Each 5 mL serving contains: Horehound liquid extract (1:1 20% alcohol) 0.085 mL • Pleurisy root liquid extract (1:1 35% alcohol) 0.05 mL • Senega liquid extract BP 1980 0.06 mL • Lobelia acid tincture (1:12.5 in 5.8% acetic acid) 0.18 mL • Acetum Scillae BP 0.06 mL. Other Ingredients: Syrup, Glycerin, Rectified Spirit, Methyl Hydroxybenzoate, Cubeb Oil, Tincture Quillaia Special, Chloroform, Fluid Extract Wild Cherry, Tincture Capsicum, Anise Oil, Propyl Hydroxybenzoate, Water.
Brand name products often contain multiple ingredients. To read detailed information about each ingredient, click on the link for the individual ingredient shown above.
Below is general information about the effectiveness of the known ingredients contained in the product Chest Mixture. Some ingredients may not be listed. This information does NOT represent a recommendation for or a test of this specific product as a whole.
There is insufficient reliable information available about the effectiveness of pleurisy root.
INSUFFICIENT RELIABLE EVIDENCE to RATE
INSUFFICIENT RELIABLE EVIDENCE to RATE
Below is general information about the safety of the known ingredients contained in the product Chest Mixture. Some ingredients may not be listed. This information does NOT represent a recommendation for or a test of this specific product as a whole.
LIKELY UNSAFE ...when used orally (3,11). Lobelia leaf can be toxic in doses of 600-1000 mg; 4000 mg of the leaf may be fatal (18). There is insufficient reliable information available about the safety of lobelia when used topically.
PREGNANCY AND LACTATION: LIKELY UNSAFE
when used orally due to its emetic effects (4,12).
There is insufficient reliable information available about the safety of lobelia when used topically during pregnancy and lactation.
POSSIBLY UNSAFE ...when used orally. Pleurisy root contains digitalis-like cardenolide glycosides (4). When taken in large doses, it can cause digitalis-like poisoning symptoms (18). Canadian regulations do not allow pleurisy root as an ingredient in oral products (12).
PREGNANCY: UNSAFE
when used orally (12).
Pleurisy root might have uterine stimulant and estrogenic activity (19).
LACTATION: POSSIBLY UNSAFE
when used orally (12); avoid using.
POSSIBLY SAFE ...when used orally and appropriately, short-term (12). Senega extract has been used with apparent safety in clinical research at doses of 300 mg daily for 4-8 weeks (96991,96992).
POSSIBLY UNSAFE ...when used orally, long-term. Prolonged use can cause gastrointestinal irritation (12). There is insufficient reliable information available about the safety of senega when used topically.
PREGNANCY: LIKELY UNSAFE
when used orally; senega appears to have uterine and menstrual flow stimulant effects (12,19).
There is insufficient reliable information available about the safety of the topical use of senega during pregnancy.
LACTATION:
Insufficient reliable information available; avoid using.
LIKELY SAFE ...when used orally in amounts commonly found in foods. White horehound has Generally Recognized as Safe (GRAS) status in the US (4912).
POSSIBLY SAFE ...when used orally and appropriately (2,12).
POSSIBLY UNSAFE ...when used orally in excessive amounts; white horehound may have a purgative effects (4,12). There is insufficient reliable information available about the safety of the topical use of white horehound.
PREGNANCY: LIKELY UNSAFE
when used orally; white horehound might have abortifacient effect (19), or stimulate menstrual flow and the uterus (12).
There is insufficient reliable information available about the safety of topical use during pregnancy; avoid using.
LACTATION:
There is insufficient reliable information available about the safety of oral use during lactation; avoid amounts greater than those commonly found in foods.
There is insufficient reliable information available about the safety of topical use during lactation; avoid using.
Below is general information about the interactions of the known ingredients contained in the product Chest Mixture. Some ingredients may not be listed. This information does NOT represent a recommendation for or a test of this specific product as a whole.
Lobelia is thought to have diuretic properties. Theoretically, due to these potential diuretic effects, lobelia might reduce excretion and increase levels of lithium. The dose of lithium might need to be decreased.
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Pleurisy root contains digitalis-like cardenolide glycosides. Taking pleurisy root in combination with digoxin could increase the risk of adverse effects and toxicity (19).
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Theoretically, concomitant use of potassium-depleting diuretics and pleurisy root can increase the risk of cardiac glycoside toxicity due to potassium depletion (19). Some diuretics that can deplete potassium include chlorothiazide (Diuril), chlorthalidone (Thalitone), furosemide (Lasix), hydrochlorothiazide (HCTZ, Hydrodiuril, Microzide), and others.
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Theoretically, excessive amounts of pleurisy root might interfere with hormone drug therapy (4).
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Evidence from animal research suggests that white horehound might lower blood glucose (23603,26149). However, preliminary clinical research suggests that white horehound only slightly lowers blood glucose when taken in combination with antidiabetic agents, suggesting that the effect may not be clinically significant (86369). Until more is known, use with caution. Theoretically, white horehound may have additive effects when used by patients taking antidiabetic drugs. The dose of diabetes medications might need to be adjusted. Some antidiabetes drugs include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, metformin (Glucophage), pioglitazone (Actos), rosiglitazone (Avandia), and others.
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Evidence from animal research suggests that taking white horehound extract lowers blood pressure (49408,86367). Theoretically, taking white horehound with antihypertensive drugs might enhance therapeutic effects and increase the risk of hypotension. Some antihypertensive drugs include captopril (Capoten), enalapril (Vasotec), losartan (Cozaar), valsartan (Diovan), diltiazem (Cardizem), Amlodipine (Norvasc), hydrochlorothiazide (HydroDiuril), furosemide (Lasix), and many others.
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Below is general information about the adverse effects of the known ingredients contained in the product Chest Mixture. Some ingredients may not be listed. This information does NOT represent a recommendation for or a test of this specific product as a whole.
General ...Orally, lobelia can cause nausea, vomiting, diarrhea, coughing, dizziness, tremors, and throat irritation. These adverse effects have been reported with doses as low as 50 mg (4,16414). Lobelia leaf can cause toxicity when taken in doses of 600 mg or higher. Symptoms of lobelia toxicity include sweating, tachycardia, convulsions, hypothermia, hypotension, coma, and death (4,11).
Cardiovascular ...Orally, high doses of lobelia leaf can cause toxicity. Symptoms of lobelia toxicity include tachycardia, hypotension, and death (4,11).
Gastrointestinal ...Orally, lobelia can cause nausea, vomiting, diarrhea, and throat irritation (4,16414).
Neurologic/CNS ...Orally, lobelia can cause dizziness and tremors. High doses of lobelia leaf can cause toxicity. Symptoms of lobelia toxicity include convulsions, coma, and death (4,11).
Pulmonary/Respiratory ...Orally, lobelia can cause coughing and throat irritation (4,16414).
Other ...Orally, high doses of lobelia leaf can cause toxicity resulting in death. Toxicity has been reported to occur at doses as low as 600 mg, with doses of 4000 mg or more considered to be fatal (4,11).
General
...Orally, pleurisy root can cause gastrointestinal irritation, nausea, and vomiting (19).
When consumed in large quantities, pleurisy root may cause digitalis-like poisoning symptoms (18). Acute digitalis poisoning symptoms include gastrointestinal upset, contracted pupils, blurred vision, strong slow pulse, nausea, vomiting, dizziness, excessive urination, fatigue, muscle weakness and tremors, stupor, confusion, convulsions, atrial arrhythmias, bradycardia, AV block, cardiovascular shock, and death (6,159,501).
Topically, pleurisy root may cause dermatitis (19).
Cardiovascular ...Orally, consuming large quantities of pleurisy root may cause digitalis-like poisoning symptoms (18). Acute digitalis poisoning symptoms include strong slow pulse, atrial arrhythmias, bradycardia, AV block, cardiovascular shock, and death (6,159,501).
Dermatologic ...Topically, pleurisy root may cause dermatitis (19).
Gastrointestinal ...Orally, pleurisy root can cause gastrointestinal irritation, nausea, and vomiting (19). When consumed in large quantities, pleurisy root may cause digitalis-like poisoning symptoms (18). Acute digitalis poisoning symptoms include nausea, vomiting, and gastrointestinal upset (6,159,501).
Neurologic/CNS ...Orally, consuming large quantities of pleurisy root may cause digitalis-like poisoning symptoms (18). Acute digitalis poisoning symptoms include dizziness, stupor, confusion, convulsions, and fatigue (6,159,501).
Ocular/Otic ...Orally, consuming large quantities of pleurisy root may cause digitalis-like poisoning symptoms (18). Acute digitalis poisoning symptoms include contracted pupils and blurred vision (6,159,501).
Renal ...Orally, consuming large quantities of pleurisy root may cause digitalis-like poisoning symptoms (18). Acute digitalis poisoning symptoms include excessive urination (6,159,501).
General ...Orally, senega seems to be well tolerated. The most common adverse effects are gastrointestinal irritation, dyspepsia, diarrhea, queasiness, vomiting, and dizziness. These adverse effects are usually associated with large doses or prolonged use (2,4,8,18,96992).
Gastrointestinal ...Orally, senega can cause mild dyspepsia (96992). Prolonged use of senega can cause gastrointestinal irritation (2). Large doses of senega can cause diarrhea (8), queasiness (18), and vomiting (4).
Immunologic ...There is a case of IgE-mediated occupational asthma and rhinitis due to inhalation of senega powder (96987).
Neurologic/CNS ...Orally, large amounts of senega can cause dizziness (8).
General
...Orally, white horehound may cause nausea, dry mouth, excessive salivation, loss of appetite, and dizziness in some patients (86369).
Large amounts of white horehound (exact dose is unclear) may cause purgative effects (4,12).
Topically, skin contact with the plant juice may cause contact dermatitis (4).
Dermatologic ...Topically, skin contact with the plant juice may cause contact dermatitis (4).
Gastrointestinal ...Orally, clinical research shows that drinking one cup of tea prepared with white horehound 1 gram three times daily for 3 weeks may cause nausea, dry mouth, excessive salivation, and loss of appetite in some patients (86369). Intake of large amounts of white horehound (exact dose is unclear) may cause purgative effects (4,12).
Neurologic/CNS ...Orally, clinical research shows that drinking one cup of tea prepared with white horehound 1 gram three times daily for 3 weeks may cause dizziness in some patients (86369).
