Baical Skullcap Root — Safety & Interactions

Huang Qin · Radix Scutellariae

Contraindications

  • Spleen and Stomach deficiency-cold with loose stools or poor appetite
  • Cold-pattern diarrhea without Heat or Damp-Heat signs
  • Restless fetus due to cold rather than Heat

Cautions

  • Because of its bitter-cold drying nature, prolonged or excessive use may injure the Middle Burner and worsen digestive weakness
  • Case reports and formula-associated reports of liver injury have been published for preparations containing baicalin or Chinese skullcap; use cautiously in patients with active liver disease

Drug Interactions

Drug Class / Substrate Mechanism Severity Source
Warfarin and other blood thinners Lab studies suggest Chinese skullcap has similar effects and may increase bruising and bleeding risk Moderate Memorial Sloan Kettering Integrative Medicine - Scutellaria baicalensis
Statins In healthy volunteers, Chinese skullcap decreased blood levels of drugs used to lower cholesterol Moderate Memorial Sloan Kettering Integrative Medicine - Scutellaria baicalensis
CYP1A2, CYP2C19, and other CYP450 substrate drugs In vitro data suggest wogonin inhibits CYP1A2 and CYP2C19 and may increase the risk of side effects with affected drugs Moderate Memorial Sloan Kettering Integrative Medicine - Scutellaria baicalensis
SLC transporter substrate drugs Baicalein, baicalin, and wogonin inhibited solute carrier transporters in vitro and may alter the cellular uptake of co-administered drugs Moderate Memorial Sloan Kettering Integrative Medicine - Scutellaria baicalensis

This information is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before using herbal medicines, especially if you take prescription medications.