Major interaction on record — check this product against your medications before combining. Based on 6 of 11 ingredients. Check your meds →
Dietary supplement

Vitomanhills Ingredients & Drug Interactions

by Herbal Hills

Vitomanhills label
See full label image
Capsule Category: Other Combinations
Most serious interaction: Major
Clinical methodology reviewed by · Updated Sep 16, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Vitomanhills 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

The interaction bottom line Most serious interaction: Major

Vitomanhills is a dietary supplement by Herbal Hills with 11 active ingredients. Its ingredients are commonly taken for stress and anxiety, sleep problems, fatigue and low energy.Based on those ingredients, 1,431 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Ashwagandha, Jatiphala, Krounchabeej. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

Jump to a section

Check Your Meds Against Vitomanhills by Herbal Hills

Ask about any prescription or over-the-counter medication and we check it for interactions with Vitomanhills by Herbal Hills — and tell you which ingredient is responsible.

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HelloPharmacist Scorecard of Vitomanhills by Herbal Hills

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.

From our pharmacy team — supplement deep dive

Generated from HelloPharmacist’s pharmacist-curated databases and editorial rules · Last generated Jul 11, 2026

What’s inside

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 0 of its 11 active ingredients.
  • “Proprietary Herbal Blend” is a proprietary blend — the label gives one combined amount (1,000 mg) without saying how much of each component you get.

Vitomanhills contains 11 ingredients, including several active herbal components. Ashwagandha, Shatavari, Safed Musli, Krounchabeej (cowhage), Jatiphala (mace), and Akkalkara are the ones we have data for.

The product also includes Vidarikanda, Kokilaksha, Masha, and Shuddha Shilajit, along with a proprietary blend that groups some of these ingredients. It's processed in Siddha Ghruta, a traditional medicated ghee.

The capsules themselves contain gelatin, glycerin, sorbitol, methylparaben, propyl paraben, and titanium dioxide.

Does it work?

Insufficient evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Insufficient

There isn't enough reliable clinical evidence to rate this product's ingredients for its stated purpose.

Why this rating?
  • The label markets this product for: Supports healthy sexual activity.
  • We looked for evidence on: Sexual desire, Sexual dysfunction, Infertility, Male erectile function, Libido enhancement, Sexual performance.
  • The closest evidence on file: Ashwagandha is rated "Insufficient Reliable Evidence To Rate" for Sexual dysfunction (Natural Medicines).
  • Also on file: Ashwagandha is rated "Insufficient Reliable Evidence To Rate" for Infertility.
  • Also on file: Cowhage is rated "Insufficient Reliable Evidence To Rate" for Sexual desire.

The evidence for effectiveness is mixed and limited across this product's ingredients. Ashwagandha is possibly effective for insomnia, anxiety, stress, and generalized anxiety disorder based on available studies.

However, the evidence for bipolar disorder is insufficient to rate. For Shatavari, the data we hold shows insufficient evidence for tuberculosis, lactation support, muscle strength, sexual desire, and bronchitis.

Safed Musli, Krounchabeej, Jatiphala, and Akkalkara all show insufficient evidence for their proposed uses — athletic performance, muscle strength, anxiety, erythema, hyperprolactinemia, and other conditions. In short, while ashwagandha has some backing for a few uses, most of the other ingredients lack established effectiveness in our data.

The evidence, ingredient by ingredient Ashwagandha Asparagus Racemosus Safed Musli Cowhage Mace Pellitory

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 4 of the 6 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 6 of 6.
  • General safety write-ups exist for 6 of 6.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Ashwagandha is generally well tolerated in the short term, though long-term safety data are limited. Common side effects like diarrhea, nausea, and vomiting occur rarely at typical doses.

The safety data advises against ashwagandha during pregnancy due to a traditional concern about miscarriage, and there isn't enough information to use it while breastfeeding. Shatavari is traditionally used but lacks high-quality safety data; it should be avoided during pregnancy unless a doctor advises otherwise, and breastfeeding use requires professional guidance.

Safed Musli lacks sufficient safety information and should be avoided in pregnancy and while breastfeeding. Krounchabeej (cowhage) contains L-dopa, an active drug-like compound requiring careful use under professional guidance — avoid during pregnancy and while breastfeeding because L-dopa can reduce milk supply.

Jatiphala (mace) is safe at culinary doses but can be toxic at large or concentrated doses; medicinal amounts should be avoided in pregnancy. Akkalkara has limited safety data and may cause mouth irritation or allergic reactions; it should be avoided during pregnancy and breastfeeding.

Side effects, ingredient by ingredient Ashwagandha Asparagus Racemosus Safed Musli Cowhage Mace Pellitory

Meds to double-check

Major interaction found
Known Interaction Concern · database check
Major identified

At least one ingredient has a documented Major-severity interaction. Check your medications for a personalized result.

Why this rating?
  • 4 of the 6 matched ingredients can interact with medications — Ashwagandha, Cowhage, Asparagus Racemosus, Mace.
  • The most serious interaction on file is rated Major.
  • Some involve high-stakes drug classes: immunosuppressants / transplant drugs; diabetes medications; lithium; Parkinson's medications.
  • For scale: 1,432 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Before taking Vitomanhills, check with your pharmacist if you take methyldopa, monoamine oxidase inhibitors (MAOIs), or levodopa — these carry Major-severity risks. Also double-check any blood pressure medications, sedating drugs (benzodiazepines, barbiturates, sleep aids), diabetes medications, thyroid hormones, lithium, diuretics, immunosuppressants, or medications metabolized by the liver enzyme CYP1A2.

This list is not exhaustive — use the search tool below with your complete medication list.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with insufficient evidence for its stated purpose. Major medication interactions have been identified, and safety information is well characterized.

This is a complex herbal formula with levodopa-containing ingredients and multiple sedating herbs, so it's not a product to start without checking your medications first. If you take blood pressure drugs, sedatives, diabetes medications, thyroid hormones, or an MAOI, or if you're taking any prescription medication at all, run it through the interaction checker on this page before you begin.

Pregnant or breastfeeding? Talk with your pharmacist or doctor — several ingredients carry safety concerns in these situations.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 6 of 11 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Aug 22, 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

At a glance

General information

Key facts about Vitomanhills, straight from the product label.

Brand Herbal Hills
Barcode (UPC) 8906068411425
Net contents 900 Capsule(s)
Market status On market
Date entered into DSLD Aug 22, 2017
DSLD ID 75376
Product type Other Combinations
Supplement form Capsule
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult Male (18-50 Years), Halal
From the label
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 Vitomanhills by Herbal Hills, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
2 Sofgel Capsule(s)
Maximum serving Sizes:
2 Sofgel Capsule(s)
Servings per container
450
UPC/BARCODE
8906068411425
IngredientAmount% DV
Proprietary Herbal Blend1000 mg--
Ashwagandha0 NP--
processed in Siddha Ghruta0 NP--
Shatavari0 NP--
Safed Musli0 NP--
Krounchabeej0 NP--
Vidarikanda0 NP--
Kokilaksha0 NP--
Jatiphala0 NP--
Masha0 NP--
Shuddha Shilajit0 NP--
Akkalkara0 NP--

Other ingredients: Gelatin, Glycerin, Sorbitol, Methylparaben, Propyl Paraben, Titanium Dioxide

Tap any ingredient to jump to its full detail below.

Label statements
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.
FDA Statement of Identity

Dietary Supplement

General Statements

Suggested Use: ~ Supports healthy sexual activity Mfg. Lic. No. : MB/AYU//001-A/11

(An ISO 22000:2005 Certified Company)

Back to nature

~ Pure ~ Natural ~ Effective

Colour Name: Ponceau 4R.

Seals/Symbols

Notes: JAS-ANZ ICS ISO 22000:2005 Reg. No.: RH91/7301

GMP Good Manufacturing Practice

Halal India www.halalindia.com

Formula

Halal India www.halalindia.com

Men's health formula

Formulation with unrevealed secrets of medicated Siddha Ghruta (Clarified butter)

Caution: Contains lactose and milk proteins.

Storage

Store in a cool dry place away from direct sunlight.

Precautions

Keep out of reach of children.

Do not use if inner seal is broken or missing.

Caution: Contains lactose and milk proteins.

Suggested/Recommended/Usage/Directions

Direction For Use: As a dietary supplement take 2 soft gel capsules daily in the morning. It should ideally be taken on empty stomach before meals. For better results take with warm water or milk.

FDA Disclaimer Statement

These statements have not been evaluated by the Food & Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

Is this label outdated? Report a formula or label change and our pharmacy team will review it.

See for yourself

Vitomanhills by Herbal Hills label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

Vitomanhills label

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)
What’s inside

The Ingredients in Vitomanhills by Herbal Hills

These are the 11 active ingredients this product is made of. Select any to open its full monograph.

Serving size2 Sofgel Capsule(s) Dosage formCapsule Servings per container450 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 Herbal Blend

1000 mg per serving

Processed in Siddha Ghruta

0 NP per serving Form: Clarified Butter

Other (inactive) ingredients: Gelatin, Glycerin, Sorbitol, Methylparaben, Propyl Paraben, Titanium Dioxide. These complete the product’s ingredient list but are not active constituents.

Interaction report

Vitomanhills by Herbal Hills Drug Interactions

Want to check YOUR meds against Vitomanhills?

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 checker
1,431Drugs
17 Major 1,040 Moderate 374 Minor

Ingredients driving the most interactions

Ashwagandha 1,372
Jatiphala 500
Krounchabeej 193
Shatavari 76

Individual Drug Interactions

The ingredients in Vitomanhills interact with 1,431 drugs. Click any drug to see the details.

4 of the 11 ingredients in Vitomanhills interact with drugs. Each result below shows which ingredient is responsible. Ashwagandha Jatiphala Krounchabeej Shatavari

Each ingredient & the kinds of drugs it affects

For each ingredient in Vitomanhills 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.

Ashwagandha10 drug types · 1,372 drugs

Antidiabetes Drugs

Theoretically, taking ashwagandha with antidiabetes drugs might increase the risk of hypoglycemia.
There is preliminary clinical evidence suggesting that ashwagandha might lower blood glucose levels. Theoretically, ashwagandha might have additive effects when used with antidiabetes drugs and increase the risk of hypoglycemia.

Likelihood Possible Evidence B
Antihypertensive Drugs

Theoretically, taking ashwagandha with antihypertensive drugs might increase the risk of hypotension.
Animal research suggests that ashwagandha might lower systolic and diastolic blood pressure. Theoretically, ashwagandha might have additive effects when used with antihypertensive drugs and increase the risk of hypotension.

Likelihood Possible Evidence D
Benzodiazepines

Theoretically, taking ashwagandha might increase the sedative effects of benzodiazepines.
There is preliminary evidence that ashwagandha might have an additive effect with diazepam (Valium) and clonazepam (Klonopin). This may also occur with other benzodiazepines.

Likelihood Possible Evidence D
Cns Depressants

Theoretically, taking ashwagandha might increase the sedative effects of CNS depressants.
Ashwagandha seems to have sedative effects. Theoretically, this may potentiate the effects of barbiturates, other sedatives, and anxiolytics.

Likelihood Possible Evidence D
Hepatotoxic Drugs

Theoretically, taking ashwagandha with hepatotoxic drugs might increase the risk of liver damage.
Ashwagandha has been linked to cases of acute hepatitis, liver failure, hepatic encephalopathy, autoimmune hepatitis, the need for liver transplantation, and death due to liver failure.

Likelihood Possible Evidence D
Immunosuppressants

Theoretically, taking ashwagandha might decrease the effects of immunosuppressants.
Ashwagandha has demonstrated immunostimulant effects in humans. Animal research has shown that ashwagandha can attenuate the immunosuppression caused by cyclophosphamide.

Likelihood Possible Evidence D
Thyroid Hormone

Ashwagandha might increase the effects and adverse effects of thyroid hormone.
Concomitant use of ashwagandha with thyroid hormones may cause additive therapeutic and adverse effects. Preliminary clinical research and animal studies suggest that ashwagandha boosts thyroid hormone synthesis and secretion. In one clinical study, ashwagandha increased triiodothyronine (T3) and thyroxine (T4) levels by 41.5% and 19.6%, respectively, and reduced serum TSH levels by 17.4% from baseline in adults with subclinical hypothyroidism.

Likelihood Probable Evidence B
Cytochrome P450 1A2 (Cyp1A2) Substrates

Theoretically, ashwagandha might decrease the levels and clinical effects of CYP1A2 substrates.
In vitro research shows that ashwagandha extract induces CYP1A2 enzymes.

Likelihood Possible Evidence D
Cytochrome P450 3A4 (Cyp3A4) Substrates

Theoretically, ashwagandha might decrease the levels and clinical effects of CYP3A4 substrates.
In vitro research shows that ashwagandha extract induces CYP3A4 enzymes.

Likelihood Possible Evidence D
Serotonergic Drugs

Some animal studies have reported that ashwagandha can enhance serotonergic transmission by altering certain serotonin (5-HT) receptors. However, there is no evidence to suggest that ashwagandha increases the risk of serotonin-related effects, and there have been no published case reports of serotonin syndrome when combined with other serotonergic drugs. Nevertheless, due to the lack of extensive studies on the matter and the fact that ashwagandha appears to affect serotonergic pathways, it would be prudent to exercise caution when combining it with drugs that affect serotonin. [References: - Effects of Withania somnifera (Ashwaga ndha) on Stress and the Stress-Related Neuropsychiatric Disorders Anxiety, Depression, and Insomnia. Curr Neuropharmacol. 2021 Sep 14; 19: 1468–1495. - A Prospective, Randomized Double-Blind, Placebo-Controlled Study of Safety and Efficacy of a High-Concentration Full-Spectrum Extract of Ashwagandha Root in Reducing Stress and Anxiety in Adults. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573577/]

Likelihood Possible Evidence C
Ashwagandha full monograph & interactions

Jatiphala4 drug types · 500 drugs

Cns Depressants

Several volatile oils in mace, such as methyleugenol, isoeugenol, safrole, myristicin, 1,8-cineole, and geranyl acetate, seem to have sedative effects. Evidence from animal research suggests that methyleugenol can induce anesthesia for a similar duration as pentobarbital. Due to the sedative effects of certain mace constituents, taking medicinal amounts of mace in combination with other CNS depressants may have additive effects. However, evidence from other animal research suggests that myristicin can reduce sleeping time in rats pretreated with phenobarbital. Until more is known, use medicinal amounts of mace cautiously in combination with CNS depressants. Some CNS depressants include clonazepam (Klonopin), lorazepam (Ativan), phenobarbital (Donnatal), zolpidem (Ambien), and others.

Likelihood Possible Evidence D
Cytochrome P450 1A2 (Cyp1A2) Substrates

Animal research suggests that intraperitoneal injections of myristicin, a constituent of mace, can induce cytochrome P450 1A2 (CYP1A2) enzyme system. Theoretically, concomitant use of mace with drugs metabolized by CYP1A2 may increase the clearance of these drugs and reduce their effects. Some substrates of CYP1A2 include clozapine (Clozaril), cyclobenzaprine (Flexeril), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), mexiletine (Mexitil), olanzapine (Zyprexa), pentazocine (Talwin), propranolol (Inderal), tacrine (Cognex), theophylline, zileuton (Zyflo), zolmitriptan (Zomig), and others.

Likelihood Possible Evidence D
Immunosuppressants

Animal research suggests that mace lignans can suppress immune function. Theoretically, concomitant use might enhance the effects of immunosuppressant drugs. Immunosuppressant drugs include azathioprine (Imuran), basiliximab (Simulect), cyclosporine (Neoral, Sandimmune), daclizumab (Zenapax), muromonab-CD3 (OKT3, Orthoclone OKT3), mycophenolate (CellCept), tacrolimus (FK506, Prograf), sirolimus (Rapamune), prednisone (Deltasone, Orasone), and other corticosteroids (glucocorticoids).

Likelihood Possible Evidence D
Phenobarbital (Luminal)

Evidence from animal research suggests that myristicin, a constituent of mace, can reduce sleeping time in rats pretreated with phenobarbital. Theoretically, concomitant use may decrease the therapeutic effects of phenobarbital.

Likelihood Probable Evidence D
Jatiphala full monograph & interactions

Krounchabeej8 drug types · 193 drugs

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.

Likelihood Likely Evidence D
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.

Likelihood Probable Evidence D
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.

Likelihood Probable Evidence D
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.

Likelihood Possible Evidence D
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.

Likelihood Possible Evidence D
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.

Likelihood Possible Evidence D
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.

Likelihood Probable Evidence D
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.

Likelihood Possible Evidence D
Krounchabeej full monograph & interactions

Shatavari2 drug types · 76 drugs

Diuretic Drugs

Theoretically, asparagus racemosus root might increase diuresis and electrolyte loss when used with diuretic drugs.
Animal studies show that asparagus racemosus root has diuretic effects when used in high doses. This effect has not been reported in humans.

Likelihood Possible Evidence D
Lithium

Theoretically, Asparagus racemosus root could reduce excretion and increase levels of lithium.
Animal research suggests that Asparagus racemosus root has diuretic properties when used in high doses. Therefore, it might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.

Likelihood Probable Evidence D
Shatavari full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Vitomanhills, from the product label.

Herbal Hills

See all Herbal Hills products
Name
Isha Agro Developers Pvt. Ltd.
Street Address
Plot #33, Govt. Indl. Est., Charkop, Kandivali (W)
City
Mumbai-67
Pharmacist Counseling Corner

Vitomanhills by Herbal Hills: Common Questions

Does Vitomanhills by Herbal Hills interact with any medications?
Yes. Based on its ingredients, Vitomanhills has a known interaction with 1,431 medications, including 17 rated major. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Vitomanhills contains 11 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Is this safe to take if I'm pregnant or breastfeeding?
No — the safety data advises against ashwagandha during pregnancy, and several ingredients (cowhage, safed musli, akkalkara) lack sufficient safety information for pregnancy and breastfeeding. Talk with your doctor or pharmacist before considering this product if you're pregnant, planning to become pregnant, or breastfeeding.
What is Krounchabeej and why does it matter?
Krounchabeej is cowhage, an herb that contains levodopa — a drug-like compound used in Parkinson's treatment. Because of this, it has serious interactions with certain blood pressure and psychiatric medications. It needs to be used carefully and under professional guidance.
Can Vitomanhills help with anxiety or sleep?
Ashwagandha in this product is possibly effective for anxiety, stress, and insomnia based on available evidence. However, the effectiveness of the other ingredients for these purposes is not well established in our data, so results will depend mainly on the ashwagandha content and your individual response.
What are the most common side effects?
Ashwagandha may cause diarrhea, nausea, or gastrointestinal upset, though these are rare at typical doses. Cowhage can cause diarrhea, flatulence, and dry mouth. Mace at high doses carries a theoretical risk of hallucinations or severe effects, but medicinal amounts in this product should be far below that threshold.
Why does this product have so many interactions?
Ashwagandha and cowhage each interact with many drug types — blood pressure drugs, sedatives, diabetes medications, thyroid drugs, immunosuppressants, and others. When you combine multiple herbs, each with its own interaction profile, the total number of affected medications adds up quickly. That's why checking your specific drugs is essential.
What ingredients in this product couldn't be checked for interactions?
We have no monograph data for processed Siddha Ghruta, Vidarikanda, Kokilaksha, Masha, and Shuddha Shilajit, so we can't assess their interactions. That doesn't mean they're safe or unsafe — just that we don't hold the information. Your pharmacist can help you research these if you're concerned.

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.

Vitomanhills label
Go deeper

The Full Monographs Behind Vitomanhills’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Herb & supplement monograph

Ashwagandha

Interacts with 1,372 drugs

Ashwagandha is an Ayurvedic herb most often taken to help with stress, anxiety, and sleep, and some small studies suggest it may help, though the evidence is still limited. It is generally w...

Read the full Ashwagandha monograph → Herb & supplement monograph

Asparagus Racemosus

Interacts with 76 drugs

Asparagus racemosus, often called shatavari, is an Ayurvedic herb traditionally used to support women's health, digestion, and overall vitality. Human evidence for most of these uses is limi...

Read the full Asparagus Racemosus monograph → Herb & supplement monograph

Safed Musli

Safed Musli is an Ayurvedic herb traditionally used as a tonic and aphrodisiac, especially for male sexual health and energy. Human evidence is limited and mostly preliminary, so its benefit...

Read the full Safed Musli monograph → Herb & supplement monograph

Cowhage

Interacts with 193 drugs

Cowhage (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 monograph

Mace

Interacts with 500 drugs

Mace is the lacy red covering of the nutmeg seed and comes from the same tree as nutmeg. It is mostly used as a cooking spice and in traditional medicine for digestion, but there is little s...

Read the full Mace monograph → Herb & supplement monograph

Pellitory

Pellitory (often Anacyclus pyrethrum, the root traditionally called 'pellitory of Spain') is an herb chiefly known in folk and traditional medicine for numbing toothache and stimulating sali...

Read the full Pellitory monograph →
Sources

Sources & How We Checked

Vitomanhills'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.

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 65 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.

Ashwagandha 32 references
  1. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  2. Upton R, ed. Ashwagandha Root (Withania somnifera): Analytical, quality control, and therapuetic monograph. Santa Cruz, CA: American Herbal Pharmacopoeia 2000:1-25.
  3. Davis L, Kuttan G. Effect of Withania somnifera on cyclophosphamide-induced urotoxicity. Cancer Lett 2000;148:9-17. PubMed
  4. Davis L, Kuttan G. Suppressive effect of cyclophosphamide-induced toxicity by Withania somnifera extract in mice. J Ethnopharmacol 1998;62:209-14. PubMed
  5. Mishra LC, Singh BB, Dagenais S. Scientific basis for the therapeutic use of Withania somnifera (ashwagandha): a review. Altern Med Rev 2000;5:334-46. DOI
  6. Andallu B, Radhika B. Hypoglycemic, diuretic and hypocholesterolemic effect of winter cherry (Withania somnifera, Dunal) root. Indian J Exp Biol 2000;38:607-9.
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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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