28 published guides. Coverage is limited to the combinations listed.
Oral Glycyrrhiza glabra root products containing glycyrrhizin. This assessment does not treat deglycyrrhizinated licorice, topical preparations, other Glycyrrhiza species or licorice-flavored products as equivalent.
Read the interaction guide →Scutellaria lateriflora (American skullcap) oral preparations, specifically characterized aerial-part extracts where stated. Scutellaria baicalensis and isolated flavonoids are distinct.
Read the interaction guide →Valeriana officinalis root and rhizome preparations taken by mouth; blends and other valerian species are not equivalent.
Read the interaction guide →Oral chaparral products identified as Larrea tridentata. Evidence does not establish equivalent risks for other Larrea species, purified constituents or topical preparations.
Read the interaction guide →Orally ingested Hyoscyamus niger containing pharmacologically active antimuscarinic alkaloids; unknown-strength and highly diluted preparations require separate assessment.
Read the interaction guide →Applies to Hypericum perforatum, commonly called St. John's wort. Product strength varies, and the evidence does not define a safe preparation, dose, or washout interval.
Read the interaction guide →Oral Withania somnifera preparations; Sensoril trial findings cannot be extended to every root, leaf or mixed product.
Read the interaction guide →Oral Camellia Sinensis Leaf Extract that contains caffeine. Catechin or extract mass alone does not establish caffeine exposure. Coffea arabica seed extract is a separate botanical and is not assessed in this pair.
Read the interaction guide →Piper methysticum oral extracts and beverages; preparation, plant material and co-exposures vary.
Read the interaction guide →Oral Citrus aurantium supplements, with attention to extract composition, synephrine content and additional ingredients. Whole plant, isolated p-synephrine, juice and multi-ingredient products are not assumed interchangeable.
Read the interaction guide →Orally ingested Atropa belladonna containing pharmacologically active antimuscarinic alkaloids; unknown-strength and highly diluted preparations require separate assessment.
Read the interaction guide →Humulus lupulus hop-strobile preparations taken by mouth; beer, isolated constituents and valerian-hops blends are not interchangeable.
Read the interaction guide →Oral caffeine-containing Paullinia cupana seed preparations, including the var. sorbilis material in the final EMA assessment. Whole plant, other parts and caffeine-free formulations are not assigned seed-equivalent exposure.
Read the interaction guide →Caffeine from drinks, foods and supplements during oral clozapine treatment. The studies used different caffeine amounts and do not establish a daily limit that is safe for everyone.
Read the interaction guide →Oral Matricaria chamomilla (German chamomile) flower extract. Evidence from flowering-top extract is preparation-specific; Roman chamomile, tea and topical use are not equivalent.
Read the interaction guide →Oral caffeine-containing Cola acuminata seed preparations. Other Cola species, Garcinia kola, other plant parts and cola beverages cannot be assumed equivalent.
Read the interaction guide →Passiflora incarnata above-ground herb preparations; other Passiflora species, fruit products and multi-herb blends are separate exposures.
Read the interaction guide →Oral senna leaf/fruit laxative preparations or standardized sennosides; not all extracts are dose-equivalent.
Read the interaction guide →Medicinal oral whole or powdered Plantago afra seed used as a bulk-forming laxative. Other plant parts, extracts, food fibre and Plantago ovata husk are not treated as interchangeable.
Read the interaction guide →Products labeled charcoal or charcoal powder, without a specified activation process. The evidence concerns medical activated charcoal, mainly in poisoning care, and does not establish equivalent effects for every oral charcoal supplement.
Read the interaction guide →Oral melatonin with oral clozapine. The clearest official melatonin information concerns a 2 mg prolonged-release medicine; effects cannot be assumed identical across doses and formulations.
Read the interaction guide →Oral S-adenosylmethionine supplements; not methionine, endogenous SAM metabolism or injected formulations.
Read the interaction guide →Melissa officinalis oral extract; the acute study used a standardized product. Tea, essential oils, other species and blends are not assumed equivalent.
Read the interaction guide →Oral laxative-active Frangula purshiana bark preparations, including standardized cascara bark tea or extracts.
Read the interaction guide →The direct report concerns inhaled smoke from cannabis together with tobacco. Oral extracts, purified CBD, hemp seed products and noncombustion routes are not equivalent exposures.
Read the interaction guide →Oral caffeine-containing Ilex paraguariensis leaf preparations. Other Ilex species, non-leaf material and decaffeinated products are distinct. Roasted leaf is not equated with the non-roasted preparation covered by the HMPC monograph.
Read the interaction guide →Oral Mitragyna speciosa products. A single low-dose leaf tea study does not represent concentrated alkaloid products or prolonged use.
Read the interaction guide →Matricaria chamomilla species-level entry; oral tea, flowering-top extracts and other preparations are not interchangeable. Roman chamomile is a different botanical.
Read the interaction guide →