Drug & supplement interaction

Phosphatidylcholine + Lomitapide

Lomitapide brand name: Juxtapid.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Phosphatidylcholine and Lomitapide 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 two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Phosphatidylcholine and Lomitapide

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 Lomitapide and Phosphatidylcholine 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.

Worth understanding: our licensed dataset holds no drug-interaction record for Phosphatidylcholine at all — not against Lomitapide, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

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.

Phosphatidylcholine safety at a glance

Phosphatidylcholin... overall Use caution Generally well tolerated in food and supplement amounts, but high doses may cause digestive upset.
Pregnancy Use caution Choline is needed in pregnancy, but supplement safety beyond food sources is not well studied; check with your doctor.
Breastfeeding Use caution Not enough reliable data on supplement use while breastfeeding; speak with your healthcare provider first.

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

Still wondering about combining Lomitapide and Phosphatidylcholine? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Phosphatidylcholine and Lomitapide May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Bloating or gas / Diarrhea / Vomiting / Nausea Additional detail

    Phosphatidylcholine

    “Ingesting large amounts of phosphatidylcholine (30 grams per day) can cause gastrointestinal upset and diarrhea. However, bloating, diarrhea, altered taste, nausea, and vomiting have been reported with smaller doses. Although moderate subcutaneous doses do not usually cause systemic side effects, high doses exceeding 1.2 grams of phosphatidylcholine can cause nausea and abdominal pain in some people.”

    Phosphatidylcholine · Natural Medicines adverse-effect record, reported in diarrhea.

    6 sources cited
    1. 5223. Domino EF, May WW, Demetriou S, et al. Lack of clinically significant improvement of patients with tardive dyskinesia following phosphatidylcholine therapy. Biol Psychiatry 1985;20:1189-96. PubMed
    2. 63244. Loguercio C, Andreone P, Brisc C, et al. Silybin combined with phosphatidylcholine and vitamin E in patients with nonalcoholic fatty liver disease: a randomized controlled trial. Free Radic Biol Med 2012;52(9):1658-65. PubMed
    3. 68843. Panos, J. M., Palson, R., Johnson, R., Portmann, B., and Williams, R. Polyunsaturated phosphatidylcholine for acute alcoholic hepatitis: a double blind randomized placebo controlled trial. Eur.J.Gastroenterol 1990;2:351-355.
    4. 93389. Stremmel W, Braun A, Hanemann A, Ehehalt R, Autschbach F, Karner M. Delayed release phosphatidylcholine in chronic-active ulcerative colitis: a randomized, double-blinded, dose finding study. J Clin Gastroenterol 2010;44(5):e101-7. PubMed
    5. 93390. Stremmel W, Ehehalt R, Autschbach F, Karner M. Phosphatidylcholine for steroid-refractory chronic ulcerative colitis: a randomized trial. Ann Intern Med. 2007;147(9):603-10. PubMed
    6. 105728. Stremmel W, Vural H, Evliyaoglu O, Weiskirchen R. Delayed Release Phosphatidylcholine is Effective for Treatment of Ulcerative Colitis: A Meta-Analysis. Dig Dis 2021;39(5):508-515. PubMed

    Lomitapide

    Listed in the ADVERSE REACTIONS section of the FDA label for Lomitapide. Read the label on DailyMed ›

  • Stomach upset / Stomach pain Additional detail

    Phosphatidylcholine

    Recorded for Phosphatidylcholine in the same Natural Medicines adverse-effect record shown under Bloating or gas / Diarrhea / Vomiting / Nausea above.

    Lomitapide

    Listed in the ADVERSE REACTIONS section of the FDA label for Lomitapide. Read the label on DailyMed ›

Reported for Phosphatidylcholine but not commonly for Lomitapide: a change in taste, sweating, bleeding or bruising and itching.

Effects for Lomitapide come from the ADVERSE REACTIONS section of its FDA label; effects for Phosphatidylcholine come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Overlapping uses

What Lomitapide Is Prescribed For, and What Phosphatidylcholine Has Been Studied For

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

Lomitapide is prescribed for: Juxtapid (lomitapide) is used alongside a low-fat diet and other cholesterol-lowering treatments — including LDL apheresis (a procedure that filters LDL from the blood) where available — to lower LDL cholesterol, total cholesterol, apolipoprotein B, and non-HDL cholesterol in patients with homozygous familial hypercholesterolemia (HoFH). HoFH is a rare, inherited condition that causes extremely high LDL cholesterol levels from birth. Juxtapid is approved for use in adults and in children aged 2 years and older with HoFH. It has not been proven safe or effective for other types of high cholesterol, including the more common heterozygous familial hypercholesterolemia (HeFH).

Read the rest of what Lomitapide is prescribed for

Its effect on heart attacks, strokes, or other cardiovascular events has not been established.

Phosphatidylcholine has been studied for:

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

    Phosphatidylcholine for angina

    Although there has been interest in using intravenous phosphatidylcholine for angina, there is insufficient reliable information about the clinical effects of phosphatidylcholine for this purpose.

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

    Phosphatidylcholine for atherosclerosis

    Although there has been interest in using intravenous phosphatidylcholine for atherosclerosis, there is insufficient reliable information about the clinical effects of phosphatidylcholine for this purpose.

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 Lomitapide on your own; if you are taking Phosphatidylcholine for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

From our Q&A

Questions About Phosphatidylcholine or Lomitapide

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Phosphatidylcholine or Lomitapide, 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 Lomitapide

This page covers Phosphatidylcholine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Lomitapide 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 Lomitapide page

“If you take lomitapide (Juxtapid) for homozygous familial hypercholesterolemia, treat this page with real care. Lomitapide is cleared by one liver enzyme, CYP3A4, and 121 of the 168 supplements here can push its blood level up or down through that pathway; grapefruit and St.”

Reviewed by 2 · Jul 18, 2026

Open the Lomitapide interaction page

One more smart check

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

We hold 1,521 real supplement products containing Phosphatidylcholine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Phosphatidylcholine. Even though Phosphatidylcholine itself has no known interaction with Lomitapide, 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 Phosphatidylcholine and Lomitapide 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 Phosphatidylcholine
Top 25%

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

29 days ago today
Medication Lomitapide
Top half

#917 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 Phosphatidylcholine reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Phosphatidylcholine and Lomitapide records this page draws on were last updated July 11, 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 Phosphatidylcholine

What is Phosphatidylcholine?

Phosphatidylcholine
  • Liver health
  • Memory and brain support
  • Ulcerative colitis
  • Source of choline
  • High cholesterol

Phosphatidylcholine is a phospholipid that is part of every cell membrane and a source of choline. People take it for liver, brain, and gut health, but solid human evidence is limited for most uses. It is generally well tolerated, but talk to your pharmacist or doctor before starting it.

Phospholipid derived from sources such as soybeans, sunflower, and egg yolk · Capsules, softgels, tablets, granules, liquid, and powder (sometimes as part of lecithin)

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

Phosphatidylcholine: dosing

There is no single official or standardized dose of phosphatidylcholine for supplement use. The amount in products varies widely depending on the source and form, and the studied amounts differ from one condition to another.The best approach is to follow the dosing directions on your specific product's label. Higher doses are more likely to cause stomach upset and other side effects.

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

Read the full Phosphatidylcholine monograph & all interactions
Medication

About Lomitapide

What Is Lomitapide Used For?

Brand name: Juxtapid

Juxtapid (lomitapide) is used alongside a low-fat diet and other cholesterol-lowering treatments — including LDL apheresis (a procedure that filters LDL from the blood) where available — to lower LDL cholesterol, total cholesterol, apolipoprotein B, and non-HDL cholesterol in patients with homozygous familial hypercholesterolemia (HoFH). HoFH is a rare, inherited condition that causes extremely high LDL cholesterol levels from birth.

Juxtapid is approved for use in adults and in children aged 2 years and older with HoFH. It has not been proven safe or effective for other types of high cholesterol, including the more common heterozygous familial hypercholesterolemia (HeFH). Its effect on heart attacks, strokes, or other cardiovascular events has not been established.

See full Lomitapide drug information
Keep checking

Other Drugs & Phosphatidylcholine

Browse every other medication we’ve checked against Phosphatidylcholine — 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
Evidence & sources

Phosphatidylcholine References

The 15 references that drive our Phosphatidylcholine 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. Domino EF, May WW, Demetriou S, et al. Lack of clinically significant improvement of patients with tardive dyskinesia following phosphatidylcholine therapy. Biol Psychiatry 1985;20:1189-96. PubMed
  2. Aronson PJ, Lorincz AL. Promotion of palmar sweating with oral phosphatidylcholine. Acta Derm Venereol 1985;65:19-24. DOI
  3. Hexsel DM, Serra M, de Oliveira Dal'Forno T, et al. Cosmetic uses of injectable phosphatidylcholine on the face. Otolaryngol Clin North Am 2005;38:1119-29. PubMed
  4. Kopera D, Binder B, Toplak H, et al. Histopathologic changes after intralesional application of phosphatidylcholine for lipoma reduction: report of a case. Am J Dermatopathol 2006;28:331-3. PubMed
  5. Rittes PG. The use of phosphatidylcholine for correction of lower lid bulging due to prominent fat pads. Dermatol Surg 2001;27:391-2. PubMed
  6. Rotunda AM, Kolodney MS. Mesotherapy and phosphatidylcholine injections: historical clarification and review. Dermatol Surg 2006;32:465-80. PubMed
  7. Hexsel D, Serra M, Mazzuco R, et al. Phosphatidylcholine in the treatment of localized fat. J Drugs Dermatol 2003;2:511-8.
  8. Hasengschwandtner F. Phosphatidylcholine treatment to induce lipolysis. Cosmet Dermatol 2005;4:308-13. PubMed
  9. Rittes PG. The use of phosphatidylcholine for correction of localized fat deposits. Aesthetic Plast Surg 2003;27:315-8. PubMed
  10. Ablon G, Rotunda AM. Treatment of lower eyelid fat pads using phosphatidylcholine: clinical trial and review. Dermatol Surg 2004;30:422-7. PubMed
  11. Loguercio C, Andreone P, Brisc C, et al. Silybin combined with phosphatidylcholine and vitamin E in patients with nonalcoholic fatty liver disease: a randomized controlled trial. Free Radic Biol Med 2012;52(9):1658-65. PubMed
  12. Panos, J. M., Palson, R., Johnson, R., Portmann, B., and Williams, R. Polyunsaturated phosphatidylcholine for acute alcoholic hepatitis: a double blind randomized placebo controlled trial. Eur.J.Gastroenterol 1990;2:351-355.
  13. Stremmel W, Braun A, Hanemann A, Ehehalt R, Autschbach F, Karner M. Delayed release phosphatidylcholine in chronic-active ulcerative colitis: a randomized, double-blinded, dose finding study. J Clin Gastroenterol 2010;44(5):e101-7. PubMed
  14. Stremmel W, Ehehalt R, Autschbach F, Karner M. Phosphatidylcholine for steroid-refractory chronic ulcerative colitis: a randomized trial. Ann Intern Med. 2007;147(9):603-10. PubMed
  15. Stremmel W, Vural H, Evliyaoglu O, Weiskirchen R. Delayed Release Phosphatidylcholine is Effective for Treatment of Ulcerative Colitis: A Meta-Analysis. Dig Dis 2021;39(5):508-515. 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 Phosphatidylcholine and Lomitapide Together: Common Questions

Is it safe to take Phosphatidylcholine with Lomitapide?
We do not list a known interaction between Phosphatidylcholine and Lomitapide. 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.
Do Phosphatidylcholine and Lomitapide have any of the same side effects?
Yes — our sources link each of them separately to 6 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Are Phosphatidylcholine and Lomitapide 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 Phosphatidylcholine in each. That is a conversation for your prescriber, especially if Lomitapide is being adjusted to a target.
Does Lomitapide interact with any supplements?
Yes. Lomitapide has documented interactions with 168 supplements in our database — Phosphatidylcholine is not one of them. The Lomitapide interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Lomitapide and Phosphatidylcholine?

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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.