Drug & supplement interaction

1-epiandrosterone + Ganaxolone

Ganaxolone brand name: Ztalmy.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between 1-epiandrosterone and Ganaxolone in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the label for Ganaxolone states a food rule worth keeping to.

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Interaction report

1-epiandrosterone and Ganaxolone

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Ganaxolone and 1-epiandrosterone in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for 1-epiandrosterone at all — not against Ganaxolone, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

1-epiandrosterone safety at a glance

1-epiandrosterone overall Avoid It acts like an anabolic steroid and has limited safety data, so caution and medical guidance are strongly advised.
Pregnancy Possibly Unsafe When used orally. Prohormones can be converted to active hormones in the body and cause adverse effects such as menstrual irregularities, infertility, hair loss... Read the full pregnancy detail
Breastfeeding Possibly Unsafe When used orally. Prohormones can be converted to active hormones in the body and cause adverse effects such as menstrual irregularities, infertility, hair loss... Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Ganaxolone and 1-epiandrosterone? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Ganaxolone’s Own FDA Label Lists

This is not an interaction — none of it involves 1-epiandrosterone. These are the most notable effects listed in the ADVERSE REACTIONS section of Ganaxolone’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 3 of them are worth acting on rather than waiting out — marked below.

  • Unsteadiness Worth acting on
  • Seizures Worth acting on
  • A higher chance of infection Worth acting on
  • A stuffy or runny nose
  • Drowsiness
  • Fever
  • Tiredness

From the ADVERSE REACTIONS section of the FDA label for Ganaxolone. Read the label on DailyMed › 1-epiandrosterone’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no 1-epiandrosterone side to compare — that is a limit of the record, not a statement that 1-epiandrosterone has no side effects.

Special populations

1-epiandrosterone in Pregnancy & Breastfeeding

Pregnancy And Lactation Possibly Unsafe

When used orally. Prohormones can be converted to active hormones in the body and cause adverse effects such as menstrual irregularities, infertility, hair loss, and acne. Prohormones have also been associated with hepatotoxicity and increased risk of cardiovascular disease. The U.S. Food and Drug Administration and other regulatory agencies warn that dietary supplements containing prohormones are dangerous. Avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

How to take them

Some Ganaxolone Products Have a Food Rule — 1-epiandrosterone Should Not Break It

At least one FDA label for a product containing Ganaxolone says to take it with food. If you take 1-epiandrosterone on an empty stomach out of habit, keep them separate — and take Ganaxolone with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Ganaxolone products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

2 DOSAGE AND ADMINISTRATION Administer ZTALMY orally three times daily with food.

From the Dosage and Administration section of the FDA label we read for Ganaxolone — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Ganaxolone

This page covers 1-epiandrosterone only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ganaxolone page lists 195 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major) and Grapefruit (major).

By severity: 9 major · 147 moderate · 39 minor.

From our pharmacist’s overview on the Ganaxolone page

“Families managing CDKL5 deficiency disorder, the rare childhood epilepsy that ganaxolone (Ztalmy) treats, should read this supplement list carefully rather than skim it. Most entries fall into two camps.”

Reviewed by 2 · Jul 18, 2026

Open the Ganaxolone interaction page

How much people look this up

Where 1-epiandrosterone and Ganaxolone Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement 1-epiandrosterone
Steady interest

#924 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Ganaxolone
Steady interest

#1,920 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every 1-epiandrosterone reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The 1-epiandrosterone and Ganaxolone records this page draws on were last updated June 22, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About 1-epiandrosterone

What is 1-epiandrosterone?

1-epiandrosterone
  • Muscle building
  • Athletic performance
  • Improving body composition
  • Strength gains

1-epiandrosterone (often sold as a '1-andro' prohormone) is a steroid-related compound marketed to bodybuilders for muscle and strength gains, but solid human evidence is very limited and the safety profile is poorly understood. Because it can act like an anabolic steroid in the body and may carry liver, hormonal, and cardiovascular risks, most people should avoid it and talk to a pharmacist or doctor first.

Not a plant; a synthetic or lab-made steroid compound (prohormone) · Capsules, tablets, sometimes part of multi-ingredient bodybuilding 'prohormone' supplements

An interaction check asks whether these two react with each other — it does not ask whether 1-epiandrosterone is a good idea for someone in your situation. Here is what our 1-epiandrosterone record says about it on its own.

1-epiandrosterone: dosing

There is no established safe or effective dose for 1-epiandrosterone. Because these products can act like steroids and may carry real risks, do not assume "more is better." The safest choice for most people is to avoid it.

From our 1-epiandrosterone monograph — the full record covers uses, side effects and every documented interaction.

Read the full 1-epiandrosterone monograph & all interactions
Medication

About Ganaxolone

What Is Ganaxolone Used For?

Brand name: Ztalmy

Ztalmy (ganaxolone) oral suspension is approved to treat seizures associated with cyclin-dependent kinase-like 5 (CDKL5) deficiency disorder — a rare genetic condition, often called CDD — in patients 2 years of age and older.

Most-Reported Side Effects for Ganaxolone

From FAERS, the FDA’s public side-effect reporting system (0 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Seizure 201 reports
Somnolence 52 reports
Change in seizure presentation 43 reports
Pneumonia 30 reports
Vomiting 24 reports
See full Ganaxolone drug information
Keep checking

Other Drugs & 1-epiandrosterone

Browse every other medication we’ve checked against 1-epiandrosterone — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked 1-epiandrosterone against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full 1-epiandrosterone list.

See the full 1-epiandrosterone interactions page
See every supplement checked against Ganaxolone, ranked by severity
Evidence & sources

1-epiandrosterone References

The 1 references that drive our 1-epiandrosterone monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Joseph JF, Parr MK. Synthetic androgens as designer supplements. Curr Neuropharmacol. 2015;13(1):89-100. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking 1-epiandrosterone and Ganaxolone Together: Common Questions

Is it safe to take 1-epiandrosterone with Ganaxolone?
We do not list a known interaction between 1-epiandrosterone and Ganaxolone. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Should I take 1-epiandrosterone and Ganaxolone at the same time of day?
At least one FDA label for a product containing Ganaxolone says to take it with food. If you take 1-epiandrosterone on an empty stomach out of habit, keep them separate and take Ganaxolone with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Ganaxolone products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Ganaxolone interact with any supplements?
Yes. Ganaxolone has documented interactions with 195 supplements in our database — 1-epiandrosterone is not one of them. The Ganaxolone interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

1-epiandrosterone monograph Uses, safety profile, and every drug interaction in one place Ganaxolone drug information The full plain-English guide to this medication Ganaxolone supplement interactions Every supplement checked against Ganaxolone, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 1 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Ganaxolone and 1-epiandrosterone?

Our pharmacists answer your medication & supplement questions — free.

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.