Sheer Ashwagandha Extra Strength Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Sheer Ashwagandha Extra Strength 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
Sheer Ashwagandha Extra Strength is a dietary supplement by Sheer Strength Labs with 1 active ingredient. Its ingredients are commonly taken for stress and anxiety, sleep problems, fatigue and low energy.Based on those ingredients, 1,372 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are organic Ashwagandha (Withania somnifera) (root) powder. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Sheer Ashwagandha Extra Strength by Sheer Strength Labs
Ask about any prescription or over-the-counter medication and we check it for interactions with Sheer Ashwagandha Extra Strength by Sheer Strength Labs — 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 Sheer Ashwagandha Extra Strength by Sheer Strength Labs
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
Sheer Ashwagandha Extra Strength contains one active ingredient: organic ashwagandha (Withania somnifera) root powder. Ashwagandha is an herb traditionally used to help with sleep, anxiety, and stress.
The capsule also holds inactive ingredients—hypromellose, vitamin C, and silica—which are fillers and binders that help hold the capsule together.
Does it work?
Moderate evidence
Ashwagandha is possibly effective for insomnia, anxiety, stress, and generalized anxiety disorder (GAD) according to the research we hold. For ADHD, the evidence we have isn't established enough to rate it.
This means some studies show promise for sleep and anxiety, but more rigorous data would strengthen those findings.
How safe is it?
Well-documented data
Ashwagandha is generally well tolerated in the short term for healthy adults, though long-term safety data are limited and product quality varies. The most common side effects—when they occur—are diarrhea, gastrointestinal upset, nausea, and vomiting, though these are uncommon at typical doses.
Rare serious effects have been reported in case studies, including liver damage and cases of reversible cerebral vasoconstriction (a narrowing of blood vessels in the brain). Drowsiness has also been reported.
Do not take ashwagandha during pregnancy; it's traditionally thought to risk miscarriage and is rated likely unsafe. Avoid it while breastfeeding as well—there isn't enough safety information.
If you're pregnant, planning to become pregnant, or nursing, talk with your doctor or pharmacist before considering this product.
Meds to double-check
Moderate interaction found
Before taking this product, have your doctor or pharmacist check for any medications that damage the liver, CNS depressants (sedatives, barbiturates, anxiety medications), benzodiazepines (like Valium or Klonopin), blood pressure medications, blood sugar medications, thyroid hormones, immunosuppressants, or drugs metabolized by the liver enzyme CYP1A2. Ashwagandha may alter how each of these works.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Ashwagandha may help with sleep, anxiety, and stress, but it interacts with a wide range of medications—especially blood pressure drugs, blood sugar medications, sedatives, and thyroid hormones—and poses a theoretical risk alongside drugs that can damage the liver. It's not safe in pregnancy or while breastfeeding.
Before you start, check your exact medications with the tool on this page, and talk with your doctor or pharmacist to confirm 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 May 22, 2020.
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 Sheer Ashwagandha Extra Strength, straight from the product label.
| Brand | Sheer Strength Labs |
|---|---|
| Barcode (UPC) | 854840008098 |
| Net contents | 120 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | May 22, 2020 |
| DSLD ID | 219380 |
| Product type | Botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten 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 Sheer Ashwagandha Extra Strength by Sheer Strength Labs, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| organic Ashwagandha (Withania somnifera) (root) powder | 2000 mg | -- |
Other ingredients: Hypromellose, Vitamin C, Silica
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
Suggested Use: As a dietary supplement, take 4 vegetarian capsules per day, with a meal. For adult use only.
Precautions
Warning: Do not exceed the recommended dosage.
Pregnant or nursing mothers, children under the age of 18, and individuals with known medical conditions should consult a physician before using this or any dietary supplement.
Pregnant or nursing mothers, children under the age of 18, and individuals with known medical conditions should consult a physician before using this or any dietary supplement. Keep out of reach of children.
Do not use if safety seal is damaged or missing.
Storage
Store in a cool, dry place.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Formulation
Supports & promotes Stress relief Enhanced mood & focus Boosted energy
Non GMO Gluten free
FDA Statement of Identity
Dietary Supplement
Seals/Symbols
Made in the USA with Global Ingredients GMP Good Manufacturing Practice Quality Product Third Party Tested Purity & Potency
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Sheer Ashwagandha Extra Strength by Sheer Strength Labs 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 Sheer Ashwagandha Extra Strength by Sheer Strength Labs
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size4 Vegetarian Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.
Organic Ashwagandha (Withania somnifera) (root) powder
Interacts with1,372 drugs
Ashwagandha is an Ayurvedic herb most often taken to help with stress, anxiety, and sleep, and some small studies suggest it may help, though the evid...
Organic Ashwagandha (Withania somnifera) (root) powder monograph & interactionsOther (inactive) ingredients: Hypromellose, Vitamin C, Silica. These complete the product’s ingredient list but are not active constituents.
Sheer Ashwagandha Extra Strength by Sheer Strength Labs Drug Interactions
HelloPharmacist Interaction Report
Sheer Ashwagandha Extra Strength, which contains one active ingredient—organic ashwagandha root powder—has documented interactions with multiple medication types.
The most serious concern is with hepatotoxic drugs (those that can damage the liver); ashwagandha has been linked to cases of acute hepatitis, liver failure, and in rare instances, death from liver damage, and taking it alongside liver-damaging medications could increase that risk further.
Read the full breakdown — every affected drug type, severity by severity
Ashwagandha also carries Moderate-severity interactions with CNS depressants (sedatives, barbiturates, and anxiolytics), benzodiazepines, antihypertensive drugs (blood pressure medications), antidiabetes drugs (blood sugar medications), thyroid hormone, and immunosuppressants. With CNS depressants and benzodiazepines, ashwagandha may heighten sedation.
Antihypertensive and antidiabetes drugs pose risks of excessively low blood pressure or low blood sugar when combined with ashwagandha. Thyroid hormone levels and side effects could be amplified.
Immunosuppressants may become less effective. There's also a Minor interaction with certain drugs metabolized by the liver enzyme CYP1A2.
Altogether, these interactions span 1,373 individual medications. Use the medication checker on this page to look up your exact prescriptions before starting ashwagandha.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Sheer Ashwagandha Extra Strength?
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 Sheer Ashwagandha Extra Strength interact with 1,372 drugs. Click any drug to see the details.
1 of the 1 ingredient in Sheer Ashwagandha Extra Strength interact with drugs. Each result below shows which ingredient is responsible. organic Ashwagandha (Withania somnifera) (root) powder
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Immunosuppressants Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Abacavir, Lamivudine interactionAbiraterone
How Abiraterone interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderImmunosuppressants Moderate
Interaction Summary
Theoretically, taking ashwagandha might decrease the effects of immunosuppressants.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderAntihypertensive Drugs, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, taking ashwagandha with antihypertensive drugs might increase the risk of hypotension.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acebutolol interactionAcepromazineAtravet
How Acepromazine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCns Depressants Moderate
Interaction Summary
Theoretically, taking ashwagandha might increase the sedative effects of CNS depressants.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acepromazine interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs +2 Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, taking ashwagandha might increase the sedative effects of CNS depressants.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Cns Depressants +2 Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + 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 Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants +2 Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants +2 Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs +2 Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs +1 Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP3A4 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs +1 Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 1a2 (cyp1a2) Substrates, Serotonergic Drugs +2 Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +3 Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderSerotonergic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Some animal studies have reported that ashwagandha can enhance serotonergic transmission by altering certain serotonin (5-HT) receptors.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Sheer Ashwagandha Extra Strength — through 1 ingredient. Tap an ingredient for the detail:
Organic Ashwagandha (withania Somnifera) (root) PowderCytochrome P450 1a2 (cyp1a2) Substrates, Hepatotoxic Drugs +2 Moderate
Interaction Summary
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Organic Ashwagandha (withania Somnifera) (root) Powder + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Sheer Ashwagandha Extra Strength 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.
organic Ashwagandha (Withania somnifera) (root) powder
Antidiabetes Drugs
Theoretically, taking ashwagandha with antidiabetes drugs might increase the risk of hypoglycemia.
There is preliminary clinical evidence suggesting that ashwagandha might lower blood glucose levels. Theoretically, ashwagandha might have additive effects when used with antidiabetes drugs and increase the risk of hypoglycemia.
Antihypertensive Drugs
Theoretically, taking ashwagandha with antihypertensive drugs might increase the risk of hypotension.
Animal research suggests that ashwagandha might lower systolic and diastolic blood pressure. Theoretically, ashwagandha might have additive effects when used with antihypertensive drugs and increase the risk of hypotension.
Benzodiazepines
Theoretically, taking ashwagandha might increase the sedative effects of benzodiazepines.
There is preliminary evidence that ashwagandha might have an additive effect with diazepam (Valium) and clonazepam (Klonopin). This may also occur with other benzodiazepines.
Cns Depressants
Theoretically, taking ashwagandha might increase the sedative effects of CNS depressants.
Ashwagandha seems to have sedative effects. Theoretically, this may potentiate the effects of barbiturates, other sedatives, and anxiolytics.
Hepatotoxic Drugs
Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Ashwagandha has been linked to cases of acute hepatitis, liver failure, hepatic encephalopathy, autoimmune hepatitis, the need for liver transplantation, and death due to liver failure.
Immunosuppressants
Theoretically, taking ashwagandha might decrease the effects of immunosuppressants.
Ashwagandha has demonstrated immunostimulant effects in humans. Animal research has shown that ashwagandha can attenuate the immunosuppression caused by cyclophosphamide.
Thyroid Hormone
Ashwagandha might increase the effects and adverse effects of thyroid hormone.
Concomitant use of ashwagandha with thyroid hormones may cause additive therapeutic and adverse effects. Preliminary clinical research and animal studies suggest that ashwagandha boosts thyroid hormone synthesis and secretion. In one clinical study, ashwagandha increased triiodothyronine (T3) and thyroxine (T4) levels by 41.5% and 19.6%, respectively, and reduced serum TSH levels by 17.4% from baseline in adults with subclinical hypothyroidism.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP1A2 substrates.
In vitro research shows that ashwagandha extract induces CYP1A2 enzymes.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, ashwagandha might decrease the levels and clinical effects of CYP3A4 substrates.
In vitro research shows that ashwagandha extract induces CYP3A4 enzymes.
Serotonergic Drugs
Some animal studies have reported that ashwagandha can enhance serotonergic transmission by altering certain serotonin (5-HT) receptors. However, there is no evidence to suggest that ashwagandha increases the risk of serotonin-related effects, and there have been no published case reports of serotonin syndrome when combined with other serotonergic drugs. Nevertheless, due to the lack of extensive studies on the matter and the fact that ashwagandha appears to affect serotonergic pathways, it would be prudent to exercise caution when combining it with drugs that affect serotonin. [References: - Effects of Withania somnifera (Ashwaga ndha) on Stress and the Stress-Related Neuropsychiatric Disorders Anxiety, Depression, and Insomnia. Curr Neuropharmacol. 2021 Sep 14; 19: 1468–1495. - A Prospective, Randomized Double-Blind, Placebo-Controlled Study of Safety and Efficacy of a High-Concentration Full-Spectrum Extract of Ashwagandha Root in Reducing Stress and Anxiety in Adults. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573577/]
Brand information
Manufacturer and brand details for Sheer Ashwagandha Extra Strength, from the product label.
Sheer Strength Labs
See all Sheer Strength Labs products- Name
- Sheer Strength Labs
- Street Address
- 15950 Dallas Parkway Suite 400
- City
- Dallas
- State
- TX
- ZipCode
- 75248
Sheer Ashwagandha Extra Strength by Sheer Strength Labs: Common Questions
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The Full Monographs Behind Sheer Ashwagandha Extra Strength’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Sheer Ashwagandha Extra Strength'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 32 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.
Ashwagandha 32 references
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- Upton R, ed. Ashwagandha Root (Withania somnifera): Analytical, quality control, and therapuetic monograph. Santa Cruz, CA: American Herbal Pharmacopoeia 2000:1-25.
- Davis L, Kuttan G. Effect of Withania somnifera on cyclophosphamide-induced urotoxicity. Cancer Lett 2000;148:9-17. PubMed
- Davis L, Kuttan G. Suppressive effect of cyclophosphamide-induced toxicity by Withania somnifera extract in mice. J Ethnopharmacol 1998;62:209-14. PubMed
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- Durg S, Bavage S, Shivaram SB. Withania somnifera (Indian ginseng) in diabetes mellitus: A systematic review and meta-analysis of scientific evidence from experimental research to clinical application. Phytother Res. 2020;34(5):1041-1059.
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- Tharakan A, Shukla H, Benny IR, Tharakan M, George L, Koshy S. Immunomodulatory Effect of Withania somnifera (Ashwagandha) Extract-A Randomized, Double-Blind, Placebo Controlled Trial with an Open Label Extension on Healthy Participants. J Clin Med 2021;1 PubMed
- Ireland PJ, Hardy T, Burt AD, Donnelly MC. Drug-induced hepatocellular injury due to herbal supplement ashwagandha. J R Coll Physicians Edinb. 2021;51(4):363-365. PubMed
- Kamal HI, Patel K, Brdak A, Heffernan J, Ahmad N. Ashwagandha as a unique cause of thyrotoxicosis presenting with supraventricular tachycardia. Cureus. 2022 Mar 25;14(3):e23494. PubMed
- Suryawanshi G, Abdallah M, Thomson M, Desai N, Chauhan A, Lim N. Ashwagandha-Associated Acute Liver Failure Requiring Liver Transplantation. Am J Ther 2023;30(1):e80-e83. PubMed
- Pusec CM, Wolsky R, Llerena C, Sura P. A Case of Supplement-Induced Hepatitis. Cureus 2022;14(10):e30433. PubMed
- Ajgaonkar A, Jain M, Debnath K. Efficacy and Safety of Ashwagandha (Withania somnifera) Root Extract for Improvement of Sexual Health in Healthy Women: A Prospective, Randomized, Placebo-Controlled Study. Cureus 2022;14(10):e30787. PubMed
- Haron MH, Dale O, Martin K, et al. Evaluation of the Herb-Drug Interaction Potential of Commonly Used Botanicals on the US Market with Regard to PXR- and AhR-Mediated Influences on CYP3A4 and CYP1A2. J Diet Suppl 2022. PubMed
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- Bokan G, Glamocanin T, Mavija Z, et al. Herb-Induced Liver Injury by Ayurvedic Ashwagandha as Assessed for Causality by the Updated RUCAM: An Emerging Cause. Pharmaceuticals (Basel) 2023;16(8):1129. PubMed
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- Vazirani S, Kothari A, Fujimoto J, Gomez M. Supplements Are Not a Synonym for Safe: Suspected Liver Injury From Ashwagandha. Fed Pract 2023;40(9):315-319. PubMed
- Patel M, Newell R, Hillier M, Ramalingam R. Herbal remedies as a potential cause of hypoadrenalism. Br J Hosp Med (Lond) 2024;85(6):1-4. 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