotension.
Read the full Roseroot Root Extract + Aprocitentan interactionArmodafinilNuvigil
How Armodafinil interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, P-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of drugs metabolized by CYP3A4.
Read the full Roseroot Root Extract + Armodafinil interactionAspirin, OmeprazoleYosprala
How Aspirin, Omeprazole interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of drugs metabolized by CYP3A4.
Read the full Roseroot Root Extract + Aspirin, Omeprazole interactionAtenololAtenix, Tenormin
How Atenolol interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking rhodiola with antihypertensive drugs might increase the risk of hypotension.
Read the full Roseroot Root Extract + Atenolol interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking rhodiola with antihypertensive drugs might increase the risk of hypotension.
Read the full Roseroot Root Extract + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking rhodiola with antihypertensive drugs might increase the risk of hypotension.
Read the full Roseroot Root Extract + Atenolol, Chlorthalidone interactionAtezolizumabTecentriq
How Atezolizumab interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, rhodiola use might interfere with immunosuppressive therapy.
Read the full Roseroot Root Extract + Atezolizumab interactionAtogepantQulipta
How Atogepant interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates, P-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of drugs metabolized by CYP3A4.
Read the full Roseroot Root Extract + Atogepant interactionAtropine, Morphine SulfateAtropine, Morphine Sulfate
How Atropine, Morphine Sulfate interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractCns Depressants, P-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase the risk of adverse effects when taken with CNS depressants.
Read the full Roseroot Root Extract + Atropine, Morphine Sulfate interactionAvatrombopag MaleateDoptelet
How Avatrombopag Maleate interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, rhodiola might increase levels of P-glycoprotein substrates.
Read the full Roseroot Root Extract + Avatrombopag Maleate interactionAzamuneImmunoprin
How Azamune interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, rhodiola use might interfere with immunosuppressive therapy.
Read the full Roseroot Root Extract + Azamune interactionAzathioprineAzamune, Imuran
How Azathioprine interacts with Rhodiola SAP — through 1 ingredient. Tap an ingredient for the detail:
Roseroot Root ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, rhodiola use might interfere with immunosuppressive therapy.
Read the full Roseroot Root Extract + Azathioprine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Rhodiola SAP with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Roseroot Root Extract
Antidiabetes Drugs
Theoretically, taking rhodiola with antidiabetes drugs might increase the risk of hypoglycemia.
In vitro and animal research shows that rhodiola extract can decrease blood glucose due to alpha-glucosidase activity.
Antihypertensive Drugs
Theoretically, taking rhodiola with antihypertensive drugs might increase the risk of hypotension.
In vitro and animal research shows that rhodiola extract inhibits angiotensin-converting enzyme (ACE) and might lower blood pressure.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, rhodiola might increase levels of drugs metabolized by CYP2C9.
In vitro research shows that rhodiola inhibits CYP2C9. This effect is highly variable and appears to be dependent on the rhodiola product studied. Also, a clinical study in healthy young males found that taking rhodiola extract 290 mg daily for 14 days reduces the metabolism of losartan, a CYP2C9 substrate, by 21% after 4 hours.
Immunosuppressants
Theoretically, rhodiola use might interfere with immunosuppressive therapy.
In vitro and animal research show that rhodiola has immunostimulatory effects.
Losartan (Cozaar)
Rhodiola might increase the levels and adverse effects of losartan.
A clinical study in healthy young males found that taking rhodiola extract 290 mg daily for 14 days reduces the metabolism of losartan, a CYP2C9 substrate, by 21% after 4 hours.
P-Glycoprotein Substrates
Theoretically, rhodiola might increase levels of P-glycoprotein substrates.
In vitro research shows that rhodiola inhibits P-glycoprotein. Theoretically, using rhodiola with P-glycoprotein substrates might increase drug levels and potentially increase the risk of adverse effects.
Antidepressant Drugs
Theoretically, rhodiola might increase the risk of adverse effects when taken with antidepressants.
A review of adverse event reports in Poland identified cases of tachyarrhythmias, myalgia, arthralgia, gum pain, restless leg syndrome, swallowing disorders, and changes in consciousness when rhodiola was taken in combination with paroxetine, escitalopram, fluoxetine, sertraline, trazodone, and/or duloxetine.
Cns Depressants
Theoretically, rhodiola might increase the risk of adverse effects when taken with CNS depressants.
A review of adverse event reports in Poland identified cases of excessive sedation, myoclonus, hypotension, and hallucinations when rhodiola was taken with haloperidol, diazepam, or alprazolam.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, rhodiola might increase levels of drugs metabolized by CYP1A2.
In vitro research shows that rhodiola inhibits CYP1A2. This effect is highly variable and appears to be dependent on the rhodiola product studied. However, a clinical study in healthy young males found that taking rhodiola extract 290 mg daily for 14 days does not inhibit the metabolism of caffeine, a CYP1A2 substrate.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, rhodiola might increase levels of drugs metabolized by CYP3A4.
In vitro research shows that rhodiola inhibits CYP3A4. This effect is highly variable and appears to be dependent on the rhodiola product studied. However, a clinical study in healthy young males found that taking rhodiola extract 290 mg daily for 14 days does not inhibit the metabolism of midazolam, a CYP3A4 substrate.
Brand information
Manufacturer and brand details for Rhodiola SAP, from the product label.
NFH
See all NFH products- Name
- NFH - Nutritional Fundamentals for Health, Inc.
- Street Address
- 351 Rue Joseph-Carrier
- City
- Vaudreuil
- State
- QC
- ZipCode
- J7V 5V5
- Phone Number
- 1 866 510-3123
- Web Address
- nfh.ca
Rhodiola SAP by NFH: Common Questions
Does Rhodiola SAP by NFH interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this while I'm pregnant or breastfeeding?
What are the most common side effects?
Is this product well studied for long-term use?
Does roseroot actually work for what it claims?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Rhodiola SAP 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 Rhodiola SAP’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Rhodiola SAP'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 13 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.
Rhodiola 13 references
- Kim SH, Hyun SH, Choung SY. Antioxidative effects of Cinnamomi cassiae and Rhodiola rosea extracts in liver of diabetic mice. Biofactors 2006;26:209-19.
- Kwon YI, Jang HD, Shetty K. Evaluation of Rhodiola crenulata and Rhodiola rosea for management of type II diabetes and hypertension. Asia Pac J Clin Nutr 2006;15:425-32.
- Bystritsky A, Kerwin L, Feusner JD. A pilot study of Rhodiola rosea (Rhodax) for generalized anxiety disorder (GAD). J Altern Complement Med 2008;14:175-80.
- Shevtsov VA, Zholus BI, Shervarly VI, et al. A randomized trial of two different doses of a SHR-5 Rhodiola rosea extract versus placebo and control of capacity for mental work. Phytomedicine 2003;10:95-105. PubMed
- Apostolidis E, Kwon YI, Shetty K. Potential of cranberry-based herbal synergies for diabetes and hypertension management. Asia Pac J Clin Nutr 2006;15:433-41.
- Hellum BH, Tosse A, Hoybakk K, et al. Potent in vitro inhibition of CYP3A4 and P-glycoprotein by Rhodiola rosea. Planta Med 2010;76:331-8.
- Skopriska-Rozewska E, Wojcik R, Siwicki AK, et al. The effect of Rhodiola quadrifida extracts on cellular immunity in mice and rats. Pol J Vet Sci 2008;11:105-11.
- Mishra KP, Chanda S, Shukla K, Ganju L. Adjuvant effect of aqueous extract of Rhodiola imbricate rhizome on the immune responses to tetanus toxoid and ovalbumin in rats. Immunopharmacol Immunotoxicol 2010;32:141-6.
- Li HX, Sze SC, Tong Y, Ng TB. Production of Th1- and Th2-dependent cytokines induced by the Chinese medicine herb, Rhodiola algida, on human peripheral blood monocytes. J Ethnopharmacol 2009;123:257-66. PubMed
- Mishra KP, Ganju L, Chanda S, et al. Aqueous extract of Rhodiola imbricate rhizome stimulates Toll-like receptor 4, granzyme-B and Th1 cytokines in vitro. Immunobiology 2009;214:27-31.
- Thu OK, Nilsen OG, Hellum B. In vitro inhibition of cytochrome P-450 activities and quantification of constituents in a selection of commercial Rhodiola rosea products. Pharm Bio. 2016 Dec;54(12):3249-3256.
- Thu OK, Spigset O, Nilsen OG, Hellum B. Effect of commercial Rhodiola rosea on CYP enzyme activity in humans. Eur J Clin Pharmacol. 2016 Mar;72(3):295-300. PubMed
- Woron J, Siwek M. Unwanted effects of psychotropic drug interactions with medicinal products and diet supplements containing plant extracts. Psychiatr Pol 2018;52(6):983-96. PubMed
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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.
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