7 Medications You Shouldn't Mix With Tea, According to a Pharmacist



Medically reviewed by Erika Prouty, PharmD

Credit: Kseniya Ovchinnikova / Getty Images
Credit: Kseniya Ovchinnikova / Getty Images
  • It is strongly recommended to avoid drinking St. John’s wort tea at the same time as some medications. 
  • If your medicine isn’t working as expected, it may help to reduce the number of tea servings.
  • Waiting at least an hour before and after medication before consuming tea may help reduce the interaction between tea and OTC drugs.

While seemingly harmless, some teas can interact with over-the-counter and prescription medications, making your medicines less effective or increasing the risk of side effects.

1. Aspirin

Some teas, such as cranberry, ginger, and ginkgo biloba, may interact with aspirin and increase the risk of bleeding, particularly when consumed in large amounts.

One serious side effect of aspirin is that it can slow blood clotting, making it easier to bleed, especially in the stomach and brain.

2. Iron

Teas high in tannins, such as green and black tea, can reduce iron absorption because tannins form complexes with iron, making it unavailable for use by the body.

This may be especially concerning for people at risk of low iron levels who rely on iron supplements, including women who are menstruating, pregnant people, or those who have just had a baby, or long-distance runners.

However, some researchers found that taking these teas at least one hour before or after taking iron can help reduce complex formation, thereby increasing iron absorption.

3. Folic Acid

Some studies suggest that excessive green tea intake can significantly reduce blood folate levels.

Catechins, an antioxidant found in some teas like green and oolong teas, can also reduce how much folate your body can absorb.

As a result, experts advise pregnant women to limit consumption of these teas as they may increase the risk of spina bifida in their babies. Spina bifida is a birth disorder in which the spine doesn’t fully develop, and not getting enough folic acid during pregnancy is a risk factor.

4. Acetaminophen

Some teas, such as Kava tea and hibiscus tea, may affect how Tylenol (acetaminophen) works and increase its side effects.

Acetaminophen and kava both carry a risk of increased liver toxicity, especially when taken in high doses. Therefore, consuming kava tea while taking acetaminophen may further increase your risk of liver injury.

Other teas, such as hibiscus tea, have been found to increase the removal of acetaminophen from the blood, which can make the acetaminophen less effective or cause its effect on pain relief not to last long.

Some researchers recommend taking acetaminophen about 3 to 4 hours before drinking hibiscus tea to avoid shortening the effects of the medication.

5. Omeprazole

Some studies have found that teas containing extracts of gingko biloba, goldenseal, and ginger may affect how omeprazole works.

Omeprazole is a medication used to treat symptoms of gastroesophageal reflux disease (GERD), which causes heartburn.

One serious side effect associated with omeprazole is the risk of bleeding. Since ginkgo biloba extracts have similar side effects, taking them together may increase your risk of bleeding.

In addition, teas like golden seal and ginger can also increase stomach acid and interfere with the effectiveness of antacids (medicines used to neutralize stomach acid) and omeprazole.

6. Birth Control Pills

Some studies suggest that taking chamomile or St. John's wort along with birth control pills might decrease the effects of birth control pills.

If you are taking any of these supplements, it may help to space them appropriately or, if necessary, switch to a different herbal tea.

7. Allergy Medicines

Some herbal teas, such as St. John’s wort and black cohosh, may reduce the effectiveness of allergy medicines like Allegra (fexofenadine).

If you are taking allergy medicines, it may help to reduce the number of tea servings or, if necessary, discontinue them for the duration of treatment.

Tips for Drinking Tea When Taking Medications

Here are some ways that may help reduce interactions between your teas and over-the-counter (OTC) medicines:

  • Always take your pills with water, not with tea.
  • Wait at least an hour before and after medication before consuming tea.
  • Tell your healthcare provider all the herbal teas you take daily.
  • If you are taking medications like flu medicines that may contain caffeine, consider taking decaffeinated teas.

If you want to continue your daily tea rituals while taking OTC medications, it may help to ask your pharmacist whether those medications could interact with your teas and whether they could recommend alternative herbal teas.

For teas like St. John’s wort, it is strongly recommended to avoid drinking them at the same time as OTC medications.



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The version gets named according to the names that belong to the famous cities and are in alphabetic order. Most city names are from Europe, Asia, South America, and North America.ServiceNow can release more than one version per year. The list of ServiceNow versions are:

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  • Berlin – It was released on 2012-09-20.
  • Calgary – It was released on 2013-06-25.
  • Dublin – It was released on 2013-10-22.
  • Eureka – It was released on 2014-05-15.
  • Fuji – It was released on 2015-03-01.
  • Geneva – It was released on 2015-12-01.
  • Helsinki – It was released on 2016-05-12.
  • Istanbul – It was released on 2017-01-12.
  • Jakarta – It was released in 2017-06.
  • Kingston – It was released on 2017-11-16.
  • London – It was released on 2018-07-26.
  • Madrid – It was released on 2019-01-24
  • New York – It was released on 05-2019.
  • Orlando – It was  released on 2020-03-11
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Aspen

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Berlin

It focused more on the collected feedback from the community that used Aspen. Some of the features are:

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Calgary

It focused on company standardization. It worked well with all the branches of IT organizations. Some of its features include:

  • It uses several auxiliary databases to improve performance.
  • It supports provisioning for Amazon instances and VMWare.
  • It has a good interface for Ipad users.
  • It has improved report customization.
  • It promotes good collaboration due to the improved user interface of the workspace that enables users to work with several workspaces.
Dublin

It improves the Calgary features. It introduced new services like business management and automation of HR, among other services. Other features of Dublin include:

  • It has ServiceNow Notify that provides alerts.
  • It improves the application creator from the previous version.
  • Improves management of resources like costs, activities, e.t.c.
  • It has good mobile services due to the optimized HTML.
  • Automation of configuration from creation, reporting, and enforcement of issues.

Eureka

It improved the enterprise services and the user experience. It improved the access and the way users could navigate different company uses. Other features include:

  • It provided Service Creator that enabled those lacking coding knowledge to build applications using the drag and drop method.
  • It makes it easy to organize tasks using the visual task board.
  • It automates the services like requests, reporting, and delivery.
  • It uses the CIO roadmap to visualize all the timelines according to decisions on different functions.  
Fuji

It was one of the best ServiceNow versions, and it took longer to release. It came with many features that improved how companies delivered their services. Most of the features were on how to improve the customer’s service. It divided the services into five categories as below:

Service Taxonomy

It has the following features:

  • Workbench to help in prioritization of tasks.
  • It makes it easy to create and publish different services.
  • Improved configuration management.

Service Assurance features

It has the following features:

  • Good test management features for improving quality.
  • Ensure compliance and be free from risks.
  • Workbench for creating different project templates and having the communication in one place.

Service Experience

It has the following features:

  • It has good knowledge bases to find information in one place.
  • It helps in controlling user access.
  • Good collaboration tools to improve communication.

Service Analysis features

It had the following features:

  • Ability to analyze costs using finance applications to develop models depending on the data.
  • Good reporting tools that promoted data visualization.
  • Improved analytics to improve performance indicators and check the trends.

Service Delivery features

It had the following features:

  • Support integration of different software to improve HR automation.
  • It offers several applications in legal, marketing, and finance.
  • Good workflow to improve users’ experience and good workflow of activities.

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Geneva

The main aim of this version was to improve engagement amongst the users. It works well with other user departments like customer care, HR, security services, e.t.c.The features of this version include:

  • It has an improved user interface for easy navigation and access.
  • It supports Apple iOS applications.
  • Good reporting capabilities.
  • Good HR management using different integrations, workflows, and portals.
  • Good working development environment for developments for faster delivery of applications.
Helsinki

It focused on improving service experiences that impact the consumer experience. Some of the features include:

  • It has a CMDB Health Dashboard that improves accuracy and compliance.
  • Easy to create dashboards using the drag and drop feature.
  • Improved collaboration between teams using notifications and mentions.
  • It has a portal designer for enhancing user experiences.
Istanbul

It improved security, automation of human resource automation, continuous development, and faster delivery of applications. Some of its features include:

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  • Use of Script Debugger to manage different debugging sessions.
  • It has ServiceNow Benchmarks for service improvement.
  • It has a CAB Workbench for planning, scheduling, and managing CAB meetings. 

Jakarta

It used machine learning and artificial intelligence to improve the performance of different sectors like HR, enterprise management and customer service, e.t.c.Some of its features include:

  • Report designer for improving data analysis.
  • Forecasting algorithms to match past patterns and determine which one is good.
  • Security dashboards for managing security incidents.
  • Cloud service mapping for spanning cloud and physical infrastructure.
Kingston

It improved data analytics, security incidents resolution, and budget forecasting using machine learning. It reduces errors and cases of downtime. Its features are:

  • It identifies any phishing attempts to fix all security concerns.
  • It has text insights to enable users to understand unstructured data.
  • It has better IntegrationHub to improve the integration of ServiceNow with other applications.
  • It has No-code development for creating different workflows.
  • It uses Agent Intelligence for accessibility controls.
London

It improved the employees’ lives by introducing new tools like Chatbots that made employees focus on other jobs within the company. Its features include:

  • It supported agile development.
  • It has Interaction Management to improve interactions using different channels like chat conversations.
  • It has ITSM Virtual Agent Chatbots for solving users’ issues.
  • It has SAFe that promotes agile principles in companies.
  • It uses Virtual Agent to build automated bots that improve conversations between users.

Madrid

It has many features that changed the way employees worked. It enabled them to work from any part of the world. Some of the features include:

  • It has MetricBase for migrating data between different series and helping in data analysis.
  • It has a Guided Tour Designer to show users how to use the application features.
  • It has a Service Portal for managing different knowledge bases and catalogs.
  • It has an Instance Security Center for providing insights and other trackable events.
  • Use of Parameterized Testing for protection against viruses.
New York

It brought different innovations in different sectors like intelligence, workspaces, and enterprise models. Some of the features include:

  • It has Mobile Onboarding to make employees work in different places on their assigned tasks.
  • It has Investment Funding to control the funding.
  • It uses Guided Application Creator to help in the setting up of applications.
  • It uses Dynamic Translation to translate texts.
  • It has a Now Mobile App that enables the company employees to access all their resources.
Orlando

It came with many integrations supporting the employees and the users. Some integrations include DevOps, manager insights, help systems, e.t.c. Some of the other features include:

  • Use of photo search to provide help to the users.
  • Use of multi-scan to improve productivity.
  • It supports the branding of mobile applications.
  • It uses Mobile Studio Feature Parity to support access features.
  • It uses Mobile Applications Management (MAM to improve applications security.
  • It has Mobile Analytics Enablement for tracking application usage. 

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Paris

It has the following features:

  • Improved reporting.
  • Use of time cards.
  • It supports DevSecOps.
  • It uses charts in analytics, i.e., Bar Charts, Pie Charts.
  • Improved employees and user experience.
Quebec

Some of the features of Quebec include:

  • Improved performance analytics.
  • Use of virtual agents to solve security incidents, manage passwords, e.t.c
  • It has customized reporting.
  • It supports DevOps.
  • It supports configuration management. 
Rome

It has the following features:

  • Renaming of Employee Service Center (ESC) to Employee Center.
  • Integration with learning portals like Udemy, Pluralsight, e.t.c.
  • Use of mobile applications to improve onboarding.
  • Support more integrations like Workday, Kronos, Oracle Cloud, e.t.c.
  • Use or reservation features.
  • Portfolio management.

San Diego

It improves productivity using streamlined and modern workspaces. It makes the development of applications easier by promoting the use of low code. It is the latest version of ServiceNow. It has the following features:

  • App Engine Studio templates-enables the developers to create application templates to promote faster development of applications.
  • Has Ad hoc tasks that make developers manually create all the child tasks in the lifecycle events without affecting the original structures.
  • It has a Dynamic Service Population that makes the untagged CIs become part of the application.
  • Company employees can use floor maps to manage reservations using mobile devices with a wayfinding feature that provides live directions.
  • It has good management of digital portfolios that enable developers to manage all the portfolios and services from one place.
  • It uses service requests to onboard different tools and applications.
  • It has booking and scheduling that ensures there is no double booking and makes schedules now easier.
Conclusion

The article has a detailed guide on the ServiceNow versions and their features. It will enable you to understand the version you use in your project and how it will benefit you. Every version has its release notes that you can go through and compare with the previous ones.

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