Drug & supplement interaction

Enzyme Therapy + Berotralstat Hydrochloride

Berotralstat Hydrochloride brand name: Orladeyo.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Enzyme Therapy and Berotralstat Hydrochloride 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 Berotralstat Hydrochloride states a food rule worth keeping to.

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Interaction report

Enzyme Therapy and Berotralstat Hydrochloride

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 Berotralstat Hydrochloride and Enzyme Therapy 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 Enzyme Therapy at all — not against Berotralstat Hydrochloride, 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.

Enzyme Therapy safety at a glance

Enzyme Therapy overall Use caution Many digestive enzymes are generally well tolerated, but quality and uses vary widely, so check with a professional.
Pregnancy Use caution There is limited safety data, so avoid unless recommended by your doctor.
Breastfeeding Use caution Information is limited, so use only with professional guidance.

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

Still wondering about combining Berotralstat Hydrochloride and Enzyme Therapy? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Berotralstat Hydrochloride’s Own FDA Label Lists

This is not an interaction — none of it involves Enzyme Therapy. These are the most notable effects listed in the ADVERSE REACTIONS section of Berotralstat Hydrochloride’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both.

  • Heartburn
  • Back pain
  • Stomach upset
  • Stomach pain
  • Diarrhea
  • Vomiting

From the ADVERSE REACTIONS section of the FDA label for Berotralstat Hydrochloride. Read the label on DailyMed › Enzyme Therapy’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Enzyme Therapy side to compare — that is a limit of the record, not a statement that Enzyme Therapy has no side effects.

How to take them

Some Berotralstat Hydrochloride Products Have a Food Rule — Enzyme Therapy Should Not Break It

At least one FDA label for a product containing Berotralstat Hydrochloride says to take it with food. If you take Enzyme Therapy on an empty stomach out of habit, keep them separate — and take Berotralstat Hydrochloride 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 Berotralstat Hydrochloride 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 DOSAGE AND ADMINISTRATION Recommended dosage in adult and pediatric patients aged 12 years and older: 150 mg capsule orally once daily with food.

From the Dosage and Administration section of the FDA label we read for Berotralstat Hydrochloride — 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 Berotralstat Hydrochloride

This page covers Enzyme Therapy only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Berotralstat Hydrochloride page lists 75 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Hellebore (major), Arsenic (major), Cesium (major) and Ephedra (major).

By severity: 8 major · 51 moderate · 16 minor.

From our pharmacist’s overview on the Berotralstat Hydrochloride page

“If you take berotralstat (Orladeyo) to prevent hereditary angioedema attacks, this list deserves real attention, and the eight major-rated entries are where to start. The biggest cluster, 37 ingredients, affects the gut pump that moves berotralstat into your body; St.”

Reviewed by 2 · Jul 18, 2026

Open the Berotralstat Hydrochloride interaction page

How much people look this up

Where Enzyme Therapy and Berotralstat 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 Enzyme Therapy
Steady interest

#1,085 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Berotralstat Hydrochloride
Top half

#1,237 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. Enzyme Therapy is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Enzyme Therapy reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Enzyme Therapy and Berotralstat Hydrochloride records this page draws on were last updated June 22, 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 Enzyme Therapy

What is Enzyme Therapy?

  • Digestive support
  • Bloating and gas
  • Lactose or food intolerance
  • Pancreatic insufficiency
  • Inflammation and recovery
  • Immune support

Enzyme therapy uses supplemental enzymes to help break down food or, in some cases, to support other body processes. There is solid evidence for prescription enzymes in conditions like pancreatic insufficiency and lactose intolerance, but evidence for over-the-counter 'systemic' enzyme products is weak for most claims. Talk with your pharmacist or doctor before starting, especially if you have a chronic health condition.

Enzymes derived from plant, animal, fungal, or microbial sources · Capsules, tablets, chewables, powders, enteric-coated formulations

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

Enzyme Therapy: dosing

There is no single standard dose for enzyme therapy, because the right amount depends on the specific enzyme, the product strength, and the reason for use.For prescription pancreatic enzymes, dosing is set by a doctor and is often based on body weight and fat intake. Do not exceed the dose on the label without medical advice.

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

Read the full Enzyme Therapy monograph & all interactions
Keep checking

Other Drugs & Enzyme Therapy

Browse every other medication we’ve checked against Enzyme Therapy — 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

Enzyme Therapy References

The 2 sources that drive our Enzyme Therapy monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Enzyme Therapy is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Lactose Intolerance — MedlinePlus Source
  2. Dietary Supplements: What You Need to Know — NIH Office of Dietary Supplements Source

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 Enzyme Therapy and Berotralstat Hydrochloride Together: Common Questions

Is it safe to take Enzyme Therapy with Berotralstat Hydrochloride?
We do not list a known interaction between Enzyme Therapy and Berotralstat Hydrochloride. 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 Enzyme Therapy and Berotralstat Hydrochloride at the same time of day?
At least one FDA label for a product containing Berotralstat Hydrochloride says to take it with food. If you take Enzyme Therapy on an empty stomach out of habit, keep them separate and take Berotralstat Hydrochloride with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Berotralstat Hydrochloride products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Berotralstat Hydrochloride interact with any supplements?
Yes. Berotralstat Hydrochloride has documented interactions with 75 supplements in our database — Enzyme Therapy is not one of them. The Berotralstat Hydrochloride 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 Berotralstat Hydrochloride and Enzyme Therapy?

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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.