Drug & supplement interaction

Lime + Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital

Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital brand name: Cafergot PB.

Moderate Interaction
Medically reviewed by · Updated October 2026
The bottom line Moderate

Lime has a moderate interaction with Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital. Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4.

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

Lime and Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital

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

Moderate

CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES

Why this applies to Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital

Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital falls under CYTOCHROME P450 3A4 (CYP3A4) SUBSTRATES — the group Lime interacts with.

Animal research shows that phenolics in lime juice inhibit cytochrome P450 3A4. This has been demonstrated in rats treated with sildenafil, a CYP3A4 substrate, and high doses of lime juice.
Severity Moderate Likelihood Possible Evidence D

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 piece worth knowing: this combination pill contains ergotamine, which your body clears mainly through an enzyme called CYP3A4. Some animal research suggests that compounds in lime juice can slow that enzyme down. If that happens, ergotamine could build up more than expected. With ergotamine, too much can cause trouble like nausea, leg and arm cramping, cold or numb fingers and toes, and tingling, since it tightens blood vessels.

Now, the honest part: this is based on rat studies using high doses of lime juice, not people, so the real-world risk is likely small. A squeeze of lime on your food is unlikely to matter. Concentrated lime products are another story, so check with your pharmacist or doctor before using those.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Bailey DG, Dresser GK, Bend JR. Bergamottin, lime juice, and red wine as inhibitors of cytochrome P450 3A4 activity: comparison with grapefruit juice. Clin Pharmacol Ther 2003;73:529-37. PubMed
  2. Ademosun AO, Mohammed A, Oboh G, Ajeigbe OF. Influence of lemon (Citrus limon) and lime (Citrus aurantifolia) juices on the erectogenic properties of sildenafil in rats with L-NAME-induced erectile dysfunction. J Food Biochem 2022;46(2):e14074.

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

Lime Also Interacts With Other Medications

Lime has 887 moderate known drug interactions in our database — the Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital one above is one of them. If you take anything else, check it against the full list below.

Moderate 887 No known interaction 1,943 (incl. Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital)
Taking anything else?

Check Another of Your Medications Against Lime

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

Everything else you take

See Every Supplement That Interacts With Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital

This page covers Lime only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital page lists 269 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Ephedra (major) and Gamma-hydroxybutyrate (ghb) (major).

By severity: 13 major · 210 moderate · 46 minor.

From our pharmacist’s overview on the Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital page

“Cafergot PB combines ergotamine, caffeine, pentobarbital, and belladonna alkaloids to treat migraine, and the person taking it is often the same person reaching for kava to sleep or an herbal energy product afterward, which is exactly where the trouble sits. This list warrants genuine care.”

Reviewed by 2 · Jul 18, 2026

Open the Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital interaction page

One more smart check

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

We hold 322 real supplement products containing Lime, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Lime. Your product may carry other ingredients that interact with Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital too, on top of Lime — 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 Lime and Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital 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 Lime
Top 25%

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

29 days ago today
Medication Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital
Steady interest

#1,670 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 Lime

What is Lime?

Lime
  • Source of vitamin C
  • Digestive upset
  • Skin care
  • Mood and aromatherapy
  • Flavoring and food preservation

Lime is a common citrus fruit and a good natural source of vitamin C and plant antioxidants. As a food it is generally safe and enjoyed by most people, but evidence that lime treats any specific health condition is limited. Use the essential oil with care, and check with your pharmacist or doctor before using concentrated lime products for health reasons.

Read the full Lime monograph & all interactions
Keep checking

Other Drugs & Lime

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

0Major
887Moderate
0Minor
1,942No known interaction
887 Moderate 1,942 No interaction
Moderate

887 interactions

Showing 60 of 887 moderate interactions — see all 887 on the Lime page.

No interaction 1,942 drugs checked — show the list

We also checked Lime against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 1,942 medications checked with no known interaction — see the full Lime list.

See the full Lime interactions page
See every supplement checked against Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital, ranked by severity
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

Keep exploring
Lime monograph › Uses, safety, and every drug interaction in one place Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital supplement interactions › Every supplement checked against Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital, ranked by severity Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Lime and Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital Together: Common Questions

Can you take Lime with Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital?
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 Lime and Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital 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

Still Have a Question About Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital and Lime?

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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.