Drug & supplement interaction

Alpha-ketoglutarate (akg) + Piroxicam

Piroxicam brand names: Feldene, Feldene Gel.

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 Alpha-ketoglutarate (akg) and Piroxicam 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.

Know someone taking this? Share
Facebook Post Reddit Email
On this page
Interaction report

Alpha-ketoglutarate (akg) and Piroxicam

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 Piroxicam and Alpha-ketoglutarate (akg) 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 Alpha-ketoglutarate (akg) at all — not against Piroxicam, 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.

Alpha-ketoglutarate (akg) safety at a glance

Alpha-ketoglutarat... overall Use caution Generally tolerated in short-term studies, but long-term human safety data are limited.
Pregnancy Avoid Not enough safety data, so avoid use during pregnancy.
Breastfeeding Avoid Not enough safety data, so avoid use while breastfeeding.

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

Still wondering about combining Piroxicam and Alpha-ketoglutarate (akg)? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Piroxicam’s Own FDA Label Lists

This is not an interaction — none of it involves Alpha-ketoglutarate (akg). These are the most notable effects listed in the ADVERSE REACTIONS section of Piroxicam’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. 10 of them are worth acting on rather than waiting out — marked below.

  • Pain or burning when passing urine Worth acting on
  • Bleeding in the gut Worth acting on
  • High potassium Worth acting on
  • Low blood sugar Worth acting on
  • A heart attack Worth acting on
  • Hallucinations Worth acting on
  • Pancreatitis Worth acting on
  • Yellowing of the skin or eyes Worth acting on
  • Heart failure Worth acting on
  • An allergic reaction Worth acting on mentioned in 15.4% of FDA reports for Piroxicam

Showing the 10 most notable of 59 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 Piroxicam. Read the label on DailyMed › Where a percentage is shown, it is the share of 6,275 voluntary FDA FAERS reports for Piroxicam that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Alpha-ketoglutarate (akg)’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Alpha-ketoglutarate (akg) side to compare — that is a limit of the record, not a statement that Alpha-ketoglutarate (akg) has no side effects.

Overlapping uses

What Piroxicam Is Prescribed For, and What Alpha-ketoglutarate (akg) Has Been Studied For

These two come up together because they touch the same health topic — not because they do the same job. Piroxicam is a prescription medicine with approved uses on its FDA label. Alpha-ketoglutarate (akg) is a supplement: what follows is what researchers have looked at it for, and how strong that evidence is.

Piroxicam is prescribed for: Piroxicam capsules are used to relieve pain, swelling, and stiffness caused by osteoarthritis and rheumatoid arthritis. It targets inflammation at the source to help improve day-to-day comfort and movement. Piroxicam is not a cure for either condition — it manages symptoms. Your prescriber will weigh the benefits against the risks and aim for the lowest effective dose for the shortest time needed.

Alpha-ketoglutarate (akg) has been studied for:

  • Osteoarthritis studied, not established Alpha-ketoglutarate (akg) has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

    Alpha-ketoglutarate (akg) for osteoarthritis

    Although there has been interest in using oral alpha-ketoglutarate for osteoarthritis, there is insufficient reliable information about the clinical effects of alpha-ketoglutarate for this purpose.

Effectiveness ratings and the research summaries above are the verbatim record from the Natural Medicines database, which grades evidence from “Effective” down to “Insufficient Reliable Evidence To Rate”. A rating below the top of that scale means researchers have looked at it — not that it works, and never that it can stand in for a prescribed medicine. Do not stop or replace Piroxicam on your own; if you are taking Alpha-ketoglutarate (akg) for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

From our Q&A

Questions About Alpha-ketoglutarate (akg) or Piroxicam

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Alpha-ketoglutarate (akg) or Piroxicam, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Piroxicam

This page covers Alpha-ketoglutarate (akg) only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Piroxicam page lists 285 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Asarabacca (major), Beer (major), Danshen (major) and Piracetam (major).

By severity: 7 major · 242 moderate · 36 minor.

From our pharmacist’s overview on the Piroxicam page

“Piroxicam (Feldene) is a potent, long-acting NSAID for arthritis pain, and since it already carries real stomach-bleeding risk on its own, my honest read is that this page calls for genuine caution rather than a quick skim. Most of the 285 interacting supplements share a single problem: they thin the blood or blunt platelets, stacking…”

Reviewed by 2 · Jul 18, 2026

Open the Piroxicam interaction page

How much people look this up

Where Alpha-ketoglutarate (akg) and Piroxicam 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 Alpha-ketoglutarate (akg)
Steady interest

#1,377 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Piroxicam
Steady interest

#1,679 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. Alpha-ketoglutarate (akg) is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Alpha-ketoglutarate (akg) reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Alpha-ketoglutarate (akg) and Piroxicam 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 Alpha-ketoglutarate (akg)

What is Alpha-ketoglutarate (akg)?

Alpha-ketoglutarate (akg)
  • Anti-aging and longevity support
  • Athletic performance and recovery
  • Muscle building
  • Bone health
  • General metabolic and energy support

Alpha-ketoglutarate (AKG) is a natural molecule in the body's energy-making (Krebs) cycle that is now sold as a supplement, mainly marketed for longevity, exercise, and muscle support. Most human evidence is limited or early, and many popular claims rest on lab or animal studies, so benefits are not well proven. Talk with your pharmacist or doctor before starting it, especially if you are pregnant, breastfeeding, or have a health condition.

Not applicable (a naturally occurring metabolic molecule, made synthetically for supplements) · Capsules, tablets, powders; often as calcium alpha-ketoglutarate (Ca-AKG), arginine alpha-ketoglutarate (AAKG), or ornithine alpha-ketoglutarate (OKG)

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

Alpha-ketoglutarate (akg): dosing

There is no official, established dose of AKG for any health condition. Doses used in studies have varied widely depending on the form (calcium AKG, arginine AKG, or ornithine AKG) and the purpose.The safest approach is to follow the directions on the product label and not exceed the recommended amount.

From our Alpha-ketoglutarate (akg) monograph — the full record covers uses, side effects and every documented interaction.

Read the full Alpha-ketoglutarate (akg) monograph & all interactions
Medication

About Piroxicam

What Is Piroxicam Used For?

Brand names: Feldene, Feldene Gel

Piroxicam capsules are used to relieve pain, swelling, and stiffness caused by osteoarthritis and rheumatoid arthritis. It targets inflammation at the source to help improve day-to-day comfort and movement.

Piroxicam is not a cure for either condition — it manages symptoms. Your prescriber will weigh the benefits against the risks and aim for the lowest effective dose for the shortest time needed.

Most-Reported Side Effects for Piroxicam

From FAERS, the FDA’s public side-effect reporting system (6,347 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Drug hypersensitivity 980 reports
Rash 921 reports
Arthralgia 915 reports
Rheumatoid arthritis 856 reports
Fatigue 855 reports
See full Piroxicam drug information
Keep checking

Other Drugs & Alpha-ketoglutarate (akg)

Browse every other medication we’ve checked against Alpha-ketoglutarate (akg) — 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 Alpha-ketoglutarate (akg) 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 Alpha-ketoglutarate (akg) list.

See the full Alpha-ketoglutarate (akg) interactions page
See every supplement checked against Piroxicam, ranked by severity
Evidence & sources

Alpha-ketoglutarate (akg) References

The 2 sources that drive our Alpha-ketoglutarate (akg) monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Alpha-ketoglutarate (akg) is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Arginine — NIH Office of Dietary Supplements / MedlinePlus Source
  2. Dietary Supplements: What You Need to Know — NIH Office of Dietary Supplements Source

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 Alpha-ketoglutarate (akg) and Piroxicam Together: Common Questions

Is it safe to take Alpha-ketoglutarate (akg) with Piroxicam?
We do not list a known interaction between Alpha-ketoglutarate (akg) and Piroxicam. 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.
Are Alpha-ketoglutarate (akg) and Piroxicam used for the same thing?
They overlap in purpose, which usually means the real question is whether you need both rather than whether they are safe together. This page lists the shared uses and how strong the evidence is for Alpha-ketoglutarate (akg) in each. That is a conversation for your prescriber, especially if Piroxicam is being adjusted to a target.
Does Piroxicam interact with any supplements?
Yes. Piroxicam has documented interactions with 285 supplements in our database — Alpha-ketoglutarate (akg) is not one of them. The Piroxicam 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

Alpha-ketoglutarate (akg) monograph Uses, safety profile, and every drug interaction in one place Piroxicam drug information The full plain-English guide to this medication Piroxicam supplement interactions Every supplement checked against Piroxicam, 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 Piroxicam and Alpha-ketoglutarate (akg)?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.