Triphala Powder

May affect drug absorption

Watch for: Any oral medication taken around the same time

High-fiber or mucilage-rich herbs can slow or reduce how much of another oral drug is absorbed — space doses a couple of hours apart.

Processed by the liver

Watch for: Any medication that is also processed by liver enzymes (ask your pharmacist — this includes many common prescriptions)

Can alter how quickly the body clears certain medications, raising or lowering their effective dose.

May have a diuretic effect

Watch for: Diuretic medications and lithium

Additive fluid loss can affect electrolyte balance and change how the body clears lithium.

May affect immune activity

Watch for: Immunosuppressants (for transplant or autoimmune conditions)

Immune-stimulating herbs can work against immunosuppressive therapy.