Diindolylmethane + Cyclobenzaprine
Cyclobenzaprine brand names: Cyclobenzaprine, Flexeril, Cycloprine.
Diindolylmethane has a minor interaction with Cyclobenzaprine. Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full interaction reportDiindolylmethane and Cyclobenzaprine
Here is the interaction we found between these two, with the evidence behind it.
CYTOCHROME P450 1A2 (CYP1A2) SUBSTRATES
Why this applies to Cyclobenzaprine
Cyclobenzaprine falls under CYTOCHROME P450 1A2 (CYP1A2) SUBSTRATES — the group Diindolylmethane interacts with.
In vitro evidence suggests that diindolylmethane can induce CYP1A2. Theoretically, it might increase metabolism of CYP1A2 substrates and lower serum concentrations. This interaction has not been reported in humans.
Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans..
Here's the gist: your body clears cyclobenzaprine partly through a liver enzyme called CYP1A2. In test-tube studies, DIM seems to speed up that enzyme. If that held true in people, your liver could clear cyclobenzaprine a little faster, which might make it work a bit less well. In practice, that could mean your muscle relaxant feels less effective at easing that strain or spasm, though cyclobenzaprine is not a prodrug, so we are not talking about a dangerous buildup here.
The honest truth is this is theoretical, based only on lab data, and has never been reported in actual patients. It's rated minor and unlikely. Still, if you take both and notice your muscle pain isn't easing like usual, mention it to your pharmacist or doctor.
- Lake BG, Tredger JM, Renwick AB, et al. 3'3-diindolylmethane induces CYP1A2 in cultured precision-cut human liver slices. Xenobiotica 1998;28:803-11. PubMed
- Jellinck, P. H., Forkert, P. G., Riddick, D. S., Okey, A. B., Michnovicz, J. J., and Bradlow, H. L. Ah receptor binding properties of indole carbinols and induction of hepatic estradiol hydroxylation. Biochem.Pharmacol. 3-9-1993;45(5):1129-1136. PubMed
What These Ratings Mean
Every interaction above is graded three ways — here’s the key to each label.
Clinically significant. Avoid the combination, or use only under close professional supervision.
Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.
Generally not serious. Be aware of it and mention it to your pharmacist.
- 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.
- 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.
Diindolylmethane Also Interacts With Other Medications
Diindolylmethane has 116 moderate, 152 minor known drug interactions in our database — the Cyclobenzaprine one above is one of them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Diindolylmethane
We haven’t checked that one against Diindolylmethane yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Diindolylmethane. Pick one to open its full report.
Questions About Diindolylmethane or Cyclobenzaprine
These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Diindolylmethane or Cyclobenzaprine, 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:
- Does DIM (Diindolylmethane) Interact With Any Drugs? ›
- Concern With Taking Flexeril And Gabapentin Together ›
- Is DIM (Diindolylmethane) Safe To Take With Antibiotics? ›
- Can You Take Lyrica And Flexeril Together? ›
Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.
See Every Supplement That Interacts With Cyclobenzaprine
This page covers Diindolylmethane only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Cyclobenzaprine page lists 197 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Grapefruit (major), Lithium (major), Procaine (major) and St. John's Wort (major).
By severity: 5 major · 146 moderate · 46 minor.
Taking Diindolylmethane as Part of a Dietary Supplement Product? Check It for Interactions
We hold 933 real supplement products containing Diindolylmethane, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Diindolylmethane. Your product may carry other ingredients that interact with Cyclobenzaprine too, on top of Diindolylmethane — and those would not show on this page. Find your product and we’ll check every ingredient on its label:
Where Diindolylmethane and Cyclobenzaprine 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.
#199 of 1,452 supplements looked up here in the last 7 days
#361 of 2,830 medications looked up here in the last 7 days
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.
About Diindolylmethane
What is Diindolylmethane?
- Estrogen/hormone balance
- Acne and hormonal skin issues
- Prostate health support
- Cancer-risk reduction (unproven)
- PMS and menopause symptoms
- General 'detox' support
Diindolylmethane (DIM) is a compound made when your body digests cruciferous vegetables, and it is sold as a supplement mainly for hormone balance and cancer prevention. Although early lab studies look interesting, strong human evidence is lacking for most of these uses. Talk with your pharmacist or doctor before taking DIM, especially if you have a hormone-sensitive condition.
About Cyclobenzaprine
What Is Cyclobenzaprine Used For?
Brand names: Cyclobenzaprine, Flexeril, Cycloprine
Cyclobenzaprine tablets and extended-release capsules are used alongside rest and physical therapy to relieve muscle spasm caused by acute, painful musculoskeletal conditions — easing pain, tenderness, and limited movement. This use is intended for short-term treatment only (up to 2–3 weeks).
Tonmya, the sublingual (under-the-tongue) form of cyclobenzaprine, is separately indicated for the treatment of fibromyalgia in adults. It is not the same as the oral tablet or capsule formulations.
Other Drugs & Diindolylmethane
Browse every other medication we’ve checked against Diindolylmethane — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
116 interactions
- Estradiol ›
- Hydrochlorothiazide ›
- Conjugated Estrogens ›
- Trichlormethiazide ›
- Bendroflumethiazide ›
- Metolazone ›
- Spironolactone ›
- Acetazolamide ›
- Chlorthalidone ›
- Cyclothiazide ›
- Esterified Estrogens ›
- Estropipate ›
- Indapamide ›
- Mannitol ›
- Methyclothiazide ›
- Torsemide ›
- Ammonium Chloride ›
- Benzthiazide ›
- Bumetanide ›
- Chlorothiazide ›
- Estrogen ›
- Estrone ›
- Ethacrynic Acid ›
- Ethinyl Estradiol ›
- Furosemide ›
- Hydroflumethiazide ›
- Methazolamide ›
- Oestrogen ›
- Polythiazide ›
- Prasterone (prescription Drug) ›
- Quinethazone ›
- Theobromine ›
- Tibolone ›
- Urea ›
- Ethinyl Estradiol, Norethindrone ›
- Ethinyl Estradiol, Levonorgestrel ›
- Ethinyl Estradiol, Norgestimate ›
- Ethinyl Estradiol, Desogestrel ›
- Ethinyl Estradiol, Norethindrone, Ferrous Fumarate ›
- Desogestrel, Ethinyl Estradiol ›
- Ethinyl Estradiol, Ethynodiol Diacetate ›
- Levonorgestrel, Ethinyl Estradiol ›
- Ethinyl Estradiol, Norgestrel ›
- Hydrochlorothiazide, Triamterene ›
- Amiloride, Hydrochlorothiazide ›
- Hydrochlorothiazide, Methyldopa ›
- Hydrochlorothiazide, Reserpine ›
- Hydrochlorothiazide, Spironolactone ›
- Acetaminophen, Pamabrom, Pyrilamine ›
- Atenolol, Chlortalidone ›
- Chlorothiazide, Methyldopa ›
- Drospirenone, Ethinyl Estradiol ›
- Hydralazine, Hydrochlorothiazide, Reserpine ›
- Reserpine, Trichlormethiazide ›
- Bendroflumethiazide, Potassium ›
- Captopril, Hydrochlorothiazide ›
- Chlorthalidone, Clonidine ›
- Conjugated Estrogens, Medroxyprogesterone Acetate ›
- Conjugated Estrogens, Meprobamate ›
- Cyproterone Acetate, Ethinyl Estradiol ›
Showing 60 of 116 moderate interactions — see all 116 on the Diindolylmethane page.
152 interactions
- Theophylline ›
- Naproxen ›
- Propranolol ›
- Verapamil ›
- Acetaminophen ›
- Diazepam ›
- Lofepramine ›
- Nortriptyline ›
- Bendamustine ›
- Caffeine (otc Drug) ›
- Desipramine ›
- Riluzole ›
- Warfarin Sodium ›
- Asenapine ›
- Caffeine (prescription Drug) ›
- Clomipramine ›
- Clozapine ›
- Flutamide ›
- Imipramine ›
- Propafenone ›
- Ropinirole ›
- Tasimelteon ›
- Tizanidine ›
- Zileuton ›
- Agomelatine ›
- Amitriptyline ›
- Anagrelide ›
- Bendamustine Hydrochloride ›
- Chlordiazepoxide ›
- Clopidogrel ›
- Enasidenib ›
- Etonogestrel ›
- Fenfluamine ›
- Fezolinetant ›
- Fluvoxamine ›
- Grepafloxacin ›
- Haloperidol ›
- Levobupivacaine ›
- Mexiletine ›
- Mirtazapine ›
- Naproxen Sodium ›
- Olanzapine ›
- Ondansetron ›
- Paracetamol ›
- Pentazocine ›
- Perampanel ›
- Pirfenidone ›
- Pomalidomide ›
- Propranolol Hydrochloride ›
- Ramelteon ›
- Rasagiline ›
- Ropivacaine ›
- Tacrine ›
- Tipranavir ›
- Triclabendazole ›
- Warfarin ›
- Acetaminophen, Hydrocodone ›
- Acetaminophen, Butalbital ›
- Acetaminophen, Pseudoephedrine ›
- Acetaminophen, Chlorpheniramine, Pseudoephedrine ›
Showing 60 of 152 minor interactions — see all 152 on the Diindolylmethane page.
No interaction 2,561 drugs checked — show the list
We also checked Diindolylmethane against these medications and found no known interaction in our sources. Open any page to confirm.
- Apixaban ›
- Levothyroxine ›
- Amlodipine ›
- Methylphenidate ›
- Sertraline ›
- Testosterone ›
- Losartan Potassium ›
- Metoprolol ›
- Aspirin ›
- Ivermectin ›
- Rivaroxaban ›
- Rosuvastatin ›
- Escitalopram ›
- Tadalafil ›
- Valacyclovir ›
- Atorvastatin ›
- Docusate ›
- Hydroxyurea ›
- Abemaciclib ›
- Methamphetamine ›
- Sumatriptan ›
- Ibuprofen ›
- Semaglutide ›
- Tirzepatide ›
- Prednisone ›
- Lisdexamfetamine ›
- Acyclovir ›
- Bupropion ›
- Metformin ›
- Amoxicillin ›
- Lisinopril ›
- Doxycycline ›
- Lamotrigine ›
- Fluoxetine ›
- Methotrexate ›
- Gabapentin ›
- Amphetamine ›
- Pregabalin ›
- Isotretinoin ›
- Dextroamphetamine ›
- Azithromycin ›
- Clonazepam ›
- Quetiapine ›
- Omeprazole ›
- Amlodipine Besylate ›
- Methylene Blue ›
- Duloxetine ›
- Letrozole ›
- Buspirone ›
- Citalopram ›
- Ciprofloxacin ›
- Bisoprolol ›
- Levothyroxine, Liothyronine ›
- Dapsone ›
- Cyclopentolate ›
- Candesartan Cilexetil ›
- Cephalexin ›
- Roxithromycin ›
- Pegunigalsidase Alfa-iwxj ›
- Atorvastatin Calcium ›
Showing the 60 most looked-up of 2,561 medications checked with no known interaction — see the full Diindolylmethane list.
Sources & How We Checked
Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference for vitamins, herbs and supplements — the basis for our interaction data.
- MedlinePlus, U.S. National Library of Medicine — NIH consumer drug information, used for the medication overviews.
- NIH Dietary Supplement Label Database (DSLD) — Official supplement product labels.
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
Taking Diindolylmethane and Cyclobenzaprine Together: Common Questions
Can you take Diindolylmethane with Cyclobenzaprine?
How serious is the Diindolylmethane and Cyclobenzaprine interaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Still Have a Question About Cyclobenzaprine and Diindolylmethane?
Our pharmacists answer your medication & supplement questions — free.
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.