Drug & supplement interaction

Same + Odevixibat

Odevixibat brand name: Bylvay.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Same and Odevixibat 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 Odevixibat states a food rule worth keeping to, and 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

Same and Odevixibat

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 Odevixibat and Same 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.

Same safety at a glance

Same overall Use caution Often well tolerated short-term, but it can cause stomach upset and may trigger mania in people with bipolar disorder.
Pregnancy Possibly Safe When used intravenously short-term during the third trimester of pregnancy. In two small-scale trials, SAMe 800 mg daily was used intravenously for 14-20 days d... Read the full pregnancy detail
Breastfeeding Not established There is not enough reliable information, so caution is advised.

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Odevixibat and Same? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Odevixibat

Interactions in our licensed database are recorded against drug classes, not just single drug names. Odevixibat is filed under a single classification — oral drugs. Same has documented interactions with 2 drug classes — the most serious being levodopa (moderate) and serotonergic drugs (moderate) — and none of Odevixibat’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

Same Does Interact With Other Medications

Same has 189 moderate known drug interactions in our database — Odevixibat isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Same

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

What to actually watch for

No Interaction Found — But Data Suggests Same and Odevixibat 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.

  • Heartburn Additional detail

    Same

    “When taken orally or given intravenously, SAMe may cause increased salivation, bloating, flatulence, nausea, vomiting, diarrhea, stomach ache, heartburn, constipation, hunger, thirst, anorexia, blood in the stool, and dry mouth.”

    Same · Natural Medicines adverse-effect record, reported in anorexia.

    Odevixibat

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

  • Diarrhea / Constipation / Vomiting / Nausea reported in 24.0% of FDA reports for Odevixibat Additional detail

    Same

    “Orally, SAMe is generally well tolerated when used in typical doses. Side effects are more common with higher doses.

    Most Common Adverse Effects:

    Orally: Anorexia, constipation, diarrhea, dizziness, dry mouth, flatulence, headache, insomnia, nausea, nervousness, sweating, vomiting.”

    Same · Natural Medicines adverse-effect record, reported in anorexia.

    Odevixibat

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

  • A skin rash Additional detail

    Same

    “Orally, SAMe may cause rash and itching, transient hair loss, sweating, and night sweats.

    Intravenously, SAMe may cause rash and sweating.”

    Same · Natural Medicines adverse-effect record, reported in alopecia.

    6 sources cited
    1. 5196. Rosenbaum JF, Fava M, Falk WE, et al. The antidepressant potential of oral S-adenosyl-l-methionine. Acta Psychiatr Scand 1990;81:432-6. PubMed
    2. 5199. Domljan Z, Vrhovac B, Durrigl T, Pucar I. A double-blind trial of ademetionine vs naproxen in activated gonarthrosis. Int J Clin Pharmacol Ther Toxicol 1989;27:329-33.
    3. 5203. Konig B. A long-term (two years) clinical trial with S-adenosylmethionine for the treatment of osteoarthritis. Am J Med 1987;83:89-94. PubMed
    4. 20202. Kim J, Lee EY, Koh EM, et al. Comparative clinical trial of S-adenosylmethionine versus nabumetone for the treatment of knee osteoarthritis: an 8-week, multicenter, randomized, double-blind, double-dummy, Phase IV study in Korean patients. Clin Ther 2009; PubMed
    5. 20230. Medici V., Virata M. C., Peerson J. M., Stabler S. P., French S. W., Gregory J. F. III, Albanese A., Bowlus C. L., Devaraj S., Panacek E. A., Richards J. R., Halsted C. H. S-adenosyl-L-methionine treatment for alcoholic liver disease: a double-blinded, ra
    6. 73035. Capretto C, Cremona C, and Canaparo L. A double-blind controlled study of S-adenosylmethionine (SAMe) v. ibuprofen in gonarthrosis, coxarthrosis and spondylarthrosis. Clin Trials J 1985;22(1):15-24.

    Odevixibat

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

  • Headache Additional detail

    Same

    “Orally, SAMe may cause vertigo, headache, insomnia, fatigue, tremors, agitation, dizziness, vivid dreams, and anxiety.

    Intramuscularly, SAMe may cause insomnia , anxiety, hostility, dizziness and drowsiness, and headache, although these events are rare.

    Intravenously, side effects rarely associated with SAMe include insomnia, anxiety, and psychomotor agitation.”

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

    6 sources cited
    1. 5188. Bradley JD, Flusser D, Katz BP, et al. A randomized, double blind, placebo controlled trial of intravenous loading with S-adenosylmethionine (SAM) followed by oral SAM therapy in patients with knee osteoarthritis. J Rheumatol 1994;21:905-11.
    2. 20218. Carrieri PB, Indaco A, Gentile S, et al. S-adenosylmethionine treatment of depressioin in patients with Parkinson's disease: a double-blind, crossover study versus placebo. Curr Ther Res 1990;48(1):154-60.
    3. 73002. Muscettola G, Galzenati M, Balbi A. SAMe versus placebo: a double blind comparison in major depressive disorders. Advances in Biochemical Psychopharmacology 1982;32:151-6.
    4. 20204. Manzillo G, Piccinino F, Surrenti C, et al. Multicentre double-blind placebo-controlled study of intravenous and oral S-adenosyl-L-methionine (SAMe) in cholestatic patients with liver disease. Drug Invest 1992;4 (Suppl 4):90-100. DOI
    5. 72978. Carney, M. W., Edeh, J., Bottiglieri, T., Reynolds, E. M., and Toone, B. K. Affective illness and S-adenosyl methionine: a preliminary report. Clin Neuropharmacol. 1986;9(4):379-385. PubMed
    6. 72988. Miccoli, L., Porro, V., and Bertolino, A. Comparison between the antidepressant activity and of S- adenosylmethionine (SAMe) and that of some tricyclic drugs. Acta Neurol (Napoli) 1978;33 (3):243-255.

    Odevixibat

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

Reported for Same but not commonly for Odevixibat: bleeding in the gut, thoughts of self-harm, low mood and vivid dreams or nightmares.

Effects for Odevixibat come from the ADVERSE REACTIONS section of its FDA label; effects for Same come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 350 voluntary FDA FAERS reports for Odevixibat 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.

Special populations

Same in Pregnancy & Breastfeeding

Pregnancy Possibly Safe

When used intravenously short-term during the third trimester of pregnancy. In two small-scale trials, SAMe 800 mg daily was used intravenously for 14-20 days during the third trimester of pregnancy for cholestasis. No adverse effects were observed. However, use of SAMe in pregnancy should only be considered when benefits clearly outweigh the potential risks. There is insufficient reliable information available about the use of SAMe at higher doses, for extended periods of time, or during the earlier trimesters of pregnancy.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

How to take them

Some Odevixibat Products Have a Food Rule — Same Should Not Break It

At least one FDA label for a product containing Odevixibat says to take it with food. If you take Same on an empty stomach out of habit, keep them separate — and take Odevixibat with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Odevixibat 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.

( 2.2 ) Preparation and Administration Instructions Administer BYLVAY in the morning with a meal.

From the Dosage and Administration section of the FDA label we read for Odevixibat — 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.

Overlapping uses

What Odevixibat Is Prescribed For, and What Same Has Been Studied For

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

Odevixibat is prescribed for: Bylvay (odevixibat) capsules are used to treat pruritus (intense, chronic itching caused by bile buildup in the body) in patients with two rare liver conditions. For progressive familial intrahepatic cholestasis (PFIC), Bylvay is approved for patients 3 months of age and older. For Alagille syndrome (ALGS), Bylvay is approved for patients 12 months of age and older. There is an important limitation: Bylvay is not recommended for a specific subgroup of PFIC type 2 patients who have certain genetic variants that result in a non-functional or completely absent bile salt export pump (BSEP) protein.

Read the rest of what Odevixibat is prescribed for

A prescriber can determine whether this applies to your child.

Same has been studied for:

  • Cholestasis Natural Medicines rates the evidence for Same: Possibly Effective Read what the research shows

    Same for cholestasis

    Clinical research suggests that oral or intravenous SAMe is similarly effective to ursodeoxycholic acid (ursodiol) for treatment of cholestasis.

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

Everything else you take

See Every Supplement That Interacts With Odevixibat

This page covers Same only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Odevixibat page lists 17 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Coffee Charcoal (moderate), European Mandrake (moderate), Glucomannan (moderate) and Guar Gum (moderate).

By severity: 1 major · 7 moderate · 9 minor.

Open the Odevixibat interaction page

One more smart check

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

We hold 9 real supplement products containing Same, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Same. Even though Same itself has no known interaction with Odevixibat, 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 Same and Odevixibat 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 Same
Top half

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

29 days ago today
Medication Odevixibat
Steady interest

#2,519 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 Same reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Same and Odevixibat 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 Same

What is Same?

Same
  • Depression
  • Osteoarthritis joint pain
  • Liver conditions
  • Fibromyalgia

SAM-e is a compound your body makes naturally that is sold as a supplement, most often for depression and osteoarthritis. Some research suggests it may help with these conditions, but the quality of evidence is mixed and more study is needed. Talk with your pharmacist or doctor before trying it, especially if you take other medicines or have bipolar disorder.

Not a plant; a compound made naturally in the body (supplements are made synthetically) · Enteric-coated tablets, capsules; less commonly injectable (used in some countries under medical supervision)

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

Same: dosing

There is no single official standardized dose of SAM-e, and the amount studied has varied depending on the condition and the salt form used. SAM-e is often sold as enteric-coated tablets to help it survive stomach acid, and some people take it before meals.Do not assume more is better. Starting low and using the lowest helpful dose may reduce the chance of side effects.

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

Read the full Same monograph & all interactions
Medication

About Odevixibat

What Is Odevixibat Used For?

Brand name: Bylvay

Bylvay (odevixibat) capsules are used to treat pruritus (intense, chronic itching caused by bile buildup in the body) in patients with two rare liver conditions. For progressive familial intrahepatic cholestasis (PFIC), Bylvay is approved for patients 3 months of age and older. For Alagille syndrome (ALGS), Bylvay is approved for patients 12 months of age and older.

There is an important limitation: Bylvay is not recommended for a specific subgroup of PFIC type 2 patients who have certain genetic variants that result in a non-functional or completely absent bile salt export pump (BSEP) protein. A prescriber can determine whether this applies to your child.

Most-Reported Side Effects for Odevixibat

From FAERS, the FDA’s public side-effect reporting system (350 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Pruritus 92 reports
Diarrhea 84 reports
Liver transplant 29 reports
Abdominal pain upper 22 reports
Abdominal pain 20 reports
See full Odevixibat drug information
Keep checking

Other Drugs & Same

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

0Major
189Moderate
0Minor
2,640No known interaction
Moderate

189 interactions

Showing 60 of 189 moderate interactions — see all 189 on the Same page.

No interaction 2,640 drugs checked — show the list
Evidence & sources

Same References

The 31 references that drive our Same 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. Perna AF, Castaldo P, Ingrosso D, et al. Homocysteine, a new cardiovascular risk factor, is also a powerful uremic toxin. J Nephrol 1999;12:230-40.
  2. Mato JM, Camara J, Fernandez de Paz J, et al. S-adenosylmethionine in alcoholic liver cirrhosis: a randomized, placebo-controlled, double-blind, multicenter clinical trial. J Hepatol 1999;30:1081-9. PubMed
  3. Iruela LM, Minguez L, Merino J, Monedero G. Toxic interaction of S-adenosylmethionine and clomipramine. Am J Psychiatry 1993;150:522. PubMed
  4. Bradley JD, Flusser D, Katz BP, et al. A randomized, double blind, placebo controlled trial of intravenous loading with S-adenosylmethionine (SAM) followed by oral SAM therapy in patients with knee osteoarthritis. J Rheumatol 1994;21:905-11.
  5. Berlanga C, Ortega-Soto HA, Ontiveros M, Senties H. Efficacy of S-adenosyl-L-methionine in speeding the onset of action of imipramine. Psychiatry Res 1992;44:257-62. PubMed
  6. Kagan BL, Sultzer DL, Rosenlicht N, Gerner RH. Oral S-adenosylmethionine in depression: a randomized, double-blind, placebo-controlled trial. Am J Psychiatry 1990;147:591-5. PubMed
  7. Rosenbaum JF, Fava M, Falk WE, et al. The antidepressant potential of oral S-adenosyl-l-methionine. Acta Psychiatr Scand 1990;81:432-6. PubMed
  8. Domljan Z, Vrhovac B, Durrigl T, Pucar I. A double-blind trial of ademetionine vs naproxen in activated gonarthrosis. Int J Clin Pharmacol Ther Toxicol 1989;27:329-33.
  9. Konig B. A long-term (two years) clinical trial with S-adenosylmethionine for the treatment of osteoarthritis. Am J Med 1987;83:89-94. PubMed
  10. Lipinski JF, Cohen BM, Frankenburg F, et al. Open trial of S-adenosylmethionine for treatment of depression. Am J Psychiatry 1984;141:448-50.
  11. Almasio P, Bortolini M, Pagliaro L, Coltorti M. Role of S-adenosyl-L-methionine in the treatment of intrahepatic cholestasis. Drugs 1990;40:111-23. PubMed
  12. Friedel HA, Goa KL, Benfield P. S-adenosyl-L-methionine. A review of its pharmacological properties and therapeutic potential in liver dysfunction and affective disorders in relation to its physiological role in cell metabolism. Drugs 1989;38:389-416. PubMed
  13. Bottiglieri T, Hyland K, Reynolds EH. The clinical potential of ademetionine (S-adenosylmethionine) in neurological disorders. Drugs 1994;48:137-52. PubMed
  14. Frezza M, Centini G, Cammareri G, et al. S-adenosylmethionine for the treatment of intrahepatic cholestasis of pregnancy. Results of a controlled clinical trial. Hepatogastroenterology 1990;37:122-5.
  15. Singhal AB, Caviness VS, Begleiter AF, et al. Cerebral vasoconstriction and stroke after use of serotonergic drugs. Neurology 2002;58:130-3. 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 Same and Odevixibat Together: Common Questions

Is it safe to take Same with Odevixibat?
We do not list a known interaction between Same and Odevixibat. 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 Same and Odevixibat have any of the same side effects?
Yes — our sources link each of them separately to 7 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.
Should I take Same and Odevixibat at the same time of day?
At least one FDA label for a product containing Odevixibat says to take it with food. If you take Same on an empty stomach out of habit, keep them separate and take Odevixibat with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Odevixibat products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Are Same and Odevixibat 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 Same in each. That is a conversation for your prescriber, especially if Odevixibat is being adjusted to a target.
How was the Same and Odevixibat combination checked?
Interactions in our licensed database are recorded against drug classes. Odevixibat is filed under 1 classification, and Same has documented interactions with 2 drug classes — none of Odevixibat'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 Same interact with any other medications?
Yes. Same has 189 documented drug interactions in our database — Odevixibat 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 Odevixibat interact with any supplements?
Yes. Odevixibat has documented interactions with 17 supplements in our database — Same is not one of them. The Odevixibat 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 Odevixibat and Same?

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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.