Drug & supplement interaction

Succinate + Sodium Oxybate

Sodium Oxybate brand name: Xyrem.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Succinate and Sodium Oxybate 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 Sodium Oxybate states a food rule worth keeping to.

Know someone taking this? Share
Facebook Post Reddit Email
On this page
Interaction report

Succinate and Sodium Oxybate

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 Sodium Oxybate and Succinate 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 Succinate at all — not against Sodium Oxybate, 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.

Succinate safety at a glance

Succinate overall Use caution Succinate occurs naturally in the body and in foods, but supplement safety has not been well studied.
Pregnancy Avoid There is not enough safety data, so it is best to avoid supplemental succinate during pregnancy.
Breastfeeding Avoid Safety while breastfeeding is unknown, so avoiding supplements is the cautious choice.

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

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

What Sodium Oxybate’s Own FDA Label Lists

This is not an interaction — none of it involves Succinate. These are the most notable effects listed in the ADVERSE REACTIONS section of Sodium Oxybate’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. One of them is worth acting on rather than waiting out — marked below.

  • Low mood Worth acting on
  • Weight loss
  • Tremor or shakiness
  • Drowsiness mentioned in 6.0% of FDA reports for Sodium Oxybate
  • Dry mouth
  • Reduced appetite
  • Stomach pain
  • Dizziness
  • Nausea mentioned in 7.5% of FDA reports for Sodium Oxybate
  • Headache mentioned in 4.9% of FDA reports for Sodium Oxybate

Showing the 10 most notable of 12 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Sodium Oxybate. Read the label on DailyMed › Where a percentage is shown, it is the share of 65,315 voluntary FDA FAERS reports for Sodium Oxybate that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Succinate’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Succinate side to compare — that is a limit of the record, not a statement that Succinate has no side effects.

How to take them

Some Sodium Oxybate Products Have a Food Rule — Succinate Should Not Break It

At least one FDA label for a product containing Sodium Oxybate says to take it with food. If you take Succinate on an empty stomach out of habit, keep them separate — and take Sodium Oxybate 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 Sodium Oxybate 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.

• Allow 2 hours after eating before dosing ( 2.3 ).

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

From our Q&A

Questions About Succinate or Sodium Oxybate

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

This page covers Succinate only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Sodium Oxybate page lists 25 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Biofeedback (moderate), Coffee Charcoal (moderate), Dendrobium (moderate) and European Mandrake (moderate).

By severity: 1 major · 15 moderate · 9 minor.

From our pharmacist’s overview on the Sodium Oxybate page

“Activated charcoal is the single major-rated interaction with sodium oxybate (Xyrem), and it earns that rating because the drug only works if each dose is fully absorbed; charcoal can bind it in the gut and weaken the nighttime control it provides for narcolepsy. Treat this list with genuine care, since 17 of the 25 ingredients on file…”

Reviewed by 2 · Jul 18, 2026

Open the Sodium Oxybate interaction page

One more smart check

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

We hold 2 real supplement products containing Succinate, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Succinate. Even though Succinate itself has no known interaction with Sodium Oxybate, 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 Succinate and Sodium Oxybate 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 Succinate
Steady interest

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

29 days ago today
Medication Sodium Oxybate
Top 25%

#672 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. Succinate is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Succinate reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Succinate and Sodium Oxybate records this page draws on were last updated June 22, 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 Succinate

What is Succinate?

  • Energy and fatigue support
  • Mitochondrial or cellular energy support
  • Hangover relief (traditional/popular use)
  • General wellness and antioxidant support
  • Carrier for minerals (e.g., magnesium succinate)

Succinate (succinic acid) is a natural compound your body already makes as part of how cells produce energy. It is sold as a supplement for energy and fatigue, but solid human evidence for these supplement uses is very limited. If you want to try it, talk to your pharmacist or doctor first, especially if you are pregnant, breastfeeding, or have a health condition.

Not a plant; a naturally occurring organic acid (succinic acid) and its salts · Capsules, tablets, powders; sometimes as mineral succinate salts (such as magnesium succinate) or in combination 'energy' or mitochondrial supplements

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

Succinate: dosing

There is no well-established or standardized dose for succinate supplements. Doses vary widely between products and blends, and there is not enough good human research to recommend a specific amount.The safest approach is to follow the directions on the product label and not exceed them.

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

Read the full Succinate monograph & all interactions
Medication

About Sodium Oxybate

What Is Sodium Oxybate Used For?

Brand name: Xyrem

Sodium oxybate treats two major symptoms of narcolepsy: cataplexy (sudden muscle weakness triggered by emotion) and excessive daytime sleepiness (EDS). It is available in several products, each approved for these uses.

Xyrem (oral solution) and the generic sodium oxybate oral solution are approved for cataplexy or EDS in patients with narcolepsy. Lumryz (extended-release oral suspension) is specifically approved for cataplexy or EDS in patients 7 years of age and older with narcolepsy. The generic sodium oxybate oral solution label does not include the pediatric indication due to marketing exclusivity held by Xyrem.

Most-Reported Side Effects for Sodium Oxybate

From FAERS, the FDA’s public side-effect reporting system (65,536 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Nausea 4,928 reports
Anxiety 3,979 reports
Somnolence 3,965 reports
Insomnia 3,371 reports
Feeling abnormal 3,223 reports
See full Sodium Oxybate drug information
Keep checking

Other Drugs & Succinate

Browse every other medication we’ve checked against Succinate — 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
2,829 No interaction
No interaction 2,829 drugs checked — show the list

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

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Succinate list.

See the full Succinate interactions page
See every supplement checked against Sodium Oxybate, ranked by severity
Evidence & sources

Succinate References

The 3 sources that drive our Succinate monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Succinate is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Dietary Supplements: What You Need to Know — NIH Office of Dietary Supplements Source
  2. Using Dietary Supplements Wisely — NIH NCCIH Source
  3. Dietary Supplements — MedlinePlus Source

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 Succinate and Sodium Oxybate Together: Common Questions

Is it safe to take Succinate with Sodium Oxybate?
We do not list a known interaction between Succinate and Sodium Oxybate. 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.
Should I take Succinate and Sodium Oxybate at the same time of day?
At least one FDA label for a product containing Sodium Oxybate says to take it with food. If you take Succinate on an empty stomach out of habit, keep them separate and take Sodium Oxybate with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Sodium Oxybate products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Sodium Oxybate interact with any supplements?
Yes. Sodium Oxybate has documented interactions with 25 supplements in our database — Succinate is not one of them. The Sodium Oxybate 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

Succinate monograph Uses, safety profile, and every drug interaction in one place Sodium Oxybate drug information The full plain-English guide to this medication Sodium Oxybate supplement interactions Every supplement checked against Sodium Oxybate, 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 3 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Sodium Oxybate and Succinate?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.