SuperHD Water Ingredients & Drug Interactions
by Cellucor
What is this page for?
First and foremost: checking SuperHD Water 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
SuperHD Water is a dietary supplement by Cellucor with 7 active ingredients. Its ingredients are commonly taken for common cold and immune support, antioxidant support, skin health and collagen formation.Based on those ingredients, 1,508 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Green Tea (Camellia sinensis) leaf extract, Hibiscus (Hibiscus sabdariffa) flower extract, Vitamin C. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against SuperHD Water by Cellucor
Ask about any prescription or over-the-counter medication and we check it for interactions with SuperHD Water by Cellucor — 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 SuperHD Water by Cellucor
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
SuperHD Water contains 7 ingredients total. The active ones include vitamin C for immune support, green tea leaf extract (a source of caffeine and antioxidants), horsetail whole herb extract, potassium for electrolyte balance, juniper berry extract, and hawthorn berry extract (listed as Crataegus pinnatifida).
These are wrapped in a vegetable capsule with magnesium stearate and silicon dioxide as inactive ingredients.
Does it work?
Not established
The evidence for this product's active ingredients is mixed. Vitamin C is effective for preventing vitamin C deficiency and possibly effective for anemia of chronic disease, cataracts, and exercise-related respiratory infections.
Green tea extract is likely effective for human papillomavirus concerns and possibly effective for cholesterol and ovarian cancer. Horsetail, juniper, and hawthorn all show insufficient reliable evidence for their listed purposes in our data—meaning we don't have solid proof they work for urinary incontinence, obesity, kidney stones, GERD, rheumatoid arthritis, or heart conditions.
How safe is it?
Well-documented data
Vitamin C is generally well tolerated at normal doses, but very high amounts can cause stomach cramps, heartburn, diarrhea, kidney stones (especially if you're prone to them), and rarely serious kidney damage. Green tea is generally safe in moderate amounts, though concentrated extracts have been linked to rare liver injury; it contains caffeine, which some people are sensitive to.
Potassium is generally safe from food but supplements can cause dangerously high blood levels, especially in people with kidney disease. Horsetail may cause stomach upset, increased bowel movements, and nausea; long-term use carries real risks and products must be verified as free from thiaminase to prevent thiamine deficiency.
Juniper is generally tolerated short-term in low doses but may irritate the kidneys with extended use. Hawthorn is generally well tolerated in studies but any use in people with heart conditions needs medical supervision.
Meds to double-check
Major interaction found
Check before using this product if you take nitrates or erectile dysfunction medications like sildenafil (Major risk with hawthorn), nadolol or other beta-blockers, atorvastatin or other statins (Major risk with green tea), ephedrine (Major risk with green tea), warfarin or other blood thinners, oral contraceptives or hormone replacement therapy, chemotherapy drugs, ACE inhibitors or ARBs or potassium-sparing diuretics, digoxin, diabetes medications, or HIV medications including efavirenz. Additionally, avoid this product if you take lithium or diuretics unless cleared by your doctor.
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 product is a multi-ingredient formula best suited for people with no chronic conditions or medications—especially those on heart, blood-pressure, blood-sugar, or blood-thinner drugs. If you take any prescription or over-the-counter medications, check them against our interaction tool before starting.
Talk to your pharmacist or doctor to make sure SuperHD Water is right for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 7 of 7 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Feb 23, 2018.
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 SuperHD Water, straight from the product label.
| Brand | Cellucor |
|---|---|
| Barcode (UPC) | 842595100235 |
| Net contents | 42 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Feb 23, 2018 |
| DSLD ID | 83124 |
| Product type | Botanical With Nutrients |
| Supplement form | Capsule |
| 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 SuperHD Water by Cellucor, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Vitamin C | 200 mg | 333% |
| Green Tea (Camellia sinensis) leaf extract | 0 NP | -- |
| Horsetail (Equisetum arvense) whole herb extract | 0 NP | -- |
| Potassium | 99 mg | 3% |
| SuperHD Water Blend | 1815 mg | -- |
| Juniper (Juniperus communis) berry extract | 0 NP | -- |
| Crataegus pinnatifida berry extract | 0 NP | -- |
| Hibiscus (Hibiscus sabdariffa) flower extract | 0 NP | -- |
Other ingredients: Capsule Shell, Vegetable Magnesium Stearate, Silicon Dioxide
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: Take one serving (3 capsules) on an empty stomach, with 8 fl. oz. of water, at least 20 minutes prior to a meal. Do not consume SuperHD Water for more than seven (7) consecutive days. Discontinue use for a minimum of seven (7) consecutive days before resuming consumption of SuperHD Water. Please Note: We highly recommend drinking a minimum of 64 fl. oz. of water daily during use. Use only as directed.
Precautions
Do not consume SuperHD Water for more than seven (7) consecutive days. Discontinue use for a minimum of seven (7) consecutive days before resuming consumption of SuperHD Water. Please Note: We highly recommend drinking a minimum of 64 fl. oz. of water daily during use. Use only as directed. Warning: This product is only intended to be consumed by healthy adults, 18 years of age or older.
Do not use this product is you are pregnant or nursing. Before using this product, consult with a licensed, qualified, health care professional, including but not limited to, if you are taking any prescription drug or over-the-counter medication, or have any existing medical condition.
Immediately discontinue use and contact a medical doctor if you experience any adverse reaction to this product. Discontinue use 2 weeks prior to surgery. Do not use if safety seal is broken or missing.
Keep out of reach of children.
Storage
Store in a cool dry place.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
General Statements
Results defining water loss formula Clinically studied herbal ingredients Promotes lean physique and improved body definition 2 week supply
Made in the U.S.A. using U.S. and imported ingredients and components.
Ignite your goals Extinguish your doubts 104292
You're ready to transform and take you physique to the next level. You need a complete program that takes into account all the variables of burning fat and maintaining lean muscle to accelerate your results. Through years of research and innovation, we've taken our best-selling weight loss product and engineered a system to bring your body into high-definition!
Your physique in HD
FDA Statement of Identity
Dietary Supplement
Brand IP Statement(s)
Cellucor, SuperHD Fire, SuperHD Razor and SuperHD Water are trademarks of and distributed by: Nutrabolt
SuperHD Fire SuperHD Fire is a two-stage daily weight loss formula targeting fat loss, sustained energy, optimized performance and well-being. This potent thermogenic has been designed with the patented, clinically studied, and exclusively licensed DygloFit. Clinical studies on DygloFit have demonstrated that participants who consumed DygloFit for 8 weeks saw reductions in weight, waist size, hip size and body fat percentage. SuperHD Fire is available in both stimulant and stimulant free options to best fir your personalized needs. SuperHD Razor SuperHD Razor was designed with the clinically researched and tested ingredients Tonalin CLA & Synetrim CQ. This stimulant free formulation can help promote weight loss by decreasing the number and size of fat cell, decreasing the activity of lipoprotein lipase (LPL) enzymes which help store fats and increasing the rate at which your fat cells disintegrate. Enhance your results by paining with a thermogenic like SuperHD Fire. SuperHD Water SuperHD Water has been formulated to help you achieve your leanest physique by assisting your body's ability to reduce the temporary accumulation of excess water, which can be caused by stress, physical activity and sodium intake. This formulating utilizes natural botanical ingredients that promote the excretion of that excess water, getting you on step closed to the highly-defined and tones physique.
SuperHD Water has been specifically formulated to help you achieve (reveal) your best possible physique by removing temporary excess water from your body.
SuperHD Water promotes the excretion of that excess water to take you from lean to chiseled and is the perfect complement to metabolism boosting thermogenics like SuperHD Fire. Combined, SuperHD Fire and SuperHD Water can give you that extract edge needed to support your physique goal. So whether you're getting ready for the beach or about to step on stage - don't miss this final step to amplify your results.
General
104594
Formula
The five herbal extract blend includes clinically studied horsetail (Equisetum arvense), which is one of the most effective and trusted ingredients for its ability to increase urinary output as well as its remineralization properties. This is further supports with vitamin C as an antioxidant and potassium which may be depleted with increase in urinary output.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
SuperHD Water by Cellucor 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 SuperHD Water by Cellucor
These are the 7 active ingredients this product is made of. Select any to open its full monograph.
Serving size3 Capsule(s) Dosage formCapsule Servings per container14 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.
Vitamin C
Interacts with207 drugs
Vitamin C (ascorbic acid) is an essential nutrient your body needs but cannot make, so you must get it from food or supplements. It's important for im...
Vitamin C monograph & interactionsPotassium
Interacts with62 drugs
Potassium is an essential mineral your body needs for nerve signals, muscle function, and a steady heartbeat, and most people get enough from a balanc...
Potassium monograph & interactionsOther (inactive) ingredients: Capsule Shell, Vegetable Magnesium Stearate, Silicon Dioxide. These complete the product’s ingredient list but are not active constituents.
SuperHD Water by Cellucor Drug Interactions
HelloPharmacist Interaction Report
SuperHD Water by Cellucor contains several ingredients with documented interactions with medications.
The most serious concern is green tea extract, which has Major-severity interactions with three drug types: it can reduce levels of the heart medication nadolol by roughly 85%, lower cholesterol drug atorvastatin by about 24%, and increase risk of dangerous effects when combined with ephedrine. Vitamin C has Moderate interactions with estrogens (oral contraceptives and hormone replacement therapy), blood thinners like warfarin, and several chemotherapy drugs, among others.
Potassium poses a Moderate risk of dangerously high blood levels if you're taking blood-pressure drugs like ACE inhibitors or ARBs, or potassium-sparing diuretics. Hawthorn (the ingredient labeled as Crataegus pinnatifida) has Major interactions with nitrates and erectile dysfunction medications, and Moderate concerns with heart medications including beta-blockers and digoxin.
Horsetail carries Moderate risks with blood-sugar drugs, diuretics, lithium, and HIV medications. Juniper has Moderate concerns with diabetes drugs and Minor risks with diuretics and lithium.
Altogether, these interactions span 1,376 individual medications. We hold no interaction data for hibiscus, so we cannot assess its safety with your medications.
Before you start this product, run your exact medications through the checker on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against SuperHD Water?
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 SuperHD Water interact with 1,508 drugs. Click any drug to see the details.
7 of the 7 ingredients in SuperHD Water interact with drugs. Each result below shows which ingredient is responsible. Green Tea (Camellia sinensis) leaf extract Hibiscus (Hibiscus sabdariffa) flower extract Vitamin C Crataegus pinnatifida berry extract Horsetail (Equisetum arvense) whole herb extract Juniper (Juniperus communis) berry extract Potassium
Aminophylline, Amobarbital, EphedrineAmesec
How Aminophylline, Amobarbital, Ephedrine interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractStimulant Drugs, Ephedrine Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Aminophylline, Amobarbital, Ephedrine interactionAtorvastatinAtorvaliq
How Atorvastatin interacts with SuperHD Water — through 2 ingredients. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractHepatotoxic Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Major
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Atorvastatin interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP3A4 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with SuperHD Water — through 2 ingredients. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Atorvastatin (lipitor) +2 Major
Interaction Summary
Theoretically, green tea might reduce the absorption of organic anion-transporting polypeptide (OATP) substrates.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Atorvastatin Calcium interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP3A4 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Atorvastatin Calcium interactionAvanafilStendra
How Avanafil interacts with SuperHD Water — through 3 ingredients. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractPhosphodiesterase-5 Inhibitors Major
Interaction Summary
Theoretically, concomitant use might result in additive vasodilation and hypotension.
Read the full Crataegus Pinnatifida Berry Extract + Avanafil interactionGreen Tea (camellia Sinensis) Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Green tea is unlikely to produce clinically significant changes in the levels and clinical effects of CYP3A4 substrates.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Avanafil interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP3A4 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Avanafil interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with SuperHD Water — through 5 ingredients. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractDiuretic Drugs, Nadolol (corgard) Major
Interaction Summary
Theoretically, using green tea with diuretic drugs might increase the risk of hypokalemia.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Bendroflumethiazide, Nadolol interactionHibiscus (hibiscus Sabdariffa) Flower ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking Hibiscus sabdariffa with antihypertensive drugs might increase the risk of hypotension.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Bendroflumethiazide, Nadolol interactionHorsetail (equisetum Arvense) Whole Herb ExtractDiuretic Drugs Moderate
Interaction Summary
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Read the full Horsetail (equisetum Arvense) Whole Herb Extract + Bendroflumethiazide, Nadolol interactionCrataegus Pinnatifida Berry ExtractBeta-blockers Moderate
Interaction Summary
Theoretically, concomitant use might cause additive effects on blood pressure and heart rate.
Read the full Crataegus Pinnatifida Berry Extract + Bendroflumethiazide, Nadolol interactionJuniper (juniperus Communis) Berry ExtractDiuretic Drugs Minor
Interaction Summary
Theoretically, juniper berry might increase the risk of adverse effects from diuretic drugs.
Read the full Juniper (juniperus Communis) Berry Extract + Bendroflumethiazide, Nadolol interactionCarbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine TannateQuadratuss, Ry Tuss, Rynatuss, Tri Tannate Plus
How Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interacts with SuperHD Water — through 2 ingredients. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Ephedrine +1 Major
Interaction Summary
Green tea is unlikely to produce clinically significant changes in the levels and clinical effects of CYP3A4 substrates.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP3A4 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Carbetapentane Tannate, Chlorpheniramine Tannate, Ephedrine Tannate, Phenylephrine Tannate interactionChloroquineAralen HCL, Aralen Phosphate, Aralen Phosphate Injection, Avloclor, Malarivon, Nivaquine
How Chloroquine interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Hibiscus (hibiscus Sabdariffa) Flower ExtractChloroquine (aralen) Major
Interaction Summary
Taking Hibiscus sabdariffa tea along with chloroquine seems to reduce levels of chloroquine.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Chloroquine interactionChloroquine, Primaquine PhosphateAralen / Primaquine
How Chloroquine, Primaquine Phosphate interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Hibiscus (hibiscus Sabdariffa) Flower ExtractChloroquine (aralen) Major
Interaction Summary
Taking Hibiscus sabdariffa tea along with chloroquine seems to reduce levels of chloroquine.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Chloroquine, Primaquine Phosphate interactionDyphylline, Ephedrine, Guaifenesin, PhenobarbitalLufyllin-EPG
How Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractPhenobarbital (luminal), Ephedrine +1 Major
Interaction Summary
Theoretically, green tea might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionEphedrine, Guaifenesin (otc Drug)Ephedrine Formula 400, Ephedrine Plus Tabs
How Ephedrine, Guaifenesin (otc Drug) interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractEphedrine, Stimulant Drugs Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Ephedrine, Guaifenesin (otc Drug) interactionEphedrine, Guaifenesin, Phenobarbital, TheophyllineMudrane GG
How Ephedrine, Guaifenesin, Phenobarbital, Theophylline interacts with SuperHD Water — through 2 ingredients. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractStimulant Drugs, Theophylline +2 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP1A2 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionEphedrine, Hydroxyzine, TheophyllineAmi Rax, Marax
How Ephedrine, Hydroxyzine, Theophylline interacts with SuperHD Water — through 2 ingredients. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractEphedrine, Stimulant Drugs +1 Major
Interaction Summary
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Ephedrine, Hydroxyzine, Theophylline interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP1A2 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Ephedrine, Hydroxyzine, Theophylline interactionEphedrine, Phenobarbital, Potassium Iodide, TheophyllineMudrane, Quadrinal
How Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractStimulant Drugs, Theophylline +2 Major
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionEphedrine, Phenobarbital, TheophyllineTedral
How Ephedrine, Phenobarbital, Theophylline interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractTheophylline, Phenobarbital (luminal) +2 Major
Interaction Summary
Theoretically, green tea might increase the levels and adverse effects of theophylline.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Ephedrine, Phenobarbital, Theophylline interactionEzetimibe, AtorvastatinLiptruzet
How Ezetimibe, Atorvastatin interacts with SuperHD Water — through 2 ingredients. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractOrganic Anion-transporting Polypeptide Substrates (oatp), Cytochrome P450 3a4 (cyp3a4) Substrates +2 Major
Interaction Summary
Theoretically, green tea might reduce the absorption of organic anion-transporting polypeptide (OATP) substrates.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Ezetimibe, Atorvastatin interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP3A4 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Ezetimibe, Atorvastatin interactionFinasteride, TadalafilEntadfi
How Finasteride, Tadalafil interacts with SuperHD Water — through 3 ingredients. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractPhosphodiesterase-5 Inhibitors Major
Interaction Summary
Theoretically, concomitant use might result in additive vasodilation and hypotension.
Read the full Crataegus Pinnatifida Berry Extract + Finasteride, Tadalafil interactionGreen Tea (camellia Sinensis) Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Green tea is unlikely to produce clinically significant changes in the levels and clinical effects of CYP3A4 substrates.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Finasteride, Tadalafil interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP3A4 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Finasteride, Tadalafil interactionGlyceryl TrinitrateNitronal
How Glyceryl Trinitrate interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractNitrates Major
Interaction Summary
Theoretically, concomitant use might cause additive coronary vasodilatory effects.
Read the full Crataegus Pinnatifida Berry Extract + Glyceryl Trinitrate interactionIsosorbide DinitrateAngitak, Cedocard Retard, Isoket, Isoket Retard, Isordil
How Isosorbide Dinitrate interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractNitrates Major
Interaction Summary
Theoretically, concomitant use might cause additive coronary vasodilatory effects.
Read the full Crataegus Pinnatifida Berry Extract + Isosorbide Dinitrate interactionIsosorbide Dinitrate, HydralazineBiDil
How Isosorbide Dinitrate, Hydralazine interacts with SuperHD Water — through 2 ingredients. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractNitrates Major
Interaction Summary
Theoretically, concomitant use might cause additive coronary vasodilatory effects.
Read the full Crataegus Pinnatifida Berry Extract + Isosorbide Dinitrate, Hydralazine interactionHibiscus (hibiscus Sabdariffa) Flower ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking Hibiscus sabdariffa with antihypertensive drugs might increase the risk of hypotension.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Isosorbide Dinitrate, Hydralazine interactionIsosorbide MononitrateAngeze, Angeze SR, Chemydur 60XL, Dynamin, Elantan, Elantan LA +13 more
How Isosorbide Mononitrate interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractNitrates Major
Interaction Summary
Theoretically, concomitant use might cause additive coronary vasodilatory effects.
Read the full Crataegus Pinnatifida Berry Extract + Isosorbide Mononitrate interactionMacitentan, TadalafilOpsynvi
How Macitentan, Tadalafil interacts with SuperHD Water — through 3 ingredients. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractPhosphodiesterase-5 Inhibitors Major
Interaction Summary
Theoretically, concomitant use might result in additive vasodilation and hypotension.
Read the full Crataegus Pinnatifida Berry Extract + Macitentan, Tadalafil interactionGreen Tea (camellia Sinensis) Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Hepatotoxic Drugs Moderate
Interaction Summary
Green tea is unlikely to produce clinically significant changes in the levels and clinical effects of CYP3A4 substrates.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Macitentan, Tadalafil interactionHibiscus (hibiscus Sabdariffa) Flower ExtractAntihypertensive Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, taking Hibiscus sabdariffa with antihypertensive drugs might increase the risk of hypotension.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Macitentan, Tadalafil interactionNadololCorgard, Nadolol
How Nadolol interacts with SuperHD Water — through 3 ingredients. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractNadolol (corgard) Major
Interaction Summary
Green tea seems to reduce the levels and clinical effects of nadolol.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Nadolol interactionCrataegus Pinnatifida Berry ExtractBeta-blockers Moderate
Interaction Summary
Theoretically, concomitant use might cause additive effects on blood pressure and heart rate.
Read the full Crataegus Pinnatifida Berry Extract + Nadolol interactionHibiscus (hibiscus Sabdariffa) Flower ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking Hibiscus sabdariffa with antihypertensive drugs might increase the risk of hypotension.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Nadolol interactionNicorandilAprior, Dancor, Ikorel, Sigmart, Zynicor
How Nicorandil interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractNitrates Major
Interaction Summary
Theoretically, concomitant use might cause additive coronary vasodilatory effects.
Read the full Crataegus Pinnatifida Berry Extract + Nicorandil interactionNitroglycerinGonitro, Nitro Time, Nitro-Bid, Nitrocine Timecaps, Nitrogard, Nitrogard SR +7 more
How Nitroglycerin interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractNitrates Major
Interaction Summary
Theoretically, concomitant use might cause additive coronary vasodilatory effects.
Read the full Crataegus Pinnatifida Berry Extract + Nitroglycerin interactionPentaerythritol TetranitratePeritrate, Peritrate SA
How Pentaerythritol Tetranitrate interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractNitrates Major
Interaction Summary
Theoretically, concomitant use might cause additive coronary vasodilatory effects.
Read the full Crataegus Pinnatifida Berry Extract + Pentaerythritol Tetranitrate interactionSildenafilRevatio
How Sildenafil interacts with SuperHD Water — through 3 ingredients. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractPhosphodiesterase-5 Inhibitors Major
Interaction Summary
Theoretically, concomitant use might result in additive vasodilation and hypotension.
Read the full Crataegus Pinnatifida Berry Extract + Sildenafil interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP2C9 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Sildenafil interactionGreen Tea (camellia Sinensis) Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Green tea is unlikely to produce clinically significant changes in the levels and clinical effects of CYP3A4 substrates.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Sildenafil interactionSildenafil CitrateViagra
How Sildenafil Citrate interacts with SuperHD Water — through 3 ingredients. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractPhosphodiesterase-5 Inhibitors Major
Interaction Summary
Theoretically, concomitant use might result in additive vasodilation and hypotension.
Read the full Crataegus Pinnatifida Berry Extract + Sildenafil Citrate interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP3A4 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Sildenafil Citrate interactionGreen Tea (camellia Sinensis) Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Green tea is unlikely to produce clinically significant changes in the levels and clinical effects of CYP3A4 substrates.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Sildenafil Citrate interactionTadalafilCialis, Tadliq
How Tadalafil interacts with SuperHD Water — through 3 ingredients. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractPhosphodiesterase-5 Inhibitors Major
Interaction Summary
Theoretically, concomitant use might result in additive vasodilation and hypotension.
Read the full Crataegus Pinnatifida Berry Extract + Tadalafil interactionGreen Tea (camellia Sinensis) Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Green tea is unlikely to produce clinically significant changes in the levels and clinical effects of CYP3A4 substrates.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Tadalafil interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP3A4 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Tadalafil interactionVardenafilLevitra, Staxyn
How Vardenafil interacts with SuperHD Water — through 3 ingredients. Tap an ingredient for the detail:
Crataegus Pinnatifida Berry ExtractPhosphodiesterase-5 Inhibitors Major
Interaction Summary
Theoretically, concomitant use might result in additive vasodilation and hypotension.
Read the full Crataegus Pinnatifida Berry Extract + Vardenafil interactionHibiscus (hibiscus Sabdariffa) Flower ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP3A4 substrates.
Read the full Hibiscus (hibiscus Sabdariffa) Flower Extract + Vardenafil interactionGreen Tea (camellia Sinensis) Leaf ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Green tea is unlikely to produce clinically significant changes in the levels and clinical effects of CYP3A4 substrates.
Read the full Green Tea (camellia Sinensis) Leaf Extract + Vardenafil interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with SuperHD Water — through 1 ingredient. Tap an ingredient for the detail:
Green Tea (camellia Sinensis) Leaf ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Read the full Green Tea (camellia Sinensis) Leaf Extract + 6-mercaptopurine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in SuperHD Water 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.
Green Tea (Camellia sinensis) leaf extract
Atorvastatin (Lipitor)
Green tea extract seems to reduce the levels and clinical effects of atorvastatin.
In healthy humans, taking green tea extract 300 mg or 600 mg along with atorvastatin reduces plasma levels of atorvastatin by approximately 24%. The elimination of atorvastatin is not affected. Atorvastatin is a substrate of organic anion-transporting polypeptides (OATPs). Research shows that two of the major catechins found in green tea, epicatechin gallate (ECG) and epigallocatechin gallate (EGCG), inhibit OATPs. Some OATPs are expressed in the small intestine and are responsible for the uptake of drugs and other compounds, which may have resulted in reduced plasma levels of atorvastatin. It is not clear if drinking green tea alters the absorption of atorvastatin.
Ephedrine
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Green tea contains caffeine. There is evidence that using ephedrine with caffeine might increase the risk of serious life-threatening or debilitating adverse effects such as hypertension, myocardial infarction, stroke, seizures, and death.
Nadolol (Corgard)
Green tea seems to reduce the levels and clinical effects of nadolol.
Preliminary clinical research shows that green tea consumption reduces plasma concentrations of nadolol. Compared to a control group, both peak levels and total drug exposure (AUC) of nadolol were reduced by approximately 85% in subjects who drank green tea daily for two weeks. Drinking green tea with nadolol also significantly reduced nadolol's systolic blood pressure lowering effect. Other clinical research shows that a single dose of green tea can affect plasma nadolol levels for at least one hour. Green tea catechins have been shown to inhibit organic anion transporting polypeptides (OATP), one of which, OATP1A2, is involved in the uptake of nadolol in the intestine The interaction is thought to be due primarily to the epigallocatechin gallate (EGCG) content of green tea.
5-Fluorouracil
Theoretically, high doses of green tea might increase the effects and side effects of 5-fluorouracil.
Animal research shows that taking green tea in amounts equivalent to about 6 cups daily in humans for 4 weeks prior to receiving a single injection of 5-fluorouracil increases the maximum plasma levels of 5-fluorouracil by about 2.5-fold and the area under the curve by 425%.
Adenosine (Adenocard)
Theoretically, green tea might decrease the vasodilatory effects of adenosine and interfere with its use prior to stress testing.
Green tea contains caffeine. Caffeine is a competitive inhibitor of adenosine at the cellular level. However, caffeine doesn't seem to affect supplemental adenosine because high interstitial levels of adenosine overcome the antagonistic effects of caffeine. It is recommended that methylxanthines and methylxanthine-containing products be stopped 24 hours prior to pharmacological stress tests. However, methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Anticoagulant/Antiplatelet Drugs
Theoretically, green tea may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Conflicting reports exist regarding the effect of green tea on bleeding risk when used with anticoagulant or antiplatelet drugs; however, most evidence suggests that drinking green tea in moderate amounts is unlikely to cause a significant interaction. Green tea contains small amounts of vitamin K, approximately 7 mcg per cup. Some case reports have associated the antagonism of warfarin with the vitamin K content of green tea. However, these reports are rare, and very large doses of green tea (about 8-16 cups daily) appear to be needed to cause these effects. Furthermore, the catechins and caffeine in green tea are reported to have antiplatelet activity.
Beta-Adrenergic Agonists
Green tea contains caffeine. Theoretically, concomitant use of large amounts of caffeine might increase cardiac inotropic effects of beta-agonists.
Bortezomib (Velcade)
Theoretically, green tea might interfere with the effects of bortezomib.
In vitro research shows that green tea polyphenols, such as epigallocatechin gallate (EGCG), interact with bortezomib and block its proteasome inhibitory action. This prevents the induction of cell death in multiple myeloma or glioblastoma cancer cell lines. Advise patients taking bortezomib, not to take green tea.
Carbamazepine (Tegretol)
Theoretically, green tea might reduce the effects of carbamazepine and increase the risk for convulsions.
Green tea contains caffeine. Animal research suggests that taking caffeine can lower the anticonvulsant effects of carbamazepine and can induce seizures when taken in doses above 400 mg/kg. Human research has shown that taking caffeine 300 mg in three divided doses along with carbamazepine 200 mg reduces the bioavailability of carbamazepine by 32% and prolongs the plasma half-life of carbamazepine 2-fold in healthy individuals.
Celiprolol (Celicard)
Theoretically, green tea might reduce the levels and clinical effects of celiprolol.
In a small human study, taking green tea daily for 4 days appears to decrease blood and urine levels of celiprolol by at least 98%. This interaction is possibly due to the inhibition of organic anion transporting polypeptide (OATP). Green tea catechins have been shown to inhibit organic anion transporting polypeptides (OATP), one of which, OATP1A2, is found in the intestine The interaction is thought to be due primarily to the epigallocatechin gallate (EGCG) content of green tea.
Cimetidine (Tagamet)
Theoretically, concomitant use might increase the effects and adverse effects of caffeine in green tea.
Green tea contains caffeine. Cimetidine can reduce caffeine clearance by 31% to 42%.
Clozapine (Clozaril)
Theoretically, green tea might increase the levels and adverse effects of clozapine and acutely exacerbate psychotic symptoms.
Animal research suggests that, although green tea extract does not affect the elimination of clozapine, it delays the time to reach peak concentration and reduces the peak plasma levels. Also, concomitant administration of green tea and clozapine might theoretically cause acute exacerbation of psychotic symptoms due to the caffeine in green tea. Caffeine can increase the effects and toxicity of clozapine. Caffeine doses of 400-1000 mg daily inhibit clozapine metabolism. Clozapine is metabolized by cytochrome P450 1A2 (CYP1A2). Researchers speculate that caffeine might inhibit CYP1A2. However, there is no reliable evidence that caffeine affects CYP1A2. There is also speculation that genetic factors might make some patients be more sensitive to the interaction between clozapine and caffeine.
Contraceptive Drugs
Theoretically, concomitant use might increase the effects and adverse effects of caffeine found in green tea.
Green tea contains caffeine. Oral contraceptives can decrease caffeine clearance by 40% to 65%.
Cytochrome P450 1A2 (Cyp1A2) Inhibitors
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Green tea contains caffeine. Caffeine is metabolized by cytochrome P450 1A2 (CYP1A2),. Theoretically, drugs that inhibit CYP1A2 may decrease the clearance rate of caffeine from green tea and increase caffeine levels.
Dipyridamole (Persantine)
Theoretically, green tea might decrease the vasodilatory effects of dipyridamole and interfere with its use prior to stress testing.
Green tea contains caffeine. Caffeine might inhibit dipyridamole-induced vasodilation. It is recommended that methylxanthines and methylxanthine-containing products be stopped 24 hours prior to pharmacological stress tests. Methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Disulfiram (Antabuse)
Theoretically, disulfiram might increase the risk of adverse effects from caffeine.
In human research, disulfiram decreases the clearance and increases the half-life of caffeine.
Diuretic Drugs
Theoretically, using green tea with diuretic drugs might increase the risk of hypokalemia.
Green tea contains caffeine. In excessive amounts, caffeine can reduce potassium levels due to stimulation of the sodium-potassium pump. Diuretics can also cause lower potassium levels.
Estrogens
Theoretically, estrogens might increase the levels and adverse effects of caffeine.
Green tea contains caffeine. Estrogen inhibits caffeine metabolism.
Ethosuximide (Zarontin)
Theoretically, green tea might reduce the effects of ethosuximide and increase the risk for convulsions.
Green tea contains caffeine. Animal research suggests that caffeine 92.4 mg/kg can decrease the anticonvulsant activity of ethosuximide. However, this effect has not been reported in humans.
Felbamate (Felbatol)
Theoretically, green tea might reduce the effects of felbamate and increase the risk for convulsions.
Green tea contains caffeine. Animal research suggests that a high dose of caffeine 161.7 mg/kg can decreases the anticonvulsant activity of felbamate. However, this effect has not been reported in humans.
Fexofenadine (Allegra)
Green tea can decrease blood levels of fexofenadine.
Clinical research shows that green tea can significantly decrease blood levels and excretion of fexofenadine. Taking green tea extract with a dose of fexofenadine decreased bioavailability of fexofenadine by about 30%. In vitro, green tea inhibits the cellular accumulation of fexofenadine by inhibiting the organic anion transporting polypeptide (OATP) drug transporter. Research shows that two of the major catechins found in green tea, epicatechin gallate (ECG) and epigallocatechin gallate (EGCG), inhibit OATPs, specifically OATP1A2, OATP1B1, and OATP2B1. In addition, green tea has been shown to reduce the absorption of some drugs that are OATP substrates.
Flutamide (Eulexin)
Theoretically, green tea might increase the levels and adverse effects of flutamide.
Green tea contains caffeine. In vitro evidence suggests that caffeine can inhibit the metabolism of flutamide. Theoretically, concomitant use of caffeine and flutamide might increase serum concentrations of flutamide and increase the risk adverse effects.
Fluvoxamine (Luvox)
Theoretically, fluvoxamine might increase the levels and adverse effects of caffeine.
Green tea contains caffeine. Fluvoxamine reduces caffeine metabolism.
Hepatotoxic Drugs
Theoretically, concomitant use might have additive adverse hepatotoxic effects.
Green tea extract supplements have been linked to several cases of hepatotoxicity and might have additive hepatotoxic effects with other drugs..
Imatinib (Gleevec)
Theoretically, green tea might reduce the levels and clinical effects of imatinib.
In animal research, a single dose of green tea extract reduces the area under the curve (AUC) of imatinib by up to approximately 64% and its main metabolite N-desmethyl imatinib by up to approximately 81%. This interaction has not been shown in humans. The mechanism of action is unclear but may involve multiple pathways.
Hibiscus (Hibiscus sabdariffa) flower extract
Chloroquine (Aralen)
Taking Hibiscus sabdariffa tea along with chloroquine seems to reduce levels of chloroquine.
When taken together, Hibiscus sabdariffa tea significantly reduces the bioavailability of chloroquine. This may reduce its clinical effects. People taking chloroquine for the treatment or prevention of malaria should avoid Hibiscus sabdariffa tea.
Antidiabetes Drugs
Theoretically, taking Hibiscus sabdariffa with antidiabetes drugs might increase the risk of hypoglycemia.
Most clinical research shows that Hibiscus sabdariffa can reduce blood glucose levels.
Antihypertensive Drugs
Theoretically, taking Hibiscus sabdariffa with antihypertensive drugs might increase the risk of hypotension.
Most clinical evidence suggests that taking Hibiscus sabdariffa reduces systolic and diastolic blood pressure. In animal research, Hibiscus sabdariffa increased the hypotensive effects of single doses of losartan and amlodipine.
Diclofenac (Voltaren, Others)
Taking Hibiscus sabdariffa with diclofenac may increase the levels and adverse effects of diclofenac.
Pharmacokinetic research in humans shows that drinking a beverage made with Hibiscus sabdariffa flowers reduces the excretion of diclofenac by approximately 38% when compared with water. The clinical significance of this is unknown.
Losartan (Cozaar)
Theoretically, Hibiscus sabdariffa might increase the levels and clinical effects of losartan.
Animal research in rats with laboratory-induced hypertension shows that providing Hibiscus sabdariffa for 14-17 days prior to a single administration with losartan modestly increases losartan concentrations and increases hypotensive effects when compared with a single administration of losartan alone. It is not clear if Hibiscus sabdariffa alters the concentration or effects of losartan when taken continuously. Additionally, this interaction has not been shown in humans.
Simvastatin (Zocor)
Taking Hibiscus sabdariffa with simvastatin might reduce the levels and clinical effects of simvastatin.
A pharmacokinetic study in humans shows that taking a beverage prepared with dried Hibiscus sabdariffa flower 300 grams concurrently with a single dose of simvastatin 40 mg increases the clearance of simvastatin by about 45% and reduces peak levels of simvastatin by 18%.
Acetaminophen (Tylenol, Others)
Theoretically, taking Hibiscus sabdariffa with acetaminophen might decrease the clinical effects of acetaminophen.
There is some evidence that consuming a Hibiscus sabdariffa beverage (Zobo drink) before taking acetaminophen can decrease the elimination half-life of acetaminophen. Hibiscus sabdariffa does not seem to decrease maximum concentration or area under the curve of acetaminophen. The clinical significance of this is unknown.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP1A2 substrates.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP1A2. This interaction has not been reported in humans.
Cytochrome P450 2A6 (Cyp2A6) Substrates
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP2A6 substrates.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP2A6. This interaction has not been reported in humans.
Cytochrome P450 2B6 (Cyp2B6) Substrates
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP2B6 substrates.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP2B6. This interaction has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP2C19 substrates.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP2C19. This interaction has not been reported in humans.
Cytochrome P450 2C8 (Cyp2C8) Substrates
Theoretically, Hibiscus sabdariffa might reduce the metabolism of CYP2C8 substrates.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP2C8. This interaction has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP2C9 substrates.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP2C9. This interaction has not been reported in humans.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP2D6 substrates.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP2D6. This interaction has not been reported in humans.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP2E1 substrates.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP2E1. This interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, Hibiscus sabdariffa extract might reduce the metabolism of CYP3A4 substrates.
In vitro research shows that Hibiscus sabdariffa calyx extract inhibits CYP3A4. This interaction has not been reported in humans.
Vitamin C
Alkylating Agents
Theoretically, antioxidant effects of vitamin C might reduce the effectiveness of alkylating agents.
The use of antioxidants like vitamin C during chemotherapy is controversial. There is concern that antioxidants could reduce the activity of chemotherapy drugs that generate free radicals, such as cyclophosphamide, chlorambucil, carmustine, busulfan, and thiotepa. In contrast, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that could interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin C have on chemotherapy.
Aluminum
Vitamin C can increase the amount of aluminum absorbed from aluminum compounds.
Research in animals and humans shows that vitamin C increases aluminum absorption, theoretically by chelating aluminum and keeping it in solution where it is available for absorption. In people with normal renal function, urinary excretion of aluminum will likely increase, making aluminum retention and toxicity unlikely. Patients with renal failure who take aluminum-containing compounds such as phosphate binders should avoid vitamin C supplements in doses above the recommended dietary allowances.
Antitumor Antibiotics
Theoretically, the antioxidant effects of vitamin C might reduce the effectiveness of antitumor antibiotics.
The use of antioxidants like vitamin C during chemotherapy is controversial. There is concern that antioxidants could reduce the activity of chemotherapy drugs which generate free radicals, such as doxorubicin. In contrast, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that could interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effects, if any, antioxidants such as vitamin C have on chemotherapy.
Estrogens
Vitamin C might increase blood levels of estrogens.
Increases in plasma estrogen levels of up to 55% occur under some circumstances when vitamin C is taken concurrently with oral contraceptives or hormone replacement therapy, including topical products. It is suggested that vitamin C prevents oxidation of estrogen in the tissues, regenerates oxidized estrogen, and reduces sulfate conjugation of estrogen in the gut wall. When tissue levels of vitamin C are high, these processes are already maximized and supplemental vitamin C does not have any effect on estrogen levels. Increases in plasma estrogen levels may occur when patients who are deficient in vitamin C take supplements. Monitor these patients for estrogen-related side effects.
Fluphenazine (Prolixin)
Theoretically, vitamin C might decrease levels of fluphenazine.
In one patient there was a clinically significant decrease in fluphenazine levels when vitamin C (500 mg twice daily) was started. The mechanism is not known, and there is no further data to confirm this interaction.
Indinavir (Crixivan)
Vitamin C can modestly reduce indinavir levels.
One pharmacokinetic study shows that taking vitamin C 1 gram orally once daily along with indinavir 800 mg orally three times daily reduces the area under the concentration-time curve of indinavir by 14%. The mechanism of this interaction is unknown, but it is unlikely to be clinically significant in most patients. The effect of higher doses of vitamin C on indinavir levels is unknown.
Levothyroxine (Synthroid, Others)
Vitamin C can increase levothyroxine absorption.
Two clinical studies in adults with poorly controlled hypothyroidism show that swallowing levothyroxine with a glass of water containing vitamin C 500-1000 mg in solution reduces thyroid stimulating hormone (TSH) levels and increases thyroxine (T4) levels when compared with taking levothyroxine alone. This suggests that vitamin C increases the oral absorption of levothyroxine, possibly due to a reduction in pH.
Warfarin (Coumadin)
High-dose vitamin C might reduce the levels and effectiveness of warfarin.
Vitamin C in high doses may cause diarrhea and possibly reduce warfarin absorption. There are reports of two people who took up to 16 grams daily of vitamin C and had a reduction in prothrombin time. Lower doses of 5-10 grams daily can also reduce warfarin absorption. In many cases, this does not seem to be clinically significant. However, a case of warfarin resistance has been reported for a patient who took vitamin C 500 mg twice daily. Cessation of vitamin C supplementation resulted in a rapid increase in international normalized ratio (INR). Tell patients taking warfarin to avoid taking vitamin C in excessively high doses (greater than 10 grams daily). Lower doses may be safe, but the anticoagulation activity of warfarin should be monitored. Patients who are stabilized on warfarin while taking vitamin C should avoid adjusting vitamin C dosage to prevent the possibility of warfarin resistance.
Acetaminophen (Tylenol, Others)
High-dose vitamin C might slightly prolong the clearance of acetaminophen.
A small pharmacokinetic study in healthy volunteers shows that taking high-dose vitamin C (3 grams) 1.5 hours after taking acetaminophen 1 gram slightly increases the apparent half-life of acetaminophen from around 2.3 hours to 3.1 hours. Ascorbic acid competitively inhibits sulfate conjugation of acetaminophen. However, to compensate, elimination of acetaminophen glucuronide and unconjugated acetaminophen increases. This effect is not likely to be clinically significant.
Aspirin
Acidification of the urine by vitamin C might increase aspirin levels.
It has been suggested that acidification of the urine by vitamin C could increase reabsorption of salicylates by the renal tubules, and increase plasma salicylate levels. However, short-term use of up to 6 grams daily of vitamin C does not seem to affect urinary pH or salicylate excretion, suggesting this interaction is not clinically significant.
Choline Magnesium Trisalicylate (Trilisate)
Acidification of the urine by vitamin C might increase choline magnesium trisalicylate levels.
It has been suggested that acidification of the urine by vitamin C could increase reabsorption of salicylates by the renal tubules, and increase plasma salicylate levels. However, short-term use of up to 6 grams daily of vitamin C does not seem to affect urinary pH or salicylate excretion, suggesting this interaction probably is not clinically significant.
Niacin
Vitamin C might decrease the beneficial effects of niacin on high-density lipoprotein (HDL) cholesterol levels.
A combination of niacin and simvastatin (Zocor) effectively raises HDL cholesterol levels in patients with coronary disease and low HDL levels. Clinical research shows that taking a combination of antioxidants (vitamin C, vitamin E, beta-carotene, and selenium) along with niacin and simvastatin (Zocor) attenuates this rise in HDL, specifically the HDL-2 and apolipoprotein A1 fractions, by more than 50% in patients with coronary disease. It is not known whether this adverse effect is due to a single antioxidant such as vitamin C, or to the combination. It also is not known whether it will occur in other patient populations.
Salsalate (Disalcid)
Acidification of the urine by vitamin C might increase salsalate levels.
It has been suggested that acidification of the urine by vitamin C could increase reabsorption of salicylates by the renal tubules, and increase plasma salicylate levels. However, short-term use of up to 6 grams/day vitamin C does not seem to affect urinary pH or salicylate excretion, suggesting this interaction probably is not clinically significant.
Crataegus pinnatifida berry extract
Nitrates
Theoretically, concomitant use might cause additive coronary vasodilatory effects.
Some evidence shows that hawthorn might lower blood pressure due to vasodilatory effects.
Phosphodiesterase-5 Inhibitors
Theoretically, concomitant use might result in additive vasodilation and hypotension.
Hawthorn might inhibit PDE-5 and cause vasodilation.
Anticoagulant/Antiplatelet Drugs
Theoretically, hawthorn may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro and animal research shows that hawthorn can inhibit platelet aggregation. However, its effect in humans is unclear. One observational study shows that patients taking hawthorn shortly before undergoing coronary artery bypass graft (CABG) surgery or valve replacement surgery have a 10% incidence of postoperative bleeding, compared with 1% in those who never consumed hawthorn extract. However, clinical research shows that taking a specific preparation of dried hawthorn leaves and flowers (Crataesor, Soria Natural Lab) 800 mg three times daily for 15 days does not affect platelet aggregation or levels of thromboxane B2, the metabolite of thromboxane A2, in healthy humans.
Beta-Blockers
Theoretically, concomitant use might cause additive effects on blood pressure and heart rate.
Some evidence shows that hawthorn might lower blood pressure and heart rate.
Calcium Channel Blockers
Theoretically, concomitant use might cause additive coronary vasodilation and hypotensive effects.
Some evidence shows that hawthorn might lower blood pressure due to vasodilatory effects.
Digoxin (Lanoxin)
Theoretically, hawthorn might potentiate the effects and adverse effects of digoxin.
Hawthorn appears to improve cardiac output; however, hawthorn does not appear to affect digoxin pharmacokinetics. Case reports suggest that at least one species of hawthorn root extract (Crataegus mexicana) may produce adverse effects similar to digoxin and can cross-react with digoxin assays, leading to falsely elevated plasma digoxin levels.
Horsetail (Equisetum arvense) whole herb extract
Antidiabetes Drugs
Theoretically, taking horsetail with antidiabetes drugs might increase the risk of hypoglycemia.
Equisetum myriochaetum has demonstrated hypoglycemic activity in clinical research. In an animal diabetic model, Equisetum giganteum had hypoglycemic effects. It is unclear whether other horsetail species have hypoglycemic effects.
Diuretic Drugs
Theoretically, taking horsetail with diuretic drugs might increase potassium loss and the risk of hypokalemia.
Laboratory research shows that various species of horsetail have diuretic properties. Due to its diuretic effects, there has been concern that taking horsetail along with potassium-depleting diuretics might increase the risk for hypokalemia. However, pharmacokinetic research in humans shows that taking horsetail 900 mg daily for 4 days does not affect urinary excretion of electrolytes, including potassium and sodium, despite having a diuretic effect similar to taking hydrochlorothiazide 25 mg daily. It is unclear if taking horsetail for a longer duration would affect electrolyte levels. Until more is known, use with caution.
Efavirenz (Sustiva)
Theoretically, horsetail might decrease the levels and clinical effects of efavirenz.
In two case reports, patients were found to have detectable viral loads when taking horsetail-containing supplements along with an antiretroviral regimen that included efavirenz. In one case, the antiretroviral regimen included zidovudine, lamivudine, and efavirenz; in the other case, the regimen consisted of emtricitabine, tenofovir disoproxil fumarate, and efavirenz. One month after discontinuing horsetail, the viral loads became undetectable in both cases. The exact mechanism of this interaction is unknown. It is also unclear if this interaction is specific to efavirenz or if it is related to various components of antiretroviral therapy.
Lithium
Theoretically, horsetail might increase the levels and adverse effects of lithium.
Animal research suggests that horsetail has diuretic properties. Theoretically, due to these potential diuretic effects, horsetail might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.
Nucleoside Reverse Transcriptase Inhibitors (Nrtis)
Theoretically, horsetail might decrease the levels and clinical effects of NRTIs.
In two case reports, patients were found to have detectable viral loads when taking horsetail-containing supplements along with an antiretroviral therapy. In one case, the antiretroviral regimen included zidovudine, lamivudine, and efavirenz; in the other case, the regimen consisted of emtricitabine, tenofovir disoproxil fumarate, and efavirenz. One month after discontinuing the supplement, the viral loads became undetectable in both cases. The exact mechanism of these interactions is unknown. It is also unclear if these interactions are specific to NRTIs or if they are related to various components of antiretroviral therapy.
Juniper (Juniperus communis) berry extract
Antidiabetes Drugs
Theoretically, taking juniper berry with antidiabetes medications might cause additive hypoglycemia.
Animal research shows that juniper berry can lower blood glucose.
Diuretic Drugs
Theoretically, juniper berry might increase the risk of adverse effects from diuretic drugs.
Juniper berry is thought to have mild diuretic effects.
Lithium
Theoretically, juniper berry might reduce lithium excretion and increase serum levels of lithium.
Juniper berry is thought to have mild diuretic effects.
Potassium
Ace Inhibitors (Aceis)
Using ACEIs with high doses of potassium increases the risk of hyperkalemia.
ACEIs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion. Concomitant use of these drugs with potassium supplements increases the risk of hyperkalemia. However, concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels.
Angiotensin Receptor Blockers (Arbs)
Using ARBs with high doses of potassium increases the risk of hyperkalemia.
ARBs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion. Concomitant use of these drugs with potassium supplements increases the risk of hyperkalemia. However, concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels.
Potassium-Sparing Diuretics
Concomitant use increases the risk of hyperkalemia.
Using potassium-sparing diuretics with potassium supplements increases the risk of hyperkalemia.
Brand information
Manufacturer and brand details for SuperHD Water, from the product label.
Cellucor
See all Cellucor products- Name
- Nutrabolt
- Street Address
- 3891 S. Traditions Dr.
- City
- Bryan
- State
- TX
- ZipCode
- 77807
- Phone Number
- 1.866.927.9686
- Web Address
- www.cellucor.com
SuperHD Water by Cellucor: Common Questions
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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 SuperHD Water’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin C
Interacts with 207 drugsVitamin C (ascorbic acid) is an essential nutrient your body needs but cannot make, so you must get it from food or supplements. It's important for immune function, collagen, and acts as an...
Read the full Vitamin C monograph → Herb & supplement monographPotassium
Interacts with 62 drugsPotassium is an essential mineral your body needs for nerve signals, muscle function, and a steady heartbeat, and most people get enough from a balanced diet rich in fruits and vegetables. P...
Read the full Potassium monograph → Herb & supplement monographGreen Tea
Interacts with 1,293 drugsGreen tea is a popular beverage rich in antioxidants called catechins, and drinking it in normal amounts is considered safe for most people. Concentrated green tea extracts are a different s...
Read the full Green Tea monograph → Herb & supplement monographHorsetail
Interacts with 188 drugsHorsetail is a traditional herb most often used as a mild diuretic and for hair, nail, and bone support, but high-quality human evidence is limited. It can cause thiamine (vitamin B1) loss w...
Read the full Horsetail monograph → Herb & supplement monographJuniper
Interacts with 162 drugsJuniper berry is a traditional herb best known for flavoring gin and for its folk use as a diuretic and digestive aid. Solid human evidence for its health benefits is limited, and it can irr...
Read the full Juniper monograph → Herb & supplement monographHawthorn
Interacts with 191 drugsHawthorn is a plant traditionally used for heart-related complaints, and some studies suggest it may modestly help symptoms of mild heart failure when added to standard care. However, the ev...
Read the full Hawthorn monograph → Herb & supplement monographHibiscus Sabdariffa
Interacts with 1,087 drugsHibiscus sabdariffa is a tart, cranberry-flavored plant most often consumed as a tea, and its best-studied use is for mildly lowering blood pressure. Evidence for other uses is limited, and...
Read the full Hibiscus Sabdariffa monograph →Sources & How We Checked
SuperHD Water'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 347 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.
Vitamin C 51 references
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- Rahimi, R., Nikfar, S., Rezaie, A., and Abdollahi, M. A meta-analysis on the efficacy and safety of combined vitamin C and E supplementation in preeclamptic women. Hypertens.Pregnancy. 2009;28(4):417-434. PubMed
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Green Tea 219 references
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