Sinus Pain Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Sinus Pain 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
Sinus Pain is a dietary supplement by BIOVEA Homeopathics with 15 active ingredients. Its ingredients are commonly taken for homeopathic digestive complaints, traditional remedy for inflammatory conditions, prescription use in certain leukemias (medical, not supplement).Based on those ingredients, 1,133 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Echinacea, Asafoetida, Arsenicum iod. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Sinus Pain by BIOVEA Homeopathics
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HelloPharmacist Scorecard of Sinus Pain by BIOVEA Homeopathics
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
BIOVEA Homeopathics Sinus Pain contains 15 active ingredients, most of them traditional homeopathic substances. The ones we could verify include arsenicum iod (arsenic), asafoetida (a plant resin with a strong odor), echinacea (purple coneflower), eupatorium perf (boneset), and silicea (silicon).
The others — antimon tart, euphorbia pil, hepar sulph calc, kali bic, kreosotum, lachesis, merc iod rub, pyrogenium, and teucrium mar — are also homeopathic remedies with limited modern clinical data. The liquid comes with two inactive ingredients: organic alcohol and purified water.
Does it work?
Not established
The evidence on these ingredients is sparse. Silicea (silicon) is possibly effective for osteoporosis, though long-term safety at supplement doses hasn't been thoroughly studied.
For the other ingredients in this formula — echinacea, boneset, baptisia, asafoetida, and the rest — the data we hold doesn't establish effectiveness for sinus pain or any other condition listed in our database.
How safe is it?
Well-documented data
Most of the ingredients here are generally well tolerated in typical doses, but there are some real concerns. Arsenicum iod contains inorganic arsenic, a known poison and carcinogen, and the safety data advises against taking it as a supplement.
Arsenic can harm a developing baby and pass into breast milk, so it should be avoided during pregnancy and breastfeeding. Echinacea is usually well tolerated short-term but can cause allergic reactions — especially if you're sensitive to ragweed — and rare cases of liver inflammation have been reported.
Boneset may cause nausea, diarrhea, and vomiting, and contains potentially liver-toxic alkaloids; it should be avoided during pregnancy and breastfeeding. Asafoetida and baptisia (wild indigo) appear generally well tolerated at food doses, but large doses of wild indigo are poisonous and can cause vomiting and gastrointestinal complaints.
Asafoetida at medicinal doses is not well studied in pregnancy or breastfeeding.
Meds to double-check
Major interaction found
Before you take BIOVEA Homeopathics Sinus Pain, check with your pharmacist if you're on QT-prolonging drugs (Major), blood thinners or antiplatelet drugs (Moderate), blood pressure medications (Moderate), drugs metabolized by liver enzymes including caffeine and certain HIV or cancer medications (Moderate), or immunosuppressants (Moderate). The arsenicum iod and echinacea in this formula are the main contributors to these interactions.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Major medication interactions have been identified, and safety information is well characterized.
This is a traditional homeopathic formula with several ingredients that carry documented interactions with medications, most notably echinacea and asafoetida. The product also contains arsenicum iod (arsenic), which safety data advises against taking as a supplement and which must be avoided during pregnancy and breastfeeding.
If you're pregnant, breastfeeding, or taking any prescription or over-the-counter medications — especially blood thinners, blood pressure drugs, caffeine, cancer drugs, or immunosuppressants — talk with your pharmacist before starting this product.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 6 of 15 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 23, 2021.
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 Sinus Pain, straight from the product label.
| Brand | BIOVEA Homeopathics |
|---|---|
| Barcode (UPC) | 818423024936 |
| Net contents | 1 Fluid Ounce(s); 30 mL |
| Market status | On market |
| Date entered into DSLD | Jun 23, 2021 |
| DSLD ID | 249251 |
| Product type | Other Combinations |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Sinus Pain by BIOVEA Homeopathics, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Antimon Tart | 0 NP | -- |
| Arsenicum iod | 0 NP | -- |
| Asafoetida | 0 NP | -- |
| Baptisia | 0 NP | -- |
| Echinacea | 0 NP | -- |
| Eupatorium perf | 0 NP | -- |
| Euphorbia pil | 0 NP | -- |
| Hepar Sulph Calc | 0 NP | -- |
| Kali bic | 0 NP | -- |
| Kreosotum | 0 NP | -- |
| Lachesis | 0 NP | -- |
| Merc iod rub | 0 NP | -- |
| Pyrogenium | 0 NP | -- |
| Silicea | 0 NP | -- |
| Teucrium mar | 0 NP | -- |
Other ingredients: organic Alcohol, purified Water
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formulation
Indications: Fast-acting homeopathic oral spray for the temporary relief of symptoms associated with sinus congestion and sinus headache.
Homeopathic
Suggested/Recommended/Usage/Directions
Directions: Adults & children over 12. Spray twice under the tongue 3 times per day. For severe symptoms, dosage may be taken up to six times the first day. Children 12 & under. Consult a doctor prior to use.
Precautions
Children 12 & under. Consult a doctor prior to use.
Warnings: If symptoms persist, consult a doctor.
If pregnant or breast feeding, ask a doctor before use.
Keep out of reach of children.
In case of accidental overdose, get medical help or call a Poison Control Center right away. Do not use if tamper evident seal is broken or missing.
General
NDC# 69607-0013-1
Formula
20% organic alcohol
General Statements
Natural relief
FDA Disclaimer Statement
These statements are based upon traditional homeopathic practice. They have not been reviewed by the Food and Drug Administration.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Sinus Pain by BIOVEA Homeopathics 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 Sinus Pain by BIOVEA Homeopathics
These are the 15 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Spray(s) Dosage formLiquid 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.
Antimon Tart
Arsenicum iod
Interacts with161 drugs
Arsenic is a naturally occurring element that is toxic in its inorganic form, and it is not a supplement you should take to improve your health. While...
Arsenicum iod monograph & interactionsAsafoetida
Interacts with289 drugs
Asafoetida is a strong-smelling plant resin used widely as a spice and in traditional medicine, mainly for digestive complaints. Solid human evidence...
Asafoetida monograph & interactionsBaptisia
No knowninteractions
Wild Indigo (Baptisia tinctoria) is a traditional herb most often used in combination products for colds and immune support, but high-quality human ev...
Baptisia monograph & interactionsEchinacea
Interacts with816 drugs
Echinacea is a popular herb taken to help prevent or shorten the common cold, but study results are mixed and the overall benefit appears small at bes...
Echinacea monograph & interactionsEupatorium perf
Interacts with87 drugs
Boneset is a traditional North American herb long used in teas for fevers, colds, and flu, but modern human studies are very limited. It contains comp...
Eupatorium perf monograph & interactionsEuphorbia pil
Hepar Sulph Calc
Kali bic
Kreosotum
Lachesis
Merc iod rub
Pyrogenium
Silicea
No knowninteractions
Silicon is a trace mineral found in the body and in foods like oats, barley, and certain fruits and vegetables, and it is popular in supplements for h...
Silicea monograph & interactionsTeucrium mar
Other (inactive) ingredients: Organic Alcohol, Purified Water. These complete the product’s ingredient list but are not active constituents.
Sinus Pain by BIOVEA Homeopathics Drug Interactions
HelloPharmacist Interaction Report
BIOVEA Homeopathics Sinus Pain is a 15-ingredient liquid formula with documented interactions involving a single medication type.
The most serious concern is arsenicum iod (a form of arsenic), which can prolong the QT interval — a measure of electrical activity in your heart. If you take drugs that also prolong the QT interval, combining them with this product could theoretically have an additive effect.
Read the full breakdown — every affected drug type, severity by severity
Echinacea in this product has several Moderate interactions: it may inhibit caffeine metabolism (raising caffeine levels by about 30%), affect how your body processes certain cancer drugs and immunosuppressants, and alter metabolism of some HIV medications. Echinacea also carries a Minor interaction with warfarin, a blood thinner.
Asafoetida may increase bleeding risk if you're on blood thinners or similar drugs, and may lower blood pressure if you take antihypertensive (blood pressure) medications — both Moderate interactions.
Boneset (eupatorium perf) theoretically may interact with drugs that induce liver enzymes, though this is a Moderate concern specific to how it's metabolized. Several ingredients in this formula — antimon tart, euphorbia pil, hepar sulph calc, kali bic, kreosotum, lachesis, merc iod rub, pyrogenium, and teucrium mar — we could not check against our database.
Altogether, these interactions span 1,118 individual medications. Before you start this product, use the medication checker on this page to verify your exact prescriptions and over-the-counter drugs.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Sinus Pain?
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 Sinus Pain interact with 1,133 drugs. Click any drug to see the details.
4 of the 15 ingredients in Sinus Pain interact with drugs. Each result below shows which ingredient is responsible. Echinacea Asafoetida Arsenicum iod Eupatorium perf
Aclidinium Bromide, Formoterol Fumarate DihydrateDuaklir Pressair
How Aclidinium Bromide, Formoterol Fumarate Dihydrate interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Aclidinium Bromide, Formoterol Fumarate Dihydrate interactionAdagrasibKrazati
How Adagrasib interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Adagrasib interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Adagrasib interactionAmiodaroneCordarone, Pacerone
How Amiodarone interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Amiodarone interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Amiodarone interactionAmisulprideBarhemsys
How Amisulpride interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Amisulpride interactionAmitriptylineElavil
How Amitriptyline interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Amitriptyline interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Amitriptyline interactionAmitriptyline, ChlordiazepoxideLimbitrol DS
How Amitriptyline, Chlordiazepoxide interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Amitriptyline, Chlordiazepoxide interactionEchinaceaCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea might inhibit the metabolism of CYP1A2 and increase plasma levels of some drugs.
Read the full Echinacea + Amitriptyline, Chlordiazepoxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Amitriptyline, Perphenazine interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Amitriptyline, Perphenazine interactionAripiprazoleAbilify, Abilify Maintena, Abilify Mycite
How Aripiprazole interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Aripiprazole interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Aripiprazole interactionAripiprazole LauroxilAristada, Aristada Initio Kit
How Aripiprazole Lauroxil interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Aripiprazole Lauroxil interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Aripiprazole Lauroxil interactionArsenic Trioxide (prescription Drug)Trisenox
How Arsenic Trioxide (prescription Drug) interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Arsenic Trioxide (prescription Drug) interactionArtemetherArtenam, Paluther
How Artemether interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Artemether interactionAsenapineSaphris, Secuado
How Asenapine interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Asenapine interactionEchinaceaCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Echinacea might inhibit the metabolism of CYP1A2 and increase plasma levels of some drugs.
Read the full Echinacea + Asenapine interactionAstemizoleHismanal
How Astemizole interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Astemizole interactionAzithromycinAzasite, Zithromax, Zmax
How Azithromycin interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Azithromycin interactionBedaquilineSirturo
How Bedaquiline interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Bedaquiline interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Bedaquiline interactionBepridilVascor
How Bepridil interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Bepridil interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Bepridil interactionBerotralstat HydrochlorideOrladeyo
How Berotralstat Hydrochloride interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Berotralstat Hydrochloride interactionCabotegravir, RilpivirineCabenuva
How Cabotegravir, Rilpivirine interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Cabotegravir, Rilpivirine interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Cabotegravir, Rilpivirine interactionCeritinibZykadia
How Ceritinib interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Ceritinib interactionChlorpromazineThorazine, Thorazine Spansules
How Chlorpromazine interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Chlorpromazine interactionCisapridePropulsid
How Cisapride interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Cisapride interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Cisapride interactionClarithromycinBiaxin, Biaxin XL
How Clarithromycin interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Clarithromycin interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Clarithromycin interactionCrizotinibXalkori
How Crizotinib interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Crizotinib interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Crizotinib interactionDasatinibPhyrago, Sprycel
How Dasatinib interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Dasatinib interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Dasatinib interactionDesipramineDesipramine, Norpramin, Pertofrane
How Desipramine interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Desipramine interactionEchinaceaCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Echinacea might inhibit the metabolism of CYP1A2 and increase plasma levels of some drugs.
Read the full Echinacea + Desipramine interactionDesvenlafaxineKhedezla, Pristiq
How Desvenlafaxine interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Desvenlafaxine interactionDeutetrabenazineAustedo
How Deutetrabenazine interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Deutetrabenazine interactionDexmedetomidineIgalmi, Precedex
How Dexmedetomidine interacts with Sinus Pain — through 1 ingredient. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Dexmedetomidine interactionDisopyramide PhosphateNorpace, Norpace CR
How Disopyramide Phosphate interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Disopyramide Phosphate interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Disopyramide Phosphate interactionDofetilideTikosyn
How Dofetilide interacts with Sinus Pain — through 2 ingredients. Tap an ingredient for the detail:
Arsenicum IodQt Interval-prolonging Drugs Major
Interaction Summary
Arsenic trioxide can prolong the QT interval.
Read the full Arsenicum Iod + Dofetilide interactionEchinaceaCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4.
Read the full Echinacea + Dofetilide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Sinus Pain 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.
Echinacea
Caffeine
Echinacea can increase plasma levels of caffeine by inhibiting its metabolism.
Echinacea seems to increase plasma concentrations of caffeine by around 30%. This is likely due to inhibition of cytochrome P450 1A2 (CYP1A2) by echinacea.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Echinacea might inhibit the metabolism of CYP1A2 and increase plasma levels of some drugs.
Echinacea appears to inhibit CYP1A2 enzymes in humans. Additionally, echinacea seems to increase plasma concentrations of caffeine, a CYP1A2 substrate, by around 30%. Theoretically, echinacea might increase levels of other drugs metabolized by CYP1A2.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Echinacea may induce hepatic CYP3A4 and inhibit intestinal CYP3A4. This may increase or decrease levels of drugs metabolized by CYP3A4.
Several clinical trials have shown that taking echinacea for up to one month does not significantly affect the metabolism of various CYP3A4 substrates, including midazolam, docetaxel, etravirine, lopinavir-ritonavir, and darunavir-ritonavir. However, other clinical research shows that echinacea may increase the clearance of midazolam, suggesting that echinacea might induce CYP3A4. The discrepancy is thought to be due to differing effects of echinacea on intestinal versus hepatic CYP3A4 enzymes. Echinacea appears to induce hepatic CYP3A4 but inhibit intestinal CYP3A4. In some cases, these effects might cancel each other out, but in others, drug levels may be increased or decreased depending on the level of effect at hepatic and intestinal sites. The effect of echinacea on CYP3A4 activity may differ depending on the CYP3A4 substrate.
Etoposide (Vepesid)
Echinacea may increase levels of etoposide.
In one report, concomitant use of etoposide and echinacea was associated with more severe thrombocytopenia than the use of etoposide alone, suggesting inhibition of etoposide metabolism. Etoposide is a cytochrome P450 3A4 (CYP3A4) substrate. Echinacea has variable effects on CYP3A4, but some studies have reported inhibition of the enzyme.
Immunosuppressants
Echinacea has immunostimulant activity which may interfere with immunosuppressant therapy.
Theoretically, echinacea may interfere with immunosuppressant therapy because of its immunostimulant activity.
Darunavir (Prezista)
Theoretically, echinacea may interfere with the metabolism of darunavir; however, a small clinical study found no effect.
Darunavir is metabolized by cytochrome P450 3A4 (CYP3A4) and is administered with the CYP3A4 inhibitor ritonavir to increase its plasma concentrations. Echinacea has variable effects on CYP3A4, but administration of an E. purpurea root extract (Arkocapsulas Echinacea, Arkopharma) 500 mg four times daily for 14 days did not affect darunavir/ritonavir pharmacokinetics in 15 HIV-infected patients.
Dayquil Severe
Echinacea is reported to have varying effects on a number of Cytochrome P450 metabolizing enzymes in the liver, including CYP1A2 and CYP3A4, which play a role in acetaminophen and dextromethorphan metabolism (both contained in DayQuil Severe), respectively. Studies have reported both enzyme inhibition and induction, making it difficult to predict clinically significant drug interactions with reliability. Specific drug interaction studies reporting definitive results are rare, and potential drug interactions involving echinacea should likely be taken on a case-by-case basis. Based on what we know about how acetaminophen and dextromethorphan are metabolized, the risk of a clinically significant interaction between echinacea and DayQuil Severe is low.
Docetaxel (Taxotere)
Theoretically, echinacea may interfere with the metabolism of docetaxel; however, a small clinical study found no effect.
Docetaxel is metabolized by cytochrome P450 3A4 (CYP3A4). Echinacea has variable effects on CYP3A4, but taking E. purpurea whole plant extract (Echinaforce, A. Vogel Biopharma AG) 20 drops three times daily for 2 weeks did not alter the pharmacokinetics of docetaxel in one clinical study.
Etravirine (Intelence)
Theoretically, echinacea may interfere with the metabolism of etravirine; however, a small clinical study found no effect.
Etravirine is metabolized by cytochrome P450 3A4 (CYP3A4). Echinacea has variable effects on CYP3A4, but taking E. purpurea root extract (Arkocapsulas Echinacea, Arkopharma) 500 mg three times daily for 14 days did not alter the pharmacokinetics of etravirine in HIV-infected patients.
Lopinavir/Ritonavir (Kaletra)
Theoretically, echinacea may interfere with the metabolism of lopinavir; however, a small clinical study found no effect.
Lopinavir is metabolized by cytochrome P450 3A4 (CYP3A4) and is administered with the CYP3A4 inhibitor ritonavir to increase its plasma concentrations. Echinacea has variable effects on CYP3A4, but taking E. purpurea (Echinamide, Natural Factors Nutritional Products, Inc.) 500 mg three times daily for 14 days did not alter the pharmacokinetics of lopinavir/ritonavir in healthy volunteers.
Midazolam (Versed)
Theoretically, echinacea may increase the metabolism of intravenous midazolam.
Echinacea induces hepatic CYP3A4 and might decrease plasma levels of midazolam by about 20%, reducing the effectiveness of intravenous midazolam. Echinacea also appears to inhibit intestinal CYP3A4, which could theoretically increase the bioavailability of oral midazolam. This may cancel out the decrease in availability caused by induction of hepatic CYP3A4, such that overall plasma levels after oral administration of midazolam are not affected by echinacea.
Warfarin (Coumadin)
Echinacea seems to increase the clearance of warfarin, although the effect may not be clinically significant.
Preliminary clinical research in healthy male volunteers suggests that taking echinacea increases the clearance of the active S-isomer of warfarin after a single dose of warfarin, but there was not a clinically significant effect on the INR.
Asafoetida
Anticoagulant/Antiplatelet Drugs
Theoretically, asafoetida might increase the risk of bleeding when used concomitantly with anticoagulant/antiplatelet drugs. Some anticoagulant/antiplatelet drugs include aspirin, clopidogrel (Plavix), diclofenac (Voltaren, Cataflam, others), ibuprofen (Advil, Motrin, others), naproxen (Anaprox, Naprosyn, others), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, warfarin (Coumadin), and others.
Antihypertensive Drugs
Evidence from animal research suggests that asafoetida has hypotensive effects. Theoretically, concomitant use may increase therapeutic effects of antihypertensive therapy due to hypotensive activity of asafoetida. Some antihypertensive drugs include captopril (Capoten), enalapril (Vasotec), losartan (Cozaar), valsartan (Diovan), diltiazem (Cardizem), Amlodipine (Norvasc), hydrochlorothiazide (HydroDiuril), furosemide (Lasix), and many others.
Arsenicum iod
Qt Interval-Prolonging Drugs
Arsenic trioxide can prolong the QT interval.
Up to 40% of patients treated with prescription arsenic trioxide have a prolonged QT interval on their electrocardiogram (ECG). Theoretically, non-prescription arsenic could have an additive effect when combined with drugs that prolong the QT interval.
Eupatorium perf
Cytochrome P450 3A4 (Cyp3A4) Inducers
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs). Hepatotoxic PAs are substrates of cytochrome P450 3A4 (CYP3A4). Theoretically, drugs that induce CYP3A4 might increase the conversion of PAs to toxic metabolites. Some drugs that induce CYP3A4 include carbamazepine (Tegretol), phenobarbital, phenytoin (Dilantin), rifampin, rifabutin (Mycobutin), and others.
Brand information
Manufacturer and brand details for Sinus Pain, from the product label.
BIOVEA Homeopathics
See all BIOVEA Homeopathics products- Name
- BIOVEA
- Street Address
- 7702 E. Doubletree Ranch Rd. Suite 300, #307
- City
- Scottsdale
- State
- AZ
- ZipCode
- 85258
- Phone Number
- 1-800-961-4750
- Web Address
- www.biovea.com
Sinus Pain by BIOVEA Homeopathics: Common Questions
Does Sinus Pain by BIOVEA Homeopathics interact with any medications?
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What is silicea and why is it here?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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 Sinus Pain’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Arsenic
Interacts with 161 drugsArsenic is a naturally occurring element that is toxic in its inorganic form, and it is not a supplement you should take to improve your health. While arsenic trioxide is a real, doctor-pres...
Read the full Arsenic monograph → Herb & supplement monographAsafoetida
Interacts with 289 drugsAsafoetida is a strong-smelling plant resin used widely as a spice and in traditional medicine, mainly for digestive complaints. Solid human evidence for its medicinal benefits is limited, t...
Read the full Asafoetida monograph → Herb & supplement monographWild Indigo
Wild Indigo (Baptisia tinctoria) is a traditional herb most often used in combination products for colds and immune support, but high-quality human evidence is very limited. It can be toxic...
Read the full Wild Indigo monograph → Herb & supplement monographEchinacea
Interacts with 816 drugsEchinacea is a popular herb taken to help prevent or shorten the common cold, but study results are mixed and the overall benefit appears small at best. It is generally well tolerated for sh...
Read the full Echinacea monograph → Herb & supplement monographBoneset
Interacts with 87 drugsBoneset is a traditional North American herb long used in teas for fevers, colds, and flu, but modern human studies are very limited. It contains compounds (pyrrolizidine alkaloids) that may...
Read the full Boneset monograph → Herb & supplement monographSilicon
Silicon is a trace mineral found in the body and in foods like oats, barley, and certain fruits and vegetables, and it is popular in supplements for hair, skin, nail, and bone health. Some s...
Read the full Silicon monograph →Sources & How We Checked
Sinus Pain'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 117 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.
Arsenic 35 references
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- Saint-Jacques N, Parker L, Brown P, Dummer TJ. Arsenic in drinking water and urinary tract cancers: a systematic review of 30 years of epidemiological evidence. Environ Health 2014;13:44. PubMed
- Quansah R, Armah FA, Essumang DK, et al. Association of arsenic with adverse pregnancy outcomes/infant mortality: a systematic review and meta-analysis. Environ Health Perspect 2015;123(5):412-21. PubMed
- Wang W, Xie Z, Lin Y, Zhang D. Association of inorganic arsenic exposure with type 2 diabetes mellitus: a meta-analysis. J Epidemiol Community Health 2014;68(2):176-84. PubMed
- Pichler G, Grau-Perez M, Tellez-Plaza M, et al. Association of arsenic exposure with cardiac geometry and left ventricular function in young adults. Circ Cardiovasc Imaging 2019;12(5):e009018. PubMed
- Rodríguez-Barranco M, Lacasaña M, Aguilar-Garduño C, et al. Association of arsenic, cadmium and manganese exposure with neurodevelopment and behavioural disorders in children: a systematic review and meta-analysis. Sci Total Environ 2013;454-455:562-77. PubMed
- Lu P, Ma JQ, Li F, et al. A fatal case of acute arsenic poisoning. J Forensic Sci 2019;64(4):1271-3. PubMed
- Dani SU. A curious association of chronic homeopathic arsenic ingestion with nonspecific symptoms in a Swiss teenager. Swiss Med Wkly 2019;149:w20071. PubMed
- Spilchuk V, Thompson A. Chronic arsenic poisoning from traditional Chinese medicine. CMAJ 2019;191(15):E424. PubMed
- Zhong Q, Cui Y, Wu H, et al. Association of maternal arsenic exposure with birth size: a systematic review and meta-analysis. Environ Toxicol Pharmacol 2019;69:129-36. PubMed
- Mullin AM, Amarasiriwardena C, Cantoral-Preciado A, et al. Maternal blood arsenic levels and associations with birth weight-for-gestational age. Environ Res 2019;177:108603. PubMed
- Wang B, Zhu Y, Yan L, et al. Association of maternal chronic arsenic exposure with the risk of neural tube defects in Northern China. Environ Int 2019;126:222-7. PubMed
- Chen Y, Wu F, Liu X, et al. Early life and adolescent arsenic exposure from drinking water and blood pressure in adolescence. Environ Res 2019;178:108681. PubMed
- Salmeri N, Villanacci R, Ottolina J, et al. Maternal Arsenic Exposure and Gestational Diabetes: A Systematic Review and Meta-Analysis. Nutrients 2020;12(10):3094. PubMed
- Di Giovanni P, Di Martino G, Scampoli P, et al. Arsenic Exposure and Risk of Urothelial Cancer: Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2020;17(9):3105. PubMed
- Liu R, Tabuchi T, Kitamura T, Miyashiro I, Sobue T. Long-term observational study on 6223 survivors of arsenic poisoning due to contaminated milk powder during infancy. Cancer Sci 2020;111(10):3873-3880. PubMed
- Zhao J, Li A, Mei Y, et al. The association of arsenic exposure with hypertension and blood pressure: A systematic review and dose-response meta-analysis. Environ Pollut 2021;289:117914. PubMed
- Yang Y, McDonald AC, Wang X, Pan Y, Wang M. Arsenic exposures and prostate cancer risk: A multilevel meta-analysis. J Trace Elem Med Biol 2022;72:126992. PubMed
- Kuo CC, Balakrishnan P, Gribble MO, et al. The association of arsenic exposure and arsenic metabolism with all-cause, cardiovascular and cancer mortality in the Strong Heart Study. Environ Int 2022;159:107029. PubMed
- Theruvath AH, Raveendran R, Philips CA. Dangerous placebo during the COVID-19 pandemic: A series of homoeopathic Arsenicum album-induced liver injury. Cureus 2022;14(6):e26062. PubMed
Asafoetida 4 references
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- Fatehi, M., Farifteh, F., and Fatehi-Hassanabad, Z. Antispasmodic and hypotensive effects of Ferula asafoetida gum extract. J Ethnopharmacol 2004;91(2-3):321-324. PubMed
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Wild Indigo 3 references
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- Henneicke-von Zepelin H, Hentschel C, Schnitker J, et al. Efficacy and safety of a fixed combination phytomedicine in the treatment of the common cold (acute viral respiratory tract infection): results of a randomised, double blind, placebo-controlled, m
Echinacea 51 references
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- Mullins RJ. Allergic reactions to Echinacea. J Allergy Clin Immunol 2000;104:S340-341 (Abstract 1003).
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- Grimm W, Muller HH. A randomized controlled trial of the effect of fluid extract of Echinacea purpurea on the incidence and severity of colds and respiratory infections. Am J Med 1999;106:138-43. PubMed
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- Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine 2000;7:273-82. PubMed
- Gallo M, Sarkar M, Au W, et al. Pregnancy outcome following gestational exposure to echinacea: A prospective controlled study. Arch Intern Med 2000;160:3141-3. PubMed
- Soon SL, Crawford RI. Recurrent erythema nodosum associated with echinacea herbal therapy. J Am Acad Dermatol 2001;44:298-9. PubMed
- Mullins RJ, Heddle R. Adverse reactions associated with echinacea: the Australian experience. Ann Allergy Asthma Immunol 2002;88:42-51. PubMed
- Logan JL, Ahmed J. Critical hypokalemic renal tubular acidosis due to Sjogren's syndrome: association with the purported immune stimulant echinacea. Clin Rheumatol 2003;22:158-9.
- Schulten B, Bulitta M, Ballering-Bruhl B, et al. Efficacy of Echinacea purpurea in patients with a common cold. A placebo-controlled, randomised, double-blind clinical trial. Arzneimittelforschung 2001;51:563-8.. PubMed
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- Lee AN, Werth VP. Activation of autoimmunity following use of immunostimulatory herbal supplements. Arch Dermatol 2004;140:723-7. PubMed
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Boneset 5 references
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Silicon 19 references
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
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- Hu, J. F., Qu, H., and Wang, J. Z. [Meta analysis for relationship between exposure of free silicon dioxide and lung tumor]. Zhonghua Lao.Dong.Wei Sheng Zhi.Ye.Bing.Za Zhi. 2006;24(7):415-417.
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