Liver Extract + Ixazomib Citrate
Ixazomib Citrate brand name: Ninlaro.
We found no known interaction between Liver Extract and Ixazomib Citrate 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 Ixazomib Citrate states a food rule worth keeping to.
Liver Extract and Ixazomib Citrate
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 Ixazomib Citrate 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
Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Why No Interaction Is Listed for Ixazomib Citrate
Interactions in our licensed database are recorded against drug classes, not just single drug names. Ixazomib Citrate is filed under 3 classifications — hepatotoxic drugs, 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 Ixazomib Citrate’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.
Liver Extract Does Interact With Other Medications
Liver Extract has 3 minor known drug interactions in our database — Ixazomib Citrate isn’t one of them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Liver Extract
We haven’t checked that one against Liver Extract yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Liver Extract. Pick one to open its full report.
Some Ixazomib Citrate Products Have a Food Rule — Liver Extract Should Not Break It
At least one FDA label for a product containing Ixazomib Citrate says to take it on an empty stomach. Most supplements — Liver Extract included — are taken with a meal, so the easy mistake is swallowing both together at breakfast. Where that rule applies, keep Ixazomib Citrate on its own and move Liver Extract to a meal later in the day.
This may not be true of your version. Food instructions belong to the product, not the ingredient: two Ixazomib Citrate 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.
( 2.1 ) Dose should be taken at least one hour before or at least two hours after food.
From the Dosage and Administration section of the FDA label we read for Ixazomib Citrate — 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.
See Every Supplement That Interacts With Ixazomib Citrate
This page covers Liver Extract only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ixazomib Citrate page lists 168 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Beer (major), Grapefruit (major), Siberian Cocklebur (major) and St. John's Wort (major).
By severity: 6 major · 124 moderate · 38 minor.
From our pharmacist’s overview on the Ixazomib Citrate page
“Anyone taking ixazomib citrate (Ninlaro) for multiple myeloma should give this list real weight, because a supplement that shifts this chemotherapy's blood level can shift how well it works against the cancer. Of the 168 ingredients on file, 121 act on CYP3A4, the enzyme that clears ixazomib.”
Reviewed by 2 · Jul 18, 2026
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 Ixazomib Citrate, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:
Where Liver Extract and Ixazomib Citrate 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.
#282 of 1,452 supplements looked up here in the last 7 days
#524 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.
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 13, 2026. The Liver Extract and Ixazomib Citrate 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.
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.
About Ixazomib
What Is Ixazomib Used For?
Brand name: Ninlaro
Ninlaro (ixazomib) is used to treat multiple myeloma — a cancer of plasma cells in the bone marrow. It is always used together with two other medicines, lenalidomide and dexamethasone, and is approved for adults who have already tried at least one other treatment.
Ninlaro is not recommended as maintenance therapy or for newly diagnosed multiple myeloma in combination with lenalidomide and dexamethasone outside of controlled clinical trials.
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.
No drugs match “”.
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.
- Apixaban ›
- Levothyroxine ›
- Amlodipine ›
- Methylphenidate ›
- Sertraline ›
- Testosterone ›
- Losartan Potassium ›
- Metoprolol ›
- Aspirin ›
- Ivermectin ›
- Rivaroxaban ›
- Rosuvastatin ›
- Escitalopram ›
- Acetaminophen ›
- Tadalafil ›
- Clopidogrel ›
- Atorvastatin ›
- Docusate ›
- Valacyclovir ›
- Hydroxyurea ›
- Abemaciclib ›
- Ibuprofen ›
- Methamphetamine ›
- Sumatriptan ›
- Semaglutide ›
- Tirzepatide ›
- Prednisone ›
- Propranolol ›
- Bupropion ›
- Metformin ›
- Lisdexamfetamine ›
- Amoxicillin ›
- Acyclovir ›
- Lisinopril ›
- Bendamustine ›
- Amitriptyline ›
- Doxycycline ›
- Methotrexate ›
- Fluoxetine ›
- Lamotrigine ›
- Amphetamine ›
- Gabapentin ›
- Pregabalin ›
- Acetaminophen, Codeine ›
- Azithromycin ›
- Dextroamphetamine ›
- Isotretinoin ›
- Clonazepam ›
- Omeprazole ›
- Quetiapine ›
- Methylene Blue ›
- Duloxetine ›
- Amlodipine Besylate ›
- Letrozole ›
- Buspirone ›
- Citalopram ›
- Naproxen ›
- Ciprofloxacin ›
- Bisoprolol ›
- Levothyroxine, Liothyronine ›
Showing the 60 most looked-up of 2,826 medications checked with no known interaction — see the full Liver Extract list.
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.
- 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.
- 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
- 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
- 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.
Taking Liver Extract and Ixazomib Citrate Together: Common Questions
Is it safe to take Liver Extract with Ixazomib Citrate?
Should I take Liver Extract and Ixazomib Citrate at the same time of day?
How was the Liver Extract and Ixazomib Citrate combination checked?
Does Liver Extract interact with any other medications?
Does Ixazomib Citrate interact with any supplements?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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.