Interactions on record — worth a quick check against your medications. Based on 2 of 6 ingredients. Check your meds →
Dietary supplement

Xiao Huo Luo Teapills Ingredients & Drug Interactions

by Plum Flower

Tablet Or Pill Category: Botanical
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

Xiao Huo Luo Teapills is a dietary supplement by Plum Flower with 6 active ingredients. Its ingredients are commonly taken for mouth and gum irritation, sore throat, minor wound and skin care.Based on those ingredients, 364 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Aconitum carmichaelii Root Extract, Commiphora Myrrha Resin Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Xiao Huo Luo Teapills by Plum Flower

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

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 6 active ingredients.
  • “Proprietary Extract Blend” is a proprietary blend — the label gives one combined amount (1,360 mg) without saying how much of each component you get.

Xiao Huo Luo Teapills contains 6 ingredients. The active ones are two aconite root extracts (Aconitum carmichaelii and Aconitum kusnezoffii), myrrh resin extract, boswellia resin extract, Arisaema erubescens rhizome extract, and Pheretima aspergillum extract.

The inactive ingredients — microcrystalline cellulose, magnesium silicate, activated carbon, maltose, and china wax — help form and preserve the tablet.

Does it work?

Couldn't assess
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
Not assessable

The label doesn't state a purpose we can grade — see each ingredient's own graded uses on its monograph instead.

Why this rating?
  • We looked at the product name, claims, and label statements and couldn't find a stated purpose to grade.

The effectiveness evidence for this product's ingredients is not established in our data. Both aconite extracts show insufficient reliable evidence for the conditions they're traditionally used for (pneumonia, Raynaud syndrome, alopecia areata, and COVID-19).

Myrrh is rated likely ineffective for schistosomiasis and has insufficient evidence for back pain, cancer, common cold, dental issues, and Crohn disease.

The evidence, ingredient by ingredient Myrrh Aconite

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 2 of the 2 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 2 of 2.
  • General safety write-ups exist for 2 of 2.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

This product contains aconite, which is extremely toxic and can cause fatal poisoning even in small amounts. Aconite can trigger dangerous heart rhythms, dangerously low or high blood pressure, weakness, seizures, and severe gastrointestinal upset.

Myrrh may cause diarrhea at higher doses and has been linked to severe abdominal pain, especially in pregnant women. Neither aconite nor myrrh should be used during pregnancy or breastfeeding — aconite is considered unsafe in both, and myrrh is likely unsafe in pregnancy because it may stimulate the uterus.

Side effects, ingredient by ingredient Myrrh Aconite

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 2 of the 2 matched ingredients can interact with medications — Myrrh, Aconite.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; diabetes medications.
  • For scale: 364 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 Xiao Huo Luo Teapills, check with your pharmacist if you take blood thinners or antiplatelet drugs (aspirin, clopidogrel, warfarin), stimulant medications (including decongestants and ADHD drugs), diabetes medications, or warfarin specifically. These interactions are documented as Moderate severity.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

This is a traditional Chinese herbal blend with significant toxicity and interaction risks. If you take any blood thinners, diabetes medications, stimulants, or warfarin, do not use this product without talking to your pharmacist or doctor first.

Pregnant or breastfeeding individuals should avoid it entirely. The safety and effectiveness data for most of its ingredients are limited.

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

Assessment coverage: 3 of 6 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 20, 2024.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about Xiao Huo Luo Teapills, straight from the product label.

Brand Plum Flower
Barcode (UPC) 739934836163
Net contents 200 Pill(s); 1.2 Ounce(s); 34 Gram(s)
Market status On market
Date entered into DSLD Jun 20, 2024
DSLD ID 310596
Product type Botanical
Supplement form Tablet Or Pill
Dietary claims / uses All Other
Intended target group(s) Adult (18 - 50 Years), Women (not pregnant or lactating)
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 Xiao Huo Luo Teapills by Plum Flower, 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:
8 Pill(s)
Maximum serving Sizes:
8 Pill(s)
Servings per container
25
UPC/BARCODE
739934836163
IngredientAmount% DV
Proprietary Extract Blend1360 mg--
Arisaema erubescens Rhizome Extract0 NP--
Boswellia carterii Resin Extract0 NP--
Commiphora Myrrha Resin Extract0 NP--
Aconitum carmichaelii Root Extract0 NP--
Aconitum kusnezoffii Root Extract0 NP--
Pheretima aspergillum Extract0 NP--

Other ingredients: Microcrystalline Cellulose, Magnesium Silicate, Carbon, Activated, Maltose, China Wax

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.
Formula

Xiao Huo Luo Wan

FDA Statement of Identity

Herbal Supplement

Suggested/Recommended/Usage/Directions

Take 8 pills 3 times daily or as directed by your health care practitioner.

Precautions

Not for use during pregnancy

Keep out of reach of children

Seals/Symbols

Plum Flower Guarantee FDA Registered cGMP Compliant Made at a cGMP Facility

Sourced sustainably Lab tested Quality verified Species verified

General Statements

Foci Pharmaceuticals 1929

Formulation

US owned and operated since 1969. Made in China in partnership with the award-winning Lanzhou Foci Pharmaceutical Co. Ltd.

See for yourself

Xiao Huo Luo Teapills by Plum Flower label

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

What’s inside

The Ingredients in Xiao Huo Luo Teapills by Plum Flower

These are the 6 active ingredients this product is made of. Select any to open its full monograph.

Serving size8 Pill(s) Dosage formTablet Or Pill Servings per container25 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 Extract Blend

1360 mg per serving

Other (inactive) ingredients: Microcrystalline Cellulose, Magnesium Silicate, Carbon, Activated, Maltose, China Wax. These complete the product’s ingredient list but are not active constituents.

Interaction report

Xiao Huo Luo Teapills by Plum Flower Drug Interactions

Want to check YOUR meds against Xiao Huo Luo Teapills?

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
364Drugs
364 Moderate

Ingredients driving the most interactions

Each ingredient & the kinds of drugs it affects

For each ingredient in Xiao Huo Luo Teapills 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.

Aconitum carmichaelii Root Extract2 drug types · 278 drugs

Anticoagulant/Antiplatelet Drugs

Theoretically, combining aconite with other antiplatelet or anticoagulant drugs might increase the risk of bruising and bleeding.
Higenamine, a constituent of aconite, is thought to have antiplatelet and antithrombotic effects. In an animal model of thrombosis, higenamine inhibited platelet aggregation and reduced the size of thrombus formation.

Likelihood Possible Evidence D
Stimulant Drugs

Theoretically, combining aconite with other stimulant drugs might alter the effects of the stimulant drug or increase the risk of cardiovascular toxicity.
Aconite and its constituents have stimulant effects due to agonist activity at beta-2-adrenoreceptors. In cardiac muscle, aconite appears to have a positive inotropic effect and increases heart rate and blood pressure. However, some constituents of aconite can reduce heart rate and blood pressure.

Likelihood Possible Evidence D

Commiphora Myrrha Resin Extract2 drug types · 88 drugs

Antidiabetes Drugs

Theoretically, myrrh might increase the risk of hypoglycemia when taken with antidiabetes drugs.
In vitro and animal research suggests that myrrh has hypoglycemic effects.

Likelihood Possible Evidence D
Warfarin (Coumadin)

Theoretically, myrrh might decrease the effectiveness of warfarin.
In one case, a patient who was previously stable on warfarin had a significant decline in international normalized ratio (INR) following consumption of an aqueous extract of myrrh.

Likelihood Possible Evidence D
The maker

Brand information

Manufacturer and brand details for Xiao Huo Luo Teapills, from the product label.

Plum Flower

Name
Mayway Herbs
City
Oakland
State
CA
Web Address
www.plumflowerherbs.com
Pharmacist Counseling Corner

Xiao Huo Luo Teapills by Plum Flower: Common Questions

Does Xiao Huo Luo Teapills by Plum Flower interact with any medications?
Yes. Based on its ingredients, Xiao Huo Luo Teapills has a known interaction with 364 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Xiao Huo Luo Teapills contains 6 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.
Can I take this if I'm pregnant or trying to become pregnant?
No. Both aconite and myrrh should not be used during pregnancy due to severe toxicity and uterine stimulation risks. If you're pregnant or planning to become pregnant, avoid this product and talk to your doctor.
What does aconite do in this blend?
Aconite is used traditionally in Chinese herbal medicine, but we have insufficient evidence that it works for the conditions it's claimed to treat. What we do know is that it's extremely toxic — even small amounts can cause serious heart, nervous system, and digestive problems.
Is this safe to take long-term?
The safety data for long-term use of this product — especially one containing aconite — is not well established. This is something you should discuss with your pharmacist or doctor before starting it.
What side effects might I notice?
Myrrh may cause diarrhea at higher doses. Aconite can trigger nausea, vomiting, diarrhea, weakness, dizziness, numbness, heart palpitations, and dangerous changes in heart rhythm. If you experience chest tightness, palpitations, or severe abdominal pain, stop immediately and seek emergency care.
Can I take this while breastfeeding?
No. Aconite is unsafe during breastfeeding due to severe toxicity risk. Avoid this product if you're nursing.

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.

Xiao Huo Luo Teapills label
Sources

Sources & How We Checked

Xiao Huo Luo Teapills'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 41 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.

Myrrh 8 references
  1. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
  2. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
  3. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  4. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
  5. Al Faraj S. Antagonism of the anticoagulant effect of warfarin caused by the use of Commiphora molmol as a herbal medication: a case report. Ann Trop Med Parasitol 2005;99:219-20.
  6. Al-Jaroudi D, Kaddour O, Al-Amin N. Risks of myrrh use in pregnancy. JBRA Assist Reprod 2016;20(4):257-8.
  7. Xu YY, Li L, Xuan L, Guan K. Patch test diagnosis of non-immediate cutaneous reaction to myrrh following oral intake of a traditional Chinese medicine decoction. Contact Dermatitis. 2019;80(2):135-136. PubMed
  8. Al-Romaiyan A, Huang GC, Jones P, Persaud S. Commiphora myrrha stimulates insulin secretion from mouse and human islets of Langerhans. J Ethnopharmacol. 2021 Jan 10;264:113075. PubMed

See these in context on the Myrrh monograph →

Aconite 33 references
  1. Tai YT. Adverse effects from traditional Chinese medicine. Lancet 1993;341:892.
  2. Tai YT, But PP, Young K, et al. Cardiotoxicity after accidental herb-induced aconite poisoning. Lancet 1992;340:1254-6. PubMed
  3. Fatovich DM. Aconite: a lethal Chinese herb. Ann Emerg Med 1992;21:309-11. PubMed
  4. Tomlinson B, Chan TY, Chan JC, Critchley JA. Herb-induced aconite poisoning. Lancet 1993;341:370-1. .
  5. Chan TY, Tomlinson B, Critchley JA. Aconitine poisoning following the ingestion of Chinese herbal medicines: a report of eight cases. Aust N Z J Med 1993;23:268-71. PubMed
  6. Yeih DF, Chiang FT, Huang SKS. Successful treatment of aconitine induced life threatening ventricular tachyarrhythmia with amiodarone. Heart 2000;84:E8. PubMed
  7. But PP, Tai YT, Young K. Three fatal cases of herbal aconite poisoning. Vet Hum Toxicol 1994;36:212-5.
  8. Feldkamp A, Koster B, Weber HP. [Fatal poisoning caused by aconite monk's hood]. Monatsschr Kinderheilkd 1991;139:366-7.
  9. Lin CC, Chan TY, Deng JF. Clinical features and management of herb-induced aconitine poisoning. Ann Emerg Med 2004;43:574-9. PubMed
  10. Poon WT, Lai CK, Ching CK, et al. Aconite poisoning in camouflage. Hong Kong Med J 2006;12:456-9.
  11. Guha, S., Dawn, B., Dutta, G., Chakraborty, T., and Pain, S. Bradycardia, reversible panconduction defect and syncope following self-medication with a homeopathic medicine. Cardiology 1999;91(4):268-271. PubMed
  12. Imazio, M., Belli, R., Pomari, F., Cecchi, E., Chinaglia, A., Gaschino, G., Ghisio, A., Trinchero, R., and Brusca, A. Malignant ventricular arrhythmias due to Aconitum napellus seeds. Circulation 12-5-2000;102(23):2907-2908.
  13. Telang, B. V. and Ng'ang'a, J. N. Involvement of Central adrenergic mechanisms in the induction of cardiac arrhythmias by aconitine nitrate administered intraventricularly. Indian J Physiol Pharmacol. 1975;19(1):1-10.
  14. Lin, C. C., Chou, H. L., and Lin, J. L. Acute aconitine poisoned patients with ventricular arrhythmias successfully reversed by charcoal hemoperfusion. Am J Emerg.Med 2002;20(1):66-67. PubMed
  15. Gaibazzi, N., Gelmini, G. P., Montresor, G., Canel, D., Comini, T., Fracalossi, C., Martinetti, C., Poeta, M. L., and Ziacchi, V. [Long QRS tachycardia secondary to Aconitum napellus alkaloid ingestion]. Ital.Heart J.Suppl 2002;3(8):874-877.
  16. Sorensen, B. [Poisoning with Aconitum napellus (monkshood)]. Ugeskr.Laeger 5-12-2003;165(20):2109-2110.
  17. Tai, Y. T., Lau, C. P., But, P. P., Fong, P. C., and Li, J. P. Bidirectional tachycardia induced by herbal aconite poisoning. Pacing Clin.Electrophysiol. 1992;15(5):831-839. PubMed
  18. Agarwal, B. L., Agarwal, R. K., and Misra, D. N. Malignant Arrhythmias Induced by Accidental Aconite Poisoning. Indian Heart J 1977;29(5):246-248.
  19. Dickens, P., Tai, Y. T., But, P. P., Tomlinson, B., Ng, H. K., and Yan, K. W. Fatal accidental aconitine poisoning following ingestion of Chinese herbal medicine: a report of two cases. Forensic Sci Int 6-28-1994;67(1):55-58. PubMed
  20. Chan, T. Y., Tomlinson, B., Critchley, J. A., and Cockram, C. S. Herb-induced aconitine poisoning presenting as tetraplegia. Vet.Hum.Toxicol. 1994;36(2):133-134. PubMed
  21. Chan, T. Y., Tomlinson, B., Chan, W. W., Yeung, V. T., and Tse, L. K. A case of acute aconitine poisoning caused by chuanwu and caowu. J Trop.Med Hyg. 1993;96(1):62-63.
  22. Yoshioka, N., Gonmori, K., Tagashira, A., Boonhooi, O., Hayashi, M., Saito, Y., and Mizugaki, M. A case of aconitine poisoning with analysis of aconitine alkaloids by GC/SIM. Forensic Sci.Int. 8-15-1996;81(2-3):117-123. PubMed
  23. Kimura, I., Takada, M., and Nojima, H. Aconitine induces bradycardia through a transmission pathway including the anterior hypothalamus in conscious mice. Biol.Pharm Bull. 1997;20(8):856-860. PubMed
  24. Chan TY. Aconite poisoning following the percutaneous absorption of Aconitum alkaloids. Forensic Sci Int. 2012 Nov 30;223(1-3):25-7. PubMed
  25. Chan TY. Aconitum Alkaloid Poisoning Because of Contamination of Herbs by Aconite Roots. Phytother Res. 2016 Jan;30(1):3-8.
  26. Li H, Liu L, Zhu S, Liu Q. Case reports of aconite poisoning in mainland China from 2004 to 2015: A retrospective analysis. J Forensic Leg Med. 2016 May 25;42:68-73. PubMed
  27. Zhao D, Wang J, Cui Y, Wu X. Pharmacological effects of Chinese herb aconite (fuzi) on cardiovascular system. J Tradit Chin Med. 2012 Sep;32(3):308-13. PubMed
  28. Wood C, Coulson J, Thompson J, Bonner S. An intentional aconite overdose: a case report. J Crit Care Med (Targu Mures) 2020;6(2):124-9. PubMed
  29. Bonanno G, Ippolito M, Moscarelli A, et al. Accidental poisoning with aconitum: case report and review of the literature. Clin Case Rep 2020;8(4):696-8. PubMed
  30. Blasco Mariño R, Pacheco Reyes A, Canel Micheloud C, Soteras Martínez I. Cardiac Arrest by Aconite Poisoning. Wilderness Environ Med 2021;32(3):415-417. PubMed
  31. Zhou C, Luo S, Tang J, Quick L, Liu H, Zhao Y. Poisoning Associated with Consumption of a Homemade Medicinal Liquor - Chongqing, China, 2018. MMWR Morb Mortal Wkly Rep 2022;71(16):569-573. PubMed
  32. Loo G, Yong TH, Yeo C. A case report of bidirectional ventricular tachycardia secondary to aconitum toxicity. J Arrhythm 2022;38(3):451-453. PubMed
  33. Majumder MI, Mahadi AR, Rahman OU, Roy BK, Shihab HM. Accidental poisoning with aconite overdose: A case report and resuscitative emergency management in a tertiary level hospital of Bangladesh. Clin Case Rep 2023;11(9):e7845. PubMed

See these in context on the Aconite monograph →

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

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