Examples of substances that contain alkaloids besides black cohosh includes morphine, nicotine,
codeine and Quinidine.
With simultaneous administration with antibacterial drugs, salicylates, sulfonamides and Quinidine, dose adjustment of Vikasol is required.
Wals H lowers the
effect of epinephrine, norepinephrine, antipodal and hypoglycemic drugs, worsens the excretion of Quinidine from the body.
It is inhibited by many drugs, such as amiodarone, azithromycin, captopril, clarithromycin, cyclosporine, piperine,
quercetin, Quinidine, quinine, reserpine, ritonavir, tariquidar, and verapamil.