Shi Chang Pu Ingredients & Drug Interactions
by Hawaii Pharm
What is this page for?
First and foremost: checking Shi Chang Pu 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
Shi Chang Pu is a dietary supplement by Hawaii Pharm with 1 active ingredient. Its ingredients are commonly taken for digestive upset and gas, loss of appetite, memory and focus (traditional).Based on those ingredients, 1,119 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are wildcrafted Shi Chang Pu extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Shi Chang Pu by Hawaii Pharm
Ask about any prescription or over-the-counter medication and we check it for interactions with Shi Chang Pu by Hawaii Pharm — 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 Shi Chang Pu by Hawaii Pharm
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
This product contains one active ingredient: a wildcrafted extract of Shi Chang Pu, also known as calamus. The liquid is formulated with vegetable palm glycerin and pharmaceutical-grade alcohol as inactive ingredients.
Does it work?
Couldn't assess
The evidence supporting Shi Chang Pu for its traditional uses is not established. Our data shows insufficient reliable evidence to rate its effectiveness for bronchitis, asthma, anorexia nervosa, or cancer.
How safe is it?
Well-documented data
Calamus carries serious safety concerns. Some forms of calamus contain beta-asarone, a compound the FDA has banned from food because it may increase cancer risk.
The product is likely unsafe to use — adverse effects reported with calamus include nausea and vomiting, and in rare cases, intestinal paralysis and cancer. Because of potential effects on the uterus and the presence of toxic compounds, the safety data advises against use during pregnancy and breastfeeding.
If you're pregnant, nursing, or planning either, do not take this product without first talking with your doctor or pharmacist.
Meds to double-check
Moderate interaction found
Before taking Shi Chang Pu, double-check with your doctor or pharmacist if you take any central nervous system depressants (sedatives, sleep aids, opioid pain relievers), blood pressure medications, drugs metabolized by your liver (including many statins and cancer medications), antidepressants — especially MAOIs — anticholinergic or cholinergic drugs, or acid-reducing medications. The interaction list is long; your pharmacist can help you confirm your specific medications.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Shi Chang Pu is a high-interaction product with serious safety red flags — particularly the cancer risk from beta-asarone and the breadth of potential medication interactions. Unless your doctor or pharmacist has specifically recommended it for you and confirmed your medications are compatible, this is not an easy add-on.
Before you use it, check your exact prescriptions against the interaction tool on this page and discuss it with your own doctor or pharmacist.
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 Nov 21, 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 Shi Chang Pu, straight from the product label.
| Brand | Hawaii Pharm |
|---|---|
| Barcode (UPC) | 617503499646 |
| Net contents | 4 Fluid Ounce(s); 120 mL |
| Market status | On market |
| Date entered into DSLD | Nov 21, 2020 |
| DSLD ID | 237627 |
| Product type | Botanical |
| Supplement form | Liquid |
| 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 Shi Chang Pu by Hawaii Pharm, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| wildcrafted Shi Chang Pu extract | 970 mg | -- |
Other ingredients: Vegetable Palm Glycerin, pharmaceutical grade Alcohol
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
Hawaii Pharm Herbal Extract Highest quality since 2008
Made with Aloha!
Formulation
Contains no GMO, gluten, artificial colors, heavy metals, preservatives, pesticides, fertilizers.
Super concentrated liquid herbal extract. Dry herb/menstruum ratio: 1:3.
Manufactured in an FDA registered facility.
Non GMO Gluten free
Made in USA, Hawaii
Suggested/Recommended/Usage/Directions
Directions for use: Shake well before using. Take about 20-30 drops (0.7-1 ml, one full squeeze of the dropper bulb) to 2-4 oz of juice or water up to 4 times per day.
Precautions
Warning: Keep out of the reach of children.
We recommend to seek expert medical advice before taking. May have contraindications.
Do not use if you are allergic to any ingredients.
Consult your physician before giving to children under 18, during pregnancy, if nursing or taking any medications.
Consult your physician before giving to children under 18, during pregnancy, if nursing or taking any medications.
Do not use if seal is broken or missing.
Storage
Store in a cool dry place.
Formula
(Acori tatarinowii)
FDA Statement of Identity
Herbal Dietary Supplement
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.
Seals/Symbols
FDA Registered Facility Made in United States of America USA
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Shi Chang Pu by Hawaii Pharm 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 Shi Chang Pu by Hawaii Pharm
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size0.7 mL Dosage formLiquid Servings per container120 Amounts shown are per serving.
Wildcrafted Shi Chang Pu extract
Interacts with1,119 drugs
Calamus is a swamp plant with a long history in Ayurvedic and traditional Chinese medicine, mostly for digestive and nervous-system complaints. Howeve...
Wildcrafted Shi Chang Pu extract monograph & interactionsOther (inactive) ingredients: Vegetable Palm Glycerin, Pharmaceutical grade Alcohol. These complete the product’s ingredient list but are not active constituents.
Shi Chang Pu by Hawaii Pharm Drug Interactions
HelloPharmacist Interaction Report
Shi Chang Pu by Hawaii Pharm, made from wildcrafted calamus extract, has documented interactions with over 1,100 medications across several drug classes.
The most serious concern is its potential to increase sedative effects when combined with CNS depressants (drugs that slow the brain and nervous system), including prescription sedatives, sleep aids, and some pain medications — a moderate-severity risk driven by calamus's own depressant properties.
Read the full breakdown — every affected drug type, severity by severity
Calamus also theoretically raises blood pressure–lowering drug levels and may enhance the effects of antidepressants called MAOIs (monoamine oxidase inhibitors). Additionally, it inhibits two liver enzymes (CYP2D6 and CYP3A4) that clear hundreds of common medications — antiarrhythmics, some cancer drugs, statins, and immunosuppressants among them — which could cause those drugs to accumulate to unsafe levels.
It may also interfere with anticholinergic medications (used for overactive bladder, Parkinson's, and motion sickness) by reducing their effectiveness, while potentially amplifying effects of cholinergic drugs (certain glaucoma treatments). Minor interactions with acid-reducing medications (H2-blockers) are also documented.
Altogether, these interactions span 1,120 individual medications. Before you take this product, use the interaction checker on this page to look up your exact prescriptions, and talk with your doctor or pharmacist about whether it's appropriate for you.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Shi Chang Pu?
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 Shi Chang Pu interact with 1,119 drugs. Click any drug to see the details.
1 of the 1 ingredient in Shi Chang Pu interact with drugs. Each result below shows which ingredient is responsible. wildcrafted Shi Chang Pu extract
Umeclidinium Bromide, Vilanterol TrifenatateAnoro Ellipta
How Umeclidinium Bromide, Vilanterol Trifenatate interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractAnticholinergic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, concurrent use of anticholinergic drugs and calamus might decrease the effectiveness of the anticholinergic drug.
Read the full Wildcrafted Shi Chang Pu Extract + Umeclidinium Bromide, Vilanterol Trifenatate interactionUpadacitinib HemihydrateRinvoq
How Upadacitinib Hemihydrate interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Upadacitinib Hemihydrate interactionUreaUreaphil
How Urea interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking calamus with other antihypertensive medications might increase the risk of hypotension.
Read the full Wildcrafted Shi Chang Pu Extract + Urea interactionValbenazine TosylateIngrezza
How Valbenazine Tosylate interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCns Depressants, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, concurrent use of CNS depressants and calamus might have an additive effect and increase the risk of sedative effects.
Read the full Wildcrafted Shi Chang Pu Extract + Valbenazine Tosylate interactionValdecoxibBextra
How Valdecoxib interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Valdecoxib interactionValproic AcidDepacon, Depakene, Valproate
How Valproic Acid interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concurrent use of CNS depressants and calamus might have an additive effect and increase the risk of sedative effects.
Read the full Wildcrafted Shi Chang Pu Extract + Valproic Acid interactionValsartanDiovan, Prexxartan
How Valsartan interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking calamus with other antihypertensive medications might increase the risk of hypotension.
Read the full Wildcrafted Shi Chang Pu Extract + Valsartan interactionVamoroloneAgamree
How Vamorolone interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vamorolone interactionVandetanibCaprelsa
How Vandetanib interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vandetanib interactionVanzacaftor, Tezacaftor, DeutivacaftorAlyftrek
How Vanzacaftor, Tezacaftor, Deutivacaftor interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vanzacaftor, Tezacaftor, Deutivacaftor interactionVardenafilLevitra, Staxyn
How Vardenafil interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vardenafil interactionVemurafenibZelboraf
How Vemurafenib interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vemurafenib interactionVenetoclaxVenclexta
How Venetoclax interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Venetoclax interactionVenlafaxineEffexor, Effexor XR
How Venlafaxine interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP2D6 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Venlafaxine interactionVerapamilCalan, Calan SR, Covera HS, Isoptin, Isoptin SR, Veramil +3 more
How Verapamil interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Verapamil interactionVibegronGemtesa
How Vibegron interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vibegron interactionVigabatrinSabril
How Vigabatrin interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCns Depressants Moderate
Interaction Summary
Theoretically, concurrent use of CNS depressants and calamus might have an additive effect and increase the risk of sedative effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vigabatrin interactionVilazodoneViibryd
How Vilazodone interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP2D6 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vilazodone interactionVinblastineVelban
How Vinblastine interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vinblastine interactionVincristineVincasar
How Vincristine interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vincristine interactionVincristine SulfateMarqibo Kit
How Vincristine Sulfate interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vincristine Sulfate interactionVinorelbineNavelbine
How Vinorelbine interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vinorelbine interactionVoclosporinLupkynis
How Voclosporin interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Voclosporin interactionVonoprazan, AmoxicillinVoquezna Dual
How Vonoprazan, Amoxicillin interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vonoprazan, Amoxicillin interactionVonoprazan, Amoxicillin, ClarithromycinVoquezna Triple
How Vonoprazan, Amoxicillin, Clarithromycin interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vonoprazan, Amoxicillin, Clarithromycin interactionVorapaxarZontivity
How Vorapaxar interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vorapaxar interactionVoriconazoleVfend
How Voriconazole interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Voriconazole interactionVortioxetineBrintellix, Sehippy, Trintellix
How Vortioxetine interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP2D6 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Vortioxetine interactionVoxelotorOxbryta
How Voxelotor interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Voxelotor interactionWarfarinWarfarin
How Warfarin interacts with Shi Chang Pu — through 1 ingredient. Tap an ingredient for the detail:
Wildcrafted Shi Chang Pu ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
Read the full Wildcrafted Shi Chang Pu Extract + Warfarin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Shi Chang Pu 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.
wildcrafted Shi Chang Pu extract
Anticholinergic Drugs
Theoretically, concurrent use of anticholinergic drugs and calamus might decrease the effectiveness of the anticholinergic drug.
In vitro evidence shows that calamus can inhibit acetylcholinesterase (AChE).
Antihypertensive Drugs
Theoretically, taking calamus with other antihypertensive medications might increase the risk of hypotension.
Animal research shows that calamus decreases the rate and strength of the heartbeat, which might lower blood pressure. use with caution.
Cholinergic Drugs
Theoretically, concurrent use of cholinergic drugs and calamus might have an additive effect and increase the risk of cholinergic effects.
In vitro evidence shows that calamus can inhibit acetylcholinesterase (AChE).
Cns Depressants
Theoretically, concurrent use of CNS depressants and calamus might have an additive effect and increase the risk of sedative effects.
Animal research shows that calamus is a CNS depressant and increases gamma-aminobutyric acid levels.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, taking calamus with drugs metabolized by CYP2D6 might increase drug levels and potentially increase the risk of adverse effects.
In vitro research shows that calamus extract inhibits CYP2D6 enzyme.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, taking calamus with drugs metabolized by CYP3A4 might increase drug levels and potentially increase the risk of adverse effects.
In vitro research shows that calamus extract inhibits CYP3A4 enzyme.
Monoamine Oxidase Inhibitors (Maois)
Theoretically, calamus might potentiate the effects and adverse effects of MAOIs.
Some reports suggest that calamus increases the effects of MAOIs.
Antacids
Theoretically, taking calamus might reduce the effectiveness of antacids.
Some research suggests that calamus lowers gastric pH.
H2-Blockers
Theoretically, taking calamus might reduce the effectiveness of H2-blockers.
Some research suggests that calamus lowers gastric pH.
Proton Pump Inhibitors (Ppis)
Theoretically, taking calamus might reduce the effectiveness of PPIs.
Some research suggests that calamus lowers gastric pH.
Brand information
Manufacturer and brand details for Shi Chang Pu, from the product label.
Hawaii Pharm
See all Hawaii Pharm products- Name
- Hawaii Pharm LLC
- City
- Honolulu
- State
- HI
- ZipCode
- 96815
- Web Address
- www.hawaiipharm.com
Shi Chang Pu by Hawaii Pharm: Common Questions
Does Shi Chang Pu by Hawaii Pharm interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take Shi Chang Pu if I'm pregnant or breastfeeding?
What side effects might I experience?
Does Shi Chang Pu actually work for asthma or bronchitis?
Why does this product interact with so many medications?
Is it safe to take this with my blood pressure medication?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Shi Chang Pu 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 Shi Chang Pu’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Shi Chang Pu'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.
Calamus 13 references
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Brinker F. Herb Contraindications and Drug Interactions. Sandy, OR: Eclectic Medical Publ, 1997.
- Shoba, F. G. and Thomas, M. Study of antidiarrhoeal activity of four medicinal plants in castor-oil induced diarrhoea. J Ethnopharmacol 2001;76(1):73-76. PubMed
- Koo, B. S., Park, K. S., Ha, J. H., Park, J. H., Lim, J. C., and Lee, D. U. Inhibitory effects of the fragrance inhalation of essential oil from Acorus gramineus on central nervous system. Biol Pharm.Bull. 2003;26(7):978-982. PubMed
- Oh, M. H., Houghton, P. J., Whang, W. K., and Cho, J. H. Screening of Korean herbal medicines used to improve cognitive function for anti-cholinesterase activity. Phytomedicine 2004;11(6):544-548. PubMed
- Panchal, G. M., Venkatakrishna-Bhatt, H., Doctor, R. B., and Vajpayee, S. Pharmacology of Acorus calamus L. Indian J Exp.Biol 1989;27(6):561-567.
- Vargas, C. P., Wolf, L. R., Gamm, S. R., and Koontz, K. Getting to the root (Acorus calamus) of the problem. J Toxicol Clin Toxicol 1998;36(3):259-260.
- Pandit S, Mukherjee PK, Ponnusankar S, Venkatesh M, Srikanth N. Metabolism mediated interaction of a-asarone and Acorus calamus with CYP3A4 and CYP2D6. Fitoterapia 2011;82(3):369-74.
- Sharma V, Singh I, Chaudhary P. Acorus calamus (The Healing Plant): a review on its medicinal potential, micropropagation and conservation. Nat Prod Res. 2014;28(18):1454-66.
- Björnstad K, Helander A, Hultén P, Beck O. Bioanalytical investigation of asarone in connection with Acorus calamus oil intoxications. J Anal Toxicol 2009;33(9):604-9. PubMed
- Federal Register. Volume 33, Page 6967. U.S. Government Publishing Office. http://api.fdsys.gov/link?collection=fr&volume=33&page=6967. Accessed May 23, 2018.
- Electronic Code of Federal Regulations. Title 21. Part 189 - Substances Prohibited From Use in Human Food. Available at: https://www.ecfr.gov/cgi-bin/text-idx?SID=259fa8a1284cad42676075c8425c7333&mc=true&node=pt21.3.189&rgn=div5.
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