Dutchmanspipe Vine — Safety & Interactions

Tian Xian Teng · Herba Aristolochiae

Contraindications

  • Pregnancy
  • Kidney disease or prior aristolochic acid nephropathy
  • Any unsupervised internal use
  • History of urothelial carcinoma or high renal-cancer risk

Cautions

  • Tian Xian Teng belongs to the Aristolochia group, and aristolochic acid exposure has been linked to irreversible renal fibrosis, chronic kidney failure, and upper-tract urothelial carcinoma.
  • Historical use in pregnancy-related edema should not be taken as a modern safety endorsement because the toxicology concerns are far more serious than the classical indication is important.
  • MSK page not found - drug interaction data not available from Memorial Sloan Kettering integrative medicine database

Drug Interactions

Drug Class / Substrate Mechanism Severity Source
Nephrotoxic medications such as cisplatin, calcineurin inhibitors, or high-risk NSAID exposure - theoretical additive kidney injury risk

Pregnancy

Not recommended during pregnancy. Consult a qualified practitioner before any use.

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.