“…Given that Remdesivir is a substrate of P-gp, the compounds that affect P-gp activity might affect the efflux of Remdesivir. For example, herbal medicines and their bioactive ingredients including Alismatis Rhizoma (alisol B 23-acetate and alisol F 24-acetate) 118 , Bupleuri Radix (saikosaponins a/c/d) 160 , Citri Reticulatae Pericarpium (hesperidin) 259 , Descurainiae semen lepidii semen (quercetin) 318 , Magnoliae Officinalis Cortex (honokiol) 343 , 344 , Rhei Radix et Rhizoma 352 , 356 , Fritillariae Thunbergii Bulbus (peimisine, imperialine) 396 , Anemarrhenae Rhizoma (timosaponin A3) 400 , 401 , 402 , 403 , Arctii Fructus exerts inhibitory effects on P-gp, which may suppress Remdesivir's absorption or elimination 405 . On the contrary, many herbs such as Aurantii Fructus Immaturus (ethanol extract), Astragali Radix (astragaloside IV, calycosin and formononetin), and Menthae Haplocalycis Herba (menthol) can increase the activity or expression of P-gp 251 , 366 , 411 .…”