Evidence-based·Last reviewed May 30, 2026·How we grade evidence

Ipriflavone

PhytochemicalIsoflavoneBest with a meal

Useful mainly for few candidates; benefit not confirmed by the largest trial.

Quick decision guide

May help most

few candidates; benefit not confirmed by the largest trial

Common dosing range

600 mg/day (200 mg three times daily)

When to expect effects

Months (if any)

Watch out for

can lower lymphocyte counts; monitor immune function

What is it

Ipriflavone (7-isopropoxyisoflavone) is a synthetic isoflavone derivative based on daidzein, used as a supplement and prescription drug (in some countries) for osteoporosis prevention.

Is it worth it for you?

Use this as a quick fit check, not a diagnosis.

Worth considering if

You understand the largest trial was negative
You are working with a clinician monitoring immune markers

Probably skip if

You want a proven osteoporosis therapy
You have a hormone-sensitive condition
You take warfarin, theophylline, or tamoxifen

Evidence at a glance

postmenopausal osteoporosis

Mixed Evidence
Effect
No significant benefit in the largest trial
Best fit
Not clearly established for any group
Time
Months (if any)

Evidence for 1 use

AI-assisted evidence assessment — talk to your doctor before relying on any single supplement.

postmenopausal osteoporosis

Supplement benefit
Mixed Evidence

Ipriflavone inhibits osteoclast activity and has weak estrogen-like effects, and small early trials suggested bone benefits. However, a large multicenter RCT in postmenopausal women found no significant effect on bone density or fracture prevention versus placebo, and some studies showed a dose-dependent drop in lymphocyte count. The largest, longest evidence does not support efficacy.

Effect size
No significant benefit in the largest trial
Time to effect
Months (if any)
Best fit
Not clearly established for any group
Less likely
Postmenopausal women relying on it to prevent fractures or preserve bone density

Bottom line: Not recommended for osteoporosis; the best trial was negative and it can lower lymphocytes.

Evidence is mixed

Small earlier trials suggested bone-density benefit, but the largest and longest multicenter RCT found none.

How it works

Ipriflavone inhibits osteoclast activity (bone-resorbing cells) and may modestly stimulate osteoblasts (bone-building cells), potentially preserving bone density. It also has weak estrogen-like effects, though much weaker than estradiol. Clinical evidence is mixed. A large multicenter trial in postmenopausal women found no significant benefit for bone density or fracture prevention compared to placebo. Some earlier, smaller trials suggested benefits, but the largest, longest study did not confirm them.

How to take it

1. Typical dose
200 mg three times daily (600 mg/day)
2. Timing
With meals
3. With food
With food to improve absorption and reduce GI upset
4. Split dosing
Divide into three 200 mg doses
5. How long to try
If trialed, with periodic lymphocyte monitoring

What to track

Lymphocyte count
GI tolerance
Headache

1 commercial form

Compare the main delivery options and what they’re best suited for.

Ipriflavone tablets/capsules

Standard supplement form, typically 200 mg per dose.

Absorption improved by food intake.

Safety

Know the common side effects, key cautions, and who should avoid it.

Common side effects

GI upsetHeadache

Serious risks

  • Dose-dependent reduction in lymphocyte count (subclinical lymphopenia)

Who should avoid it

  • Pregnant or breastfeeding people
  • People with hormone-sensitive conditions such as breast cancer

Pregnancy & breastfeeding

Avoid in pregnancy and breastfeeding due to hormonal effects and insufficient safety data.

Interactions

TheophyllineModerate

CYP1A2 inhibition can raise theophylline levels

WarfarinModerate

CYP2C9 inhibition can raise warfarin exposure and bleeding risk

TamoxifenModerate

May alter tamoxifen metabolism

Choosing a product

What to look for on the label — and what to be skeptical of.

Look for

Clear ipriflavone content per dose

Be skeptical of

Proven to prevent fractures
Estrogen replacement

Frequently asked questions

Does ipriflavone work for osteoporosis?

Evidence is mixed. The largest, longest trial found no benefit over placebo. Other osteoporosis treatments (calcium, vitamin D, bisphosphonates, exercise) have stronger evidence.

Is ipriflavone safe long-term?

Some studies have noted reductions in lymphocyte count with long-term use. Long-term safety profile is incomplete; discuss with your clinician.

References by claim

postmenopausal osteoporosis

Hu et al., 2020PubMed (2020) link

Alexandersen et al., 2001PubMed (2001) link

Track Ipriflavone with Pilora

Set up dose reminders, check interactions, and join the community in the Pilora iPhone app.

Coming to App Store
Evidence-based·Last reviewed May 30, 2026·Evidence current as of May 30, 2026·How we grade evidence

Disclaimer: These statements have not been evaluated by the FDA. This page is educational, not a substitute for personalized medical advice. Evidence grades are AI-assisted assessments — talk to your doctor before starting any new supplement, especially if you’re pregnant, breastfeeding, on medications, or managing a chronic condition.