Drug & supplement interaction

Bitter Almond + Alogliptin, Metformin

Alogliptin, Metformin brand name: Kazano.

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 Bitter Almond and Alogliptin, Metformin 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 Alogliptin, Metformin states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Bitter Almond and Alogliptin, Metformin

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 Alogliptin, Metformin and Bitter Almond 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.

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.

Bitter Almond safety at a glance

Bitter Almond overall Avoid Bitter almond can release cyanide in the body and is considered unsafe to consume.
Pregnancy Avoid It may be poisonous and could harm the pregnancy; do not use.
Breastfeeding Likely Unsafe When used orally. There is insufficient reliable information available about the safety of bitter almond when used topically. 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 Alogliptin, Metformin and Bitter Almond? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Alogliptin, Metformin

Interactions in our licensed database are recorded against drug classes, not just single drug names. Alogliptin, Metformin is filed under 4 classifications — including organic cation transporter 2 (oct2) substrates, antidiabetes drugs, oral drugs. Bitter Almond has documented interactions with 1 drug class — the most serious being cns depressants (moderate) — and none of Alogliptin, Metformin’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Bitter Almond Does Interact With Other Medications

Bitter Almond has 248 moderate known drug interactions in our database — Alogliptin, Metformin isn’t one of them. If you take anything else, check it against the full list below.

Moderate 248 No known interaction 2,582 (incl. Alogliptin, Metformin)
Taking anything else?

Check Another of Your Medications Against Bitter Almond

Covers the 2,830 medications we’ve checked against Bitter Almond. Pick one to open its full report.

What to actually watch for

No Interaction Found — But Data Suggests Bitter Almond and Alogliptin, Metformin May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do. 2 of them are worth acting on rather than waiting out — marked below.

  • A severe allergic reaction Worth acting on Additional detail

    Bitter Almond

    “Orally, bitter almond and its oil can be toxic due to its amygdalin content.

    Most Common Adverse Effects:

    Oral: Central nervous system depression with respiratory failure.

    Serious Adverse Effects (Rare):

    All routes of administration: Allergic reactions, including anaphylaxis.”

    Bitter Almond · Natural Medicines adverse-effect record, reported in depression.

    Alogliptin, Metformin

    Listed in the ADVERSE REACTIONS section of the FDA label for Alogliptin, Metformin. Read the label on DailyMed ›

  • An allergic reaction Worth acting on Additional detail

    Bitter Almond

    “Tree nuts, which includes bitter almond, can cause allergic reactions in sensitive individuals. Due to the prevalence of this allergy in the general population, tree nuts are classified as a major food allergen in the United States.”

    Bitter Almond · Natural Medicines adverse-effect record, reported in allergic rhinitis (hay fever).

    1 source cited
    1. 105410. Food and Drug Administration. Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA); Public Law 108-282, Title II. Accessed on May 19, 2021. Available at: https://www.fda.gov/food/food-allergensgluten-free-guidance-documents-regulatory-infor

    Alogliptin, Metformin

    Listed in the ADVERSE REACTIONS section of the FDA label for Alogliptin, Metformin. Read the label on DailyMed ›

Effects for Alogliptin, Metformin come from the ADVERSE REACTIONS section of its FDA label; effects for Bitter Almond come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Bitter Almond in Pregnancy & Breastfeeding

Lactation Likely Unsafe

When used orally. There is insufficient reliable information available about the safety of bitter almond when used topically.

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 Alogliptin, Metformin Products Have a Food Rule — Bitter Almond Should Not Break It

At least one FDA label for a product containing Alogliptin, Metformin says to take it with food. If you take Bitter Almond on an empty stomach out of habit, keep them separate — and take Alogliptin, Metformin 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 Alogliptin, Metformin 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.

( 2.1 ) Given orally twice daily with food.

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

This page covers Bitter Almond only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Alogliptin, Metformin page lists 257 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Siberian Cocklebur (major), Acai (moderate), African Wild Potato (moderate) and Agaricus Mushroom (moderate).

By severity: 2 major · 217 moderate · 38 minor.

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

“Kazano combines alogliptin and metformin to lower blood sugar, and nearly everything on this list pushes on that same lever, so I treat these pairings with real caution. Most entries are herbs and supplements that lower glucose on their own, and stacked on the drug they raise the risk of hypoglycemia, a sugar drop steep enough to cause…”

Reviewed by 2 · Jul 18, 2026

Open the Alogliptin, Metformin interaction page

One more smart check

Taking Bitter Almond as Part of a Dietary Supplement Product? Check It for Interactions

We hold 2 real supplement products containing Bitter Almond, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Bitter Almond. Even though Bitter Almond itself has no known interaction with Alogliptin, Metformin, 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 Bitter Almond and Alogliptin, Metformin 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 Bitter Almond
Top half

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

29 days ago today
Medication Alogliptin, Metformin
Top 25%

#681 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 Bitter Almond reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Bitter Almond and Alogliptin, Metformin records this page draws on were last updated July 11, 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 Bitter Almond

What is Bitter Almond?

Bitter Almond
  • Cough suppressant
  • Muscle spasms (antispasmodic)
  • Itching and skin conditions
  • Flavoring agent
  • Sedative or 'narcotic' effects

Bitter almond is a variety of almond that contains amygdalin, a compound the body converts into cyanide, making it potentially poisonous. Because of this serious toxicity risk, bitter almond should not be eaten or used internally, and there is no reliable proof it treats any health condition. If you want almond's nutrition, choose ordinary sweet almonds instead.

Prunus dulcis var. amara · Rosaceae · Seeds (kernels) and the essential oil pressed from them · Essential oil, distilled water, flavoring extract

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

Bitter Almond: dosing

There is no safe, established dose of bitter almond or untreated bitter almond oil for taking by mouth, because of the cyanide poisoning risk.If you have a product that lists bitter almond as a flavoring, it should be cyanide-free and used only as directed on the label. Never try to dose raw bitter almonds or untreated oil yourself.

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

Read the full Bitter Almond monograph & all interactions
Keep checking

Other Drugs & Bitter Almond

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

0Major
248Moderate
0Minor
2,581No known interaction
248 Moderate 2,581 No interaction
Moderate

248 interactions

Showing 60 of 248 moderate interactions — see all 248 on the Bitter Almond page.

No interaction 2,581 drugs checked — show the list

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

Showing the 60 most looked-up of 2,581 medications checked with no known interaction — see the full Bitter Almond list.

See the full Bitter Almond interactions page
See every supplement checked against Alogliptin, Metformin, ranked by severity
Evidence & sources

Bitter Almond References

The 3 references that drive our Bitter Almond 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. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
  2. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  3. Food and Drug Administration. Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA); Public Law 108-282, Title II. Accessed on May 19, 2021. Available at: https://www.fda.gov/food/food-allergensgluten-free-guidance-documents-regulatory-infor

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 Bitter Almond and Alogliptin, Metformin Together: Common Questions

Is it safe to take Bitter Almond with Alogliptin, Metformin?
We do not list a known interaction between Bitter Almond and Alogliptin, Metformin. 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.
Do Bitter Almond and Alogliptin, Metformin have any of the same side effects?
Yes — our sources link each of them separately to 2 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Should I take Bitter Almond and Alogliptin, Metformin at the same time of day?
At least one FDA label for a product containing Alogliptin, Metformin says to take it with food. If you take Bitter Almond on an empty stomach out of habit, keep them separate and take Alogliptin, Metformin with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Alogliptin, Metformin products can differ — so check the directions on your own box. This is about absorption, not an interaction.
How was the Bitter Almond and Alogliptin, Metformin combination checked?
Interactions in our licensed database are recorded against drug classes. Alogliptin, Metformin is filed under 4 classifications, and Bitter Almond has documented interactions with 1 drug class — none of Alogliptin, Metformin's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Bitter Almond interact with any other medications?
Yes. Bitter Almond has 248 documented drug interactions in our database — Alogliptin, Metformin is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Alogliptin, Metformin interact with any supplements?
Yes. Alogliptin, Metformin has documented interactions with 257 supplements in our database — Bitter Almond is not one of them. The Alogliptin, Metformin 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

Bitter Almond monograph Uses, safety profile, and every drug interaction in one place Alogliptin, Metformin supplement interactions Every supplement checked against Alogliptin, Metformin, 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 3 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Alogliptin, Metformin and Bitter Almond?

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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.