Drug & supplement interaction

Methylsynephrine + Levalbuterol

Levalbuterol brand name: Xopenex.

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

Methylsynephrine has a moderate interaction with Levalbuterol. Methylsynephrine has beta agonist activity.

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

Methylsynephrine and Levalbuterol

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

Moderate

BETA-ADRENERGIC AGONISTS

Why this applies to Levalbuterol

Levalbuterol falls under BETA-ADRENERGIC AGONISTS — the group Methylsynephrine interacts with.

Methylsynephrine has beta agonist activity. Theoretically, concomitant use of large amounts of methylsynephrine might increase the cardiac inotropic effects of beta-agonists. Beta-adrenergic agonists include albuterol (Ventolin, Proventil), metaproterenol (Alupent), terbutaline (Brethine, Bricanyl), and isoproterenol (Isuprel).
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 simple version: levalbuterol (Xopenex) is a quick-relief inhaler that opens your airways by stimulating beta receptors. Methylsynephrine is a stimulant that acts in a similar way, nudging the same kind of receptors that speed up the heart and raise blood pressure. Stack the two together and you may get more of those stimulant effects than you bargained for, things like a racing or pounding heart, jitteriness, tremor, headache, or a bump in blood pressure.

This concern is theoretical, based on how both work rather than firm studies, and it matters most with concentrated supplement doses. Honestly, though, methylsynephrine isn't an approved or legal supplement ingredient in the U.S. and has been tied to serious heart problems, so I'd steer clear of it. Please check with your pharmacist or doctor before combining anything with your inhaler.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Pawar RS, Grundel E. Overview of regulation of dietary supplements in the USA and issues of adulteration with phenethylamines (PEAs). Drug Test Anal 2017;9:500-517. PubMed
  2. Cohen PA, Avula B, Venhuis B, Travis JC, Wang YH, Khan IA. Pharmaceutical doses of the banned stimulant oxilofrine found in dietary supplements sold in the USA. Drug Test Anal. 2017;9(1):135-142. PubMed

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

Methylsynephrine Also Interacts With Other Medications

Methylsynephrine has 190 moderate known drug interactions in our database — the Levalbuterol one above is one of them. If you take anything else, check it against the full list below.

Moderate 190 No known interaction 2,640 (incl. Levalbuterol)
Taking anything else?

Check Another of Your Medications Against Methylsynephrine

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

Everything else you take

See Every Supplement That Interacts With Levalbuterol

This page covers Methylsynephrine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Levalbuterol page lists 15 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Black Tea (moderate), Caffeine (moderate), Cocoa (moderate), Coffee (moderate) and Cola Nut (moderate).

By severity: 15 moderate.

From our pharmacist’s overview on the Levalbuterol page

“Almost the entire interaction list for levalbuterol (Xopenex) comes down to caffeine. The inhaler already gives the heart a mild stimulant nudge while it opens the airways, and large amounts of caffeine, whether from everyday drinks or herbal energy ingredients, can amplify that push into a racing or pounding heartbeat.”

Reviewed by 2 · Jul 18, 2026

Open the Levalbuterol interaction page

One more smart check

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

We hold 55 real supplement products containing Methylsynephrine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Methylsynephrine. Your product may carry other ingredients that interact with Levalbuterol too, on top of Methylsynephrine — 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 Methylsynephrine and Levalbuterol 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 Methylsynephrine
Top 25%

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

29 days ago today
Medication Levalbuterol
Steady interest

#2,632 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 Methylsynephrine

What is Methylsynephrine?

  • Weight loss and fat burning
  • Boosting energy
  • Athletic and workout performance
  • Appetite control

Methylsynephrine (also called oxilofrine) is a synthetic stimulant sometimes added to weight-loss and pre-workout products, but it is not a legal or approved dietary ingredient in the United States. It has been linked to serious heart and blood pressure problems, and there is no good evidence it is safe or effective for these uses, so it is best avoided.

Read the full Methylsynephrine monograph & all interactions
Keep checking

Other Drugs & Methylsynephrine

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

0Major
190Moderate
0Minor
2,639No known interaction
190 Moderate 2,639 No interaction
Moderate

190 interactions

Showing 60 of 190 moderate interactions — see all 190 on the Methylsynephrine page.

No interaction 2,639 drugs checked — show the list

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

Showing the 60 most looked-up of 2,639 medications checked with no known interaction — see the full Methylsynephrine list.

See the full Methylsynephrine interactions page
See every supplement checked against Levalbuterol, 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
Methylsynephrine monograph › Uses, safety, and every drug interaction in one place Levalbuterol supplement interactions › Every supplement checked against Levalbuterol, 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 Methylsynephrine and Levalbuterol Together: Common Questions

Can you take Methylsynephrine with Levalbuterol?
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 Methylsynephrine and Levalbuterol 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 Levalbuterol and Methylsynephrine?

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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.