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Thunder god vine
Thundergod vine/Drug Interactions:
Antihypertensives
Antihypertensives: Tripterygium wilfordii has reportedly caused an increase in diastolic blood pressure (
8
). The effects of Tripterygium wilfordii with antihypertensive agents are not well understood.
Anti-inflammatory agents
Anti-inflammatory agents: In vitro studies suggest that constituents of thundergod may exert anti-inflammatory effects (
85
;
86
;
87
;
55
;
59
;
60
;
88
;
89
;
90
;
91
;
92
;
93
). However, their effects with anti-inflammatory agents are not well understood.
Antineoplastic agents
Antineoplastic agents: In vitro, several compounds in Tripterygium wilfordii have exhibited anticancer activity against a variety of tumors, including bladder (
94
), breast (
80
;
29
;
94
), gastric (
94
), lung (
43
;
44
), prostate (
47
;
31
), and stomach cancer (
29
), as well as cervical adenocarcinoma (
95
), chloangiosarcoma (
96
), glioma (
30
), leukemia (
29
;
42
;
79
), melanoma (
94
), and pancreatic carcinoma (
95
). Triptolide has been shown in vitro to have potent but nonspecific cytotoxicity and antitumor activity (
94
;
80
) and antiproliferative activity (
97
;
98
). In vitro, triptolide was reported to induce accumulation of cells in S phase and block doxorubicin-mediated accumulation of cells in G(2)/M phase and induction of p21 (
99
).
Antiviral agents
Antiviral agents: Constituents of thundergod vine have been shown to have antiviral activity, particularly against several enveloped viruses, including herpes simplex-1 virus, human cytomegalovirus, measles virus, influenza A, and HIV (
26
;
27
;
100
;
41
). The effects of thundergod vine and antiviral agents are not well understood.
Disease-modifying antirheumatic drugs (DMARDs)
Disease-modifying antirheumatic drugs (DMARDs): Based on review study, Tripterygium wilfordii Hook.f. was reported to interact synergistically with DMARDs, such as FK506, cyclosporine, and possibly chloroquine (
28
).
Hormonal agents
Hormonal agents: In human research, use of Tripterygium wilfordii was reported to stimulate increases in luteinizing and follicle-stimulating hormones (
19
;
76
), and decrease estradiol, progesterone, and E2 levels (
19
;
76
). The effects of thundergod vine and hormonal agents are not well understood.
Immunosuppressants
Immunosuppressants: Based on in vitro study, certain compounds in thundergod vine may have both immunosuppressant and immunostimulating activity (
55
;
56
;
57
;
58
;
59
;
60
;
61
;
62
;
63
;
64
;
65
;
66
;
67
;
66
;
68
;
69
;
70
;
71
;
72
;
73
;
74
;
75
). The effects of thundergod vine and immunosuppressants are not well understood.
Nephrotoxic agents
Nephrotoxic agents: In humans, use of Tripterygium wilfordii has been reported to induce kidney damage in a limited number of cases (
15
). Theoretically, concurrent use of Tripterygium wilfordii and nephrotoxic agents may increase the risk of kidney damage.
Thundergod vine/Herb/Supplement Interactions:
Anti-inflammatory herbs and supplements
Anti-inflammatory herbs and supplements: In vitro studies suggest that constituents of thundergod may exert anti-inflammatory effects (
85
;
86
;
87
;
55
;
59
;
60
;
88
;
89
;
90
;
91
;
92
;
93
). However, their effects with anti-inflammatory agents are not well understood.
Antineoplastics
Antineoplastics: In vitro, several compounds in Tripterygium wilfordii have exhibited anticancer activity against a variety of tumors, including bladder (
94
), breast (
80
;
29
;
94
), gastric (
94
), lung (
43
;
44
), prostate (
47
;
31
), and stomach cancer (
29
), as well as cervical adenocarcinoma (
95
), chloangiosarcoma (
96
), glioma (
30
), leukemia (
29
;
42
;
79
), melanoma (
94
), and pancreatic carcinoma (
95
). Triptolide has been shown in vitro to have potent but nonspecific cytotoxicity and antitumor activity (
94
;
80
) and antiproliferative activity (
97
;
98
). In vitro, triptolide is reported to induce accumulation of cells in S phase and block doxorubicin-mediated accumulation of cells in G(2)/M phase and induction of p21 (
99
).
Antivirals
Antivirals: Constituents of thundergod vine have been shown to have antiviral activity, particularly against several enveloped viruses, including herpes simplex-1 virus, human cytomegalovirus, measles virus, influenza A, and HIV (
26
;
27
;
100
;
41
). The effects of thundergod vine and antiviral agents are not well understood.
Hormonal herbs and supplements
Hormonal herbs and supplements: In human research, use of Tripterygium wilfordii was reported to stimulate increases in luteinizing and follicle-stimulating hormones (
19
;
76
), and decrease estradiol, progesterone, and E2 levels (
19
;
76
). The effects of thundergod vine and hormonal agents are not well understood.
Hypotensives
Hypotensives: Tripterygium wilfordii has reportedly caused an increase in diastolic blood pressure (
8
). The effects of Tripterygium wilfordii with antihypertensive agents are not well understood.
Immunosuppressants
Immunosuppressants: Based on in vitro research, certain compounds in thundergod vine may have both immunosuppressant and immunostimulating activity (
55
;
56
;
57
;
58
;
59
;
60
;
61
;
62
;
63
;
64
;
65
;
66
;
67
;
66
;
68
;
69
;
70
;
71
;
72
;
73
;
74
;
75
). The effects of thundergod vine and immunosuppressants are not well understood.
Nephrotoxic agents
Nephrotoxic agents: In humans, use of Tripterygium wilfordii has been reported to induce kidney damage in a limited number of cases (
15
). Theoretically, concurrent use of Tripterygium wilfordii and nephrotoxic agents may increase the risk of kidney damage.
Thundergod vine/Food Interactions:
Phytoestrogen-containing foods
Phytoestrogen-containing foods: In human research, use of Tripterygium wilfordii has been reported to stimulate increases in luteinizing and follicle-stimulating hormones (
19
;
76
), and decrease estradiol, progesterone, and E2 levels (
19
;
76
).
Thundergod vine/Lab Interactions:
Blood pressure
Blood pressure: Tripterygium wilfordii reportedly caused an increase in diastolic blood pressure (
8
).
Bone mineral density
Bone mineral density: In human research, use of Tripterygium wilfordii has been reported to decrease bone mineral density in females suffering from systemic lupus erythematosus (SLE) (
14
).
Dipstick protein test
Dipstick protein test: Tripterygium wilfordii multiglycoside has been shown to cause reductions in proteinuria in vivo (
101
).
Estrogens
Estrogens: In human research, use of Tripterygium wilfordii has been reported to decrease estradiol and E2 levels (
19
;
76
).
Follicle-stimulating hormone (FSH)
Follicle-stimulating hormone (FSH): In human research, use of Tripterygium wilfordii has been reported to stimulate increases follicle-stimulating hormones (
19
;
76
).
Liver function tests (ALT)
Liver function tests (ALT): Thundergod vine (Tripterygium wilfordii Hook.f.) has been reported to transiently elevate serum ALT levels in a small number of cases (
20
); serum ALT values returned to normal after discontinuing thundergod vine supplementation.
Luteinizing hormone (LH)
Luteinizing hormone (LH): In human research, use of Tripterygium wilfordii has been reported to stimulate increases in luteinizing hormones (
19
;
76
).
Progesterone
Progesterone: In human research, use of Tripterygium wilfordii has been reported to decrease progesterone levels (
19
;
76
).
White blood cell (WBC) count
White blood cell (WBC) count: In vitro, use of extracts of Tripterygium wilfordii has been associated with decrease in the number of white blood cells (leukopenia) (
48
;
82
;
15
).