Drug & supplement interaction

Chondroitin Sulfate + Risedronate

Risedronate brand name: Actonel DR.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Chondroitin Sulfate and Risedronate 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 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

Chondroitin Sulfate and Risedronate

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 Risedronate and Chondroitin Sulfate 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.

Chondroitin Sulfate safety at a glance

Chondroitin Sulfat... overall Use caution Generally well tolerated for short-term use, but quality varies and benefit is uncertain.
Pregnancy Avoid Not enough safety information; avoid during pregnancy.
Breastfeeding Avoid Not enough safety information; avoid while breastfeeding.

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

Still wondering about combining Risedronate and Chondroitin Sulfate? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Risedronate

Interactions in our licensed database are recorded against drug classes, not just single drug names. Risedronate is filed under 2 classifications — bisphosphonates, oral drugs. Chondroitin Sulfate has documented interactions with 1 drug class — the most serious being warfarin (coumadin) (moderate) — and none of Risedronate’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

Chondroitin Sulfate Does Interact With Other Medications

Chondroitin Sulfate has 2 moderate known drug interactions in our database — Risedronate isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Chondroitin Sulfate

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

What to actually watch for

No Interaction Found — But Data Suggests Chondroitin Sulfate and Risedronate 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. 3 of them are worth acting on rather than waiting out — marked below.

  • Wheezing Worth acting on Additional detail

    Chondroitin Sulfate

    “A case of asthma exacerbation has been reported occurred following use of an oral glucosamine and chondroitin sulfate combination product.”

    Chondroitin Sulfate · Natural Medicines adverse-effect record, reported in asthma.

    1 source cited
    1. 10002. Tallia AF, Cardone DA. Asthma exacerbation associated with glucosamine-chondroitin supplement. J Am Board Fam Pract 2002;15:481-4..

    Risedronate

    Listed in the ADVERSE REACTIONS section of the FDA label for Risedronate. Read the label on DailyMed ›

  • Liver problems Worth acting on Additional detail

    Chondroitin Sulfate

    “Although relatively uncommon, combinations of glucosamine and chondroitin sulfate have been associated with acute liver injury that mimics autoimmune hepatitis. Two cases of elevated aminotransferase levels have been reported for patients taking glucosamine (form unspecified) and chondroitin sulfate at recommended doses.”

    Chondroitin Sulfate · Natural Medicines adverse-effect record, reported in fatigue.

    3 sources cited
    1. 89515. Cerda C, Bruguera M, Parés A. Hepatotoxicity associated with glucosamine and chondroitin sulfate in patients with chronic liver disease. World J Gastroenterol 2013;19(32):5381-4. PubMed
    2. 89518. von Felden J, Montani M, Kessebohm K, Stickel F. Drug-induced acute liver injury mimicking autoimmune hepatitis after intake of dietary supplements containing glucosamine and chondroitin sulfate. Int J Clin Pharmacol Ther 2013;51(3):219-23. PubMed
    3. 89522. Ossendza RA, Grandval P, Chinoune F, Rocher F, Chapel F, Bernardini D. [Acute cholestatic hepatitis due to glucosamine forte]. Gastroenterol Clin Biol. 2007 Apr;31(4):449-50.

    Risedronate

    Listed in the ADVERSE REACTIONS section of the FDA label for Risedronate. Read the label on DailyMed ›

  • A higher chance of infection Worth acting on Additional detail

    Chondroitin Sulfate

    “Intravesical chondroitin sulfate has been associated with cases of vulvar burning, vaginitis, urinary tract infection (UTI), dysuria, pelvic pain, and other bladder symptoms, such as increased frequency, urgency, or incontinence. However, these effects might be due to catheterization rather than chondroitin sulfate.”

    Chondroitin Sulfate · Natural Medicines adverse-effect record, reported in pain.

    3 sources cited
    1. 42385. Nordling, J. and van, Ophoven A. Intravesical glycosaminoglycan replenishment with chondroitin sulphate in chronic forms of cystitis. A multi-national, multi-centre, prospective observational clinical trial. Arzneimittelforschung. 2008;58(7):328-335. PubMed
    2. 42387. Nickel, J. C., Egerdie, B., Downey, J., Singh, R., Skehan, A., Carr, L., and Irvine-Bird, K. A real-life multicentre clinical practice study to evaluate the efficacy and safety of intravesical chondroitin sulphate for the treatment of interstitial cystit
    3. 42473. Nickel, J. C., Egerdie, R. B., Steinhoff, G., Palmer, B., and Hanno, P. A multicenter, randomized, double-blind, parallel group pilot evaluation of the efficacy and safety of intravesical sodium chondroitin sulfate versus vehicle control in patients with

    Risedronate

    Listed in the ADVERSE REACTIONS section of the FDA label for Risedronate. Read the label on DailyMed ›

  • Stomach upset Additional detail

    Chondroitin Sulfate

    “Orally, chondroitin might cause nausea, bloating, abdominal pain, diarrhea, constipation, vomiting, dyspepsia, and epigastric burning.”

    Chondroitin Sulfate · Natural Medicines adverse-effect record, reported in constipation.

    6 sources cited
    1. 42396. Oliviero, U., Sorrentino, G. P., De Paola, P., Tranfaglia, E., D'Alessandro, A., Carifi, S., Porfido, F. A., Cerio, R., Grasso, A. M., Policicchio, D., and . Effects of the treatment with matrix on elderly people with chronic articular degeneration. Drug
    2. 42436. Crowley, D. C., Lau, F. C., Sharma, P., Evans, M., Guthrie, N., Bagchi, M., Bagchi, D., Dey, D. K., and Raychaudhuri, S. P. Safety and efficacy of undenatured type II collagen in the treatment of osteoarthritis of the knee: a clinical trial. Int.J.Med.Sc PubMed
    3. 42541. Pavelka and et al. Double-blind, dose effect study of oral cs 4 & 6 1200mg, 800mg, 200mg against placebo in the treatment of femorotibial osteoarthritis. Wular Rheumatol Liter 1998;27(suppl 2):63.
    4. 89561. Greenlee H, Crew KD, Shao T, Kranwinkel G, Kalinsky K, Maurer M, Brafman L, Insel B, Tsai WY, Hershman DL. Phase II study of glucosamine with chondroitin on aromatase inhibitor-associated joint symptoms in women with breast cancer. Support Care Cancer 201 PubMed
    5. 110628. Chu EC, Huang KHK, Cheung G, Ng G, Lin A. Delayed Skin Allergy to Glucosamine Chondroitin Supplement. Cureus 2023;15(3):e36310. PubMed
    6. 111647. Lila AM, Alekseeva LI, Baranov AA, et al. Chondroitin sulfate and glucosamine combination in patients with knee and hip osteoarthritis: A long-term observational study in Russia. World J Orthop 2023;14(6):443-457. PubMed

    Risedronate

    Listed in the ADVERSE REACTIONS section of the FDA label for Risedronate. Read the label on DailyMed ›

  • Constipation / Stomach pain / Diarrhea Additional detail

    Chondroitin Sulfate

    Recorded for Chondroitin Sulfate in the same Natural Medicines adverse-effect record shown under Liver problems above.

    Risedronate

    Listed in the ADVERSE REACTIONS section of the FDA label for Risedronate. Read the label on DailyMed ›

  • Swelling / A skin rash Additional detail

    Chondroitin Sulfate

    “Orally, chondroitin sulfate has been associated with skin symptoms, such as eyelid edema, lower limb edema, alopecia, and skin rash. Combinations of chondroitin sulfate along with glucosamine hydrochloride may also be associated with rash, water retention around eyes and scars, and hives on face, chest, torso, and legs when taken orally.”

    Chondroitin Sulfate · Natural Medicines adverse-effect record, reported in alopecia.

    5 sources cited
    1. 42513. Wildi, L. M., Raynauld, J. P., Martel-Pelletier, J., Beaulieu, A., Bessette, L., Morin, F., Abram, F., Dorais, M., and Pelletier, J. P. Chondroitin sulphate reduces both cartilage volume loss and bone marrow lesions in knee osteoarthritis patients starti
    2. 42436. Crowley, D. C., Lau, F. C., Sharma, P., Evans, M., Guthrie, N., Bagchi, M., Bagchi, D., Dey, D. K., and Raychaudhuri, S. P. Safety and efficacy of undenatured type II collagen in the treatment of osteoarthritis of the knee: a clinical trial. Int.J.Med.Sc PubMed
    3. 110628. Chu EC, Huang KHK, Cheung G, Ng G, Lin A. Delayed Skin Allergy to Glucosamine Chondroitin Supplement. Cureus 2023;15(3):e36310. PubMed
    4. 10408. Danao-Camara T. Potential side effects of treatment with glucosamine and chondroitin. Arthritis Rheum 2000;43:2853. PubMed
    5. 42385. Nordling, J. and van, Ophoven A. Intravesical glycosaminoglycan replenishment with chondroitin sulphate in chronic forms of cystitis. A multi-national, multi-centre, prospective observational clinical trial. Arzneimittelforschung. 2008;58(7):328-335. PubMed

    Risedronate

    Listed in the ADVERSE REACTIONS section of the FDA label for Risedronate. Read the label on DailyMed ›

  • Tiredness Additional detail

    Chondroitin Sulfate

    Recorded for Chondroitin Sulfate in the same Natural Medicines adverse-effect record shown under Liver problems above.

    Risedronate

    Listed in the ADVERSE REACTIONS section of the FDA label for Risedronate. Read the label on DailyMed ›

Showing the 10 most notable of 13 shared effects — ranked by how unusual each one is, not just whether both lists mention it.

Reported for Chondroitin Sulfate but not commonly for Risedronate: heart failure, a heart attack, sun sensitivity and heartburn.

Effects for Risedronate come from the ADVERSE REACTIONS section of its FDA label; effects for Chondroitin Sulfate 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.

Overlapping uses

What Risedronate Is Prescribed For, and What Chondroitin Sulfate Has Been Studied For

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

Risedronate is prescribed for: Risedronate sodium tablets are used to treat and prevent osteoporosis in postmenopausal women, treat osteoporosis in men to increase bone mass, and treat and prevent osteoporosis caused by long-term steroid (glucocorticoid) use in both men and women. They are also used to treat Paget's disease of bone — a condition where bones break down and rebuild abnormally, becoming enlarged and weakened. Risedronate sodium delayed-release tablets (brands Atelvia and Risedronate Sodium delayed-release) are approved specifically for the treatment of postmenopausal osteoporosis only — not for the other uses listed above.

Chondroitin Sulfate has been studied for:

  • Osteoporosis studied, not established Chondroitin Sulfate has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

    Chondroitin Sulfate for osteoporosis

    Although there is interest in using oral chondroitin for osteoporosis, there is insufficient reliable information about the clinical effects of chondroitin for this condition.

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 Risedronate on your own; if you are taking Chondroitin Sulfate for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

Everything else you take

See Every Supplement That Interacts With Risedronate

This page covers Chondroitin Sulfate only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Risedronate page lists 23 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Calcium (moderate), Coffee Charcoal (moderate), Dolomite (moderate) and European Mandrake (moderate).

By severity: 1 major · 13 moderate · 9 minor.

From our pharmacist’s overview on the Risedronate page

“Risedronate (Actonel DR) is an osteoporosis medicine with an Achilles heel, poor absorption. Only a small fraction of each dose ever reaches the bone, and the 23 supplements on this page deserve genuine wariness because nearly all of them attack that weak point by binding or blunting the drug in the gut.”

Reviewed by 2 · Jul 18, 2026

Open the Risedronate interaction page

One more smart check

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

We hold 2,347 real supplement products containing Chondroitin Sulfate, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Chondroitin Sulfate. Even though Chondroitin Sulfate itself has no known interaction with Risedronate, 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 Chondroitin Sulfate and Risedronate 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 Chondroitin Sulfate
Top 10%

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

29 days ago today
Medication Risedronate
Top half

#1,066 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 Chondroitin Sulfate reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Chondroitin Sulfate and Risedronate 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 Chondroitin Sulfate

What is Chondroitin Sulfate?

  • Osteoarthritis joint pain
  • Joint stiffness
  • Cartilage support
  • Dry eye (eye drops)

Chondroitin sulfate is a naturally occurring building block of cartilage that is widely taken, often with glucosamine, for osteoarthritis joint pain. The evidence is mixed—some people report modest relief while large studies show little or no benefit—but it appears generally well tolerated. Talk with your pharmacist or doctor before starting, especially if you have allergies or other health conditions.

Cartilage from animal sources (cattle, pig, shark, or fish) · Capsules, tablets, powders (often combined with glucosamine)

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

Chondroitin Sulfate: dosing

There is no single official dose of chondroitin sulfate that is agreed upon for everyone. It is often taken once daily or split into smaller doses through the day, and it is frequently combined with glucosamine in joint-support products.The best approach is to follow the directions on the product label and not take more than recommended.

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

Read the full Chondroitin Sulfate monograph & all interactions
Medication

About Risedronate

What Is Risedronate Used For?

Brand name: Actonel DR

Risedronate sodium tablets are used to treat and prevent osteoporosis in postmenopausal women, treat osteoporosis in men to increase bone mass, and treat and prevent osteoporosis caused by long-term steroid (glucocorticoid) use in both men and women. They are also used to treat Paget's disease of bone — a condition where bones break down and rebuild abnormally, becoming enlarged and weakened.

Risedronate sodium delayed-release tablets (brands Atelvia and Risedronate Sodium delayed-release) are approved specifically for the treatment of postmenopausal osteoporosis only — not for the other uses listed above.

See full Risedronate drug information
Keep checking

Other Drugs & Chondroitin Sulfate

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

0Major
2Moderate
0Minor
2,827No known interaction
Moderate

2 interactions

No interaction 2,827 drugs checked — show the list
Evidence & sources

Chondroitin Sulfate References

The 22 references that drive our Chondroitin Sulfate 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. Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
  2. Tallia AF, Cardone DA. Asthma exacerbation associated with glucosamine-chondroitin supplement. J Am Board Fam Pract 2002;15:481-4..
  3. Danao-Camara T. Potential side effects of treatment with glucosamine and chondroitin. Arthritis Rheum 2000;43:2853. PubMed
  4. Rozenfeld V, Crain JL, Callahan AK. Possible augmentation of warfarin effect by glucosamine-chondroitin. Am J Health Syst Pharm 2004;61:306-307. PubMed
  5. Clegg DO, Reda DJ, Harris CL, et al. Glucosamine, chondroitin sulfate, and the two in combination for painful knee osteoarthritis. N Engl J Med 2006;354:795-808. DOI
  6. Knudsen J, Sokol GH. Potential glucosamine-warfarin interaction resulting in increased international normalized ratio: Case report and review of the literature and MedWatch database. Pharmacotherapy 2008;28:540-8. PubMed
  7. Yue QY, Strandell J, Myrberg O. Concomitant use of glucosamine potentiates the effect of warfarin. Jan 2006. Drug Safety 29(10):911-1010. DOI
  8. Nordling, J. and van, Ophoven A. Intravesical glycosaminoglycan replenishment with chondroitin sulphate in chronic forms of cystitis. A multi-national, multi-centre, prospective observational clinical trial. Arzneimittelforschung. 2008;58(7):328-335. PubMed
  9. Nickel, J. C., Egerdie, B., Downey, J., Singh, R., Skehan, A., Carr, L., and Irvine-Bird, K. A real-life multicentre clinical practice study to evaluate the efficacy and safety of intravesical chondroitin sulphate for the treatment of interstitial cystit
  10. Oliviero, U., Sorrentino, G. P., De Paola, P., Tranfaglia, E., D'Alessandro, A., Carifi, S., Porfido, F. A., Cerio, R., Grasso, A. M., Policicchio, D., and . Effects of the treatment with matrix on elderly people with chronic articular degeneration. Drug
  11. Crowley, D. C., Lau, F. C., Sharma, P., Evans, M., Guthrie, N., Bagchi, M., Bagchi, D., Dey, D. K., and Raychaudhuri, S. P. Safety and efficacy of undenatured type II collagen in the treatment of osteoarthritis of the knee: a clinical trial. Int.J.Med.Sc PubMed
  12. Nickel, J. C., Egerdie, R. B., Steinhoff, G., Palmer, B., and Hanno, P. A multicenter, randomized, double-blind, parallel group pilot evaluation of the efficacy and safety of intravesical sodium chondroitin sulfate versus vehicle control in patients with
  13. Sawitzke, A. D., Shi, H., Finco, M. F., Dunlop, D. D., Harris, C. L., Singer, N. G., Bradley, J. D., Silver, D., Jackson, C. G., Lane, N. E., Oddis, C. V., Wolfe, F., Lisse, J., Furst, D. E., Bingham, C. O., Reda, D. J., Moskowitz, R. W., Williams, H. J.
  14. Wildi, L. M., Raynauld, J. P., Martel-Pelletier, J., Beaulieu, A., Bessette, L., Morin, F., Abram, F., Dorais, M., and Pelletier, J. P. Chondroitin sulphate reduces both cartilage volume loss and bone marrow lesions in knee osteoarthritis patients starti
  15. Pavelka and et al. Double-blind, dose effect study of oral cs 4 & 6 1200mg, 800mg, 200mg against placebo in the treatment of femorotibial osteoarthritis. Wular Rheumatol Liter 1998;27(suppl 2):63.

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 Chondroitin Sulfate and Risedronate Together: Common Questions

Is it safe to take Chondroitin Sulfate with Risedronate?
We do not list a known interaction between Chondroitin Sulfate and Risedronate. 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 Chondroitin Sulfate and Risedronate have any of the same side effects?
Yes — our sources link each of them separately to 10 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.
Are Chondroitin Sulfate and Risedronate 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 Chondroitin Sulfate in each. That is a conversation for your prescriber, especially if Risedronate is being adjusted to a target.
How was the Chondroitin Sulfate and Risedronate combination checked?
Interactions in our licensed database are recorded against drug classes. Risedronate is filed under 2 classifications, and Chondroitin Sulfate has documented interactions with 1 drug class — none of Risedronate'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 Chondroitin Sulfate interact with any other medications?
Yes. Chondroitin Sulfate has 2 documented drug interactions in our database — Risedronate 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 Risedronate interact with any supplements?
Yes. Risedronate has documented interactions with 23 supplements in our database — Chondroitin Sulfate is not one of them. The Risedronate 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 Risedronate and Chondroitin Sulfate?

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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.