Drug & supplement interaction

Sulbutiamine + Sulfacetamide

Sulfacetamide brand name: AK-Sulf.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Sulbutiamine and Sulfacetamide 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.

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Interaction report

Sulbutiamine and Sulfacetamide

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 Sulfacetamide and Sulbutiamine 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 Sulbutiamine at all — not against Sulfacetamide, 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.

Sulbutiamine safety at a glance

Sulbutiamine overall Use caution Generally well tolerated short-term, but long-term safety and quality of evidence are limited.
Pregnancy Avoid Not enough safety data; avoid use during pregnancy.
Breastfeeding Avoid Not enough safety data; avoid use while breastfeeding.

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

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

What Sulbutiamine Itself Has Been Linked To

This is not an interaction — nothing below involves Sulfacetamide. It is the side-effect record for Sulbutiamine on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Sulbutiamine, this list is the first place to look.

  • Tremor or shakiness / Drowsiness / Trouble sleeping / Headache Additional detail

    “Cases of headache, insomnia, tremor, and drowsiness were each reported in one patient (0.06% of patients) using a combination of anti-infective medication and sulbutiamine.”

    Sulbutiamine · Natural Medicines adverse-effect record, reported in cluster headache.

    1 source cited
    1. 24374. Shah S. Adjuvant role of vitamin B analogue (sulbutiamine) with anti-infective treatment in infection associated asthenia. J Assoc Physicians India. 2003;51:891-5.
  • Nausea Additional detail

    “Five cases of nausea have been reported for patients using a combination of anti-infective medication and sulbutiamine.”

    Sulbutiamine · Natural Medicines adverse-effect record, reported in nausea and vomiting.

    1 source cited
    1. 24374. Shah S. Adjuvant role of vitamin B analogue (sulbutiamine) with anti-infective treatment in infection associated asthenia. J Assoc Physicians India. 2003;51:891-5.

Everything above comes from the Natural Medicines adverse-effect record for Sulbutiamine — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Sulfacetamide’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Sulfacetamide column appears here.

Everything else you take

See Every Supplement That Interacts With Sulfacetamide

This page covers Sulbutiamine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Sulfacetamide page lists 20 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Alfalfa (moderate), Angelica Archangelica (moderate), Arrach (moderate), Bergamot (moderate) and Bishop's Weed (moderate).

By severity: 19 moderate · 1 minor.

From our pharmacist’s overview on the Sulfacetamide page

“Every one of the 20 supplement interactions on file for sulfacetamide (AK-Sulf), a sulfa antibiotic used in eye drops and skin preparations, comes down to the same issue, added sun sensitivity. Sulfa drugs can make skin react more strongly to sunlight, and each ingredient below, St.”

Reviewed by 2 · Jul 18, 2026

Open the Sulfacetamide interaction page

One more smart check

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

We hold 64 real supplement products containing Sulbutiamine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Sulbutiamine. Even though Sulbutiamine itself has no known interaction with Sulfacetamide, 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 Sulbutiamine and Sulfacetamide 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 Sulbutiamine
Top half

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

29 days ago today
Medication Sulfacetamide
Top half

#982 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 Sulbutiamine reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Sulbutiamine and Sulfacetamide 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 Sulbutiamine

What is Sulbutiamine?

  • Fatigue and low energy
  • Memory and focus
  • Mental clarity
  • Mood support
  • Vitamin B1 deficiency support

Sulbutiamine is a man-made, fat-soluble form of vitamin B1 (thiamine) developed in Japan, often taken for fatigue and to support mental energy and focus. Human evidence is limited and mostly older or small, so its real benefits are uncertain. It is generally well tolerated short-term, but you should talk with a pharmacist or doctor before using it, especially if you have a health condition.

Synthetic compound (not from a plant) · Tablets, capsules

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

Sulbutiamine: dosing

There is no firmly established standard dose for sulbutiamine as a supplement. Amounts used in older studies and on product labels vary, and there is not enough strong evidence to recommend one clear dose.The safest approach is to follow the directions on the product label and not take more than suggested.

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

Read the full Sulbutiamine monograph & all interactions
Medication

About Sulfacetamide Ophthalmic

What Is Sulfacetamide Ophthalmic Used For?

Brand name: AK-Sulf

Sulfacetamide Sodium Ophthalmic Solution USP, 10% is used to treat conjunctivitis (pink eye) and other superficial infections on the surface of the eye caused by susceptible bacteria. These include bacteria such as Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus influenzae, Klebsiella species, and others.

It is also used alongside systemic (oral or injectable) sulfonamide antibiotic therapy in the treatment of trachoma, a serious bacterial eye infection. It is important to note that this medication does not work against all types of bacteria — it does not provide adequate coverage against Neisseria species, Serratia marcescens, or Pseudomonas aeruginosa, and some staph bacteria are fully resistant to it.

Most-Reported Side Effects for Sulfacetamide

From FAERS, the FDA’s public side-effect reporting system (736 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Drug hypersensitivity 68 reports
Nausea 45 reports
Headache 36 reports
Dyspnea 35 reports
Rash 35 reports
See full Sulfacetamide Ophthalmic drug information
Keep checking

Other Drugs & Sulbutiamine

Browse every other medication we’ve checked against Sulbutiamine — 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

Sulbutiamine References

The 4 references that drive our Sulbutiamine 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. Shah S. Adjuvant role of vitamin B analogue (sulbutiamine) with anti-infective treatment in infection associated asthenia. J Assoc Physicians India. 2003;51:891-5.
  2. Loo H, Poirier M, Ollat H, et al. [Effects of subutiamine (Arcalion 200) on psycho-behavioral inhibition in major depressive episodes]. Encephale. 2000;26(2):70-5.
  3. Kiew K, Wan Mohamad W, Ridzuan A, et al. Effects of sulbutiamine on diabetic polyneuropathy: an open randomized controlled study in type 2 diabetics. Malays J Med Sci. 2002;9(1):21-7.
  4. Sevim S, Kaleagasi H, Tasdelen B. Sulbutiamine shows promising results in reducing fatigue in patients with multiple sclerosis. Mult Scler Relat Disord. 2017;16:40-43. 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 Sulbutiamine and Sulfacetamide Together: Common Questions

Is it safe to take Sulbutiamine with Sulfacetamide?
We do not list a known interaction between Sulbutiamine and Sulfacetamide. 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.
Does Sulfacetamide interact with any supplements?
Yes. Sulfacetamide has documented interactions with 20 supplements in our database — Sulbutiamine is not one of them. The Sulfacetamide 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 Sulfacetamide and Sulbutiamine?

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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.