Echinacea and Tylenol Sinus Congestion/Pain (Acetaminophen and Phenylephrine Tablets)
Determining the interaction of Echinacea and Tylenol Sinus Congestion/Pain (Acetaminophen and Phenylephrine Tablets) and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:Consumer information for this interaction is not currently available.MONITOR: Coadministration with echinacea may increase the plasma concentrations and the risk of adverse effects of drugs that are substrates of CYP450 1A2. The proposed mechanism is decreased clearance due to echinacea-mediated inhibition of CYP450 1A2. Echinacea has been shown to increase the plasma levels of caffeine, a CYP450 1A2 substrate, by approximately 30%. Due to limited data, the clinical consequences of this interaction are unknown. MANAGEMENT: Caution is advised if echinacea is used concomitantly with drugs that are substrates of CYP450 1A2, particularly those with a narrow therapeutic range. Dosage adjustments as well as clinical and laboratory monitoring should be considered whenever echinacea is added to or withdrawn from therapy with these drugs. Patients should be monitored for the development of adverse effects. References Gorski JC, Huang SM, Pinto A, et al. "The effect of echinacea (Echinacea purpurea root) on cytochrome P450 activity in vivo." Clin Pharmacol Ther 75 (2004): 89-100
Professional:MONITOR: Coadministration with echinacea may increase the plasma concentrations and the risk of adverse effects of drugs that are substrates of CYP450 1A2. The proposed mechanism is decreased clearance due to echinacea-mediated inhibition of CYP450 1A2. Echinacea has been shown to increase the plasma levels of caffeine, a CYP450 1A2 substrate, by approximately 30%. Due to limited data, the clinical consequences of this interaction are unknown.
MANAGEMENT: Caution is advised if echinacea is used concomitantly with drugs that are substrates of CYP450 1A2, particularly those with a narrow therapeutic range. Dosage adjustments as well as clinical and laboratory monitoring should be considered whenever echinacea is added to or withdrawn from therapy with these drugs. Patients should be monitored for the development of adverse effects.
- Gorski JC, Huang SM, Pinto A, et al. "The effect of echinacea (Echinacea purpurea root) on cytochrome P450 activity in vivo." Clin Pharmacol Ther 75 (2004): 89-100
Generic Name: acetaminophen / phenylephrine
Brand name: Alka-Seltzer Plus Cold and Sinus, Contac Cold+Flu Non-Drowsy, Excedrin Sinus Headache Caplet, Mapap Sinus Congestion and Pain, QlearQuil Daytime Sinus & Congestion, Robitussin Nasal Relief, Sinus Congestion and Pain Daytime Cool Ice, Sinus Pain & Pressure, Sudafed PE Sinus Headache, Theraflu Daytime Severe Cold, Tylenol Sinus Congestion and Pain, Congespirin Aspirin Free, Neo Citran Extra Strength Cold and Sinus, Mapap Sinus PE, Tylenol Sinus Congestion Daytime, Excedrin Sinus Headache, Non-Pseudo Sinus Pain & Pressure, Robitussin Peak Cold Nasal Relief, Sudafed PE Pressure Plus Pain, Contact Cold and Flu Day, Tylenol Sinus + Headache Day, Vicks Sinex Daytime, Mygrex, Acetaminophen Congestion and Pain, QlearQuil Sinus & Congestion, Vicks DayQuil Sinex
Synonyms: Tylenol Sinus Congestion and Pain
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
- Echinacea-Tylenol Sinus Congestion/Pain (Acetaminophen, Chlorpheniramine, and Phenylephrine Tablets)
- Echinacea-Tylenol Sore Throat Nighttime
- Echinacea-Tylenol w/ Codeine
- Echinacea-Tylenol w/Codeine #3
- Echinacea-Tylenol w/Codeine #4
- Echinacea-Tylenol Warming Cold Multi-Symptom Nighttime
- Tylenol Sinus Congestion/Pain (Acetaminophen and Phenylephrine Tablets)-Echothiophate Iodide
- Tylenol Sinus Congestion/Pain (Acetaminophen and Phenylephrine Tablets)-Echothiophate iodide ophthalmic
- Tylenol Sinus Congestion/Pain (Acetaminophen and Phenylephrine Tablets)-Econazole
- Tylenol Sinus Congestion/Pain (Acetaminophen and Phenylephrine Tablets)-Econazole Cream
- Tylenol Sinus Congestion/Pain (Acetaminophen and Phenylephrine Tablets)-Econazole Foam
- Tylenol Sinus Congestion/Pain (Acetaminophen and Phenylephrine Tablets)-Econazole Nitrate