Drug & supplement interaction

Pancreatic Enzyme Products + Acarbose

Acarbose brand names: Precose, Prandase, Glucobay.

Moderate Interaction
The bottom line Moderate

Pancreatic Enzyme Products has a moderate interaction with Acarbose. Theoretically, pancreatic enzyme products may reduce the effects of acarbose.

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

Pancreatic Enzyme Products and Acarbose

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

Moderate

ACARBOSE (Precose, Prandase)

Theoretically, pancreatic enzyme products may reduce the effects of acarbose.
The digestive enzymes present in pancreatic enzyme products may break down acarbose, reducing its effects.
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 gist with these two: acarbose works right in your gut, where it slows the enzymes that break carbs down into sugar. That's how it keeps your blood sugar from spiking after meals. Pancreatic enzyme products add more of those digestive enzymes into the mix, so in theory they could work against acarbose and chip away at how well it controls your after-meal sugars.

I want to be honest about the strength of this one. It's a theoretical concern based on how the two work, not something well documented in patients. If you happen to need both, a good move is to mention it to your pharmacist or doctor and keep an eye on your post-meal glucose readings. Please don't stop or change either medicine on your own.

References
  1. Martindale W. Martindale the Extra Pharmacopoeia. Pharmaceutical Press, 1999.

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.

From our Q&A

Questions About Pancreatic Enzyme Products or Acarbose

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Pancreatic Enzyme Products or Acarbose, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Acarbose

This page covers Pancreatic Enzyme Products only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Acarbose page lists 281 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Siberian Cocklebur (major), Wine (major) and Acai (moderate).

By severity: 4 major · 240 moderate · 37 minor.

From our pharmacist’s overview on the Acarbose page

“Acarbose (Precose, Glucobay) is taken with meals to blunt the blood sugar rise after eating, and its supplement list calls for genuine care, starting with the four major-rated entries: heavy alcohol and the herb Siberian cocklebur can strain the liver alongside acarbose, while activated charcoal can soak up oral drugs and cut what reac…”

Reviewed by 2 · Jul 18, 2026

Open the Acarbose interaction page

One more smart check

Taking Pancreatic Enzyme Products as Part of a Dietary Supplement Product? Check It for Interactions

We hold 26 real supplement products containing Pancreatic Enzyme Products, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Pancreatic Enzyme Products. Your product may carry other ingredients that interact with Acarbose too, on top of Pancreatic Enzyme Products — 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 Pancreatic Enzyme Products and Acarbose 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 Pancreatic Enzyme Products
Steady interest

#1,024 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Acarbose
Top 10%

#253 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 Pancreatic Enzyme Products

What is Pancreatic Enzyme Products?

  • Trouble digesting food (exocrine pancreatic insufficiency)
  • Cystic fibrosis
  • Chronic pancreatitis
  • After pancreas surgery or removal
  • Pancreatic cancer-related digestion problems
  • Bloating and gas (over-the-counter products)

Pancreatic enzyme products supply the digestive enzymes (lipase, protease, and amylase) that some people cannot make enough of, helping them break down and absorb food. Prescription versions are well-proven and FDA-approved for conditions like cystic fibrosis and chronic pancreatitis, while over-the-counter 'pancreatin' supplements are not as tightly regulated. Always work with a doctor or pharmacist to get the right product and dose.

Read the full Pancreatic Enzyme Products monograph & all interactions
Medication

About Acarbose

What Is Acarbose Used For?

Brand names: Precose, Prandase, Glucobay

Acarbose tablets are used to help manage blood sugar levels in adults with type 2 diabetes. It is always used together with a proper diet and regular exercise — not as a replacement for them.

Acarbose can be used on its own or combined with other diabetes medicines, such as sulfonylureas, insulin, or metformin, to further improve blood sugar control.

See full Acarbose drug information
Keep checking

Other Drugs & Pancreatic Enzyme Products

Browse every other medication we’ve checked against Pancreatic Enzyme Products — 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
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

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Pharmacist Counseling Corner

Taking Pancreatic Enzyme Products and Acarbose Together: Common Questions

Can you take Pancreatic Enzyme Products with Acarbose?
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 Pancreatic Enzyme Products and Acarbose 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 Acarbose and Pancreatic Enzyme Products?

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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.