Triphala Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Triphala 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
Triphala is a dietary supplement by Banyan Botanicals with 3 active ingredients. Its ingredients are commonly taken for antioxidant support, cholesterol and heart health, immune support.Based on those ingredients, 933 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Belleric Myrobalan, Alma. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Triphala by Banyan Botanicals
Ask about any prescription or over-the-counter medication and we check it for interactions with Triphala by Banyan Botanicals — 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 Triphala by Banyan Botanicals
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
Triphala is a three-ingredient blend used in traditional Ayurvedic medicine. The active ingredients are Indian gooseberry (Alma), Belleric Myrobalan (Terminalia bellirica), and Chebulic Myrobalan (Terminalia chebula).
The tablet also contains rice flour and acacia gum as inactive ingredients (binders and fillers).
Does it work?
Moderate evidence
Clinical evidence supports Indian gooseberry for easing symptoms of acid reflux (GERD) — the data rates it as possibly effective. It's also rated possibly effective for high cholesterol (dyslipidemia).
For high blood cholesterol specifically and for hair loss (androgenic alopecia), there isn't enough reliable evidence yet to rate how well it works. The evidence rating for Terminalia ingredients is thinner across the board — we have insufficient reliable evidence for obesity, high cholesterol, and high blood pressure.
How safe is it?
Well-documented data
Indian gooseberry is generally well tolerated when used as a food, but supplement safety at higher doses is less studied. A small number of trial participants reported stomach discomfort or indigestion, and single cases of fatigue and muscle or joint pain were noted.
The safety data advises against using Indian gooseberry in supplement doses during pregnancy and breastfeeding. Terminalia is generally well tolerated in short-term studies, but long-term safety varies by product quality.
There isn't enough safety information for Terminalia during pregnancy or breastfeeding — the data advises against use in both.
Meds to double-check
Moderate interaction found
Before taking Triphala, double-check with your doctor or pharmacist if you take blood thinners or antiplatelet drugs (including aspirin and clopidogrel) — both ingredients may raise bleeding risk. Also flag diabetes medications, as the product may lower blood sugar further.
If you're on medications broken down by CYP2D6, CYP2C9, or CYP3A4 enzymes — a broad group that includes many common drugs — or if you take chlorzoxazone or omeprazole, check with your pharmacist or doctor first.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
Triphala may help with acid reflux and high cholesterol, but its interactions with blood thinners, diabetes drugs, and medications broken down by your liver are significant. If you take any prescription medication — especially blood thinners, antiplatelet drugs, diabetes medications, or drugs metabolized by your liver — talk with your doctor or pharmacist before starting this product.
They can review your exact medications and decide if it's right for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Mar 22, 2024.
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 Triphala, straight from the product label.
| Brand | Banyan Botanicals |
|---|---|
| Barcode (UPC) | 618192010518 |
| Net contents | 90 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Mar 22, 2024 |
| DSLD ID | 305739 |
| Product type | Botanical |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegetarian, Adult (18 - 50 Years), Organic, Gluten Free, Dairy Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Triphala by Banyan Botanicals, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 2000 mg | -- |
| Alma | 0 NP | -- |
| Belleric Myrobalan | 0 NP | -- |
| Chebulic Myrobalan | 0 NP | -- |
Other ingredients: Rice Flour, Acacia Gum
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.
Formula
Ayurvedic herbs
Triphala is a traditional ayurvedic rejuvenation formula that promotes deep cleansing of the GI tract. It supports the proper functions of the digestive, circulatory, respiratory, and genitourinary systems.
Formulation
Balancing formula for detoxification & rejuvenation
Certified Organic
Free of gluten, soy, and dairy.
100% vegetarian.
Non GMO
Certified Organic by: QAI
Seals/Symbols
USDA Organic
Certified B Corporation
Fair Wild
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Suggested use: For gentle daily cleansing, take 1-4 tablets on an empty stomach at bedtime or upon waking, or as directed by your health practitioner.
Storage
Store in a cool, dry place.
Precautions
Do not use if seal is broken or missing.
If you are pregnant, nursing, taking medications, or have a medical condition, please consult with your health care practitioner prior to the use of this product.
Keep out of the reach of children.
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
www.fairwild.org
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Triphala by Banyan Botanicals 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 Triphala by Banyan Botanicals
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container22 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Proprietary Blend
- › Alma
- › Belleric Myrobalan
- › Chebulic Myrobalan
Other (inactive) ingredients: Rice Flour, Acacia Gum. These complete the product’s ingredient list but are not active constituents.
Triphala by Banyan Botanicals Drug Interactions
HelloPharmacist Interaction Report
Triphala by Banyan Botanicals contains two ingredients with documented interactions: Indian gooseberry (Alma) and Terminalia (Belleric Myrobalan).
The most serious concern is with blood thinners and antiplatelet drugs — both ingredients may increase bleeding risk, a Moderate severity issue. Indian gooseberry reduces platelet clumping by 24–36% and lengthens bleeding time by 3.8–5.9 seconds in clinical studies, while Terminalia arjuna shows similar antiplatelet effects in lab work.
Read the full breakdown — every affected drug type, severity by severity
Both ingredients also interact with diabetes medications (Moderate severity) — they may lower blood sugar further, raising the risk of low blood sugar (hypoglycemia), and may require dose adjustments to your diabetes drugs. Terminalia additionally affects how your liver breaks down certain medications through three separate enzyme pathways (CYP2D6, CYP2C9, and CYP3A4 substrates — all Moderate severity) — it can raise blood levels of affected drugs and boost their effects.
Terminalia also has specific documented interactions with the muscle relaxer chlorzoxazone and the reflux drug omeprazole, both Moderate severity.
We could not check the third ingredient, Chebulic Myrobalan, as we hold no data for it. Altogether, these interactions span 934 individual medications.
Use the search tool on this page to check your exact medications before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Triphala?
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 Triphala interact with 933 drugs. Click any drug to see the details.
2 of the 3 ingredients in Triphala interact with drugs. Each result below shows which ingredient is responsible. Belleric Myrobalan Alma
Carbetapentane, Chlorpheniramine, PhenylephrineRicotuss
How Carbetapentane, Chlorpheniramine, Phenylephrine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Carbetapentane, Chlorpheniramine, Phenylephrine interactionCarbetapentane, Chlorpheniramine, Phenylephrine, Phenylpropanolamine, Potassium GuaiacolsulfonateCophene-X
How Carbetapentane, Chlorpheniramine, Phenylephrine, Phenylpropanolamine, Potassium Guaiacolsulfonate interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Carbetapentane, Chlorpheniramine, Phenylephrine, Phenylpropanolamine, Potassium Guaiacolsulfonate interactionCariprazine HydrochlorideVraylar
How Cariprazine Hydrochloride interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Cariprazine Hydrochloride interactionCarvedilolCoreg, Coreg CR
How Carvedilol interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP2C9 substrates.
Read the full Belleric Myrobalan + Carvedilol interactionCelecoxibCelebrex, Elyxyb
How Celecoxib interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP2C9 substrates.
Read the full Belleric Myrobalan + Celecoxib interactionCelecoxib, TramadolSeglentis
How Celecoxib, Tramadol interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP2C9 substrates.
Read the full Belleric Myrobalan + Celecoxib, Tramadol interactionCevimelineEvoxac
How Cevimeline interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP2D6 substrates.
Read the full Belleric Myrobalan + Cevimeline interactionChlorpheniramineChlor-Trimeton, Teldrin
How Chlorpheniramine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine interactionChlorpheniramine Maleate, Dextromethorphan HydrobromideCoricidin HBP Cough & Cold, Coricidin II Cough & Cold, Pediatric Vicks Formula 44m Cough & Cold Relief
How Chlorpheniramine Maleate, Dextromethorphan Hydrobromide interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine Maleate, Dextromethorphan Hydrobromide interactionChlorpheniramine Maleate, Hydrocodone BitartrateVituz
How Chlorpheniramine Maleate, Hydrocodone Bitartrate interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP2D6 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine Maleate, Hydrocodone Bitartrate interactionChlorpheniramine Polistirex, Codeine PolistirexTuzistra XR
How Chlorpheniramine Polistirex, Codeine Polistirex interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine Polistirex, Codeine Polistirex interactionChlorpheniramine Tannate, Phenylephrine TannateRicobid
How Chlorpheniramine Tannate, Phenylephrine Tannate interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine Tannate, Phenylephrine Tannate interactionChlorpheniramine Tannate, Phenylephrine Tannate, Pyrilamine TannateHistatan, R Tannamine, R-Tannate, Rhinatate, Tri Tannate, Triotann +1 more
How Chlorpheniramine Tannate, Phenylephrine Tannate, Pyrilamine Tannate interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine Tannate, Phenylephrine Tannate, Pyrilamine Tannate interactionChlorpheniramine, Hydrocodone, PseudoephedrineTussend
How Chlorpheniramine, Hydrocodone, Pseudoephedrine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Hydrocodone, Pseudoephedrine interactionChlorpheniramine, MethscopolamineAllerx
How Chlorpheniramine, Methscopolamine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Methscopolamine interactionChlorpheniramine, Methscopolamine, PhenylephrineAH Chew, DA, DA II, Dallergy, Dallergy ER, Dura Vent DA +9 more
How Chlorpheniramine, Methscopolamine, Phenylephrine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Methscopolamine, Phenylephrine interactionChlorpheniramine, Methscopolamine, PhenylpropanolaminePannaz
How Chlorpheniramine, Methscopolamine, Phenylpropanolamine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Methscopolamine, Phenylpropanolamine interactionChlorpheniramine, Methscopolamine, PseudoephedrineMescolor, Rescon-Mx, Xiral
How Chlorpheniramine, Methscopolamine, Pseudoephedrine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Methscopolamine, Pseudoephedrine interactionChlorpheniramine, Phenindamine, PhenylpropanolamineNolamine
How Chlorpheniramine, Phenindamine, Phenylpropanolamine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Phenindamine, Phenylpropanolamine interactionChlorpheniramine, PhenylephrineDallergy JR, Ed A Hist, Histatab Plus, Rynatan
How Chlorpheniramine, Phenylephrine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Phenylephrine interactionChlorpheniramine, Phenylephrine, PhenylpropanolamineRutuss
How Chlorpheniramine, Phenylephrine, Phenylpropanolamine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Phenylephrine, Phenylpropanolamine interactionChlorpheniramine, Phenylephrine, Phenylpropanolamine, PhenyltoloxamineDe Con, Decongest, Naldecon, Nalspan SR, Tri Phen Mine Sr, Uni Decon +1 more
How Chlorpheniramine, Phenylephrine, Phenylpropanolamine, Phenyltoloxamine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Phenylephrine, Phenylpropanolamine, Phenyltoloxamine interactionChlorpheniramine, Phenylephrine, Phenylpropanolamine, PyrilamineHistalet Forte, Poly Hist Forte, Vanex Forte
How Chlorpheniramine, Phenylephrine, Phenylpropanolamine, Pyrilamine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Phenylephrine, Phenylpropanolamine, Pyrilamine interactionChlorpheniramine, Phenylephrine, PhenyltoloxamineCom Time, Comhist, Comhist LA, Linhist LA, Q Hist LA
How Chlorpheniramine, Phenylephrine, Phenyltoloxamine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Phenylephrine, Phenyltoloxamine interactionChlorpheniramine, Phenylephrine, PyrilamineTanamine
How Chlorpheniramine, Phenylephrine, Pyrilamine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Phenylephrine, Pyrilamine interactionChlorpheniramine, PhenylpropanolamineAler-Releaf, Conex DA, Contac, Dehist, Histabid Duracaps, Ornade +1 more
How Chlorpheniramine, Phenylpropanolamine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Phenylpropanolamine interactionChlorpheniramine, Pheylephrine, PyrilaminePhena-Plus
How Chlorpheniramine, Pheylephrine, Pyrilamine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Pheylephrine, Pyrilamine interactionChlorpheniramine, PseudoephedrineA.R.M., Anamine TD, Atrohist, Atrohist Ped, Brexin LA, Children's Deconamine +26 more
How Chlorpheniramine, Pseudoephedrine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Pseudoephedrine interactionChlorpheniramine, Pyrilamine, PhenylephrineDuphrene
How Chlorpheniramine, Pyrilamine, Phenylephrine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
Read the full Belleric Myrobalan + Chlorpheniramine, Pyrilamine, Phenylephrine interactionChlorpromazineThorazine, Thorazine Spansules
How Chlorpromazine interacts with Triphala — through 1 ingredient. Tap an ingredient for the detail:
Belleric MyrobalanCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP2D6 substrates.
Read the full Belleric Myrobalan + Chlorpromazine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Triphala 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.
Belleric Myrobalan
Anticoagulant/Antiplatelet Drugs
Theoretically, concomitant use of Terminalia arjuna with anticoagulant or antiplatelet drugs may increase the risk of bleeding in some patients.
In vitro, Terminalia arjuna bark extract inhibits platelet aggregation, decreases platelet activation, and shows antithrombotic properties.
Antidiabetes Drugs
Theoretically, concomitant use of Terminalia bellirica or Terminalia chebula with antidiabetes drugs could affect blood sugar control and increase the risk of hypoglycemia.
Animal and in vitro research shows that Terminalia bellirica and Terminalia chebula fruit and seed extract have hypoglycemic effects.
Chlorzoxazone (Parafon Forte, Paraflex)
Theoretically, use of Terminalia chebula may increase the risk of adverse effects from chlorzoxazone.
Animal research shows that enteral administration of Terminalia chebula for 15 days prior to administration of chlorzoxazone increases blood levels of chlorzoxazone and decreases chlorzoxazone clearance. It is speculated that Terminalia chebula reduces the metabolism of chlorzoxazone by inhibiting cytochrome P450 2E1.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP2C9 substrates.
In vitro research shows that Terminalia arjuna extract inhibits CYP2C9 enzymes and reduces CYP2C9 substrate metabolism.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP2D6 substrates.
In vitro research shows that Terminalia arjuna extract inhibits CYP2D6 enzymes and reduces CYP2D6 substrate metabolism.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, use of Terminalia arjuna may increase the levels and clinical effects of CYP3A4 substrates.
In vitro research shows that Terminalia arjuna extract inhibits CYP3A4 enzymes and reduces CYP3A4 substrate metabolism.
Omeprazole (Prilosec)
Theoretically, use of Terminalia chebula may increase the risk of adverse effects from omeprazole.
Animal research shows that enteral administration of Terminalia chebula for 15 days prior to administration of omeprazole increases blood levels of omeprazole and decreases omeprazole clearance. It is speculated that Terminalia chebula reduces the metabolism of omeprazole by inhibiting cytochrome P450 2C19.
Alma
Anticoagulant/Antiplatelet Drugs
Theoretically, Indian gooseberry may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs; however, research is conflicting.
Clinical research shows that taking Indian gooseberry 500 mg as a single dose or twice daily for 10 days reduces platelet aggregation by about 24% to 36%, increases bleeding time by about 3.8-5.9 seconds, and increases clotting time by about 9.8-12.7 seconds when compared to baseline. However, taking Indian gooseberry 500 mg along with clopidogrel 75 mg or ecosprin 75 mg, as a single dose or for 10 days, does not significantly reduce platelet aggregation or increase bleeding time or clotting time when compared with clopidogrel 75 mg or ecosprin 75 mg alone. Until more is known, use caution when taking Indian gooseberry in combination with anticoagulant/antiplatelet drugs.
Antidiabetes Drugs
Taking Indian gooseberry with antidiabetes drugs might increase the risk of hypoglycemia.
Clinical research shows that taking Indian gooseberry fruit or fruit extract alone or in conjunction with antidiabetes medications can lower blood glucose levels. Dose adjustments to diabetes medications might be necessary.
Aspirin
Theoretically, Indian gooseberry may increase the risk of bleeding if used with aspirin; however, research is conflicting.
Clinical research shows that taking Indian gooseberry 500 mg as a single dose or twice daily for 10 days reduces platelet aggregation by about 24% to 36%, increases bleeding time by about 3.8-5.9 seconds, and increases clotting time by about 9.8-12.7 seconds when compared to baseline. However, taking a single dose of Indian gooseberry 500 mg along with ecosprin 75 mg, or taking a combination of Indian gooseberry 500 mg twice daily plus ecosprin 75 mg once daily for 10 days, does not significantly reduce platelet aggregation or increase bleeding time or clotting time when compared with ecosprin 75 mg alone.
Clopidogrel (Plavix)
Theoretically, Indian gooseberry may increase the risk of bleeding if used with clopidogrel; however, research is conflicting.
Clinical research shows that taking Indian gooseberry 500 mg as a single dose or twice daily for 10 days reduces platelet aggregation by about 24% to 36%, increases bleeding time by about 3.8-5.9 seconds, and increases clotting time by about 9.8-12.7 seconds when compared to baseline. However, taking a single dose of Indian gooseberry 500 mg along with clopidogrel 75 mg, or taking a combination of Indian gooseberry 500 mg twice daily plus clopidogrel 75 mg once daily for 10 days, does not significantly reduce platelet aggregation or increase bleeding time or clotting time when compared with clopidogrel 75 mg alone.
Brand information
Manufacturer and brand details for Triphala, from the product label.
Banyan Botanicals
See all Banyan Botanicals products- Name
- Banyan Botanicals
- City
- Albuquerque
- State
- NM
- ZipCode
- 87113
- Phone Number
- 1-800-953-6424
- Web Address
- banyanbotanicals.com
Triphala by Banyan Botanicals: Common Questions
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The Full Monographs Behind Triphala’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Indian Gooseberry
Interacts with 208 drugsIndian gooseberry (amla) is a vitamin C-rich fruit used in Ayurvedic medicine for many purposes, from antioxidant support to cholesterol and digestion. Early research is promising for some u...
Read the full Indian Gooseberry monograph → Herb & supplement monographTerminalia
Interacts with 933 drugsTerminalia is a group of traditional Ayurvedic tree species (most notably Terminalia arjuna) used for heart, digestive, and general wellness purposes. Some small studies suggest possible ben...
Read the full Terminalia monograph →Sources & How We Checked
Triphala'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 15 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.
Indian Gooseberry 6 references
- Sabu, M. C. and Kuttan, R. Anti-diabetic activity of medicinal plants and its relationship with their antioxidant property. J Ethnopharmacol. 2002;81(2):155-160. PubMed
- Fatima N, Pingali U, Muralidhar N. Study of pharmacodynamic interaction of Phyllanthus emblica extract with clopidogrel and ecosprin in patients with type II diabetes mellitus. Phytomedicine. 2014;21(5):579-85. PubMed
- Shanmugarajan D, Girish C, Harivenkatesh N, Chanaveerappa B, Prasanna Lakshmi NC. Antihypertensive and pleiotropic effects of Phyllanthus emblica extract as an add-on therapy in patients with essential hypertension-A randomized double-blind placebo-contro
- Akhtar MS, Ramzan A, Ali A, Ahmad M. Effect of amla fruit (Emblica officinalis Gaertn.) on blood glucose and lipid profile of normal subjects and type 2 diabetic patients. Int J Food Sci Nutr. 2011;62(6):609-16.
- Usharani P, Fatima N, Muralidhar N. Effects of Phyllanthus emblica extract on endothelial dysfunction and biomarkers of oxidative stress in patients with type 2 diabetes mellitus: a randomized, double-blind, controlled study. Diabetes Metab Syndr Obes. 20 PubMed
- Majeed M, Mundkur L, Paulose S, Nagabhushanam K. Novel Emblica officinalis extract containing ß-glucogallin vs. metformin: a randomized, open-label, comparative efficacy study in newly diagnosed type 2 diabetes mellitus patients with dyslipidemia. Food Fu
Terminalia 9 references
- Sabu, M. C. and Kuttan, R. Anti-diabetic activity of medicinal plants and its relationship with their antioxidant property. J Ethnopharmacol. 2002;81(2):155-160. PubMed
- Rao, N. K. and Nammi, S. Antidiabetic and renoprotective effects of the chloroform extract of Terminalia chebula Retz. seeds in streptozotocin-induced diabetic rats. BMC.Complement Altern.Med 2006;6:17. PubMed
- Murali, Y. K., Anand, P., Tandon, V., Singh, R., Chandra, R., and Murthy, P. S. Long-term effects of Terminalia chebula Retz. on hyperglycemia and associated hyperlipidemia, tissue glycogen content and in vitro release of insulin in streptozotocin induced
- Senthilkumar, G. P. and Subramanian, S. Evaluation of antioxidant potential of Terminalia chebula fruits studies in streptozotocin-induced diabetic rats. Pharmaceutical Biology (Netherlands) 2007;45:511-518.
- Malik N, Dhawan V, Bahl A, Kaul D. Inihbitory effects of Terminalia arjuna on platelet activation in vitro in healthy subjects and patients with coronary artery disease. Platelets. 2009;20(3):183-1190.
- Varghese A, Savai J, Pandita N, Gaud RS. In vitro modulatory effects of Terminalia arjuna, arjunic acid, arjunetin, and arjungenin on CYP3A4, CYP2D6, and CYP2C9 enzyme activity in human liver microsomes. Toxicology Reports. 2015(2):806-16. PubMed
- Wu G, Dong Z, Dong J, et al. Effects of mongolian medicine Terminalia chebula Retz. on 6 CYP450 enzymes in rats. Int J Clin Exp Pathol 2020;13(12):3128-3138.
- Das A, Naveen J, Sreerama YN, Gnanesh Kumar BS, Baskaran V. Low-glycemic foods with wheat, barley and herbs (Terminalia chebula, Terminalia bellerica and Emblica officinalis) inhibit a-amylase, a-glucosidase and DPP-IV activity in high fat and low dose st
- Eltimamy M, Elshamarka M, Aboelsaad M, Sayed M, Moawad H. Effects of alcoholic extract of Terminalia Chebula dried fruit on blood biochemical profile in diabetic rats. J Diabetes Metab Disord 2022;21(1):159-170. PubMed
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