drug supplement interaction

8 interactions related to drug supplement interaction

levothyroxine + magnesium

Magnesium can reduce levothyroxine absorption

high
levothyroxinemagnesiumabsorptionabsorption interactiondrug supplement interactionsupplement timingmedication timingTSHthyroid medicationantacids

warfarin + fish oil

Fish oil may increase bleeding risk when combined with warfarin

high
warfarinfish oilomega-3warfarin interactionINR monitoringbleeding risk supplementsblood thinner safetydrug supplement interactionCoumadin

blood thinner + vitamin e

High-dose vitamin E may increase bleeding risk with blood thinners

high
blood thinnervitamin ewarfarinCoumadinINR monitoringdrug supplement interactionbleeding risk supplementsanticoagulant safetyblood thinner safety

curcumin + piperine

Piperine (black pepper extract) increases curcumin bioavailability by up to 2000%

low
curcuminpiperineabsorptionabsorption interactionnutrient synergysupplement interactionsupplement timingdrug supplement interaction

antibiotics + calcium

Calcium can bind to certain antibiotics and reduce their absorption

moderate
antibioticscalciumabsorptionabsorption interactiondrug nutrient interactiondrug supplement interactionsupplement timingciprofloxacindoxycycline

St. John's Wort + SSRI

St. John's Wort induces cytochrome P450 enzymes and P-glycoprotein, reducing plasma concentrations of SSRIs and increasing the risk of serotonin syndrome when combined due to additive serotonergic effects.

high
st. john's wortssridrug interactiondrug supplement interactionsupplement interactionsupplement interactionsmedication timingabsorption

metformin + vitamin b12

Long-term metformin use depletes vitamin B12 levels

high
metforminvitamin b12absorptionabsorption interactiondrug nutrient interactiondrug supplement interactionsupplement interactionsupplement timingantacids

antibiotics + probiotics

Antibiotics kill probiotic bacteria, reducing their effectiveness

moderate
antibioticsprobioticssupplement timingdrug supplement interactionabsorptionmedication timingciprofloxacindoxycycline