Drug & supplement interaction

Testolone + Trospium

Trospium brand names: Sanctura, Trosec, Regurin.

No Known Interaction

Medically reviewed by Dr. Brian Staiger, PharmD, BCPS · Updated July 2026 · Pair last verified Sep 20, 2026

The bottom line No known interaction

We found no known interaction between Testolone and Trospium 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 Trospium 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

Testolone and Trospium

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 Trospium and Testolone 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.

Testolone safety at a glance

Testolone overall Avoid Testolone is an unapproved experimental drug with reported serious risks and should not be used.

Pregnancy Possibly Unsafe When used orally. The U.S. Food and Drug Administration and other regulatory agencies warn that dietary supplements containing selective androgen receptor modul... Read the full pregnancy detail

Breastfeeding Possibly Unsafe When used orally. The U.S. Food and Drug Administration and other regulatory agencies warn that dietary supplements containing selective androgen receptor modul... Read the full breastfeeding detail

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 Trospium and Testolone? Ask Dr. Brian Staiger, PharmD, BCPS directly ›

How we checked

Why No Interaction Is Listed for Trospium

Interactions in our licensed database are recorded against drug classes, not just single drug names. Trospium is filed under 3 classifications — urinary acidifying agents, anticholinergic drugs, oral drugs. Testolone has documented interactions with 1 drug class — the most serious being hepatotoxic drugs (moderate) — and none of Trospium’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

Testolone Does Interact With Other Medications

Testolone has 370 moderate known drug interactions in our database — Trospium isn’t one of them. If you take anything else, check it against the full list below.

Moderate 370 No known interaction 2,460 (incl. Trospium)

Taking anything else?

Check Another of Your Medications Against Testolone

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

What to actually watch for

No Interaction Found — But Data Suggests Testolone and Trospium May Share a Side Effect

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.

A fast or pounding heartbeat Additional detail
Testolone
“Acute myocarditis presumably associated with testolone has been reported in a 32-year-old male who used the product for athletic performance enhancement. The patient presented with shortness of breath and a mild fever, with elevations in troponin I, B-type natriuretic peptide, erythrocyte sedimentation rate, C-reactive protein, and D-dimer and received treatment with aspirin, atorvastatin, carvedilol, and furosemide,…”

Testolone · Natural Medicines adverse-effect record, reported in athletic performance.
5 sources cited

108161. Padappayil RP, Chandini Arjun A, Vivar Acosta J, Ghali W, Mughal MS. Acute myocarditis from the use of selective androgen receptor modulator (SARM) RAD-140 (Testolone). Cureus. 2022;14(1):e21663. PubMed

94879. Warning Letter: Ironmag Labs 10/23/17. FDA Inspections, Compliance, Enforcement, and Criminal Investigations, October 23, 2017. https://www.fda.gov/iceci/enforcementactions/warningletters/2017/ucm582464.htm Accessed: November 1, 2017

94880. Warning Letter: Panther Sports Nutrition 10/23/17. FDA Inspections, Compliance, Enforcement, and Criminal Investigations, October 23, 2017. https://www.fda.gov/iceci/enforcementactions/warningletters/2017/ucm581630.htm. Accessed: November 1, 2017

94881. Warning Letter: Infantry Labs LLC 10/23/17. FDA Inspections, Compliance, Enforcement, and Criminal Investigations, October 23, 2017. https://www.fda.gov/iceci/enforcementactions/warningletters/2017/ucm582685.htm. Accessed: November 1, 2017

108159. LoRusso P, Hamilton E, Ma C, et al. A first-in-human phase 1 study of a novel selective androgen receptor modulator (SARM), RAD140, in ER+/HER2- metastatic breast cancer. Clin Breast Cancer 2022;22(1):67-77. PubMed
Trospium

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

Reported for Testolone but not commonly for Trospium: liver problems, a heart attack, shortness of breath and reduced appetite.

Effects for Trospium come from the ADVERSE REACTIONS section of its FDA label; effects for Testolone come from the Natural Medicines adverse-effect record, quoted above. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Testolone in Pregnancy & Breastfeeding

Pregnancy And Lactation Possibly Unsafe

When used orally. The U.S. Food and Drug Administration and other regulatory agencies warn that dietary supplements containing selective androgen receptor modulators (SARMs) are dangerous. Avoid using.

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 Trospium Products Have a Food Rule — Testolone Should Not Break It

At least one FDA label for a product containing Trospium says to take it on an empty stomach. Most supplements — Testolone included — are taken with a meal, so the easy mistake is swallowing both together at breakfast. Where that rule applies, keep Trospium on its own and move Testolone to a meal later in the day.

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

Trospium Chloride Extended-Release Capsules should be dosed with water on an empty stomach, at least one hour before a meal.

From the Dosage and Administration section of the FDA label we read for Trospium — 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 Trospium Is Prescribed For, and What Testolone Has Been Studied For

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

Trospium is prescribed for: Trospium — available as tablets and extended-release capsules — is used to treat overactive bladder (OAB). It targets three main symptoms: the sudden, hard-to-control urge to urinate (urgency), leaking urine when that urge hits (urge urinary incontinence), and needing to urinate much more often than usual (urinary frequency). Both Trospium Chloride Tablets and Trospium Chloride Extended-Release Capsules carry this indication. Your prescriber will choose the formulation that fits your schedule and health history.

Testolone has been studied for:

Urinary incontinence studied, not established Testolone has been studied for this. Natural Medicines rates the evidence: Insufficient Reliable Evidence To Rate Read what the research shows

Testolone for urinary incontinence

Although there is interest in using oral testolone for urinary incontinence, there is insufficient reliable information about the clinical effects of testolone for this condition.

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 Trospium on your own; if you are taking Testolone 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 Trospium

This page covers Testolone only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Trospium page lists 47 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Henbane (major), Scopolia (major), Angel's Trumpet (moderate) and Bacopa (moderate).

By severity: 3 major · 33 moderate · 11 minor.

From our pharmacist’s overview on the Trospium page

“Trospium (Sanctura, Regurin) calms an overactive bladder by blocking acetylcholine, and most of the 47 supplements flagged against it press on that same nerve signal. Thirty carry anticholinergic activity of their own, adding dry mouth, constipation, blurred vision, and confusion, and two of the three major ratings sit in that group: h…”

Reviewed by 2 · Jul 18, 2026

Open the Trospium interaction page

One more smart check

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

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

Steady interest

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

29 days ago today

Medication Trospium

Steady interest

#1,843 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 Testolone reference on this page ↓
Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Testolone and Trospium 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 Dr. Brian Staiger, PharmD, BCPS.

Supplement

About Testolone

What is Testolone?

Muscle building
Athletic performance and bodybuilding
Strength gains
Body recomposition (fat loss with muscle gain)

Testolone (RAD-140) is a synthetic experimental drug called a selective androgen receptor modulator (SARM), not a dietary supplement or herb, and it is not approved or proven safe for human use. It is illegally sold for muscle building, has been linked to serious harms including liver injury, and is banned in sports — it should not be taken outside of supervised clinical research.

Synthetic compound (not a plant); supplied as a chemical powder or liquid · Capsules, tablets, liquids, and powders sold as 'research chemicals'

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

Testolone: dosing

There is no established safe or approved dose of Testolone. It has not gone through the testing needed to set safe dosing guidelines for people.Doses listed on illegally sold products are not verified, and the actual content of these products is often unreliable. For these reasons, we do not provide dosing information.The safest choice is not to use Testolone.

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

Read the full Testolone monograph & all interactions

Medication

About Trospium

What Is Trospium Used For?

Brand names: Sanctura, Trosec, Regurin

Trospium — available as tablets and extended-release capsules — is used to treat overactive bladder (OAB). It targets three main symptoms: the sudden, hard-to-control urge to urinate (urgency), leaking urine when that urge hits (urge urinary incontinence), and needing to urinate much more often than usual (urinary frequency).

Both Trospium Chloride Tablets and Trospium Chloride Extended-Release Capsules carry this indication. Your prescriber will choose the formulation that fits your schedule and health history.

See full Trospium drug information

Keep checking

Other Drugs & Testolone

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

0Major

370Moderate

0Minor

2,459No known interaction

370 Moderate 2,459 No interaction

Moderate

370 interactions

Showing 60 of 370 moderate interactions — see all 370 on the Testolone page.

No interaction 2,459 drugs checked — show the list

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

Showing the 60 most looked-up of 2,459 medications checked with no known interaction — see the full Testolone list.

See the full Testolone interactions page

See every supplement checked against Trospium, ranked by severity

Evidence & sources

Testolone References

The 7 references that drive our Testolone 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.

Joseph JF, Parr MK. Synthetic androgens as designer supplements. Curr Neuropharmacol. 2015;13(1):89-100. PubMed
Warning Letter: Ironmag Labs 10/23/17. FDA Inspections, Compliance, Enforcement, and Criminal Investigations, October 23, 2017. https://www.fda.gov/iceci/enforcementactions/warningletters/2017/ucm582464.htm Accessed: November 1, 2017
Warning Letter: Panther Sports Nutrition 10/23/17. FDA Inspections, Compliance, Enforcement, and Criminal Investigations, October 23, 2017. https://www.fda.gov/iceci/enforcementactions/warningletters/2017/ucm581630.htm. Accessed: November 1, 2017
Warning Letter: Infantry Labs LLC 10/23/17. FDA Inspections, Compliance, Enforcement, and Criminal Investigations, October 23, 2017. https://www.fda.gov/iceci/enforcementactions/warningletters/2017/ucm582685.htm. Accessed: November 1, 2017
LoRusso P, Hamilton E, Ma C, et al. A first-in-human phase 1 study of a novel selective androgen receptor modulator (SARM), RAD140, in ER+/HER2- metastatic breast cancer. Clin Breast Cancer 2022;22(1):67-77. PubMed
Barbara M, Dhingra S, Mindikoglu AL. Drug-induced liver injury associated with alpha bolic (RAD-140) and alpha elite (RAD-140 and LGD-4033). ACG Case Rep J 2020;7(6):e00409. PubMed
Padappayil RP, Chandini Arjun A, Vivar Acosta J, Ghali W, Mughal MS. Acute myocarditis from the use of selective androgen receptor modulator (SARM) RAD-140 (Testolone). Cureus. 2022;14(1):e21663. 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 Testolone and Trospium Together: Common Questions

Is it safe to take Testolone with Trospium?

We do not list a known interaction between Testolone and Trospium. 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 Testolone and Trospium have any of the same side effects?

Yes — our sources link each of them separately to one 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 Testolone and Trospium at the same time of day?

At least one FDA label for a product containing Trospium says to take it on an empty stomach, and supplements are usually taken with a meal — so taking them together at breakfast is the easy mistake. Where that applies, keep Trospium on its own and move Testolone to a meal later in the day. Food instructions belong to the product rather than the ingredient, so check the directions on your own box. This is about absorption, not an interaction.

Are Testolone and Trospium 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 Testolone in each. That is a conversation for your prescriber, especially if Trospium is being adjusted to a target.

How was the Testolone and Trospium combination checked?

Interactions in our licensed database are recorded against drug classes. Trospium is filed under 3 classifications, and Testolone has documented interactions with 1 drug class — none of Trospium'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 Testolone interact with any other medications?

Yes. Testolone has 370 documented drug interactions in our database — Trospium 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 Trospium interact with any supplements?

Yes. Trospium has documented interactions with 47 supplements in our database — Testolone is not one of them. The Trospium 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

Testolone monograph Uses, safety profile, and every drug interaction in one place Trospium drug information The full plain-English guide to this medication Trospium supplement interactions Every supplement checked against Trospium, 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 7 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Trospium and Testolone?

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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.