Sinest Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Sinest 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
Sinest is a dietary supplement by Dr. Wong's Essentials with 4 active ingredients. Its ingredients are commonly taken for enlarged prostate (bph) symptoms, seasonal allergies, joint pain and arthritis.Based on those ingredients, 514 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Chrysin extract, Nettle root extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Sinest by Dr. Wong's Essentials
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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 Sinest by Dr. Wong's Essentials
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Low disclosure
Sinest contains four active ingredients in a proprietary blend formula. Nettle root extract and pygeum africanum bark extract are the plant-based components; chrysin extract is a naturally occurring compound; and serratiopeptidase is an enzyme.
The product is delivered in capsules with inactive ingredients including microcrystalline cellulose, silica, and magnesium stearate.
Does it work?
Strong evidence
The evidence for Sinest's ingredients is mixed. Nettle root is possibly effective for diabetes, but evidence is insufficient to rate it for hay fever, anemia, asthma, benign prostatic hyperplasia, or gingivitis.
Pygeum is likely effective for benign prostatic hyperplasia (enlarged prostate), but evidence is insufficient for Alzheimer disease, malaria, sexual desire, or psychosis. Chrysin's effectiveness is not established — evidence is insufficient for anxiety, athletic performance, cancer, HIV/AIDS, muscle strength, and gout.
We hold no effectiveness data for serratiopeptidase.
How safe is it?
Well-documented data
Nettle root is generally well tolerated when used as directed, though constipation and diarrhea have been reported. Rare cases of liver injury have been documented in people taking herbal products containing nettle, though those products had multiple ingredients.
Nettle is considered likely unsafe in pregnancy because of traditional concerns about effects on the uterus, and safety during breastfeeding is not established — avoid both unless you talk with your doctor. Pygeum is generally well tolerated short-term but has limited long-term safety data; it is not appropriate for pregnancy or breastfeeding.
Chrysin appears well tolerated in short-term use, but long-term safety is not well studied; avoid during pregnancy and breastfeeding. We hold no adverse-effect data for serratiopeptidase.
Meds to double-check
Moderate interaction found
Before taking Sinest, check with your doctor or pharmacist if you take lithium — nettle root theoretically raises its blood levels and may require a dose change. Also double-check if you're on blood thinners like warfarin or antiplatelet drugs, diabetes medications, water pills (diuretics), estrogen or birth control pills, aromatase inhibitors for cancer, diclofenac (an anti-inflammatory), or the seizure drug mephenytoin.
All of these have Moderate interactions documented with ingredients in this product.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with clinical evidence supporting its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Sinest may be worth considering if you're looking for support for prostate health (through pygeum), though effectiveness for other purposes is either possibly effective (nettle for diabetes) or not yet established. Because of multiple Moderate interactions with common medications — particularly lithium, blood thinners, diabetes drugs, diuretics, hormones, and seizure medications — you'll want to check your exact prescriptions with your doctor or pharmacist before starting.
It is not appropriate during pregnancy or breastfeeding. Run this product through your medication list with your own healthcare provider before adding it.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 24, 2019.
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 Sinest, straight from the product label.
| Brand | Dr. Wong's Essentials |
|---|---|
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jun 24, 2019 |
| DSLD ID | 203970 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Sinest by Dr. Wong's Essentials, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 1210 mg | -- |
| Serratiopeptidase | 0 NP | -- |
| Nettle root extract | 0 NP | -- |
| Pygeum africanum bark extract | 0 NP | -- |
| Chrysin extract | 0 NP | -- |
Other ingredients: Capsule, Microcrystalline Cellulose, Silica, Magnesium Stearate
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
Suggested use: As a dietary supplement, 2 capsules daily taken before bedtime as needed or as directed by your health care provider.
Precautions
Keep out of the reach of children.
Tamper resistant package. Do not use if outer seal is missing.
Formulation
This product contains no gluten, milk, eggs, wheat, soybeans, peanuts, tree nuts, fish or shellfish.
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.
General Statements
New & improved formula
WAM Essentials, Inc. Fanning the winds of change
Formula
Herbal Supplement with Serrapeptidase
FDA Statement of Identity
Herbal Supplement with Serrapeptidase
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Sinest by Dr. Wong's Essentials 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 Sinest by Dr. Wong's Essentials
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Proprietary Blend
- › Serratiopeptidase
- › Nettle root extract
- › Pygeum africanum bark extract
- › Chrysin extract
Other (inactive) ingredients: Capsule, Microcrystalline Cellulose, Silica, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
Sinest by Dr. Wong's Essentials Drug Interactions
HelloPharmacist Interaction Report
Sinest by Dr.
Wong's Essentials does interact with medications, primarily through its nettle root extract and chrysin extract content. The most serious interaction we have on file is Moderate in severity: nettle root may theoretically reduce how your body clears lithium, a mood-stabilizing medication, which could raise lithium levels to unsafe ranges and require a dose adjustment.
Read the full breakdown — every affected drug type, severity by severity
Nettle root also interacts with blood thinners like warfarin (theoretically decreasing their effect because nettle contains vitamin K), diabetes medications (through potential additive blood-sugar-lowering), and water pills or diuretics (through additive fluid-removing effects). Chrysin extract presents additional Moderate interactions with hormone therapies and birth control pills (theoretically reducing their effectiveness), blood thinners and antiplatelet drugs (theoretically raising bleeding risk), the anti-inflammatory diclofenac, aromatase inhibitors used in cancer treatment, and the seizure medication mephenytoin.
Chrysin also has Minor interactions with certain drugs your liver processes through specific pathways.
We could not check serratiopeptidase — we hold no data for that ingredient. Pygeum africanum bark extract was checked and shows no interactions documented in our data; this does not guarantee none exist outside our monograph.
Altogether, these interactions span 514 individual medications. Use the search tool on this page to verify your exact prescriptions before starting Sinest.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Sinest?
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 Sinest interact with 514 drugs. Click any drug to see the details.
2 of the 4 ingredients in Sinest interact with drugs. Each result below shows which ingredient is responsible. Chrysin extract Nettle root extract
AbciximabReoPro
How Abciximab interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Nettle Root ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, stinging nettle might have additive effects with antidiabetes drugs.
Read the full Nettle Root Extract + Acarbose interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, chrysin might increase levels of drugs metabolized by CYP1A2.
Read the full Chrysin Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractGlucuronidated Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, chrysin might increase the clearance of drugs that are UGT1A1 substrates, thereby reducing their effectiveness.
Read the full Chrysin Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Sinest — through 2 ingredients. Tap an ingredient for the detail:
Nettle Root ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, combining stinging nettle with diuretic drugs may have additive effects.
Read the full Nettle Root Extract + Acetaminophen, Caffeine, Pyrilamine interactionChrysin ExtractGlucuronidated Drugs, Cytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, chrysin might increase the clearance of drugs that are UGT1A1 substrates, thereby reducing their effectiveness.
Read the full Chrysin Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs, Glucuronidated Drugs +1 Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Acetaminophen, Ibuprofen interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Sinest — through 2 ingredients. Tap an ingredient for the detail:
Nettle Root ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, combining stinging nettle with diuretic drugs may have additive effects.
Read the full Nettle Root Extract + Acetaminophen, Pamabrom, Pyrilamine interactionChrysin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Glucuronidated Drugs Minor
Interaction Summary
Theoretically, chrysin might increase levels of drugs metabolized by CYP1A2.
Read the full Chrysin Extract + Acetaminophen, Pamabrom, Pyrilamine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Nettle Root ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, combining stinging nettle with diuretic drugs may have additive effects.
Read the full Nettle Root Extract + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Nettle Root ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, stinging nettle might have additive effects with antidiabetes drugs.
Read the full Nettle Root Extract + Acetohexamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Acetylsalicylic Acid interactionAlbiglutideTanzeum
How Albiglutide interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Nettle Root ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, stinging nettle might have additive effects with antidiabetes drugs.
Read the full Nettle Root Extract + Albiglutide interactionAlogliptinNesina
How Alogliptin interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Nettle Root ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, stinging nettle might have additive effects with antidiabetes drugs.
Read the full Nettle Root Extract + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Nettle Root ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, stinging nettle might have additive effects with antidiabetes drugs.
Read the full Nettle Root Extract + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Nettle Root ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, stinging nettle might have additive effects with antidiabetes drugs.
Read the full Nettle Root Extract + Alogliptin, Pioglitazone interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Nettle Root ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, combining stinging nettle with diuretic drugs may have additive effects.
Read the full Nettle Root Extract + Amiloride, Hydrochlorothiazide interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Nettle Root ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, combining stinging nettle with diuretic drugs may have additive effects.
Read the full Nettle Root Extract + Ammonium Chloride interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase levels of drugs metabolized by CYP1A2.
Read the full Chrysin Extract + Anagrelide interactionAnastrozoleArimidex
How Anastrozole interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAromatase Inhibitors Moderate
Interaction Summary
Theoretically, chrysin might increase the effects and adverse effects of aromatase inhibitors.
Read the full Chrysin Extract + Anastrozole interactionAnisindioneMiradon
How Anisindione interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Anisindione interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Nettle Root ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, stinging nettle might have additive effects with antidiabetes drugs.
Read the full Nettle Root Extract + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Antithrombin Iii interactionApixabanEliquis
How Apixaban interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Apixaban interactionArgatrobanArgatroban
How Argatroban interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Argatroban interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with Sinest — through 1 ingredient. Tap an ingredient for the detail:
Chrysin ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Chrysin Extract + Aspirin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Sinest with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Chrysin extract
Anticoagulant/Antiplatelet Drugs
Theoretically, chrysin might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
In vitro evidence suggests that chrysin might inhibit platelet aggregation.
Aromatase Inhibitors
Theoretically, chrysin might increase the effects and adverse effects of aromatase inhibitors.
In vitro research suggests that chrysin might decrease estrogen synthesis by acting as an aromatase (estrogen synthetase) inhibitor..
Contraceptive Drugs
Theoretically, chrysin might reduce the efficacy of estrogen-containing contraceptive drugs.
In vitro research suggests that chrysin might have antiestrogenic activity.
Diclofenac (Voltaren, Others)
Theoretically, chrysin might increase the effects and adverse effects of diclofenac.
In vitro research suggests that chrysin and its sulfate conjugate inhibit diclofenac metabolism. It is speculated that chrysin and its sulfate conjugate reduce the metabolism of diclofenac by inhibiting cytochrome P450 2C9. This effect has not been reported in humans.
Estrogens
Theoretically, chrysin might decrease the effects of estrogen therapy.
In vitro research suggests that chrysin might have antiestrogenic activity.
Mephenytoin (Mesantoin)
Theoretically, chrysin might increase the effects and adverse effects of mephenytoin.
In vitro research suggests that chrysin and its sulfate and glucuronide conjugates inhibit S-mephenytoin metabolism. It is speculated that chrysin and its conjugates reduce the metabolism of S-mephenytoin by inhibiting cytochrome P450 2C19. This effect has not been reported in humans.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, chrysin might increase levels of drugs metabolized by CYP1A2.
In vitro research suggests that chrysin inhibits CYP1A2 isozymes. However, chrysin does not appear to inhibit CYP1A2-dependent caffeine metabolism in animals. Due to chrysin's low bioavailability and rapid metabolism to glucuronide and sulfate conjugates, this interaction is unlikely.
Glucuronidated Drugs
Theoretically, chrysin might increase the clearance of drugs that are UGT1A1 substrates, thereby reducing their effectiveness.
In vitro research suggests that chrysin might induce UDP-glucuronosyltransferase 1A1 (UGT1A1).
Testosterone
Theoretically, chrysin might increase the effects and adverse effects of testosterone.
In vitro research suggests that chrysin and its sulfate conjugate inhibit testosterone metabolism. It is speculated that chrysin and its sulfate conjugate reduce the metabolism of testosterone by inhibiting cytochrome P450 3A4. This effect has not been reported in humans.
Nettle root extract
Antidiabetes Drugs
Theoretically, stinging nettle might have additive effects with antidiabetes drugs.
Clinical research shows that stinging nettle might decrease blood glucose levels in patients with diabetes.
Diuretic Drugs
Theoretically, combining stinging nettle with diuretic drugs may have additive effects.
Animal research suggests that the above ground parts and roots of stinging nettle may have a diuretic effect.
Lithium
Theoretically, stinging nettle might reduce excretion and increase levels of lithium.
Animal research suggests that stinging nettle has diuretic and natriuretic properties, which could alter the excretion of lithium. The dose of lithium might need to be decreased.
Warfarin (Coumadin)
There is some concern that stinging nettle might decrease the effects of anticoagulant drugs such as warfarin.
Stinging nettle contains a significant amount of vitamin K. When taken in large quantities, this might interfere with the activity of warfarin.
Brand information
Manufacturer and brand details for Sinest, from the product label.
Dr. Wong's Essentials
See all Dr. Wong's Essentials products- Name
- WAM Essentials, Inc.
- Street Address
- 902-A W. Hubbard Street
- City
- Mineral Wells
- State
- TX
- ZipCode
- 76067
- Phone Number
- 1-866-268-3216
Sinest by Dr. Wong's Essentials: Common Questions
Does Sinest by Dr. Wong's Essentials interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take Sinest if I'm pregnant or breastfeeding?
What is nettle root extract used for?
Is pygeum in this product effective for prostate health?
What side effects might I experience from Sinest?
What is chrysin and does it work?
Can I take Sinest if I'm on birth control?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Sinest 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 Sinest’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Stinging Nettle
Interacts with 164 drugsStinging nettle is a common plant used as food and in traditional medicine, most often for prostate symptoms, allergies, and joint pain. The evidence is mixed and mostly preliminary, so it i...
Read the full Stinging Nettle monograph → Herb & supplement monographPygeum
Pygeum is an extract from the bark of the African cherry tree that is most often used to ease urinary symptoms linked to an enlarged prostate. Some studies suggest modest benefit for these s...
Read the full Pygeum monograph → Herb & supplement monographChrysin
Interacts with 358 drugsChrysin is a plant flavonoid sold mainly as a bodybuilding supplement claimed to raise testosterone or block estrogen, but human studies have not shown these benefits, largely because the bo...
Read the full Chrysin monograph →Sources & How We Checked
Sinest'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 49 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.
Stinging Nettle 23 references
- Monographs on the medicinal uses of plant drugs. Exeter, UK: European Scientific Co-op Phytother, 1997.
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Schulz V, Hansel R, Tyler VE. Rational Phytotherapy: A Physician's Guide to Herbal Medicine. Terry C. Telger, transl. 3rd ed. Berlin, GER: Springer, 1998.
- Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Mittman P. Randomized, double-blind study of freeze-dried Urtica dioica in the treatment of allergic rhinitis. Planta Med 1990;56:44-7.
- Vontobel HP, Herzog R, Rutishauser G, Kres H. [Results of a double-blind study on the effectiveness of ERU (extractum radicis Urticae) capsules in conservative treatment of benign prostatic hyperplasia]. (Abstract). Urologe A 1985;24:49-51.
- Randall C, Randall H, Dobbs F, et al. Randomized controlled trial of nettle sting for treatment of base-of-thumb pain. J R Soc Med 2000;93:305-9. PubMed
- Caliskaner Z, Karaayvaz M, Ozturk S. Misuse of a herb: stinging nettle (Urtica urens) induced severe tongue oedema. Complement Ther Med 2004;12:57-8. PubMed
- Krzeski, T., Kazon, M., Borkowski, A., Witeska, A., and Kuczera, J. Combined extracts of Urtica dioica and Pygeum africanum in the treatment of benign prostatic hyperplasia: double-blind comparison of two doses. Clin Ther 1993;15(6):1011-1020.
- Randall, C., Meethan, K., Randall, H., and Dobbs, F. Nettle sting of Urtica dioica for joint pain--an exploratory study of this complementary therapy. Complement Ther Med 1999;7(3):126-131. PubMed
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