Drug & supplement interaction

Adrenal Extract + Metformin, Linagliptin

Metformin, Linagliptin brand name: Jentadueto.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Adrenal Extract and Metformin, Linagliptin 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 Metformin, Linagliptin states a food rule worth keeping to.

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Interaction report

Adrenal Extract and Metformin, Linagliptin

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 Metformin, Linagliptin and Adrenal Extract 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 Adrenal Extract at all — not against Metformin, Linagliptin, 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.

Adrenal Extract safety at a glance

Adrenal Extract overall Use caution Evidence of benefit is lacking and animal-tissue products carry contamination and hormonal concerns.
Pregnancy Avoid Safety is unknown; avoid use during pregnancy.
Breastfeeding Avoid Safety is unknown; avoid use while breastfeeding.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Metformin, Linagliptin and Adrenal Extract? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Metformin, Linagliptin’s Own FDA Label Lists

This is not an interaction — none of it involves Adrenal Extract. These are the most notable effects listed in the ADVERSE REACTIONS section of Metformin, Linagliptin’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. 9 of them are worth acting on rather than waiting out — marked below.

  • Low blood sugar Worth acting on
  • Pancreatitis Worth acting on
  • Heart failure Worth acting on
  • High blood sugar Worth acting on
  • Wheezing Worth acting on
  • A severe allergic reaction Worth acting on
  • Hives Worth acting on
  • A higher chance of infection Worth acting on
  • An allergic reaction Worth acting on
  • Dry skin

Showing the 10 most notable of 24 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

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

How to take them

Some Metformin, Linagliptin Products Have a Food Rule — Adrenal Extract Should Not Break It

At least one FDA label for a product containing Metformin, Linagliptin says to take it with food. If you take Adrenal Extract on an empty stomach out of habit, keep them separate — and take Metformin, Linagliptin 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 Metformin, Linagliptin 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 Individualize the starting dosage of JENTADUETO XR based on the patient's current regimen ( 2.1 ) The maximum recommended dosage is 5 mg linagliptin/2,000 mg metformin HCl once daily ( 2.1 ) Take orally once daily with a meal, with gradual dose escalation to reduce the gastrointestinal effects due to metformin ( 2.1 ) Swallow whole; do not split, crush, dissolve, or che

From the Dosage and Administration section of the FDA label we read for Metformin, Linagliptin — 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 Metformin, Linagliptin

This page covers Adrenal Extract only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Metformin, Linagliptin page lists 285 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Siberian Cocklebur (major), St. John's Wort (major), Acai (moderate) and Adrafinil (moderate).

By severity: 3 major · 242 moderate · 40 minor.

From our pharmacist’s overview on the Metformin, Linagliptin page

“Siberian cocklebur is the risk anyone taking metformin and linagliptin (Jentadueto) should understand first, since it has caused severe hypoglycemia in people who consumed it. The wider picture deserves real care too.”

Reviewed by 2 · Jul 18, 2026

Open the Metformin, Linagliptin interaction page

One more smart check

Taking Adrenal Extract as Part of a Dietary Supplement Product? Check It for Interactions

We hold 8 real supplement products containing Adrenal Extract, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Adrenal Extract. Even though Adrenal Extract itself has no known interaction with Metformin, Linagliptin, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Adrenal Extract and Metformin, Linagliptin 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 Adrenal Extract
Steady interest

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

29 days ago today
Medication Metformin, Linagliptin
Top half

#1,321 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 Adrenal Extract reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Adrenal Extract and Metformin, Linagliptin records this page draws on were last updated July 10, 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 Adrenal Extract

What is Adrenal Extract?

  • Fatigue and low energy
  • "Adrenal fatigue" support
  • Stress and burnout
  • Low energy after illness
  • General "adrenal support"

Adrenal extract is a glandular supplement made from the adrenal glands of animals, and it is marketed mainly for fatigue and so-called "adrenal fatigue." There is no good scientific evidence that it works, and "adrenal fatigue" is not a recognized medical diagnosis. Because of possible safety and contamination concerns, talk with your pharmacist or doctor before trying it.

Adrenal glands (cortex and/or whole gland) of cattle, pigs, or sheep · Capsules, tablets, and glandular powder extracts

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

Adrenal Extract: dosing

There is no established or standardized dose for adrenal extract. Products vary widely in their source, strength, and ingredients, so there is no reliable "correct" amount.If you choose to use it despite the limited evidence, follow the directions on the product label and do not take more than recommended. Choosing brands that use independent third-party testing may help with quality, but it does not guarantee that the product works.

From our Adrenal Extract monograph — the full record covers uses, side effects and every documented interaction.

Read the full Adrenal Extract monograph & all interactions
Keep checking

Other Drugs & Adrenal Extract

Browse every other medication we’ve checked against Adrenal Extract — 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 Adrenal Extract 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 Adrenal Extract list.

See the full Adrenal Extract interactions page
See every supplement checked against Metformin, Linagliptin, ranked by severity
Evidence & sources

Adrenal Extract References

The 2 references that drive our Adrenal Extract 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. Lewis CJ. Letter to reiterate certain public health and safety concerns to firms manufacturing or importing dietary supplements that contain specific bovine tissues. FDA. Available at: www.cfsan.fda.gov/~dms/dspltr05.html.
  2. Nationwide alert on hallmark labs injectable adrenal cortex extract. FDA. Available at: www.fda.gov/bbs/topics/NEWS/NEW00539.html

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 Adrenal Extract and Metformin, Linagliptin Together: Common Questions

Is it safe to take Adrenal Extract with Metformin, Linagliptin?
We do not list a known interaction between Adrenal Extract and Metformin, Linagliptin. 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 Adrenal Extract and Metformin, Linagliptin at the same time of day?
At least one FDA label for a product containing Metformin, Linagliptin says to take it with food. If you take Adrenal Extract on an empty stomach out of habit, keep them separate and take Metformin, Linagliptin with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Metformin, Linagliptin products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Metformin, Linagliptin interact with any supplements?
Yes. Metformin, Linagliptin has documented interactions with 285 supplements in our database — Adrenal Extract is not one of them. The Metformin, Linagliptin 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

Adrenal Extract monograph Uses, safety profile, and every drug interaction in one place Metformin, Linagliptin supplement interactions Every supplement checked against Metformin, Linagliptin, 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 2 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Metformin, Linagliptin and Adrenal Extract?

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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.