Drug & supplement interaction

Broccoli + Propranolol Hydrochloride

Propranolol Hydrochloride brand name: Hemangeol.

Moderate Interaction
The bottom line Moderate

Broccoli has a moderate interaction with Propranolol Hydrochloride. Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceB
What do Severity, Likelihood & Evidence mean?
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Interaction report

Broccoli and Propranolol Hydrochloride

Here is the interaction we found between these two, with the evidence behind it.

Moderate

CYTOCHROME P450 1A2 (CYP1A2) SUBSTRATES

Why this applies to Propranolol Hydrochloride

Propranolol Hydrochloride falls under CYTOCHROME P450 1A2 (CYP1A2) SUBSTRATES — the group Broccoli interacts with.

Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Pharmacokinetic research in humans shows that eating 500 grams of fresh broccoli daily for 6-12 days can increase CYP1A2 activity by 10% to 200%. Induction of CYP1A2 activity by broccoli is attributed to its glucosinolate constituents.
Severity Moderate Likelihood Possible Evidence B

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the gist for propranolol: your liver uses an enzyme called CYP1A2 to help break this medicine down. Research suggests that eating large amounts of broccoli (think around 500 grams of fresh broccoli daily for a week or two) can speed up that enzyme. When the enzyme works faster, propranolol may get cleared a bit quicker, which could mean slightly less effect. For an infant being treated for a hemangioma, that might show up as the growth not shrinking as expected.

The good news: this is mostly theoretical and tied to big, steady amounts of broccoli, not normal meals. Since propranolol is dosed by an infant's weight and watched closely, don't change anything on your own. Just mention your child's diet to the prescribing doctor or pharmacist if you have questions.

References
  1. Hakooz, N. and Hamdan, I. Effects of dietary broccoli on human in vivo caffeine metabolism: a pilot study on a group of Jordanian volunteers. Curr Drug Metab 2007;8(1):9-15. PubMed
  2. Kall MA, Vang O, Clausen J. Effects of dietary broccoli on human drug metabolising activity. Cancer Lett. 1997;114(1-2):169-70. PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Broccoli Also Interacts With Other Medications

Broccoli has 186 moderate known drug interactions in our database — the Propranolol Hydrochloride one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Broccoli

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

Everything else you take

See Every Supplement That Interacts With Propranolol Hydrochloride

This page covers Broccoli only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Propranolol Hydrochloride page lists 236 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), American Mistletoe (major), Indian Snakeroot (major) and Tyramine (major).

Open the Propranolol Hydrochloride interaction page

One more smart check

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

We hold 5,155 real supplement products containing Broccoli, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Broccoli. Your product may carry other ingredients that interact with Propranolol Hydrochloride too, on top of Broccoli — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Broccoli and Propranolol Hydrochloride 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 Broccoli
Top 5%

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

29 days ago today
Medication Propranolol Hydrochloride
Top half

#1,029 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.

Supplement

About Broccoli

What is Broccoli?

  • General nutrition and antioxidant support
  • Heart and digestive health
  • Detoxification support
  • Cancer risk reduction (popular interest)
  • Blood sugar support

Broccoli is a nutritious cruciferous vegetable rich in fiber, vitamins, and plant compounds like sulforaphane that have drawn scientific interest for health benefits. Eating broccoli as food is safe and healthy for most people, but concentrated supplements and extracts are less studied and benefits are not firmly proven. Talk to your pharmacist or doctor before using broccoli supplements, especially in high doses.

Read the full Broccoli monograph & all interactions
Medication

About Propranolol (Infantile Hemangioma)

What Is Propranolol (Infantile Hemangioma) Used For?

Brand name: Hemangeol

This intravenous (IV) form of propranolol is used in hospital settings to treat serious, life-threatening heart rhythm problems. It works on several types of abnormal rhythms, including those that happen during anesthesia or are caused by drug toxicity.

Specific uses include fast heart rhythms coming from the upper chambers of the heart (supraventricular tachycardia), dangerous rhythms caused by too much digitalis in the body, and certain fast rhythms triggered by excess stress hormones (catecholamines) during surgery.

See full Propranolol (Infantile Hemangioma) drug information
Keep checking

Other Drugs & Broccoli

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

0Major
186Moderate
0Minor
2,643No known interaction
Moderate

186 interactions

Showing 60 of 186 moderate interactions — see all 186 on the Broccoli page.

No interaction 2,643 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Broccoli and Propranolol Hydrochloride Together: Common Questions

Can you take Broccoli with Propranolol Hydrochloride?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Broccoli and Propranolol Hydrochloride interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

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

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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.