saint johns wort (hypericum) ABACAVIR St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) ALPRAZOLAM The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) AMPRENAVIR St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) CITALOPRAM HYDROBROMIDE The active ingredient in St. John's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) CITALOPRAM HYDROBROMIDE 5-hydroxytryptophan promotes serotonin levels in the brain. The selective serotonin- reuptake inhibitors SSRIs), such as citalopram also known as Celexa@, act to increase serotonin levels. The simultaneous use of both could raise serotonin levels too high and trigger a potentially fatal chain of reactions called serotonin syndrome (SS). SS is rare. Serious complications include seizures, abnormal blood clotting and bleeding, respiratory failure, severe high fever, and death.

saint johns wort (hypericum) CLORAZEPATE DIPOTASSIUM The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) CLORAZEPATE DIPOTASSIUM The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) DELAVIRDINE MESYLATE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) DIAZEPAM The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) DICUMAROL The active ingredient in St. John's Wort is hypericum. This competes with the coumarin anticoagulants, like dicumarol, and diminishes the therapeutic effect of the later. This could result in blood clotting and emboli.

saint johns wort (hypericum) DIDANOSINE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) DIDANOSINE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) DIGOXIN The active ingredient in St. John's Wort is hypericum. It interacts with and decreases the effect of the cardiac glycoside drugs like digoxin. The cardiac glycoside drugs increase the force and velocity of the heart muscle contraction and slows down a heart rate that is to fast to allow for proper filling of the heart between contractions. Combined use of this herb and drug is to be avoided.

saint johns wort (hypericum) EFAVIRENZ St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) ESCITALOPRAM OXALATE The active ingredient in St. John's Wort is hypericum. This may promote serotonin levels in the brain. The selective serotonin- reuptake inhibitors SSRIs), such as escitalopram also known as Lexapro@, act to increase serotonin levels. The simultaneous use of both could raise serotonin levels too high and trigger a potentially fatal chain of reactions called serotonin syndrome (SS). SS is rare. Serious complications include seizures, abnormal blood clotting and bleeding, respiratory failure, severe high fever, and death.

saint johns wort (hypericum) ESTAZOLAM The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) FLUOXETINE HYDROCHLORIDE 5-hydroxytryptophan promotes serotonin levels in the brain. The selective serotonin- reuptake inhibitors SSRIs), such as fluoxetine also known as Prozac@, act to increase serotonin levels. The simultaneous use of both could raise serotonin levels too high and trigger a potentially fatal chain of reactions called serotonin syndrome (SS). SS is rare. Serious complications include seizures, abnormal blood clotting and bleeding, respiratory failure, severe high fever, and death.

saint johns wort (hypericum) FLURAZEPAM HYDROCHLORIDE The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) FLUVOXAMINE MALEATE The active ingredient in St. John's Wort is hypericum. This may promote serotonin levels in the brain. The selective serotonin- reuptake inhibitors SSRIs), such as fluvoxamine, act to increase serotonin levels. The simultaneous use of both could raise serotonin levels too high and trigger a potentially fatal chain of reactions called serotonin syndrome (SS). SS is rare. Serious complications include seizures, abnormal blood clotting and bleeding, respiratory failure, severe high fever, and death.

saint johns wort (hypericum) HYDROCHLOROTHIAZIDE Saint John's Wort is a photosensitizing herb. It is the furanocoumarins found often in umbelliferae resembling psoralens that cause this effect. Photosensitizing means the skin will be more sensitive to the effects of the sun. This effect is compounded if this herb is taken simultaneously with a photosensitizing drug like hydrochlorothiazide (HCT). Avoid the combined use of these or avoid the sun if taken together.

saint johns wort (hypericum) INDINAVIR SULFATE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) LAMIVUDINE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) LAMIVUDINE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) LOPINAVIR St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) LORAZEPAM The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) MIDAZOLAM HYDROCHLORIDE The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both. Midazolam is an injection medication used to sedate for medical procedures and surgery. Be sure to tell all medical personnel if you are taking St. John's Wort.

saint johns wort (hypericum) NEFAZODONE HYDROCHLORIDE The active ingredient in St. John's Wort is hypericum. This may promote serotonin levels in the brain. The selective serotonin- reuptake inhibitors SSRIs), such as nefazodone, act to increase serotonin levels. The simultaneous use of both could raise serotonin levels too high and trigger a potentially fatal chain of reactions called serotonin syndrome (SS). SS is rare. Serious complications include seizures, abnormal blood clotting and bleeding, respiratory failure, severe high fever, and death.

saint johns wort (hypericum) NELFINAVIR MESYLATE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) NEVIRAPINE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) OXAZEPAM The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) PAROXETINE HYDROCHLORIDE The active ingredient in St. John's Wort is hypericum. This may promote serotonin levels in the brain. The selective serotonin- reuptake inhibitors SSRIs), such as paroxetine also known as Paxil@, act to increase serotonin levels. The simultaneous use of both could raise serotonin levels too high and trigger a potentially fatal chain of reactions called serotonin syndrome (SS). SS is rare. Serious complications include seizures, abnormal blood clotting and bleeding, respiratory failure, severe high fever, and death.

saint johns wort (hypericum) PHENELZINE The active ingredient in St. John's Wort is hypericum. This may promote serotonin levels in the brain and is considered a serotonergic substance. The monoamine oxidase inhibitors (MAOIs), such as phenelzine, can interact with serotonergic substances and drugs and trigger a serotonin syndrome (SS). SS is rare. Serious complications include seizures, abnormal blood clotting and bleeding, respiratory failure, severe high fever, and death.

saint johns wort (hypericum) QUAZEPAM The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) RITONAVIR St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) SAQUINAVIR St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) SERTRALINE HYDROCHLORIDE The active ingredient in St. John's Wort is hypericum. This may promote serotonin levels in the brain. The selective serotonin- reuptake inhibitors SSRIs), such as sertraline also known as Zoloft@, act to increase serotonin levels. The simultaneous use of both could raise serotonin levels too high and trigger a potentially fatal chain of reactions called serotonin syndrome (SS). SS is rare. Serious complications include seizures, abnormal blood clotting and bleeding, respiratory failure, severe high fever, and death.

saint johns wort (hypericum) STAVUDINE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) TEMAZEPAM The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) TENOFOVIR St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) THYAZIDE DIURETICS St. John's Wort is a photosensitizing herb. Photosensitizing means the skin will be more sensitive to the effects of the sun. This effect is compounded if this herb is taken simultaneously with a photosensitizing drug like hydrochlorothiazide (HCT). Avoid the combined use of these or avoid the sun if taken together. The thyazide diuretics includes bendroflumethiazide, chlorothiazide, chlorthalidone, hydrochlorothiazide, hydroflumethiazide, indapamide, methyclothiazide, metolazone, polythiazide, and trichlormethiazide.

saint johns wort (hypericum) TRANYLCYPROMINE The active ingredient in St. John's Wort is hypericum. This may promote serotonin levels in the brain and is considered a serotonergic substance. The monoamine oxidase inhibitors (MAOIs), such as phenelzine, can interact with serotonergic substances and drugs and trigger a serotonin syndrome (SS). SS is rare. Serious complications include seizures, abnormal blood clotting and bleeding, respiratory failure, severe high fever, and death.

saint johns wort (hypericum) TRAZODONE HYDROCHLORIDE The active ingredient in St. John's Wort is hypericum. This may promote serotonin levels in the brain. The selective serotonin- reuptake inhibitors SSRIs), such as trazodone, act to increase serotonin levels. The simultaneous use of both could raise serotonin levels too high and trigger a potentially fatal chain of reactions called serotonin syndrome (SS). SS is rare. Serious complications include seizures, abnormal blood clotting and bleeding, respiratory failure, severe high fever, and death.

saint johns wort (hypericum) TRIAZOLAM The active ingredient in St. john's Wort is hypericum and it binds to a receptor site used by the anti-anxiety medications called the benzodiazepines. The combined use of this herb and drug diminishes the effect of both.

saint johns wort (hypericum) WARFARIN SODIUM The active ingredient in St. John's Wort is hypericum. This competes with the coumarin anticoagulants, like warfarin, and diminishes the therapeutic effect of the later. This occurs through hepatic induction thus decreasing needed enzyme bioavailablity. This could result in further blood clotting and potential emboli.

saint johns wort (hypericum) ZALCITABINE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

saint johns wort (hypericum) ZIDOVUDINE St. John's Wort has been reported to interact with the antiretroviral medications that are used to suppress HIV. This interaction could reduce the effectiveness of the antiretroviral medication. It is recommended to avoid this combination.

senna ADENOSINE Senna is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb could diminish the effect if you are given medication, like adenosine, in an ER to correct a cardiac arrhythmia.

senna AMIODARONE HYDROCHLORIDE Senna is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb should be taken cautiously if you are taking medication, like amiodarone, to correct or control an underlying cardiac arrhythmia.

senna BRETYLIUM TOSYLATE Senna is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb could diminish the effect if you are given medication, like bretylium, in an ER to correct a lethal cardiac arrhythmia.

senna CORTICOSTEROIDS Senna may cause increased side effects of depletion of potassium and possible fluid imbalances if taken with the oral corticosteroids. Oral corticosteroids includes betamethasone, cortisone, dexamethasone, fludrocortisone, hydrocortisone, prednisolone, and prednisone.

senna DIGOXIN Senna is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb should be taken cautiously if you are taking medication, like digoxin, to correct or control an underlying cardiac arrhythmia rapid heart beat.

senna FLECAINIDE ACETATE Senna is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb should be taken cautiously if you are taking medication, like flecanide, to correct or control an underlying cardiac arrhythmia.

senna LIDOCAINE HYDROCHLORIDE Senna is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb could diminish the effect if you are given medication, like lidocaine, in an ER to correct a lethal cardiac arrhythmia.

senna PROCAINAMIDE HYDROCHLORIDE Senna is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb could diminish the effect if you are given medication, like procainamide, in an ER to correct a lethal cardiac arrhythmia.

senna QUINIDINE Senna is an herb with a cathartic laxative action. This action can lead to depletion of potassium. Low potassium levels can increase the occurrence of cardiac arrhythmias (irregular, often rapid heart beat). This herb should be taken cautiously if you are taking medication, like quinidine, to correct or control an underlying cardiac arrhythmia.

slippery elm MOST DRUGS Slippery elm is a high fiber herb and when taken simultaneously with a drug(s) and/or mineral, can decrease the absorption of these. Avoid taking together.

soy ESTROGENS Soy has plant based estrogens called phytoestrogens. It may enhance the estrogen effect if taken along with estrogen replacement therapy.

spinach WARFARIN SODIUM Spinach as an herbal concentrate and also eaten as food can produce an opposition in the activity of warfarin. This occurs because spinach is usually rich in vitamin K. This opposition creates a decrease in therapeutic effectiveness and potential for increased clotting.

tansy ACETAMINOPHEN Tansy is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Acetominophen has a hepatotoxic potential, particularly in patients with active hepatitis. Avoid the combination of these two substances.

tansy ALCOHOL Alcohol is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Alcohol is hepatotoxic and should be avoided if taking borage.

tansy BARBITURATES Tansy is a thujone-containing herb that can decrease the therapeutic effect of anticonvulsant drugs like the barbiturates. It is theorized that it can decrease the seizure threshold. This class of anticonvulsant includes mephobarbital, phenobarbital, primidone.

tansy BENZODIAZEPINES Tansy is a thujone-containing herb that can decrease the therapeutic effect of anticonvulsant drugs like the benzodiazpines. It is theorized that it can decrease the seizure threshold. This one drug in this class used as an anticonvulsant is clonazepam.

tansy CLARITHROMYCIN Tansy is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed in combination with other hepatotoxic substances can cause liver inflammation. Clarithromycin, in combination with other hepatotoxic substances, can cause liver inflammation.

tansy ERYTHROMYCIN Tansy is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Erythromycin, in combination with other hepatotoxic substances, can cause liver inflammation.

tansy HYDANTOINS Tansy is a thujone-containing herb that can decrease the therapeutic effect of anticonvulsant drugs like the hydantions. It is theorized that it can decrease the seizure threshold. This class of anticonvulsant includes ethotoin, phenytoin.

tansy ISONIAZID Tansy is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Isoniazide, a drug used to treat tuberculosis, is considered to have a hepatotoxic potential. Avoid the combination of these two substances.

tansy METHOTREXATE SODIUM Tansy is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Methotrexate is a cancer chemotherapeutic agent that has other uses such as in rheumatoid arthritis or severe psoriasis. It is a drug that has a high hepatotoxic potential particularly if used for a long duration of time. Avoid this combination of substances.

tansy METHYLDOPA Tansy is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. Methyldopa is and older antihypertensive that can be hepatotoxic, particularly in women. Avoid this combination.

tansy MISCELLANEOUS ANTICONVULSANTS Tansy is a thujone-containing herb that can decrease the therapeutic effect of anticonvulsant drugs. It is theorized that it can decrease the seizure threshold. This class of anticonvulsant includes carbamazepine, felbamate, gabapentin, levetiracetam, magnesium sulfate, oxcarbazepine, tiagabine hydrochloride, toprimate, valproic acid, and zonisamide.

tansy NIACIN Tansy is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. High dose niacin used to treat dyslipidemia and it's resultant high triglycerides and LDL cholesterol, can be hepatotoxic. The combination of high dose niacin and borage could cause stress to the liver.

tansy OXAZOLIDINEDIONES Tansy is a thujone-containing herb that can decrease the therapeutic effect of anticonvulsant drugs like the oxazolidinediones. It is theorized that it can decrease the seizure threshold. This class of anticoagulant was once the drugs of choice for absence seizure but is rarely prescribed now.

tansy PHENYTOIN Tansy is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. The anticonvulsant phenytoin also known as Dilantin@, is hepatotoxic in certain people with a genetic predisposition to slow break down of certain drugs in the liver. Use caution with the combination of these two substances.

tansy STATIN DRUGS Tansy is an herb considered to have a potential to stress the liver and cause damage (hepatotoxic). On it's own, this would more than likely be rare unless severe liver inflammation and/or damage already existed. The statin drugs, used to lower cholesterol, have a high hepatotoxic potential. This class of drugs includes atorvastatin, fluvastatin, lovastatin, pravastatin, rosuvastatin, and simvastatin.

tansy SUCCINIMIDES Tansy is a thujone-containing herb that can decrease the therapeutic effect of anticonvulsant drugs like the succinimides. It is theorized that it can decrease the seizure threshold. This class of anticonvulsant includes ethosuximide, and methsuximide.

tea (black, green) ATROPINE SULFATE Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the anesthetic qualities of the mandrake derived medications such as atropine.

tea (black, green) BELLADONNA Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the antimuscarinic activity of the solanaceous alkaloids. It is the atropine content in these drugs that is responsible for this activity and tannin reduces the plasma levels of atropine.

tea (black, green) DESERPIDINE Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the antihypertensive rauwolfia alkaloids such as reserpine. The desired reduction in blood pressure may be difficult to achieve with the combination of these two substances.

tea (black, green) ERGOLOID MESYLATES Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the ergot alkaloids used to treat migraine headaches. This action can be dose dependant, thus large amounts of caffeine may interfere with the effectiveness of these drugs in the treatment of acute onset migraine syndrome with or without headache.

tea (black, green) ERGOTAMINE TARTRATE Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the ergot alkaloids used to treat migraine headaches. This action can be dose dependant, thus large amounts of caffeine may interfere with the effectiveness of these drugs in the treatment of acute onset migraine syndrome with or without headache.

tea (black, green) ERGOTAMINE TARTRATE Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the ergot alkaloids used to treat migraine headaches. This action can be dose dependant, thus large amounts of caffeine may interfere with the effectiveness of these drugs in the treatment of acute onset migraine syndrome with or without headache.

tea (black, green) IPECAC Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the emetic ipecac which is an alkaloid. Once a universally recommended drug to have in one's medicine cabinet in case of accidental poisoning, ipecac treatment and inducing vomiting is no longer recommended universally as the initial treatment. (for more on the use of ipecac, discuss further with a pediatrician or other health care provider)

tea (black, green) IRON Tannin-rich herbs like teas can bind with iron and decrease it's absorption. Do not take this drug/supplement/herb combination; take separately.

tea (black, green) METHYSERGIDE MALEATE Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the ergot alkaloids used to treat migraine headaches. This action can be dose dependant, thus large amounts of caffeine may interfere with the effectiveness of these drugs in the treatment of acute onset migraine syndrome with or without headache.

tea (black, green) OPIOIDS Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the opioids including codeine, fentanyl, hydrocodone, hydromorphone, levomethadyl, levophanol, meperidine, methadone, morphine, opium, oxycodone, propoxyphene, sufentanil, and tramadol. The result could be a reduction in the pain relieving, analgesic effect desired.

tea (black, green) QUININE SULFATE Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the anti-malaria drug quinine. Avoid this combination

tea (black, green) RESERPINE Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the antihypertensive rauwolfia alkaloids such as reserpine. The desired reduction in blood pressure may be difficult to achieve with the combination of these two substances.

tea (black, green) RESERPINE Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the antihypertensive rauwolfia alkaloids such as reserpine. The desired reduction in blood pressure may be difficult to achieve with the combination of these two substances.

tea (black, green) SCOPOLAMINE Tea is a tannin-containing herb and can decrease the plasma level and the therapeutic action of the anesthetic qualities of the mandrake derived medications such as scopolamine.