Tonic of Emperor Ingredients & Drug Interactions
by Herbal Terra
What is this page for?
First and foremost: checking Tonic of Emperor 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
Tonic of Emperor is a dietary supplement by Herbal Terra with 4 active ingredients. Its ingredients are commonly taken for immune support, general wellness and nutrition, cholesterol and heart health.Based on those ingredients, 662 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are certified organic Reishi Mushroom (Ganoderma lucidum) extract, certified organic Shiitake (Lentinula edodes) extract, certified organic Maitake (Grifola frondosa) extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Tonic of Emperor by Herbal Terra
Ask about any prescription or over-the-counter medication and we check it for interactions with Tonic of Emperor by Herbal Terra — 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 Tonic of Emperor by Herbal Terra
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
Tonic of Emperor contains 4 active ingredients: certified organic shiitake, maitake, reishi, and cordyceps mushroom extracts. These are all mushroom-based botanicals traditionally used as tonics.
The liquid also includes menstruum (a herbal solvent) as an inactive ingredient.
Does it work?
Couldn't assess
The effectiveness data we hold shows insufficient evidence to rate these mushroom extracts for most conditions listed — allergies, cancer-related fatigue or side effects, and sexual function among them. Shiitake is marked as possibly ineffective for dental plaque.
Reishi is possibly ineffective for high cholesterol. Cordyceps is possibly ineffective for athletic performance.
In short, the evidence for what this tonic actually does isn't established in our data.
How safe is it?
Well-documented data
All four mushrooms are generally well tolerated when consumed as foods or taken short-term as supplements, though safety data for long-term use is limited. The most common side effects are mild gastrointestinal ones — bloating, diarrhea, nausea, stomach upset.
Shiitake can cause a rash (shiitake dermatitis) if eaten raw in large amounts, and anyone handling raw shiitake extensively may develop allergic reactions including asthma or breathing problems. Reishi may cause dizziness, dry mouth, itching, or rash in some people.
Cordyceps is generally well tolerated for up to a year, though product quality varies widely. One rare case of liver inflammation (hepatitis) has been reported with cordyceps, though it's unclear whether cordyceps or a contaminant was responsible.
For pregnancy and breastfeeding, safety data for all four concentrated supplements is insufficient — the facts advise against them during pregnancy and lactation. Talk with your doctor or pharmacist about whether any of these are right for you if you're pregnant, planning to become pregnant, or nursing.
Meds to double-check
Moderate interaction found
Before taking this product, check with your pharmacist or doctor if you take warfarin or other blood thinners (moderate risk of increased bleeding), blood pressure medications (risk of dangerously low readings), diabetes drugs (risk of low blood sugar), immune-suppressing medications, or certain antidepressants and heart drugs processed by CYP2D6. These are the main medication types to double-check.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This tonic may appeal to anyone looking for a traditional mushroom blend, but if you take any blood pressure medication, blood thinner, diabetes drug, or immune-suppressing medication, you need to check it first. Pregnant or breastfeeding?
Skip it — there isn't enough safety data. Chat with your pharmacist or doctor before starting, especially if you're on any regular medications.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Sep 25, 2020.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Tonic of Emperor, straight from the product label.
| Brand | Herbal Terra |
|---|---|
| Barcode (UPC) | 606595916124 |
| Net contents | 4 Fluid Ounce(s); 120 mL |
| Market status | On market |
| Date entered into DSLD | Sep 25, 2020 |
| DSLD ID | 235150 |
| Product type | Non-nutrient/non-botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Organic, Gluten Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Tonic of Emperor by Herbal Terra, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
Other ingredients: Menstruum
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
Direction Shake well before use. Adults take up to 30 drops (1 mL, one full squeeze of the dropper bulb) in 3-4 fl. oz of juice or water up to 4 times a day. We recommend to seek expert medical advice before taking this or any other herbal supplements.
FDA Disclaimer Statement
Notice This product has not been evaluated by the FDA and is not intended to diagnose, treat, cure, or prevent any disease.
Formulation
Manufactured in the USA in an FDA registered facility
Alcohol free
Dried herb/menstruum ratio: 1:3 Expertly extracted Laboratory tested 330 mg/1 mL Premium product Alcohol-free liquid herbal extract
Non GMO
No alcohol, GMO, gluten, color additives, fillers, preservatives or binders. Natural Gluten Free
Precautions
Caution May have contraindications.
Do not use if you are allergic to any ingredients.
Consult a physician before using during pregnancy, if nursing, or if you are on any medications.
Keep out of the reach of children.
Storage
Store in a cool, dry, dark place.
FDA Statement of Identity
Herbal Supplement
Seals/Symbols
Made in USA FDA registered facility Natural Gluten Free 100% Natural guaranteed
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Tonic of Emperor by Herbal Terra 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 Tonic of Emperor by Herbal Terra
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 mL Dosage formLiquid Servings per container120 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.
Other (inactive) ingredients: Menstruum. These complete the product’s ingredient list but are not active constituents.
Tonic of Emperor by Herbal Terra Drug Interactions
HelloPharmacist Interaction Report
Tonic of Emperor by Herbal Terra contains four mushroom extracts, and together they interact with a significant number of medications.
The most serious concern is warfarin (a blood thinner used to prevent clots): maitake mushroom may increase its effects, raising your bleeding risk — one patient's clotting markers jumped after taking maitake for just one week.
Read the full breakdown — every affected drug type, severity by severity
The other moderate interactions span several drug categories. Shiitake may reduce how well your immune-suppressing medications or certain antidepressants and heart drugs work (those processed by a liver enzyme called CYP2D6).
Maitake can lower blood pressure and blood sugar, so combining it with blood pressure drugs or diabetes medications increases the risk of dangerously low readings or low blood sugar. Reishi also lowers blood pressure and may thin the blood at higher doses, creating overlap with maitake's effects.
Cordyceps may increase bleeding risk with blood thinners and could interfere with immune-suppressing drugs.
Altogether, these interactions span 655 individual medications. We recommend checking your specific prescriptions with the tool on this page before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Tonic of Emperor?
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 Tonic of Emperor interact with 662 drugs. Click any drug to see the details.
4 of the 4 ingredients in Tonic of Emperor interact with drugs. Each result below shows which ingredient is responsible. certified organic Reishi Mushroom (Ganoderma lucidum) extract certified organic Shiitake (Lentinula edodes) extract certified organic Maitake (Grifola frondosa) extract certified organic Cordyceps (Cordyceps sinensis) mushroom extract
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Tonic of Emperor — through 2 ingredients. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, taking shiitake mushroom might decrease the effects of immunosuppressive therapy.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + 6-mercaptopurine interactionCertified Organic Cordyceps (cordyceps Sinensis) Mushroom ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, concurrent use of cordyceps might interfere with immunosuppressive therapy.
Read the full Certified Organic Cordyceps (cordyceps Sinensis) Mushroom Extract + 6-mercaptopurine interactionAbciximabReoPro
How Abciximab interacts with Tonic of Emperor — through 2 ingredients. Tap an ingredient for the detail:
Certified Organic Reishi Mushroom (ganoderma Lucidum) ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, high doses of reishi mushroom might increase the risk of bleeding.
Read the full Certified Organic Reishi Mushroom (ganoderma Lucidum) Extract + Abciximab interactionCertified Organic Cordyceps (cordyceps Sinensis) Mushroom ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cordyceps may increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Certified Organic Cordyceps (cordyceps Sinensis) Mushroom Extract + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Tonic of Emperor — through 3 ingredients. Tap an ingredient for the detail:
Certified Organic Cordyceps (cordyceps Sinensis) Mushroom ExtractAnticoagulant/antiplatelet Drugs, Immunosuppressants Moderate
Interaction Summary
Theoretically, cordyceps may increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Certified Organic Cordyceps (cordyceps Sinensis) Mushroom Extract + Abrocitinib interactionCertified Organic Shiitake (lentinula Edodes) ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, taking shiitake mushroom might decrease the effects of immunosuppressive therapy.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Abrocitinib interactionCertified Organic Reishi Mushroom (ganoderma Lucidum) ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, high doses of reishi mushroom might increase the risk of bleeding.
Read the full Certified Organic Reishi Mushroom (ganoderma Lucidum) Extract + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Tonic of Emperor — through 2 ingredients. Tap an ingredient for the detail:
Certified Organic Reishi Mushroom (ganoderma Lucidum) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, reishi mushroom might have additive effects with antidiabetes drugs.
Read the full Certified Organic Reishi Mushroom (ganoderma Lucidum) Extract + Acarbose interactionCertified Organic Maitake (grifola Frondosa) ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, combining maitake mushroom with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Certified Organic Maitake (grifola Frondosa) Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Tonic of Emperor — through 2 ingredients. Tap an ingredient for the detail:
Certified Organic Maitake (grifola Frondosa) ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, combining maitake mushroom with antihypertensive drugs might increase the risk of hypotension.
Read the full Certified Organic Maitake (grifola Frondosa) Extract + Acebutolol interactionCertified Organic Reishi Mushroom (ganoderma Lucidum) ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concurrent use of reishi mushroom with antihypertensive drugs might increase the risk of hypotension.
Read the full Certified Organic Reishi Mushroom (ganoderma Lucidum) Extract + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Tonic of Emperor — through 2 ingredients. Tap an ingredient for the detail:
Certified Organic Reishi Mushroom (ganoderma Lucidum) ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, high doses of reishi mushroom might increase the risk of bleeding.
Read the full Certified Organic Reishi Mushroom (ganoderma Lucidum) Extract + Acenocoumarol interactionCertified Organic Cordyceps (cordyceps Sinensis) Mushroom ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cordyceps may increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Certified Organic Cordyceps (cordyceps Sinensis) Mushroom Extract + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Tonic of Emperor — through 2 ingredients. Tap an ingredient for the detail:
Certified Organic Cordyceps (cordyceps Sinensis) Mushroom ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cordyceps may increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Certified Organic Cordyceps (cordyceps Sinensis) Mushroom Extract + Acetaminophen, Aspirin interactionCertified Organic Reishi Mushroom (ganoderma Lucidum) ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, high doses of reishi mushroom might increase the risk of bleeding.
Read the full Certified Organic Reishi Mushroom (ganoderma Lucidum) Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Tonic of Emperor — through 2 ingredients. Tap an ingredient for the detail:
Certified Organic Reishi Mushroom (ganoderma Lucidum) ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, high doses of reishi mushroom might increase the risk of bleeding.
Read the full Certified Organic Reishi Mushroom (ganoderma Lucidum) Extract + Acetaminophen, Aspirin, Caffeine interactionCertified Organic Cordyceps (cordyceps Sinensis) Mushroom ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cordyceps may increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
Read the full Certified Organic Cordyceps (cordyceps Sinensis) Mushroom Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorzoxazone, CodeineAcetazone Forte C8, Parafon Forte C8
How Acetaminophen, Chlorzoxazone, Codeine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Chlorzoxazone, Codeine interactionAcetaminophen, CodeineTylenol No.3, Tylenol w/ Codeine
How Acetaminophen, Codeine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Codeine interactionAcetaminophen, Codeine, DoxylamineMersyndol
How Acetaminophen, Codeine, Doxylamine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Codeine, Doxylamine interactionAcetaminophen, Codeine, MethocarbamolAcetaminophen, Codeine, Methocarbamol, Robaxacet 8
How Acetaminophen, Codeine, Methocarbamol interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Codeine, Methocarbamol interactionAcetaminophen, DextromethorphanTylenol Cough Ex Strength
How Acetaminophen, Dextromethorphan interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Dextromethorphan interactionAcetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil
How Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylpropanolamineAnatuss
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PseudoephedrineRobitussin Cold, Severe Cold, Suphedrine Cold/Cough
How Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interacts with Tonic of Emperor — through 1 ingredient. Tap an ingredient for the detail:
Certified Organic Shiitake (lentinula Edodes) ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
Read the full Certified Organic Shiitake (lentinula Edodes) Extract + Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Tonic of Emperor 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.
certified organic Reishi Mushroom (Ganoderma lucidum) extract
Anticoagulant/Antiplatelet Drugs
Theoretically, high doses of reishi mushroom might increase the risk of bleeding.
A dose of 1.5 grams daily of reishi mushroom does not seem to decrease platelet aggregation, but a higher dose of 3 grams daily does.
Antidiabetes Drugs
Theoretically, reishi mushroom might have additive effects with antidiabetes drugs.
Animal research suggests that reishi mushroom decreases blood sugar. However, in patients with type 2 diabetes, taking reishi mushroom does not reduce fasting glucose levels, and its effects on glycated hemoglobin are inconsistent.
Antihypertensive Drugs
Theoretically, concurrent use of reishi mushroom with antihypertensive drugs might increase the risk of hypotension.
Reishi mushroom has shown hypotensive activity in animal research. Clinical evidence suggests that reishi mushroom reduces blood pressure in some, but not all, patients with hypertension.
certified organic Shiitake (Lentinula edodes) extract
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, shiitake mushroom might decrease levels of drugs metabolized by CYP2D6.
In vitro studies suggest that the shiitake mushroom extract AHCC might induce the CYP2D6 enzyme. This effect has not been reported in humans.
Immunosuppressants
Theoretically, taking shiitake mushroom might decrease the effects of immunosuppressive therapy.
In vitro evidence suggests that shiitake mushroom extracts stimulate immune function.
certified organic Maitake (Grifola frondosa) extract
Antidiabetes Drugs
Theoretically, combining maitake mushroom with antidiabetes drugs might increase the risk of hypoglycemia.
Clinical research shows that taking maitake mushroom polysaccharide (MMP) can lower blood glucose levels in patients with types 2 diabetes.
Antihypertensive Drugs
Theoretically, combining maitake mushroom with antihypertensive drugs might increase the risk of hypotension.
Animal research shows that maitake mushroom can lower blood pressure.
Warfarin (Coumadin)
There is limited evidence that maitake mushroom may increase the anticoagulant effects of warfarin.
In a case report, a patient previously stabilized on warfarin developed an elevated international normalized ratio (INR) of 5.1 after taking maitake mushroom (Grifron-Pro Maitake D-Fraction) 1 drop/kg daily in three divided doses for one week. The elevated INR resolved after holding warfarin for two days, then reducing the dose by 11%. It is thought that the beta-glucan constituent of maitake mushroom might cause warfarin dissociation from proteins, resulting in increased free warfarin levels and increased warfarin effects.
certified organic Cordyceps (Cordyceps sinensis) mushroom extract
Anticoagulant/Antiplatelet Drugs
Theoretically, cordyceps may increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
In vitro and animal research suggests that cordyceps extract inhibits platelet aggregation and function. However, this interaction has not been reported in humans.
Immunosuppressants
Theoretically, concurrent use of cordyceps might interfere with immunosuppressive therapy.
Animal and in vitro research suggests that cordyceps stimulates the immune system. However, limited clinical research suggests that taking cordyceps may lower the necessary therapeutic dose of the immunosuppressant cyclosporine, which suggests that cordyceps may have an immunosuppressive effect.
Testosterone
Theoretically, concurrent use of cordyceps and testosterone might have additive effects.
Animal research suggests that cordyceps can increase testosterone levels. The clinical significance of this finding is unclear.
Brand information
Manufacturer and brand details for Tonic of Emperor, from the product label.
Tonic of Emperor by Herbal Terra: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Tonic of Emperor’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Shiitake Mushroom
Interacts with 312 drugsShiitake is a popular edible mushroom that is nutritious and safe to eat as food for most people. Some of its extracts (like lentinan and AHCC) have been studied as immune support, mainly al...
Read the full Shiitake Mushroom monograph → Herb & supplement monographMaitake Mushroom
Interacts with 260 drugsMaitake is an edible mushroom long used as food and in traditional Japanese medicine, and it is being studied for possible immune, blood sugar, and blood pressure effects. The human evidence...
Read the full Maitake Mushroom monograph → Herb & supplement monographReishi Mushroom
Interacts with 375 drugsReishi is a traditional Asian mushroom widely used to support the immune system and overall wellness. Human evidence for most of its claimed benefits is limited or low-quality, so it should...
Read the full Reishi Mushroom monograph → Herb & supplement monographCordyceps
Interacts with 249 drugsCordyceps is a fungus used in traditional Chinese medicine for energy, exercise performance, and lung and immune support. Human research is limited and mostly low quality, so its benefits ar...
Read the full Cordyceps monograph →Sources & How We Checked
Tonic of Emperor'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 106 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.
Shiitake Mushroom 67 references
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- Ghoneum, M., Wimbley, M., Salem, F., McKlain, A., Attallah, N., and Gill, G. Immunomodulatory and anticancer effects of active hexose correlated compound (AHCC). Int J Immunother 1995;11:23-28.
- Thaiudom, S., Piyaniran, W., and Chutaputthi, A. A study of the efficacy of Active Hexose Correlated Compound (AHCC) in the treatment of chronic Hepatitis C patients at Phramongkutklao Hospital. The Medical News (Thailand) 2010;325:13-16.
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- Sia, G. M. and Candlish, J. K. Effects of shiitake (Lentinus edodes) extract on human neutrophils and the U937 monocytic cell line. Phytother.Res. 1999;13(2):133-137. DOI
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- Baran W, Batycka-Baran A, Maj J, Szepietowski JC. Shiitake dermatitis - now also in Poland. Acta Derm Venereol. 2015 Jan;95(1):102-3. PubMed
- Boels D, Landreau A, Bruneau C, et al. Shiitake dermatitis recorded by French Poison Control Centers - new case series with clinical observations. Clin Toxicol (Phila). 2014 Jul;52(6):625-8. PubMed
- Chu EY, Anand D, Dawn A, Elenitsas R, Adler DJ. Shiitake dermatitis: a report of 3 cases and review of the literature. Cutis. 2013 Jun;91(6):287-90.
- Corazza M, Zauli S, Ricci M, et al. Shiitake dermatitis: toxic or allergic reaction? J Eur Acad Dermatol Venereol. 2015 Jul;29(7):1449-51. PubMed
- Czarnecka AB, Kreft B, Marsch WCh. Flagellate dermatitis after consumption of Shiitake mushrooms. Postepy Dermatol Alergol. 2014 Jun;31(3):187-90. PubMed
- Dai X, Stanilka JM, Rowe CA, et al. Consuming Lentinula edodes (Shiitake) Mushrooms Daily Improves Human Immunity: A Randomized Dietary Intervention in Healthy Young Adults. J Am Coll Nutr. 2015;34(6):478-87.
- Hamer SE, Kulkarni K, Cohen SN. Shiitake dermatitis with oral ulceration and pustules. Clin Exp Dermatol. 2015 Apr;40(3):332-3. PubMed
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- Karanovic S, George S, Topham E. Don't miss shiitake dermatitis: a case report. Br J Gen Pract. 2014 Aug;64(625):426-7. PubMed
- Kopp T, Mastan P, Mothes N, Tzaneva S, Stingl G, Tanew A. Systemic allergic contact dermatitis due to consumption of raw shiitake mushroom. Clin Exp Dermatol. 2009 Dec;34(8):e910-3. PubMed
- Lingström P, Zaura E, Hassan H, et al. The anticaries effect of a food extract (shiitake) in a short-term clinical study. J Biomed Biotechnol. 2012;2012:217164. PubMed
- Loo HV, Oon HH. Flagellate dermatitis following consumption of shiitake mushroom. Dermatol Reports. 2011 Oct 5;3(2):e21. PubMed
- Luber AJ, Ackerman LS. Flagellate shiitake mushroom dermatitis. Dermatol Online J. 2015 Aug 15;21(8). pii: 13030/qt7rm57553. DOI
- Mendonça CN, Silva PM, Avelleira JC, Nishimori FS, Cassia Fde F. Shiitake dermatitis. An Bras Dermatol. 2015 Mar-Apr;90(2):276-8.
- Netchiporouk E, Pehr K, Ben-Shoshan M, Billick RC, Sasseville D, Singer M. Pustular flagellate dermatitis after consumption of shiitake mushrooms. JAAD Case Rep. 2015 May 2;1(3):117-9. PubMed
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Maitake Mushroom 8 references
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Reishi Mushroom 17 references
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Cordyceps 14 references
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- Hong T, Zhang M, Fan J. Cordyceps sinensis (a traditional Chinese medicine) for kidney transplant recipients (Review). Cochrane Database Syst Rev. 2015;(10):CD009698. doi: 10.1002/14651858.CD009698.pub2.
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- Thurian D, Montani M, Stickel F. Drug-induced, mixed-type hepatitis following ingestion of Cordyceps sinensis. Int J Clin Pharmacol Ther 2022;60(2):115-120. PubMed
- Yu X, Mao Y, Shergis JL, et al. Effectiveness and safety of oral Cordyceps sinensis on stable COPD of GOLD stages 2-3: Systematic review and meta-analysis. Evid Based Complement Alternat Med. 2019;2019:4903671.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC