Triple Test Afritest Ingredients & Drug Interactions
by VPX
What is this page for?
First and foremost: checking Triple Test Afritest 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
Triple Test Afritest is a dietary supplement by VPX with 6 active ingredients. Its ingredients are commonly taken for skin conditions like acne and eczema, digestive support, diuretic ('detox') and blood purifier.Based on those ingredients, 514 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Tongkat Ali extract, Velvet Bean, Burdock extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Triple Test Afritest by VPX
Ask about any prescription or over-the-counter medication and we check it for interactions with Triple Test Afritest by VPX — 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 Triple Test Afritest by VPX
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
Triple Test Afritest has 6 active ingredients: Boron, Burdock extract, Tongkat Ali extract, Paederia Foetida extract, Velvet Bean (also called Cowhage), and Massularia. Velvet Bean is notable because it contains levodopa, a potent compound that acts like a medication in your body and is used clinically for Parkinson's disease.
The other active ingredients are herbal extracts or minerals intended to support various aspects of wellness. The capsule also contains several inactive ingredients (Safflower Oil, Lecithin, Polyglyceryl-3 Oleate, Glyceryl Monostearate, purified Water, Hypromellose, and Titanium Dioxide) that help bind and deliver the actives.
Does it work?
Moderate evidence
The evidence for these ingredients is mixed and often limited. Boron is likely effective for boron deficiency and possibly effective for vaginal yeast infections and radiation skin damage, but possibly ineffective for athletic performance.
Tongkat Ali extract is possibly effective for sexual desire but possibly ineffective for athletic performance; we don't have established evidence for its use in back pain, bone health, or blood sugar control. For the other ingredients—Burdock, Paederia Foetida, Velvet Bean, and Massularia—the evidence we hold either rates as insufficient to draw conclusions (acne, eczema, various conditions for Burdock and Velvet Bean) or we have no effectiveness data on file.
If you're considering this product for a specific health goal, talk with your doctor or pharmacist about whether the evidence supports that use for you.
How safe is it?
Well-documented data
Boron is generally well tolerated when doses stay below the upper safe limit of 20 mg daily, but high doses can be toxic. Common mild effects at normal doses include loss of appetite, skin rash, and indigestion.
Burdock is well tolerated as a food and for short-term use; serious allergic reactions including anaphylaxis are rare but possible. Tongkat Ali is generally tolerated in short-term studies, though long-term safety isn't well established, and it can raise testosterone levels, which brings a risk of acne, insulin resistance, and liver effects if levels climb too high.
Velvet Bean causes diarrhea, gas, and mucosal irritation in some people, and about 3% of trial participants reported insomnia. Paederia Foetida and Massularia safety data are not on file.
Regarding pregnancy: boron is rated as possibly unsafe and should be avoided during pregnancy and breastfeeding. Burdock, Tongkat Ali, and Velvet Bean should be avoided during both pregnancy and breastfeeding due to insufficient safety data and possible hormonal or other effects.
Boron is also rated possibly unsafe during lactation specifically.
Meds to double-check
Major interaction found
Stop and check with your doctor or pharmacist before using Triple Test Afritest if you take methyldopa, MAO inhibitors, levodopa, blood thinners (anticoagulants or antiplatelet agents), blood sugar medications, antipsychotic drugs, older antidepressants (tricyclic antidepressants), propranolol, guanethidine, or are scheduled for surgery with certain anesthesia agents. The Velvet Bean ingredient contains levodopa, which carries Major-severity risks with blood pressure and Parkinson's medications, and Moderate risks with several other drug classes.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
Triple Test Afritest is a multi-ingredient supplement containing the drug-like compound levodopa (via Velvet Bean) and several herbal extracts. It's not appropriate if you take blood pressure medications, blood thinners, antidiabetic drugs, antipsychotics, or certain antidepressants without careful review.
The product is not recommended during pregnancy or breastfeeding. Before starting it, check your exact medications against the tool on this page, and go over the results with your own doctor or pharmacist to see 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: 4 of 6 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Feb 25, 2015.
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 Triple Test Afritest, straight from the product label.
| Brand | VPX |
|---|---|
| Barcode (UPC) | 610764381002 |
| Net contents | 90 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Feb 25, 2015 |
| DSLD ID | 42148 |
| Product type | Botanical With Nutrients |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), 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 Triple Test Afritest by VPX, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 9 {Calories} | -- |
| Calories from Fat | 9 {Calories} | -- |
| Total Fat | 1 Gram(s) | 2% |
| Boron | 212 mcg | -- |
| Burdock extract | 0 NP | -- |
| Tongkat Ali extract | 0 NP | -- |
| Botanical Blend | 1200 mg | -- |
| Peaderia Foetida extract | 0 NP | -- |
| Velvet Bean | 0 NP | -- |
| Massularia | 0 NP | -- |
| Mineral | 0 NP | -- |
Other ingredients: Safflower Oil, Lecithin, Polyglyceryl-3 Oleate, Glyceryl Monostearate, purified Water, Hypromellose, Titanium 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.
Precautions
KEEP OUT OF REACH OF CHILDREN.
ALLERGEN WARNING: Manufactured in a facility that processes milk, soy, tree nuts and peanuts. ALLERGEN INFORMATION: Contains soy (as soy lecithin).
DO NOT PURCHASE IF SAFETY SEAL IS BROKEN OR MISSING.
Brand IP Statement(s)
TRIPLE TEST(TM) stands alone as a total support system for optimizing testosterone levels.
LIVE POWERFULLY(TM)
(C) 2014
General Statements
Testosterone has many important functions in the body such as helping to build muscle, burn fat, and increase strength & performance. It's also necessary to promote energy levels and sex drive. However, as men age, testosterone levels decline. Even less obvious factors than age, such as environmental estrogens and pollutants, can lower testosterone levels. The result is a less muscular, out of shape, less energetic version of yourself. Fighting this decline in testosterone is necessary; not only to maintain youthful levels of lean body mass and low levels of body fat, but also to maintain strength, energy, and of course, sex drive. Testosterone works synergistically with all of the anabolic hormones of the body, such as Insulin-like growth factor and growth hormone.
30 DAY CYCLE
ALL RIGHTS RESERVED.
TESTOSTERONE SUPPORT MATRIX
Formulation
Contains no banned substances. Clean Athlete approved.
FDA Disclaimer Statement
These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
General
V002
Seals/Symbols
VPX(R)
100% NATURAL
VITAL PHARMACEUTICALS GMP
{American flag} Made in USA from Domestic & Imported Ingredients in VPX State of the Art GMP Facilities
GLUTEN FREE GF
FDA Statement of Identity
DIETARY SUPPLEMENT
Formula
Contains soy (as soy lecithin).
Storage
PROTECT FROM HEAT, LIGHT AND MOISTURE.
STORE AT 15-30(0)C (59-86(0)F)
Suggested/Recommended/Usage/Directions
RECOMMENDED USE: As a dietary supplement, take three capsules daily, preferably with meals. Unlike most other testosterone formulas, TRIPLE TEST(TM) does not need to be cycled. This is important in maintaining more consistent testosterone levels compared to products that are cycled, which greatly disrupts natural hormone balance.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Triple Test Afritest by VPX 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 Triple Test Afritest by VPX
These are the 6 active ingredients this product is made of. Select any to open its full monograph.
Serving size3 Capsule(s) Dosage formCapsule Servings per container30 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Botanical Blend
- › Burdock extract
- › Tongkat Ali extract
- › Peaderia Foetida extract
- › Velvet Bean
- › Massularia
Mineral
- › Boron
Other (inactive) ingredients: Safflower Oil, Lecithin, Polyglyceryl-3 Oleate, Glyceryl Monostearate, Purified Water, Hypromellose, Titanium Dioxide. These complete the product’s ingredient list but are not active constituents.
Triple Test Afritest by VPX Drug Interactions
HelloPharmacist Interaction Report
Triple Test Afritest by VPX contains several ingredients with documented interactions with medications.
The most serious concerns come through its Velvet Bean content, which carries Major-severity interactions with blood pressure medications (methyldopa), certain antidepressants used for Parkinson's disease (MAOIs), and levodopa itself—the last of which can significantly worsen levodopa-related side effects. Velvet Bean is a source of levodopa, an active compound that behaves like a drug in your body.
Read the full breakdown — every affected drug type, severity by severity
Additionally, Velvet Bean has Moderate-severity interactions with blood sugar medications (a risk of low blood sugar), antipsychotic medications (reduced effectiveness), older antidepressants (tricyclic antidepressants—potential blood pressure changes), certain anesthesia agents used during surgery, and guanethidine (a blood pressure medication). Tongkat Ali extract interacts with propranolol (a beta-blocker used for heart rate and blood pressure), reducing how well it works; it may also theoretically affect how your liver processes certain other drugs (CYP1A2, CYP2C19, and CYP2A6 substrates), though this hasn't been confirmed in humans.
Burdock extract has a Moderate interaction with blood thinners and antiplatelet drugs (warfarin, aspirin-like medications), increasing bleeding risk theoretically through an effect on platelets not yet seen in human studies. Boron has no documented interactions with medications.
We could not check two ingredients—Paederia Foetida extract and Massularia—because we hold no interaction data for them. Altogether, these interactions span 513 individual medications.
Before you start Triple Test Afritest, run your current medications through the checker on this page, and discuss the results with your own doctor or pharmacist, especially if you take any blood pressure medication, blood thinner, antidiabetic, antipsychotic, or older antidepressant.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Triple Test Afritest?
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 Triple Test Afritest interact with 514 drugs. Click any drug to see the details.
3 of the 6 ingredients in Triple Test Afritest interact with drugs. Each result below shows which ingredient is responsible. Tongkat Ali extract Velvet Bean Burdock extract
AmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis
How Amphetamine interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Velvet Bean + Amphetamine interactionBenserazide, LevodopaMadopar, Prolopa
How Benserazide, Levodopa interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanLevodopa Major
Interaction Summary
Concomitant use can increase the risk of levodopa-related adverse effects.
Read the full Velvet Bean + Benserazide, Levodopa interactionCarbidopa, LevodopaDhivy, Rytary, Sinemet, Sinemet CR
How Carbidopa, Levodopa interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanLevodopa Major
Interaction Summary
Concomitant use can increase the risk of levodopa-related adverse effects.
Read the full Velvet Bean + Carbidopa, Levodopa interactionCarbidopa, Levodopa, EntacaponeStalevo
How Carbidopa, Levodopa, Entacapone interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanLevodopa Major
Interaction Summary
Concomitant use can increase the risk of levodopa-related adverse effects.
Read the full Velvet Bean + Carbidopa, Levodopa, Entacapone interactionChlorothiazide, MethyldopaAldochlor, Aldoclor 150, Aldoclor 250
How Chlorothiazide, Methyldopa interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanMethyldopa (aldomet) Major
Interaction Summary
Theoretically, concomitant use of cowhage and methyldopa might increase the risk of hypotension.
Read the full Velvet Bean + Chlorothiazide, Methyldopa interactionHydrochlorothiazide, MethyldopaAldoril 15, Aldoril 25, Aldoril D30, Methazide
How Hydrochlorothiazide, Methyldopa interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanMethyldopa (aldomet) Major
Interaction Summary
Theoretically, concomitant use of cowhage and methyldopa might increase the risk of hypotension.
Read the full Velvet Bean + Hydrochlorothiazide, Methyldopa interactionIsocarboxazidMarplan
How Isocarboxazid interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Velvet Bean + Isocarboxazid interactionLevodopaInbrija, Larodopa
How Levodopa interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanLevodopa Major
Interaction Summary
Concomitant use can increase the risk of levodopa-related adverse effects.
Read the full Velvet Bean + Levodopa interactionLevodopa, CarbidopaDuodopa
How Levodopa, Carbidopa interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanLevodopa Major
Interaction Summary
Concomitant use can increase the risk of levodopa-related adverse effects.
Read the full Velvet Bean + Levodopa, Carbidopa interactionMethyldopaAldomet, Methyldopa
How Methyldopa interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanMethyldopa (aldomet) Major
Interaction Summary
Theoretically, concomitant use of cowhage and methyldopa might increase the risk of hypotension.
Read the full Velvet Bean + Methyldopa interactionMoclobemideManerix, Moclobemide
How Moclobemide interacts with Triple Test Afritest — through 2 ingredients. Tap an ingredient for the detail:
Velvet BeanMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Velvet Bean + Moclobemide interactionTongkat Ali ExtractCytochrome P450 2c19 (cyp2c19) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels of CYP2C19 substrates.
Read the full Tongkat Ali Extract + Moclobemide interactionOzanimod HydrochlorideZeposia
How Ozanimod Hydrochloride interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Velvet Bean + Ozanimod Hydrochloride interactionPhenelzine SulfateNardil
How Phenelzine Sulfate interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Velvet Bean + Phenelzine Sulfate interactionRasagilineAzilect
How Rasagiline interacts with Triple Test Afritest — through 2 ingredients. Tap an ingredient for the detail:
Velvet BeanMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Velvet Bean + Rasagiline interactionTongkat Ali ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Tongkat Ali Extract + Rasagiline interactionSafinamide MesylateXadago
How Safinamide Mesylate interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Velvet Bean + Safinamide Mesylate interactionSelegilineCarbex, Eldepryl, Emsam, Zelapar
How Selegiline interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Velvet Bean + Selegiline interactionTranylcypromineParnate
How Tranylcypromine interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Velvet Bean + Tranylcypromine interactionAbciximabReoPro
How Abciximab interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Burdock ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking burdock with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Burdock Extract + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Triple Test Afritest — through 2 ingredients. Tap an ingredient for the detail:
Burdock ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking burdock with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Burdock Extract + Abrocitinib interactionTongkat Ali ExtractCytochrome P450 2c19 (cyp2c19) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels of CYP2C19 substrates.
Read the full Tongkat Ali Extract + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Velvet Bean + Acarbose interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Burdock ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking burdock with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Burdock Extract + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, use of cowhage might decrease the clinical effects of antipsychotic drugs.
Read the full Velvet Bean + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Triple Test Afritest — through 2 ingredients. Tap an ingredient for the detail:
Burdock ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking burdock with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Burdock Extract + Acetaminophen, Aspirin interactionTongkat Ali ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Tongkat Ali Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Triple Test Afritest — through 2 ingredients. Tap an ingredient for the detail:
Burdock ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking burdock with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Burdock Extract + Acetaminophen, Aspirin, Caffeine interactionTongkat Ali ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Tongkat Ali Extract + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Triple Test Afritest — through 2 ingredients. Tap an ingredient for the detail:
Burdock ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking burdock with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Burdock Extract + Acetaminophen, Ibuprofen interactionTongkat Ali ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Tongkat Ali Extract + Acetaminophen, Ibuprofen interactionAcetohexamideDymelor
How Acetohexamide interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Velvet Bean + Acetohexamide interactionAcetophenazineTindal
How Acetophenazine interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, use of cowhage might decrease the clinical effects of antipsychotic drugs.
Read the full Velvet Bean + Acetophenazine interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Burdock ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, taking burdock with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
Read the full Burdock Extract + Acetylsalicylic Acid interactionAlbiglutideTanzeum
How Albiglutide interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Velvet Bean + Albiglutide interactionAlfentanilAlfenta
How Alfentanil interacts with Triple Test Afritest — through 1 ingredient. Tap an ingredient for the detail:
Velvet BeanAnesthesia Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and anesthesia might increase the risk of arrhythmias.
Read the full Velvet Bean + Alfentanil interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Triple Test Afritest 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.
Tongkat Ali extract
Propranolol (Inderal)
Eurycoma longifolia can reduce the levels and clinical effects of propranolol.
A small clinical study in healthy persons shows that taking a single dose of a water-based Eurycoma longifolia extract 200 mg, in combination with a single dose of propranolol 80 mg, reduces the propranolol area under the curve (AUC) by 29%, reduces the peak concentration by 42%, and increases time to peak concentration by 86% when compared with control. Since the elimination half-life of propranolol did not change, it seems that Eurycoma longifolia alters the kinetics of propranolol by decreasing its absorption in the gut, and not by altering its metabolism. It is not known if separating administration will prevent this interaction.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
In vitro research suggests that methanolic Eurycoma longifolia root extract weakly inhibits CYP1A2 enzymes. This effect has not been reported in humans.
Cytochrome P450 2A6 (Cyp2A6) Substrates
Theoretically, Eurycoma longifolia might increase levels of CYP2A6 substrates.
In vitro research suggests that methanolic Eurycoma longifolia root extract weakly inhibits CYP2A6 enzymes. This effect has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, Eurycoma longifolia might increase levels of CYP2C19 substrates.
In vitro research suggests that methanolic Eurycoma longifolia root extract weakly inhibits CYP2C19 enzymes. This effect has not been reported in humans.
Testosterone
Theoretically, Eurycoma longifolia may further increase levels of testosterone.
A clinical study in aging males with testosterone levels below 300 ng/dL shows that taking a specific water extract of Eurycoma longifolia roots (Physta; Biotropics Malaysia) 100-200 mg daily with breakfast for 12 weeks increases total testosterone levels by 8% to 11% when compared with placebo. It is unclear whether this increase would occur in individuals with normal testosterone levels.
Velvet Bean
Levodopa
Concomitant use can increase the risk of levodopa-related adverse effects.
Cowhage contains levodopa. Some cowhage products have been standardized to contain 75-400 mg of levodopa per dose.
Methyldopa (Aldomet)
Theoretically, concomitant use of cowhage and methyldopa might increase the risk of hypotension.
Cowhage contains levodopa. Use of levodopa with methyldopa might cause additive hypotension. In addition, methyldopa may inhibit peripheral decarboxylation of levodopa and increase levodopa levels in the central nervous system; avoid using.
Monoamine Oxidase Inhibitors (Maois)
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Cowhage contains levodopa. Use of levodopa with non-selective MAOIs might cause hypertensive crisis. However, this interaction has not been reported with MAO-B selective inhibitors such as selegiline.
Anesthesia
Theoretically, concomitant use of cowhage and anesthesia might increase the risk of arrhythmias.
Cowhage contains levodopa. Use of levodopa with cyclopropane or halogenated hydrocarbon anesthesia has led to arrhythmias. Other anesthetics have not been implicated. Use other anesthetics in patients taking cowhage or tell patients to stop taking cowhage at least 2 weeks before surgery.
Antidiabetes Drugs
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Animal research shows that cowhage might have hypoglycemic effects.
Antipsychotic Drugs
Theoretically, use of cowhage might decrease the clinical effects of antipsychotic drugs.
Cowhage contains levodopa. Use of levodopa might counteract the antidopaminergic effects of antipsychotic medications.
Guanethidine (Ismelin)
Theoretically, concomitant use of cowhage and guanethidine might increase the risk of hypotension.
Cowhage contains levodopa. Use of levodopa with guanethidine might cause additive hypotension; avoid using.
Tricyclic Antidepressants (Tcas)
Theoretically, use of TCAs might reduce the levels and clinical effects of cowhage.
Cowhage contains levodopa. Use of TCAs might reduce the absorption of levodopa. Some case reports describe patients that developed hypertension and dyskinesia when taking both levodopa and TCAs.
Burdock extract
Anticoagulant/Antiplatelet Drugs
Theoretically, taking burdock with anticoagulant or antiplatelet drugs might increase the risk of bleeding.
In vitro research shows that lignans from burdock reduce rabbit platelet aggregation by inhibiting platelet activating factor. This interaction has not been reported in humans.
Brand information
Manufacturer and brand details for Triple Test Afritest, from the product label.
Triple Test Afritest by VPX: Common Questions
Does Triple Test Afritest by VPX interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Does Triple Test Afritest contain levodopa?
Can I take this if I'm pregnant or breastfeeding?
What are the most common side effects?
Is this product proven to work?
Why does this product have so many drug interactions?
What if I take propranolol?
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 Triple Test Afritest’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Burdock
Interacts with 122 drugsBurdock is a traditional herb most often used for skin problems and as a so-called 'blood purifier,' but high-quality human studies are lacking and most claims are not well proven. It is wid...
Read the full Burdock monograph → Herb & supplement monographEurycoma Longifolia
Interacts with 249 drugsEurycoma longifolia (tongkat ali) is a Southeast Asian herb most popular for supporting testosterone, libido, and male fertility, with some small human studies suggesting possible benefits....
Read the full Eurycoma Longifolia monograph → Herb & supplement monographCowhage
Interacts with 193 drugsCowhage (Mucuna pruriens) is a tropical legume best known as a natural source of L-dopa, the compound the body turns into dopamine. It is most studied for Parkinson's disease symptoms and ma...
Read the full Cowhage monograph → Herb & supplement monographBoron
Boron is a trace mineral found in many plant foods and sold as a supplement, mainly promoted for bone, joint, and hormone health. The human evidence for most of these uses is limited or prel...
Read the full Boron monograph →Sources & How We Checked
Triple Test Afritest'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 33 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.
Boron 6 references
- Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
- Thai L, Hart LL. Boric acid vaginal suppositories. Ann Pharmacother 1993;27:1355-7.
- Acs N, Banhidy F, Puho E, Czeizel AE. Teratogenic effects of vaginal boric acid treatment during pregnancy. Int J Gynaecol Obstet 2006;93:55-6. PubMed
- Garabrant, D. H., Bernstein, L., Peters, J. M., and Smith, T. J. Respiratory and eye irritation from boron oxide and boric acid dusts. J Occup Med 1984;26(8):584-586. PubMed
- Hjelm C, Harari F, Vahter M. Pre- and postnatal environmental boron exposure and infant growth: results from a mother-child cohort in northern Argentina. Environ Res 2019;171:60-8. PubMed
Burdock 11 references
- Iwakami S, Wu JB, Ebizuka Y, Sankawa U. Platelet activating factor (PAF) antagonists contained in medicinal plants: lignans and sesquiterpenes. Chem Pharm Bull (Tokyo) 1992;40:1196-8. PubMed
- Sasaki Y, Kimura Y, Tsunoda T, Tagami H. Anaphylaxis due to burdock. Int J Dermatol 2003;42:472-3. PubMed
- Rhoads PM, Tong TG, Banner W Jr, Anderson R. Anticholinergic poisonings associated with commercial burdock root tea. J Toxicol Clin Toxicol 1984-85;22:581-4. PubMed
- Rodriguez P, Blanco J, Juste S, et al. Allergic contact dermatitis due to burdock (Arctium lappa). Contact Dermatitis 1995;33:134-5.
- Kassler, W. J., Blanc, P., and Greenblatt, R. The use of medicinal herbs by human immunodeficiency virus-infected patients. Arch Intern Med 1991;151(11):2281-2288. DOI
- Chan, Y. S., Cheng, L. N., Wu, J. H., Chan, E., Kwan, Y. W., Lee, S. M., Leung, G. P., Yu, P. H., and Chan, S. W. A review of the pharmacological effects of Arctium lappa (burdock). Inflammopharmacology. 2011;19(5):245-254. PubMed
- Breed, F. B. and Kuwabara, T. Burdock ophthalmia. Arch Ophthalmol 1966;75(1):16-20.
- Bryson, P. D., Watanabe, A. S., Rumack, B. H., and Murphy, R. C. Burdock root tea poisoning. Case report involving a commercial preparation. JAMA 5-19-1978;239(20):2157. DOI
- <p>Fletcher GF<span>, </span>Cantwell JD. Burdock root tea poisoning. JAMA <span>1978 Oct 6;240(15):1586.</span></p> DOI
- Latif A, Fichadiya H, Abid F, Capo G. Herbal Teas and Thrombocytopenia: A Curious Case of Yellow Dock and Burdock-Induced Thrombocytopenia. Eur J Case Rep Intern Med 2022;9(3):003247. PubMed
- Niazi B, Ahmed K, Ahmed M, Ali S, Song K, Elias S. Drug-Induced Liver Injury from Herbal Liver Detoxification Tea. Case Rep Gastroenterol 2022;16(3):612-617. PubMed
Eurycoma Longifolia 4 references
- Salman SA, Amrah S, Wahab MS, et al. Modification of propranolol's bioavailability by Eurycoma longifolia water-based extract. J Clin Pharm Ther 2010;35:691-6. PubMed
- Tambi MI, Imran MK, Henkel RR. Standardised water-soluble extract of Eurycoma longifolia, Tongkat ali, as testosterone booster for managing men with late-onset hypogonadism? Andrologia 2011 Jun 15. doi: 10.1111/j.1439-0272.2011.01168.x. [Epub ahead of pri PubMed
- Han YM, Kim IS, Rehman SU, Choe K, Yoo HH. In vitro evaluation of the effects of Eurycoma longifolia extract on CYP-mediated drug metabolism. Evid Based Complement Alternat Med 2015;2015:631329.
- Chinnappan SM, George A, Pandey P, Narke G, Choudhary YK. Effect of Eurycoma longifolia standardised aqueous root extract-Physta ® on testosterone levels and quality of life in ageing male subjects: a randomised, double-blind, placebo-controlled multicent
Cowhage 12 references
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Anon. Epidemiological notes and reports: Mucuna pruriens-associated pruritus--New Jersey. MMWR Morb Mortal Wkly Rep 1985;34:732-3.
- HP-200 in Parkinson's Disease study group. An alternative medicine treatment for Parkinson's disease: Results of a multicenter clinical trial. J Alt Comp Med 1995;1:249-55. DOI
- Infante ME, Perez AM, Simao MR, et al. Outbreak of acute toxic psychosis attributed to Mucuna pruriens. Lancet 1990;336:1129. PubMed
- Vaidya AB, Rajagopalan TG, Mankodi NA, et al. Treatment of Parkinson's disease with the cowhage plant-Mucuna pruriens Bak. Neurol India 1978;26:171-6.
- Vadivel V, Janardhanan K. Nutritional and anti-nutritional composition of velvet bean: an under-utilized food legume in south India. Int J Food Sci Nutr 2000;51:279-87. PubMed
- Akhtar MS, Qureshi AQ, Iqbal J. Antidiabetic evaluation of Mucuna pruriens, Linn seeds. J Pak Med Assoc 1990;40:147-50.
- Prakash, D., Niranjan, A., and Tewari, S. K. Some nutritional properties of the seeds of three Mucuna species. Int.J.Food Sci.Nutr. 2001;52(1):79-82.
- Vadivel, V. and Janardhanan, K. Nutritional and antinutritional characteristics of seven South Indian wild legumes. Plant Foods Hum.Nutr 2005;60(2):69-75. PubMed
- Creapure (Creatine Monohydrate). Toxicological Datasheet. Degussa BioActives. Available at: https://www.fda.gov/ohrms/DOCKETS/.../95s-0316-rpt0154-54-Ref-50-vol112.pdf.
- Pulikkalpura H, Kurup R, Mathew PJ, Baby S. Levodopa in Mucuna pruriens and its degradation. Sci Rep 2015;5:11078. 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