Drug & supplement interaction

Butylated Hydroxytoluene (bht) + Loperamide, Simethicone

Loperamide, Simethicone brand name: Imodium Advanced.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Butylated Hydroxytoluene (bht) and Loperamide, Simethicone 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 Loperamide, Simethicone states a food rule worth keeping to.

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Interaction report

Butylated Hydroxytoluene (bht) and Loperamide, Simethicone

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 Loperamide, Simethicone and Butylated Hydroxytoluene (bht) 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 Butylated Hydroxytoluene (bht) at all — not against Loperamide, Simethicone, 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.

Butylated Hydroxytoluene (bht) safety at a glance

Butylated Hydroxyt... overall Use caution Approved as a food preservative in small amounts, but using concentrated BHT as a supplement is not well studied and may be harmful.
Pregnancy Likely Safe When used orally as a food additive. Read the full pregnancy detail
Breastfeeding Likely Safe When used orally as a food additive. 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 Loperamide, Simethicone and Butylated Hydroxytoluene (bht)? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Butylated Hydroxytoluene (bht) Itself Has Been Linked To

This is not an interaction — nothing below involves Loperamide, Simethicone. It is the side-effect record for Butylated Hydroxytoluene (bht) on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Butylated Hydroxytoluene (bht), this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

  • Fainting / Confusion Worth acting on Additional detail

    “Orally, BHT can cause severe gastritis characterized by severe epigastric pain, nausea, and vomiting. Symptoms may progress to weakness, dizziness, confusion, slurred speech, unsteady gait, and loss of consciousness. BHT is highly lipid soluble. It may cross the blood brain barrier, causing psychotropic symptoms. BHT has been associated with development of cancer;”

    Butylated Hydroxytoluene (bht) · Natural Medicines adverse-effect record, reported in cancer.

    5 sources cited
    1. 10303. Shlian DM, Goldstone J. Toxicity of butylated hydroxytoluene. N Engl J Med 1986;314:648-9. DOI
    2. 10698. Grogan MW. Toxicity from BHT ingestion. West J Med 1986;145:245-6.
    3. 10699. Shlian DM, Goldstone J. More on BHT toxicity. West J Med 1986;145:699.
    4. 10292. Williams GM, Iatropoulos MJ, Whysner J. Safety assessment of butylated hydroxyanisole and butylated hydroxytoluene as antioxidant food additives. Food Chem Toxicol 1999;37:1027-38.. PubMed
    5. 10293. Botterweck AA, Verhagen H, Goldbohm RA, et al. Intake of butylated hydroxyanisole and butylated hydroxytoluene and stomach cancer risk: results from analyses in the Netherlands Cohort Study. Food Chem Toxicol 2000;38:599-605.. PubMed
  • Stomach upset / Dizziness / Vomiting / Nausea Additional detail

    Recorded for Butylated Hydroxytoluene (bht) in the same Natural Medicines adverse-effect record shown under Fainting / Confusion above.

Everything above comes from the Natural Medicines adverse-effect record for Butylated Hydroxytoluene (bht) — expand a row for the licensed statement it rests on. We haven’t matched Loperamide, Simethicone to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for Loperamide, Simethicone.

Special populations

Butylated Hydroxytoluene (bht) in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Safe

When used orally as a food additive.

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 Loperamide, Simethicone Products Have a Food Rule — Butylated Hydroxytoluene (bht) Should Not Break It

At least one FDA label for a product containing Loperamide, Simethicone says to take it on an empty stomach. Most supplements — Butylated Hydroxytoluene (bht) included — are taken with a meal, so the easy mistake is swallowing both together at breakfast. Where that rule applies, keep Loperamide, Simethicone on its own and move Butylated Hydroxytoluene (bht) to a meal later in the day.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Loperamide, Simethicone 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.

Directions drink plenty of clear fluids to help prevent dehydration caused by diarrhea take only on an empty stomach (1 hour before or 2 hours after a meal) take with a full (8 oz.) glass of water find right dose on chart below.

From the Dosage and Administration section of the FDA label we read for Loperamide, Simethicone — where that label names a specific product, the instruction is that product's.

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 Loperamide, Simethicone

This page covers Butylated Hydroxytoluene (bht) only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Loperamide, Simethicone page lists 82 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Henbane (major), Scopolia (major), St. John's Wort (major) and Angel's Trumpet (moderate).

By severity: 4 major · 59 moderate · 19 minor.

From our pharmacist’s overview on the Loperamide, Simethicone page

“Imodium Advanced combines loperamide, an anti-diarrheal opioid that normally stays out of the brain thanks to a transporter called P-glycoprotein, with simethicone for gas, and I treat its interaction list with more respect than most over-the-counter medicines warrant. Thirty-seven of the 82 interacting ingredients on file affect that…”

Reviewed by 2 · Jul 18, 2026

Open the Loperamide, Simethicone interaction page

How much people look this up

Where Butylated Hydroxytoluene (bht) and Loperamide, Simethicone 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 Butylated Hydroxytoluene (bht)
Steady interest

#1,211 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Loperamide, Simethicone
Top 25%

#337 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 Butylated Hydroxytoluene (bht) reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Butylated Hydroxytoluene (bht) and Loperamide, Simethicone 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 Butylated Hydroxytoluene (bht)

What is Butylated Hydroxytoluene (bht)?

  • Antioxidant supplement
  • Antiviral (popular self-treatment for herpes-type viruses)
  • Food and supplement preservative
  • General 'anti-aging' use

Butylated hydroxytoluene (BHT) is a man-made antioxidant used mainly as a preservative in foods, cosmetics, and supplements. Some people take it as a supplement hoping for antiviral or anti-aging effects, but human evidence for these uses is very weak, and taking concentrated BHT carries real safety concerns. Talk with a pharmacist or doctor before using it as a supplement.

Synthetic compound (not from a plant) · Capsules, tablets, liquid drops, powder

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

Butylated Hydroxytoluene (bht): dosing

There is no established or proven safe supplement dose of BHT. It is not a standardized medical treatment, and doses found in supplements vary widely.If you choose to use a BHT product, follow the directions on the label and do not exceed them.

From our Butylated Hydroxytoluene (bht) monograph — the full record covers uses, side effects and every documented interaction.

Read the full Butylated Hydroxytoluene (bht) monograph & all interactions
Keep checking

Other Drugs & Butylated Hydroxytoluene (bht)

Browse every other medication we’ve checked against Butylated Hydroxytoluene (bht) — 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
No interaction 2,829 drugs checked — show the list
Evidence & sources

Butylated Hydroxytoluene (bht) References

The 6 references that drive our Butylated Hydroxytoluene (bht) 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. Williams GM, Iatropoulos MJ, Whysner J. Safety assessment of butylated hydroxyanisole and butylated hydroxytoluene as antioxidant food additives. Food Chem Toxicol 1999;37:1027-38.. PubMed
  2. Botterweck AA, Verhagen H, Goldbohm RA, et al. Intake of butylated hydroxyanisole and butylated hydroxytoluene and stomach cancer risk: results from analyses in the Netherlands Cohort Study. Food Chem Toxicol 2000;38:599-605.. PubMed
  3. Freeman DJ, Wenerstrom G, Spruance SL. Treatment of recurrent herpes simplex labialis with topical butylated hydroxytoluene. Clin Pharmacol Ther 1985;38:56-9.. PubMed
  4. Shlian DM, Goldstone J. Toxicity of butylated hydroxytoluene. N Engl J Med 1986;314:648-9. DOI
  5. Grogan MW. Toxicity from BHT ingestion. West J Med 1986;145:245-6.
  6. Shlian DM, Goldstone J. More on BHT toxicity. West J Med 1986;145:699.

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 Butylated Hydroxytoluene (bht) and Loperamide, Simethicone Together: Common Questions

Is it safe to take Butylated Hydroxytoluene (bht) with Loperamide, Simethicone?
We do not list a known interaction between Butylated Hydroxytoluene (bht) and Loperamide, Simethicone. 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 Butylated Hydroxytoluene (bht) and Loperamide, Simethicone at the same time of day?
At least one FDA label for a product containing Loperamide, Simethicone says to take it on an empty stomach, and supplements are usually taken with a meal — so taking them together at breakfast is the easy mistake. Where that applies, keep Loperamide, Simethicone on its own and move Butylated Hydroxytoluene (bht) to a meal later in the day. Food instructions belong to the product rather than the ingredient, so check the directions on your own box. This is about absorption, not an interaction.
Does Loperamide, Simethicone interact with any supplements?
Yes. Loperamide, Simethicone has documented interactions with 82 supplements in our database — Butylated Hydroxytoluene (bht) is not one of them. The Loperamide, Simethicone interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Loperamide, Simethicone and Butylated Hydroxytoluene (bht)?

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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.