Drug & supplement interaction

Liver Extract + Glecaprevir, Pibrentasvir

Glecaprevir, Pibrentasvir brand name: Mavyret.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Liver Extract and Glecaprevir, Pibrentasvir 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 Glecaprevir, Pibrentasvir states a food rule worth keeping to.

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Interaction report

Liver Extract and Glecaprevir, Pibrentasvir

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 Glecaprevir, Pibrentasvir and Liver Extract 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.

Liver Extract safety at a glance

Liver Extract overall Use caution Generally low risk for healthy adults in food amounts, but it can deliver high levels of vitamin A and iron and carries source-quality concerns.
Pregnancy Use caution Liver products can contain very high vitamin A, which may harm a developing baby, so avoid unless advised by your doctor.
Breastfeeding Use caution Safety has not been well studied; check with your doctor before using.

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

Still wondering about combining Glecaprevir, Pibrentasvir and Liver Extract? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Glecaprevir, Pibrentasvir

Interactions in our licensed database are recorded against drug classes, not just single drug names. Glecaprevir, Pibrentasvir is filed under 3 classifications — p-glycoprotein substrates, cytochrome p450 3a4 (cyp3a4) substrates, oral drugs. Liver Extract has documented interactions with 2 drug classes — the most serious being iron (minor) and warfarin (coumadin) (minor) — and none of Glecaprevir, Pibrentasvir’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

Liver Extract Does Interact With Other Medications

Liver Extract has 3 minor known drug interactions in our database — Glecaprevir, Pibrentasvir isn’t one of them. If you take anything else, check it against the full list below.

Minor 3 No known interaction 2,827 (incl. Glecaprevir, Pibrentasvir)
Taking anything else?

Check Another of Your Medications Against Liver Extract

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

What to actually watch for

What Glecaprevir, Pibrentasvir’s Own FDA Label Lists

This is not an interaction — none of it involves Liver Extract. These are the most notable effects listed in the ADVERSE REACTIONS section of Glecaprevir, Pibrentasvir’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. 5 of them are worth acting on rather than waiting out — marked below.

  • Yellowing of the skin or eyes Worth acting on
  • Kidney problems Worth acting on
  • A severe allergic reaction Worth acting on
  • Liver problems Worth acting on
  • A higher chance of infection Worth acting on
  • Tiredness mentioned in 23.5% of FDA reports for Glecaprevir, Pibrentasvir
  • Headache mentioned in 20.2% of FDA reports for Glecaprevir, Pibrentasvir
  • Itching mentioned in 6.0% of FDA reports for Glecaprevir, Pibrentasvir
  • Stomach pain
  • Nausea mentioned in 10.4% of FDA reports for Glecaprevir, Pibrentasvir

Showing the 10 most notable of 13 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Glecaprevir, Pibrentasvir. Read the label on DailyMed › Where a percentage is shown, it is the share of 10,923 voluntary FDA FAERS reports for Glecaprevir, Pibrentasvir that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Liver Extract’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Liver Extract side to compare — that is a limit of the record, not a statement that Liver Extract has no side effects.

How to take them

Some Glecaprevir, Pibrentasvir Products Have a Food Rule — Liver Extract Should Not Break It

At least one FDA label for a product containing Glecaprevir, Pibrentasvir says to take it with food. If you take Liver Extract on an empty stomach out of habit, keep them separate — and take Glecaprevir, Pibrentasvir 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 Glecaprevir, Pibrentasvir 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.

Recommended dosage in adults: Three tablets taken at the same time orally once daily (total daily dose: glecaprevir 300 mg and pibrentasvir 120 mg) with food.

From the Dosage and Administration section of the FDA label we read for Glecaprevir, Pibrentasvir — 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.

Overlapping uses

What Glecaprevir, Pibrentasvir Is Prescribed For, and What Liver Extract Has Been Studied For

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

Glecaprevir, Pibrentasvir is prescribed for: Mavyret treats acute or chronic hepatitis C virus (HCV) infection caused by genotypes 1, 2, 3, 4, 5, or 6 in adults and children 3 years and older who have no cirrhosis or have compensated cirrhosis (mild liver scarring that is still functioning). Mavyret is also approved for adults and children 3 years and older with genotype 1 HCV who were previously treated with either an NS5A inhibitor or an NS3/4A protease inhibitor (two earlier classes of hepatitis C drugs) — but not both at the same time.

Liver Extract has been studied for:

  • Hepatitis C studied, not established Liver Extract has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

    Liver Extract for hepatitis c

    Preliminary clinical research suggests that intravenous treatment with liver extract plus flavin adenine dinucleotide improves response to interferon-beta therapy in patients with hepatitis C. Also, giving a specific combination of liver extract and flavin adenine dinucleotide (Adelavin) intravenously or intramuscularly appears to improve hepatitis C virus RNA levels in patients with hepatitis C who are being treated…

    2 sources cited
    1. 59952. Ebinuma, H., Saito, H., Tada, S., Masuda, T., Kamiya, T., Nishida, J., Yoshioka, M., and Ishii, H. Additive therapeutic effects of the liver extract preparation mixture adelavin-9 on interferon-beta treatment for chronic hepatitis C. Hepatogastroenterolog
    2. 59964. Saito, H., Ebinuma, H., Tada, S., Tsunematsu, S., Atsukawa, K., Masuda, T., Tsuchiya, M., and Ishii, H. Enhancing effect of the liver extract and flavin adenin dinucleotide mixture on anti-viral efficacy of interferon in patients with chronic hepatitis C. PubMed

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 Glecaprevir, Pibrentasvir on your own; if you are taking Liver Extract 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 Glecaprevir, Pibrentasvir

This page covers Liver Extract only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Glecaprevir, Pibrentasvir page lists 144 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 103 moderate · 38 minor.

From our pharmacist’s overview on the Glecaprevir, Pibrentasvir page

“Mavyret (glecaprevir and pibrentasvir) is a short course of pills meant to cure hepatitis C, so I read its supplement list with real caution. Nearly everything on it can shift how much of the drug reaches your blood, mostly through the CYP3A4 enzyme or the P-glycoprotein transporter that handles it.”

Reviewed by 2 · Jul 18, 2026

Open the Glecaprevir, Pibrentasvir interaction page

One more smart check

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

We hold 595 real supplement products containing Liver Extract, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Liver Extract. Even though Liver Extract itself has no known interaction with Glecaprevir, Pibrentasvir, 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 Liver Extract and Glecaprevir, Pibrentasvir 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 Liver Extract
Top 25%

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

29 days ago today
Medication Glecaprevir, Pibrentasvir
Top 25%

#472 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 Liver Extract reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Liver Extract and Glecaprevir, Pibrentasvir 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 Liver Extract

What is Liver Extract?

  • Anemia and low iron
  • Vitamin B12 support
  • General energy and fatigue
  • Nutritional support for athletes
  • Liver health support

Liver extract is a dried or concentrated form of animal liver that is naturally rich in iron, vitamin B12, vitamin A, and other nutrients. It was once used to treat certain anemias before purified vitamins became available, but today there is little modern evidence that it offers benefits beyond what a balanced diet or standard supplements provide. Talk with your pharmacist or doctor before using it, especially if you are pregnant, have liver disease, or have iron overload conditions.

Liver tissue, usually from cattle (beef) or pork · Capsules, tablets, powders, desiccated (dried) liver supplements, and injectable forms (prescription/historical)

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

Liver Extract: dosing

There is no official, standardized dose of liver extract, and products vary widely in how concentrated they are. Different brands also contain different amounts of vitamin A, iron, and B12.The safest approach is to follow the dose on the product label and not exceed it. They can help you decide whether you actually need it and whether a standard, purified vitamin would be a safer, more reliable choice.

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

Read the full Liver Extract monograph & all interactions
Medication

About Glecaprevir and Pibrentasvir

What Is Glecaprevir and Pibrentasvir Used For?

Brand name: Mavyret

Mavyret treats acute or chronic hepatitis C virus (HCV) infection caused by genotypes 1, 2, 3, 4, 5, or 6 in adults and children 3 years and older who have no cirrhosis or have compensated cirrhosis (mild liver scarring that is still functioning).

Mavyret is also approved for adults and children 3 years and older with genotype 1 HCV who were previously treated with either an NS5A inhibitor or an NS3/4A protease inhibitor (two earlier classes of hepatitis C drugs) — but not both at the same time.

See full Glecaprevir and Pibrentasvir drug information
Keep checking

Other Drugs & Liver Extract

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

0Major
0Moderate
3Minor
2,826No known interaction
3 Minor 2,826 No interaction
Minor

3 interactions

No interaction 2,826 drugs checked — show the list

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

Showing the 60 most looked-up of 2,826 medications checked with no known interaction — see the full Liver Extract list.

See the full Liver Extract interactions page
See every supplement checked against Glecaprevir, Pibrentasvir, ranked by severity
Evidence & sources

Liver Extract References

The 4 references that drive our Liver Extract 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. Lewis CJ. Letter to reiterate certain public health and safety concerns to firms manufacturing or importing dietary supplements that contain specific bovine tissues. FDA. Available at: www.cfsan.fda.gov/~dms/dspltr05.html.
  2. Kaslow JE, Rucker L, Onishi R. Liver extract-folic acid-cyanocobalamin vs placebo for chronic fatigue syndrome. Arch Intern Med 1989;149:2501-3. DOI
  3. Ebinuma, H., Saito, H., Tada, S., Masuda, T., Kamiya, T., Nishida, J., Yoshioka, M., and Ishii, H. Additive therapeutic effects of the liver extract preparation mixture adelavin-9 on interferon-beta treatment for chronic hepatitis C. Hepatogastroenterolog
  4. Saito, H., Ebinuma, H., Tada, S., Tsunematsu, S., Atsukawa, K., Masuda, T., Tsuchiya, M., and Ishii, H. Enhancing effect of the liver extract and flavin adenin dinucleotide mixture on anti-viral efficacy of interferon in patients with chronic hepatitis C. PubMed

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 Liver Extract and Glecaprevir, Pibrentasvir Together: Common Questions

Is it safe to take Liver Extract with Glecaprevir, Pibrentasvir?
We do not list a known interaction between Liver Extract and Glecaprevir, Pibrentasvir. 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 Liver Extract and Glecaprevir, Pibrentasvir at the same time of day?
At least one FDA label for a product containing Glecaprevir, Pibrentasvir says to take it with food. If you take Liver Extract on an empty stomach out of habit, keep them separate and take Glecaprevir, Pibrentasvir with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Glecaprevir, Pibrentasvir products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Are Liver Extract and Glecaprevir, Pibrentasvir 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 Liver Extract in each. That is a conversation for your prescriber, especially if Glecaprevir, Pibrentasvir is being adjusted to a target.
How was the Liver Extract and Glecaprevir, Pibrentasvir combination checked?
Interactions in our licensed database are recorded against drug classes. Glecaprevir, Pibrentasvir is filed under 3 classifications, and Liver Extract has documented interactions with 2 drug classes — none of Glecaprevir, Pibrentasvir'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 Liver Extract interact with any other medications?
Yes. Liver Extract has 3 documented drug interactions in our database — Glecaprevir, Pibrentasvir 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 Glecaprevir, Pibrentasvir interact with any supplements?
Yes. Glecaprevir, Pibrentasvir has documented interactions with 144 supplements in our database — Liver Extract is not one of them. The Glecaprevir, Pibrentasvir interaction page linked on this page lists every one, ranked by severity.

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

Where next

Keep Exploring

Liver Extract monograph Uses, safety profile, and every drug interaction in one place Glecaprevir and Pibrentasvir drug information The full plain-English guide to this medication Glecaprevir, Pibrentasvir supplement interactions Every supplement checked against Glecaprevir, Pibrentasvir, 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 References The 4 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Glecaprevir, Pibrentasvir and Liver Extract?

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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.