Herb-Drug Interaction Checker

Check for potential interactions between herbal products and medications

Evidence-Based Regularly Updated Clinical Grade
Important Disclaimer:

This tool is for informational purposes only and does not constitute medical advice. Always consult a healthcare professional before combining herbal products with medications. The absence of an interaction in our database does not guarantee safety.

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Quick lookup: St. John's Wort Ginkgo Ginseng Echinacea Valerian

Understanding Severity Levels

Our database classifies herb-drug interactions into four severity levels based on clinical significance.

Critical

Life-threatening or permanent damage possible

  • Avoid combination entirely
  • Immediate medical attention if taken together
  • No safe alternatives exist
Severe

Significant harm or hospitalization risk

  • Generally avoid this combination
  • Only use with close medical supervision
  • Requires dosage adjustments
Moderate

Could worsen condition or require treatment changes

  • Use with caution
  • Monitor for adverse effects
  • Inform your healthcare provider
Mild

Minor effects, usually well-tolerated

  • Generally safe with awareness
  • May require timing adjustments
  • Watch for minor symptoms

Common Herb-Drug Interactions

Critical/Severe
  • St. John's Wort + Immunosuppressants
    Organ rejection risk (transplant patients)
  • St. John's Wort + HIV medications
    Reduced antiviral efficacy
  • Ginkgo + Anticoagulants
    Serious bleeding risk
Severe
  • St. John's Wort + SSRIs
    Serotonin syndrome risk
  • Grapefruit + Statins
    Muscle damage (rhabdomyolysis)
  • Licorice + Digoxin
    Cardiac arrhythmia risk
Moderate
  • Ginseng + Anticoagulants
    May affect platelet function
  • Echinacea + Immunosuppressants
    May reduce effectiveness
  • Valerian + CNS Depressants
    Additive sedation
Mild
  • Chamomile + Anticoagulants
    Slight bleeding risk increase
  • Green Tea + Iron supplements
    Reduced iron absorption
  • Milk Thistle + Some drugs
    Mild CYP enzyme effects
How Interactions Occur
  • Pharmacokinetic: Affecting absorption, distribution, metabolism, or excretion
  • Pharmacodynamic: Additive, synergistic, or antagonistic effects at the same target
  • CYP450 Enzymes: Many herbs affect these drug-metabolizing enzymes
  • P-glycoprotein: Some herbs affect this drug transporter
Safety Recommendations
  • Always inform your doctor about herbal products you use
  • Stop herbal products 2 weeks before surgery
  • Be cautious with herbs affecting blood clotting
  • Watch for signs of unexpected drug effects
  • Keep a complete medication and supplement list