Drug & supplement interaction

Ribose + Isosorbide Dinitrate

Isosorbide Dinitrate brand names: Isordil, Angitak, Cedocard Retard, Isoket Retard, Isoket.

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 Ribose and Isosorbide Dinitrate 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

Ribose and Isosorbide Dinitrate

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 Isosorbide Dinitrate and Ribose 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.

Ribose safety at a glance

Ribose overall Use caution Often well tolerated short-term, but it can lower blood sugar and long-term safety is not well studied.
Pregnancy Avoid There is not enough safety information, so it is best avoided during pregnancy.
Breastfeeding Avoid There is not enough safety information, so it is best avoided while breastfeeding.

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

Still wondering about combining Isosorbide Dinitrate and Ribose? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Isosorbide Dinitrate

Interactions in our licensed database are recorded against drug classes, not just single drug names. Isosorbide Dinitrate is filed under 3 classifications — nitrates, vasodilators, oral drugs. Ribose has documented interactions with 2 drug classes — the most serious being antidiabetes drugs (moderate) and insulin (moderate) — and none of Isosorbide Dinitrate’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

Ribose Does Interact With Other Medications

Ribose has 86 moderate known drug interactions in our database — Isosorbide Dinitrate isn’t one of them. If you take anything else, check it against the full list below.

Moderate 86 No known interaction 2,744 (incl. Isosorbide Dinitrate)
Taking anything else?

Check Another of Your Medications Against Ribose

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

What to actually watch for

No Interaction Found — But Data Suggests Ribose and Isosorbide Dinitrate 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.

  • Anxiety or restlessness / Dizziness reported in 6.7% of FDA reports for Isosorbide Dinitrate Additional detail

    Ribose

    “Orally, ribose can cause headache. It has also been reported to cause a hyperanxious feeling, lightheadedness, increased appetite, and mild anxiety. In one study, lowering the dose of ribose resolved the feeling of anxiety.”

    Ribose · Natural Medicines adverse-effect record, reported in anxiety.

    3 sources cited
    1. 5664. Pliml W, von Arnim T, Stalein A, et al. Effects of ribose on excercise-induced ischaemia in stable coronary artery disease. Lancet 1992;340:507-10.
    2. 92891. Thompson J, Neutel J, Homer K, Tempero K, Shah A, Khankari R. Evaluation of D-ribose pharmacokinetics, dose proportionality, food effect, and pharmacodynamics after oral solution administration in healthy male and female subjects. J Clin Pharmacol 2014;54 PubMed
    3. 15218. Teitelbaum JE, Johnson C, St Cyr J. The use of D-ribose in chronic fatigue syndrome and fibromyalgia: a pilot study. J Altern Complement Med 2006;12:857-62. PubMed

    Isosorbide Dinitrate

    Listed in the ADVERSE REACTIONS section of the FDA label for Isosorbide Dinitrate, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

  • Stomach upset / Diarrhea / Nausea reported in 7.1% of FDA reports for Isosorbide Dinitrate Additional detail

    Ribose

    “Orally, ribose can cause diarrhea, gastrointestinal discomfort, and nausea. In one study, lowering the dose of ribose resolved the nausea.”

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

    4 sources cited
    1. 5664. Pliml W, von Arnim T, Stalein A, et al. Effects of ribose on excercise-induced ischaemia in stable coronary artery disease. Lancet 1992;340:507-10.
    2. 5676. Gross M, Reiter S, Zollner N. Metabolism of D-ribose administered continuously to healthy persons and to patients with myoadenylate deaminase deficiency. Klin Wochenschr 1989;67:1205-13. PubMed
    3. 15218. Teitelbaum JE, Johnson C, St Cyr J. The use of D-ribose in chronic fatigue syndrome and fibromyalgia: a pilot study. J Altern Complement Med 2006;12:857-62. PubMed
    4. 92891. Thompson J, Neutel J, Homer K, Tempero K, Shah A, Khankari R. Evaluation of D-ribose pharmacokinetics, dose proportionality, food effect, and pharmacodynamics after oral solution administration in healthy male and female subjects. J Clin Pharmacol 2014;54 PubMed

    Isosorbide Dinitrate

    Listed in the ADVERSE REACTIONS section of the FDA label for Isosorbide Dinitrate, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

  • Headache Additional detail

    Ribose

    Recorded for Ribose in the same Natural Medicines adverse-effect record shown under Stomach upset / Diarrhea / Nausea above.

    Isosorbide Dinitrate

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

Reported for Ribose but not commonly for Isosorbide Dinitrate: increased appetite and low blood sugar.

Effects for Isosorbide Dinitrate come from the ADVERSE REACTIONS section of its FDA label; effects for Ribose come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 19,814 voluntary FDA FAERS reports for Isosorbide Dinitrate that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

From our Q&A

Questions About Ribose or Isosorbide Dinitrate

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

This page covers Ribose only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Isosorbide Dinitrate page lists 22 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Mistletoe (major), Coleus (major), Hawthorn (major) and Beer (moderate).

By severity: 4 major · 9 moderate · 9 minor.

From our pharmacist’s overview on the Isosorbide Dinitrate page

“Isosorbide dinitrate (Isordil, Isoket) relaxes blood vessels to prevent and relieve angina, so a supplement that pushes that relaxation further, or works against it, is not a small thing, and this list of 22 warrants genuine care. Four entries rate major: herbs with vasodilating effects of their own, like hawthorn, that can stack on to…”

Reviewed by 2 · Jul 18, 2026

Open the Isosorbide Dinitrate interaction page

One more smart check

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

We hold 543 real supplement products containing Ribose, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Ribose. Even though Ribose itself has no known interaction with Isosorbide Dinitrate, 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 Ribose and Isosorbide Dinitrate 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 Ribose
Top 25%

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

29 days ago today
Medication Isosorbide Dinitrate
Steady interest

#1,430 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 Ribose reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Ribose and Isosorbide Dinitrate 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 Ribose

What is Ribose?

  • Energy and fatigue
  • Athletic performance and recovery
  • Fibromyalgia symptoms
  • Chronic fatigue
  • Heart-related (cardiac) conditions

Ribose (D-ribose) is a simple sugar your body makes naturally and uses to build energy molecules like ATP. Some people take it for fatigue, fibromyalgia, exercise recovery, or heart conditions, but solid human evidence is limited and mostly small or preliminary. It is generally well tolerated in short-term use, but talk to your pharmacist or doctor before trying it, especially if you have diabetes.

Not applicable (a naturally occurring simple sugar) · Powder, capsules, tablets, drink mixes

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

Ribose: dosing

There is no official standardized dose of ribose, and the amounts used in studies have varied widely depending on the goal. Because of this, it is best to follow the directions on the product label.To lower the chance of stomach upset or low blood sugar, some people take it with food and start with a smaller amount.

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

Read the full Ribose monograph & all interactions
Medication

About Isosorbide

What Is Isosorbide Used For?

Brand names: Isordil, Angitak, Cedocard Retard, Isoket Retard, Isoket

Isosorbide is used to prevent angina pectoris — chest pain or tightness caused by coronary artery disease. Both isosorbide dinitrate tablets and isosorbide mononitrate tablets (including Monoket and Isordil) are used for this purpose.

Important: none of these oral formulations work fast enough to stop a chest pain episode that has already started. They are taken on a schedule to prevent angina, not to treat it in the moment.

Most-Reported Side Effects for Isosorbide Dinitrate

From FAERS, the FDA’s public side-effect reporting system (19,814 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Dyspnea 1,696 reports
Nausea 1,406 reports
Fatigue 1,382 reports
Dizziness 1,336 reports
Diarrhea 1,334 reports
See full Isosorbide drug information
Keep checking

Other Drugs & Ribose

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

0Major
86Moderate
0Minor
2,743No known interaction
86 Moderate 2,743 No interaction
Moderate

86 interactions

Showing 60 of 86 moderate interactions — see all 86 on the Ribose page.

No interaction 2,743 drugs checked — show the list

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

Showing the 60 most looked-up of 2,743 medications checked with no known interaction — see the full Ribose list.

See the full Ribose interactions page
See every supplement checked against Isosorbide Dinitrate, ranked by severity
Evidence & sources

Ribose References

The 8 references that drive our Ribose 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. Segal S, Foley J. The metabolism of D-ribose in man. J Clin Invest 1958;37:719-35. PubMed
  2. Perlmutter NS, Wilson RA, Angello DA, et al. Ribose facilitates thallium-201 redistribution in patients with coronary artery disease. J Nucl Med 1991;32:193-200.
  3. Hegewald MG, Palac RT, Angello DA, et al. Ribose infusion accelerates thallium redistribution with early imaging compared with late 24-hour imaging without ribose. J Am Coll Cardiol 1991;18:1671-81. PubMed
  4. Pliml W, von Arnim T, Stalein A, et al. Effects of ribose on excercise-induced ischaemia in stable coronary artery disease. Lancet 1992;340:507-10.
  5. Burke ER. D-Ribose What You Need To Know. Garden City Park, NY: Avery Publishing Group 1999;1-43.
  6. Gross M, Reiter S, Zollner N. Metabolism of D-ribose administered continuously to healthy persons and to patients with myoadenylate deaminase deficiency. Klin Wochenschr 1989;67:1205-13. PubMed
  7. Teitelbaum JE, Johnson C, St Cyr J. The use of D-ribose in chronic fatigue syndrome and fibromyalgia: a pilot study. J Altern Complement Med 2006;12:857-62. PubMed
  8. Thompson J, Neutel J, Homer K, Tempero K, Shah A, Khankari R. Evaluation of D-ribose pharmacokinetics, dose proportionality, food effect, and pharmacodynamics after oral solution administration in healthy male and female subjects. J Clin Pharmacol 2014;54 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 Ribose and Isosorbide Dinitrate Together: Common Questions

Is it safe to take Ribose with Isosorbide Dinitrate?
We do not list a known interaction between Ribose and Isosorbide Dinitrate. 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 Ribose and Isosorbide Dinitrate 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.
How was the Ribose and Isosorbide Dinitrate combination checked?
Interactions in our licensed database are recorded against drug classes. Isosorbide Dinitrate is filed under 3 classifications, and Ribose has documented interactions with 2 drug classes — none of Isosorbide Dinitrate'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 Ribose interact with any other medications?
Yes. Ribose has 86 documented drug interactions in our database — Isosorbide Dinitrate 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 Isosorbide Dinitrate interact with any supplements?
Yes. Isosorbide Dinitrate has documented interactions with 22 supplements in our database — Ribose is not one of them. The Isosorbide Dinitrate 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

Ribose monograph Uses, safety profile, and every drug interaction in one place Isosorbide drug information The full plain-English guide to this medication Isosorbide Dinitrate supplement interactions Every supplement checked against Isosorbide Dinitrate, 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 8 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Isosorbide Dinitrate and Ribose?

Our pharmacists answer your medication & supplement questions — free.

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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.