Drug & supplement interaction

Strontium + Conjugated Estrogens, Meprobamate

Conjugated Estrogens, Meprobamate brand names: PMB 200, PMB 400.

Moderate Interaction
The bottom line Moderate

Strontium has a moderate interaction with Conjugated Estrogens, Meprobamate. Theoretically, estrogens might reduce the excretion of strontium, potentially increasing its effects and adverse effects.

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

Strontium and Conjugated Estrogens, Meprobamate

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

Moderate

ESTROGENS

Why this applies to Conjugated Estrogens, Meprobamate

Conjugated Estrogens, Meprobamate falls under ESTROGENS — the group Strontium interacts with.

Theoretically, estrogens might reduce the excretion of strontium, potentially increasing its effects and adverse effects.
A small clinical study suggests that treatment with estrogens for 5-6 weeks might decrease urinary strontium excretion. The clinical significance of this interaction is unknown.
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 of it. PMB combines conjugated estrogens with meprobamate (a calming medicine), and it's the estrogen part that matters here. Estrogen isn't broken down by strontium. Instead, the concern runs the other way: estrogen may make your kidneys hold onto strontium a little longer, so less leaves in your urine. In theory, that could let strontium build up slightly and nudge up its effects (and any side effects).

I want to be honest about how soft this evidence is. It comes from a small study plus lab and animal work, and even the researchers say they don't know if it truly matters in real life. This isn't about your estrogen dose changing. To be safe, just run your strontium supplement past your pharmacist or doctor, especially given strontium's own heart-related cautions.

References
  1. Eisenberg E. Effects of androgens, estrogens and corticoids on strontium kinetics in man. J Clin Endocrinol Metab 1966;26:566-72.

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

Strontium Also Interacts With Other Medications

Strontium has 100 moderate known drug interactions in our database — the Conjugated Estrogens, Meprobamate one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Strontium

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

Everything else you take

See Every Supplement That Interacts With Conjugated Estrogens, Meprobamate

This page covers Strontium only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Conjugated Estrogens, Meprobamate page lists 187 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 152 moderate · 32 minor.

From our pharmacist’s overview on the Conjugated Estrogens, Meprobamate page

“If you take conjugated estrogens with meprobamate (PMB), a combination that pairs hormone replacement with a sedative, treat this list as a real safety check, not background noise. Three of the 187 entries on file rate major, and they pull in different directions.”

Reviewed by 2 · Jul 18, 2026

Open the Conjugated Estrogens, Meprobamate interaction page

One more smart check

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

We hold 347 real supplement products containing Strontium, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Strontium. Your product may carry other ingredients that interact with Conjugated Estrogens, Meprobamate too, on top of Strontium — 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 Strontium and Conjugated Estrogens, Meprobamate 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 Strontium
Top half

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

29 days ago today
Medication Conjugated Estrogens, Meprobamate
Steady interest

#2,150 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 Strontium

What is Strontium?

  • Bone health and osteoporosis
  • Reducing fracture risk
  • Tooth sensitivity (in some toothpastes)
  • Supporting bone density

Strontium is a mineral that has been studied mainly for bone health and osteoporosis. The prescription form (strontium ranelate) showed benefit for fracture risk but carries serious heart-related safety concerns, while the over-the-counter supplement form (strontium citrate) has much less evidence. Talk to your doctor or pharmacist before using it, especially if you have heart disease or are at risk for blood clots.

Read the full Strontium monograph & all interactions
Keep checking

Other Drugs & Strontium

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

0Major
100Moderate
0Minor
2,729No known interaction
Moderate

100 interactions

Showing 60 of 100 moderate interactions — see all 100 on the Strontium page.

No interaction 2,729 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 Strontium and Conjugated Estrogens, Meprobamate Together: Common Questions

Can you take Strontium with Conjugated Estrogens, Meprobamate?
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 Strontium and Conjugated Estrogens, Meprobamate 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 Conjugated Estrogens, Meprobamate and Strontium?

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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.