Vinpurazine Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Vinpurazine 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
Vinpurazine is a dietary supplement by Health Concerns with 3 active ingredients. Its ingredients are commonly taken for memory and cognitive support, brain blood flow, stroke recovery.Based on those ingredients, 607 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Rosemary leaf extract, Club Moss extract, Vinpocetine. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Vinpurazine by Health Concerns
Ask about any prescription or over-the-counter medication and we check it for interactions with Vinpurazine by Health Concerns — 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 Vinpurazine by Health Concerns
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
Vinpurazine contains 3 active ingredients delivered in a proprietary blend format. The blend includes vinpocetine, a compound derived from the periwinkle plant that's meant to support blood flow to the brain; rosemary leaf extract, used traditionally for memory and cognitive function; and club moss extract, an herb with a long history in traditional medicine, though modern safety data on it is limited.
The tablet also contains inactive ingredients—vegetable gum, silicon dioxide, stearic acid, and cellulose—that serve as binders and flow agents to hold the tablet together and help it dissolve.
Does it work?
Moderate evidence
Vinpocetine is possibly effective for dementia, meaning some evidence supports its use, though the research isn't conclusive. Rosemary leaf extract is possibly effective for memory.
The other uses listed—tinnitus, motion sickness, stroke recovery, and chronic fatigue syndrome for vinpocetine, and age-related cognitive decline, alopecia areata, and fatty liver disease for rosemary—have insufficient reliable evidence in our data. Club moss extract has no effectiveness ratings on file.
If you're considering this product for a specific condition, talk with your doctor or pharmacist about whether the evidence supports it for your situation.
How safe is it?
Well-documented data
Vinpocetine is generally well tolerated short-term, but long-term safety hasn't been established. The most common side effects reported are anxiety, dizziness, headache, flushing, stomach discomfort, sleep problems, and hives.
Rarely, serious effects like changes in heart rhythm and seizures have been reported. Rosemary leaf extract in normal food amounts is safe, though concentrated extracts require caution.
Club moss contains toxic alkaloids and has very limited safety data, so caution is warranted—additionally, it can be mistaken for a similar plant (fir club moss) that caused serious poisoning when ingested by mistake. During pregnancy, the safety data advises against vinpocetine.
Rosemary and club moss should be avoided in medicinal or large doses during pregnancy because there isn't enough safety data. For breastfeeding, there isn't enough information on any of these three ingredients, so talk with your doctor or pharmacist before taking this product if you're nursing.
Meds to double-check
Moderate interaction found
Before taking Vinpurazine, check with your doctor or pharmacist if you take any blood thinners or antiplatelet drugs (like warfarin, aspirin, or clopidogrel)—the Moderate-severity risk of increased bleeding applies to vinpocetine and rosemary. If you take diabetes medications, anticholinergic drugs (for Parkinson's or overactive bladder), or acetylcholinesterase inhibitors (like donepezil for Alzheimer's), also confirm it's safe, as rosemary may lower blood sugar and club moss may interfere with how these drugs work.
Use the search tool on this page to check your exact medications.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Vinpurazine may be worth considering if you're interested in supporting memory or brain blood flow and have confirmed with your doctor that it's appropriate for you—but only if you don't take blood thinners, diabetes drugs, certain heart or Parkinson's medications, or aspirin-like pain relievers, because the risks of interactions are real. Pregnant people and those breastfeeding should not use it.
Talk with your own doctor or pharmacist before starting to make sure it won't interfere with your medications or health situation.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated May 24, 2017.
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 Vinpurazine, straight from the product label.
| Brand | Health Concerns |
|---|---|
| Net contents | 90 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | May 24, 2017 |
| DSLD ID | 73624 |
| Product type | Other Combinations |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other |
| Intended target group(s) | Adult (18 - 50 Years) |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Vinpurazine by Health Concerns, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 0 NP | -- |
| Vinpocetine | 0 NP | -- |
| Rosemary leaf extract | 0 NP | -- |
| Club Moss extract | 0 NP | -- |
Other ingredients: Vegetable Gum, Silicon Dioxide, Stearic Acid, Cellulose
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
Suggested Use: 1 to 4 tablets daily between meals as directed by your health professional.
Precautions
Notice: This product is not intended for use by pregnant women.
Brand IP Statement(s)
Chinese traditional formulas
Combining modern research and ancient wisdom
FDA Statement of Identity
Huperzine A Herbal Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Vinpurazine by Health Concerns 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 Vinpurazine by Health Concerns
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 container90 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
Other (inactive) ingredients: Vegetable Gum, Silicon Dioxide, Stearic Acid, Cellulose. These complete the product’s ingredient list but are not active constituents.
Vinpurazine by Health Concerns Drug Interactions
HelloPharmacist Interaction Report
Vinpurazine by Health Concerns contains three active ingredients—vinpocetine, rosemary leaf extract, and club moss extract—and together they interact with a significant number of medications.
The most serious interaction is a Moderate-severity risk of increased bleeding when vinpocetine is combined with blood thinners (anticoagulants) or antiplatelet drugs; vinpocetine thins the blood by reducing how sticky red blood cells are and how thick your blood flows.
Read the full breakdown — every affected drug type, severity by severity
Rosemary leaf extract adds Moderate-severity concerns with blood thinners and antiplatelet drugs (for the same bleeding-risk reason), as well as with diabetes medications—rosemary can lower blood sugar in animal studies, though human evidence is mixed—and with aspirin and other salicylate-containing pain relievers, where rosemary's own salicylates might have an additive effect. Club moss extract poses a Moderate-severity risk with anticholinergic drugs (used for Parkinson's disease, overactive bladder, and other conditions) and with acetylcholinesterase inhibitors (like donepezil for Alzheimer's disease), because the extract may enhance cholinergic activity in the body and interfere with how these drugs work.
Additionally, vinpocetine carries a Minor-severity interaction with warfarin specifically, and rosemary may theoretically decrease levels of certain drugs metabolized by the CYP1A2 enzyme pathway, though this has not been confirmed in people. Altogether, these interactions span 607 individual medications.
Use the interaction checker below to look up your exact prescriptions before starting Vinpurazine.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Vinpurazine?
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 Vinpurazine interact with 607 drugs. Click any drug to see the details.
3 of the 3 ingredients in Vinpurazine interact with drugs. Each result below shows which ingredient is responsible. Rosemary leaf extract Club Moss extract Vinpocetine
Aspirin, OmeprazoleYosprala
How Aspirin, Omeprazole interacts with Vinpurazine — through 2 ingredients. Tap an ingredient for the detail:
VinpocetineCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, vinpocetine might increase levels of drugs metabolized by CYP2C9.
Read the full Vinpocetine + Aspirin, Omeprazole interactionRosemary Leaf ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, rosemary may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Rosemary Leaf Extract + Aspirin, Omeprazole interactionAspirin, OxycodonePercodan
How Aspirin, Oxycodone interacts with Vinpurazine — through 2 ingredients. Tap an ingredient for the detail:
Rosemary Leaf ExtractAnticoagulant/antiplatelet Drugs, Aspirin Moderate
Interaction Summary
Theoretically, rosemary may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Rosemary Leaf Extract + Aspirin, Oxycodone interactionVinpocetineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Vinpocetine might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Vinpocetine + Aspirin, Oxycodone interactionAspirin, PentazocineTalwin Compound
How Aspirin, Pentazocine interacts with Vinpurazine — through 2 ingredients. Tap an ingredient for the detail:
VinpocetineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Vinpocetine might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Vinpocetine + Aspirin, Pentazocine interactionRosemary Leaf ExtractAnticoagulant/antiplatelet Drugs, Aspirin +1 Moderate
Interaction Summary
Theoretically, rosemary may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Rosemary Leaf Extract + Aspirin, Pentazocine interactionAtropineSal-Tropine
How Atropine interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine interactionAtropine Methyl Nitrate, Digestive EnzymesFestalan
How Atropine Methyl Nitrate, Digestive Enzymes interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine Methyl Nitrate, Digestive Enzymes interactionAtropine SulfateAtropine Sulfate, Isopto Atropine
How Atropine Sulfate interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine Sulfate interactionAtropine, Benzoic Acid, Hyoscyamine, Methenamine, Methylene Blue, PhenylAtrosept
How Atropine, Benzoic Acid, Hyoscyamine, Methenamine, Methylene Blue, Phenyl interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Benzoic Acid, Hyoscyamine, Methenamine, Methylene Blue, Phenyl interactionAtropine, Benzoic Acid, Hyoscyamine, Methenamine, Methylene Blue, Phenyl SalicylateUrinary Antiseptic 2, Urised
How Atropine, Benzoic Acid, Hyoscyamine, Methenamine, Methylene Blue, Phenyl Salicylate interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Benzoic Acid, Hyoscyamine, Methenamine, Methylene Blue, Phenyl Salicylate interactionAtropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, ScopolamineAtrohist Plus, Pro Tuss, Ru-tuss, Stahist
How Atropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, Scopolamine interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, Scopolamine interactionAtropine, DifenoxinMotofen
How Atropine, Difenoxin interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Difenoxin interactionAtropine, DiphenoxylateLofene, Lomotil
How Atropine, Diphenoxylate interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Diphenoxylate interactionAtropine, Hyoscyamine, PhenobarbitalHypnaldyne
How Atropine, Hyoscyamine, Phenobarbital interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Hyoscyamine, Phenobarbital interactionAtropine, Hyoscyamine, Phenobarbital, ScopolamineBarbidonna No. 2, Belladonna Phenobarbital
How Atropine, Hyoscyamine, Phenobarbital, Scopolamine interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Hyoscyamine, Phenobarbital, Scopolamine interactionAtropine, Hyoscyamine, ScopolamineColytrol
How Atropine, Hyoscyamine, Scopolamine interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Hyoscyamine, Scopolamine interactionAtropine, Hyoscyamine, Scopolamine, PhenobarbitalBarbeloid, Donnatal #2, Donphen
How Atropine, Hyoscyamine, Scopolamine, Phenobarbital interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Hyoscyamine, Scopolamine, Phenobarbital interactionAtropine, PhenobarbitalAnthrocol
How Atropine, Phenobarbital interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Phenobarbital interactionAtropine, MeperidineAtropine, Meperidine
How Atropine, Meperidine interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Meperidine interactionAtropine, Morphine SulfateAtropine, Morphine Sulfate
How Atropine, Morphine Sulfate interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Atropine, Morphine Sulfate interactionAzilsartanEdarbi
How Azilsartan interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
VinpocetineCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, vinpocetine might increase levels of drugs metabolized by CYP2C9.
Read the full Vinpocetine + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
VinpocetineCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, vinpocetine might increase levels of drugs metabolized by CYP2C9.
Read the full Vinpocetine + Azilsartan, Chlorthalidone interactionBarbital, Hyoscyamine, Scopolamine, Passiflora, ValeriBarbatose #2
How Barbital, Hyoscyamine, Scopolamine, Passiflora, Valeri interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Barbital, Hyoscyamine, Scopolamine, Passiflora, Valeri interactionBelladonna Alkaloids (prescription Drug)Bellafoline
How Belladonna Alkaloids (prescription Drug) interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Belladonna Alkaloids (prescription Drug) interactionBelladonna Alkaloids, Chlorpheniramine, Phenylephrine, PhenylpropanolamineRespa ARM
How Belladonna Alkaloids, Chlorpheniramine, Phenylephrine, Phenylpropanolamine interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Belladonna Alkaloids, Chlorpheniramine, Phenylephrine, Phenylpropanolamine interactionBelladonna Alkaloids, Ergotamine Tartrate, PhenobarbitalBel Tabs, Bellamine-S, Bellaphen-S, Duragal S, Phenarbal S, Spastrin
How Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionBelladonna Alkaloids, PhenobarbitalBarbidonna, Donnatal
How Belladonna Alkaloids, Phenobarbital interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Belladonna Alkaloids, Phenobarbital interactionBelladonna Extract, Butabarbital SodiumButibel
How Belladonna Extract, Butabarbital Sodium interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Belladonna Extract, Butabarbital Sodium interactionBelladonna Extract, PhenobarbitalBelap
How Belladonna Extract, Phenobarbital interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Belladonna Extract, Phenobarbital interactionBelladonna, Caffeine, Ergotamine, PentobarbitalMicomp PB
How Belladonna, Caffeine, Ergotamine, Pentobarbital interacts with Vinpurazine — through 2 ingredients. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Belladonna, Caffeine, Ergotamine, Pentobarbital interactionRosemary Leaf ExtractCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, rosemary might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Rosemary Leaf Extract + Belladonna, Caffeine, Ergotamine, Pentobarbital interactionBelladonna, Ergotamine Tartrate, Phenobarbital
How Belladonna, Ergotamine Tartrate, Phenobarbital interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Belladonna, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Ergotamine, PhenobarbitalBellergal-S
How Belladonna, Ergotamine, Phenobarbital interacts with Vinpurazine — through 1 ingredient. Tap an ingredient for the detail:
Club Moss ExtractAnticholinergic Drugs Moderate
Interaction Summary
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity.
Read the full Club Moss Extract + Belladonna, Ergotamine, Phenobarbital interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Vinpurazine 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.
Rosemary leaf extract
Anticoagulant/Antiplatelet Drugs
Theoretically, rosemary may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro and animal research suggests that rosemary inhibits platelet aggregation.
Antidiabetes Drugs
Theoretically, taking rosemary with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research shows that rosemary extract can decrease blood glucose levels in diabetic models. However, research in humans is conflicting. Although rosemary powder decreased blood glucose levels in healthy adults, no change in blood glucose levels was seen in adults with type 2 diabetes, most of whom were taking antidiabetes drugs.
Aspirin
Theoretically, rosemary might have additive effects with salicylate-containing drugs such as aspirin.
Rosemary is reported to contain salicylates.
Choline Magnesium Trisalicylate (Trilisate)
Theoretically, rosemary might have additive effects with salicylate-containing drugs such as choline magnesium trisalicylate.
Rosemary is reported to contain salicylate.
Salsalate (Disalcid)
Theoretically, rosemary might have additive effects with salicylate-containing drugs such as salsalate.
Rosemary is reported to contain salicylate.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, rosemary might decrease the levels and clinical effects of CYP1A2 substrates.
In vitro research shows that rosemary induces CYP1A2 enzymes. This effect has not been reported in humans.
Club Moss extract
Acetylcholinesterase (Ache) Inhibitors
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity. Theoretically, concurrent use of clubmoss with other acetylcholinesterase (AChE) inhibitors might have additive effects and increase the risk of cholinergic side effects. AChE inhibitors and cholinergic drugs include bethanechol (Urecholine), donepezil (Aricept), echothiophate (Phospholine Iodide), edrophonium (Enlon, Reversol, Tensilon), neostigmine (Prostigmin), physostigmine (Antilirium), pyridostigmine (Mestinon, Regonol), succinylcholine (Anectine, Quelicin), and tacrine (Cognex).
Anticholinergic Drugs
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity. Theoretically, concurrent use of anticholinergic drugs and clubmoss might decrease the effectiveness of club moss or the anticholinergic agent. Some anticholinergic drugs include atropine, benztropine (Cogentin), biperiden (Akineton), procyclidine (Kemadrin), and trihexyphenidyl (Artane).
Cholinergic Drugs
Evidence from in vitro research suggests that clubmoss extract can inhibit acetylcholinesterase activity. Theoretically, concurrent use of clubmoss with other cholinergic drugs might have additive effects and increase the risk of cholinergic side effects. AChE inhibitors and cholinergic drugs include bethanechol (Urecholine), donepezil (Aricept), echothiophate (Phospholine Iodide), edrophonium (Enlon, Reversol, Tensilon), neostigmine (Prostigmin), physostigmine (Antilirium), pyridostigmine (Mestinon, Regonol), succinylcholine (Anectine, Quelicin), and tacrine (Cognex).
Vinpocetine
Anticoagulant/Antiplatelet Drugs
Vinpocetine might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Clinical research shows that vinpocetine decreases red blood cell aggregation, as well as plasma and whole blood viscosity. This effect has been seen with intravenous vinpocetine 1 mg/kg and oral vinpocetine 30 mg daily. Vinpocetine also seems to have antiplatelet effects.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, vinpocetine might increase levels of drugs metabolized by CYP2C9.
In vitro research shows that vinpocetine weakly inhibits CYP2C9. However, this effect has not been reported in humans.
Warfarin (Coumadin)
Vinpocetine might modestly increase the risk of bleeding when taken with warfarin.
Clinical research shows that the combination of warfarin and vinpocetine leads to slight increases in prothrombin time and the area under the concentration curve for warfarin. However, these increases were small, and researchers suggest that this interaction is not likely to be clinically significant in most patients.
Brand information
Manufacturer and brand details for Vinpurazine, from the product label.
Health Concerns
See all Health Concerns products- Name
- Health Concerns
- Street Address
- 8001 Capwell Drive
- City
- Oakland
- State
- CA
- ZipCode
- 94621
- Phone Number
- (800) 233-9355
- Web Address
- www.healthconcerns.com/pro
Vinpurazine by Health Concerns: Common Questions
Does Vinpurazine by Health Concerns interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What is vinpocetine supposed to do?
Is rosemary leaf extract the same as rosemary you cook with?
What is club moss extract and why is it in here?
Can I take this if I'm pregnant or breastfeeding?
Are there any common side effects I should know about?
How long can I safely take this product?
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 Vinpurazine’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vinpocetine
Interacts with 208 drugsVinpocetine is a lab-made compound based on a chemical from the periwinkle plant, and it is marketed mainly for memory and brain health. The evidence behind these uses is limited and not str...
Read the full Vinpocetine monograph → Herb & supplement monographRosemary
Interacts with 372 drugsRosemary is a fragrant Mediterranean herb that is safe and flavorful in normal food amounts. Some early research suggests possible benefits for memory, mood, and hair growth, but the evidenc...
Read the full Rosemary monograph → Herb & supplement monographClubmoss
Interacts with 219 drugsClubmoss (Lycopodium clavatum) is a primitive plant with a long history in folk medicine and homeopathy, but there is very little reliable human research to show it works for any health cond...
Read the full Clubmoss monograph →Sources & How We Checked
Vinpurazine'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 50 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.
Vinpocetine 27 references
- Hindmarch I, Fuchs HH, Erzigkeit H. Efficacy and tolerance of vinpocetine in ambulant patients suffering from mild to moderate organic psychosyndromes. Int Clin Psychopharmacol 1991;6:31-43. PubMed
- Balestreri R, Fontana L, Astengo F. A double-blind placebo controlled evaluation of the safety and efficacy of vinpocetine in the treatment of patients with chronic vascular senile cerebral dysfunction. J Am Geriatr Soc 1987;35:425-30. PubMed
- Akopov SE, Gabrielian ES. Effects of aspirin, dipyridamole, nifedipine and cavinton which act on platelet aggregation induced by different aggregating agents alone and in combination. Eur J Clin Pharmacol 1992;42:257-9. PubMed
- Kidd PM. A review of nutrients and botanicals in the integrative management of cognitive dysfunction. Altern Med Rev 1999;4:144-61..
- Wollschlaeger B. Efficacy of vinpocetine in the management of cognitive impairment and memory loss. JANA 2001;4:25-30.
- Hitzenberger G, Sommer W, Grandt R. Influence of vinpocetine on warfarin-induced inhibition of coagulation. Int J Clin Pharmacol Ther Toxicol 1990;28:323-8..
- Dekoninck, W. J., Jocquet, P., Jacquy, J., and Henriet, M. Comparative study of the clinical effects of vincamine + glycerol versus glycerol + placebo in the acute phase of stroke. Arzneimittelforschung. 1978;28(9):1654-1657.
- Fischhof, P. K., Moslinger-Gehmayr, R., Herrmann, W. M., Friedmann, A., and Russmann, D. L. Therapeutic efficacy of vincamine in dementia. Neuropsychobiology 1996;34(1):29-35. PubMed
- Feher, G., Koltai, K., Kesmarky, G., Horvath, B., Toth, K., Komoly, S., and Szapary, L. Effect of parenteral or oral vinpocetine on the hemorheological parameters of patients with chronic cerebrovascular diseases. Phytomedicine. 2009;16(2-3):111-117. PubMed
- Kuzuya, F. Effects of vinpocetine on platelet aggregability and erythrocyte deformability. Ther Hung. 1985;33(1):22-34.
- Kovacs, L. Cavinton in the treatment of acute stroke. Ther Hung. 1985;33(1):50-57.
- Osawa, M. and Maruyama, S. Effects of TCV-3B (vinpocetine) on blood viscosity in ischemic cerebrovascular diseases. Ther.Hung. 1985;33(1):7-12.
- Ebi, O. Open-labeled phase III clinical trials with vinpocetine in Japan. Ther.Hung. 1985;33(1):41-49.
- Richichi, I., Valsecchi, O., Falcone, C., Sofi, A., and Zanini, L. [A case of "torsade de pointe" during vincamine therapy]. Minerva Cardioangiol. 1978;26(3):197-200.
- Dany, F., Merle, L., Goudoud, J. C., Liozon, F., Blanc, P., Bouvot, J. C., Nicot, G., and Dangoumau, J. [Cardiac toxicity of vincamine: a seven cases report of ventricular arrhythmias by parenteral administration of vincamine (author's transl)]. Therapie
- Fenzl, E., Apecechea, M., Schaltenbr, R., and Fridel, R. Long term study concerning tolerance and efficacy of vinpocetine in elderly patients suffering from a mild to moderate organic psychosyndrome. Senile dementia: early detection 1986;580-585.
- Peruzza, M. and DeJacobis, M. A double-blind placebo controlled evaluation of the efficacy and safety of vinpocetine in the treatment of patients with chronic vascular or degenerative senile cerebral dysfunction. ADV THER 1986;3(4):201-209.
- Manconi, E., Binaghi, F., and Pitzus, F. A double-blind clinical trial of vinpocetine in the treatment of cerebral insufficiency of vascular and degenerative origin. CURR THER RES, CLIN EXP 1986;40(4):702-709.
- Blaha, L., Erzigkeit, H. L., Adamczyk, L. A., Freytag, L. S., and Schaltenbrand, R. Clinical evidence of the effectiveness of vinpocetine in the treatment of organic psychosyndrome. Human Psychopharmacology: Clinical & Experimental 1989;4(2):103-111. DOI
- Shimizu, Y., Saitoh, K., Nakayama, M., Suto, K., Daikohara, R., and Nemoto, T. Agranulocytosis induced by vinpocetine. Medicine On-line 2011;
- Kong L, Song C, Ye L, et al. The Effect of Vinpocetine on Human Cytochrome P450 Isoenzymes by Using a Cocktail Method. Evid Based Complement Alternat Med. 2016;2016:5017135. PubMed
- Vinpocetine in Dietary Supplements. FDA Food/Dietary Supplements/Products & Ingredients. Available at: http://www.fda.gov/Food/DietarySupplements/ProductsIngredients/ucm518478.htm. Accessed 6 September 2016.
- Statement on warning for women of childbearing age about possible safety risks of dietary supplements containing vinpocetine. FDA Food/Dietary Supplements/Products & Ingredients. Available at: https://www.fda.gov/news-events/press-announcements/statement-
- Zhang W, Huang Y, Li Y, et al. Efficacy and safety of vinpocetine as part of treatment for acute cerebral infarction: A randomized, open-label, controlled, multicenter CAVIN (Chinese Assessment for Vinpocetine in Neurology) trial. Clin Drug Investig 2016; PubMed
- National Toxicology Program. NTP technical report on the prenatal development toxicity studies of vinpocetine (CAS No. 42971-09-5) in Sprague Dawley Rats and New Zealand White Rabbits (Gavage Studies). Research Triangle Park, NC: National Toxicology Progr
- Gutiérrez-Farfán I, Reyes-Legorreta C, Solís-Olguín M, Alatorre-Miguel E, Verduzco-Mendoza A, Durand-Rivera A. Evaluation of vinpocetine as a therapy in patients with sensorineural hearing loss: a phase II, open-label, single-center study. J Pharmacol Sci PubMed
- Hu X, Guo K, Li J, et al. Postoperative ecchymoma of eyelid after botulinum toxin injection for hemifacial spasm: a case report. Front Neurol 2023;14:1171303. PubMed
Rosemary 20 references
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- Foster S, Tyler VE. Tyler's Honest Herbal: A Sensible Guide to the Use of Herbs and Related Remedies. 3rd ed., Binghamton, NY: Haworth Herbal Press, 1993.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Cartier LC, Lehrer A, Malo JL. Occupational asthma caused by aromatic herbs. Allergy 1996;51:647-9. DOI
- Burkhard PR, Burkhardt K, Haenggeli CA, Landis T. Plant-induced seizures: reappearance of an old problem. J Neurol 1999;246:667-70. PubMed
- Swain AR, Dutton SP, Truswell AS. Salicylates in foods. J Am Diet.Assoc 1985;85(8):950-60. DOI
- Zhu BT, Loder DP, Cai MX, et al. Dietary administration of an extract from rosemary leaves enhances the liver microsomal metabolism of endogenous estrogens and decreases their uterotropic action in CD-1 mice. Carcinogenesis 1998;19(10):1821-7. PubMed
- Debersac P, Heydel JM, Amiot MJ, et al. Induction of cytochrome P450 and/or detoxication enzymes by various extracts of rosemary: description of specific patterns. Food Chem Toxicol 2001;39(9):907-18. PubMed
- Debersac P, Vernevaut MF, Amiot MJ, et al. Effects of a water-soluble extract of rosemary and its purified component rosmarinic acid on xenobiotic-metabolizing enzymes in rat liver. Food Chem Toxicol 2001;39(2):109-17. PubMed
- Lee JJ, Jin YR, Lee JH, et al. Antiplatelet activity of carnosic acid, a phenolic diterpene from Rosmarinus officinalis. Planta Med 2007;73(2):121-7.
- Yamamoto J, Yamada K, Naemura A, et al. Testing various herbs for antithrombotic effect. Nutrition 2005;21(5):580-7. PubMed
- Naemura A, Ura M, Yamashita T, et al. Long-term intake of rosemary and common thyme herbs inhibits experimental thrombosis without prolongation of bleeding time. Thromb Res 2008;122(4):517-22. PubMed
- Lee JJ, Jin YR, Lim Y, et al. Antiplatelet activity of carnosol is mediated by the inhibition of TXA2 receptor and cytosolic calcium mobilization. Vascul Pharmacol 2006;45:148-53. PubMed
- Bakirel, T., Bakirel, U., Keles, O. U., Ulgen, S. G., and Yardibi, H. In vivo assessment of antidiabetic and antioxidant activities of rosemary (Rosmarinus officinalis) in alloxan-diabetic rabbits. J Ethnopharmacol 2-28-2008;116(1):64-73. PubMed
- Erenmemisoglu, A., Saraymen, R., and Ustun, S. Effect of a Rosmarinus officinalis leave extract on plasma glucose levels in normoglycaemic and diabetic mice. Pharmazie 1997;52(8):645-646.
- Valones MAA, Silva ICG, Gueiros LAM, Leão JC, Caldas AF Jr, Carvalho AAT. Clinical assessment of rosemary-based toothpaste (Rosmarinus officinalis Linn.): A randomized controlled double-blind study. Braz Dent J. 2019;30(2):146-151. PubMed
- Quirarte-Báez SM, Zamora-Perez AL, Reyes-Estrada CA, et al. A shortened treatment with rosemary tea (rosmarinus officinalis) instead of glucose in patients with diabetes mellitus type 2 (TSD). J Popul Ther Clin Pharmacol. 2019;26(4):e18-e28.
- Al Jamal A. Effect of rosemary (Rosmarinus officinalis) on lipid profiles and blood glucose in human diabetic patients (type-2). African J. Biochem. Res. 2014;8(8):147-50. DOI
Clubmoss 3 references
- Felgenhauer N, Zilker T, Worek F, Eyer P. Intoxication with huperzine A, a potent anticholinesterase found in the fir club moss. J Toxicol Clin Toxicol 2000;38:803-8.. PubMed
- Orhan, I., Terzioglu, S., and Sener, B. Alpha-onocerin: an acetylcholinesterase inhibitor from Lycopodium clavatum. Planta Med. 2003;69(3):265-267.
- Cullinan, P., Cannon, J., Sheril, D., and Newman, Taylor A. Asthma following occupational exposure to Lycopodium clavatum in condom manufacturers. Thorax 1993;48(7):774-775. PubMed
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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.
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