Drug & supplement interaction

Threonine + Gemcitabine

Gemcitabine brand name: Gemzar.

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

We found no known interaction between Threonine and Gemcitabine 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

Threonine and Gemcitabine

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 Gemcitabine and Threonine 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.

Threonine safety at a glance

Threonine overall Use caution Threonine from food is safe; supplement safety at higher doses is not well studied.
Pregnancy Use caution Amounts from food are fine, but supplements have not been well studied in pregnancy, so avoid unless advised by a clinician.
Breastfeeding Use caution Dietary amounts are normal, but supplement use during breastfeeding has not been well studied.

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

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

Why No Interaction Is Listed for Gemcitabine

Interactions in our licensed database are recorded against drug classes, not just single drug names. Gemcitabine is filed under 2 classifications — antineoplastics, hepatotoxic drugs. Threonine has documented interactions with 1 drug class — the most serious being nmda antagonists (major) — and none of Gemcitabine’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

Threonine Does Interact With Other Medications

Threonine has 3 major, known drug interactions in our database — Gemcitabine isn’t one of them. If you take anything else, check it against the full list below.

Major 3 No known interaction 2,827 (incl. Gemcitabine)
Taking anything else?

Check Another of Your Medications Against Threonine

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

What to actually watch for

What Threonine Itself Has Been Linked To

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

  • Stomach upset / Constipation / Diarrhea Additional detail

    “Orally, some patients can experience minor gastrointestinal upset including diarrhea. Other side effects reported in people who have taken threonine include flatus and constipation.”

    Threonine · Natural Medicines adverse-effect record, reported in constipation.

    2 sources cited
    1. 12056. Lee A, Patterson V. A double blind study of L-threonine in patients with spinal spasticity. Acta Neurol Scand 1993;88:334-8. PubMed
    2. 681. Tandan R, Bromberg MB, Forshew D, et al. A controlled trial of amino acid therapy in amyotrophic lateral sclerosis: I. Clinical, functional, and maximum isometric torque data. Neurology 1996;47:1220-6. PubMed
  • Headache Additional detail

    “Orally, headache has been reported in people who have taken threonine.”

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

    1 source cited
    1. 681. Tandan R, Bromberg MB, Forshew D, et al. A controlled trial of amino acid therapy in amyotrophic lateral sclerosis: I. Clinical, functional, and maximum isometric torque data. Neurology 1996;47:1220-6. PubMed

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

Everything else you take

See Every Supplement That Interacts With Gemcitabine

This page covers Threonine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Gemcitabine page lists 39 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Beer (major), Siberian Cocklebur (major), Wine (major), Ashwagandha (moderate) and Black Cohosh (moderate).

By severity: 3 major · 35 moderate · 1 minor.

Open the Gemcitabine interaction page

One more smart check

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

We hold 1,803 real supplement products containing Threonine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Threonine. Even though Threonine itself has no known interaction with Gemcitabine, 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 Threonine and Gemcitabine 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 Threonine
Top 25%

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

29 days ago today
Medication Gemcitabine
Steady interest

#2,588 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 Threonine reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Threonine and Gemcitabine 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 Threonine

What is Threonine?

  • General amino acid/protein support
  • Muscle and tissue health
  • Immune support
  • Nervous system support (as a precursor)
  • Liver health (proposed)

Threonine is an essential amino acid your body needs but cannot make, so you must get it from food or supplements. Most people get plenty from a normal diet, and high-quality evidence for taking it as a separate supplement is limited. If you are considering threonine supplements, talk with your pharmacist or doctor first.

Amino acid (obtained from dietary protein or made synthetically) · Capsules, tablets, powder, and part of amino acid blends; also found in protein-rich foods

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

Threonine: dosing

There is no well-established standard supplement dose of threonine for general health. Studies that have used it for specific medical conditions used different amounts, and those doses were given under medical supervision.If you choose to use a threonine product, follow the directions on the label and do not exceed the recommended amount.

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

Read the full Threonine monograph & all interactions
Medication

About Gemcitabine Injection

What Is Gemcitabine Injection Used For?

Brand name: Gemzar

Gemcitabine Injection (available as Avgemsi, Gemcitabine, and Infugem) is used to treat several types of cancer. It is given in combination with carboplatin for advanced ovarian cancer that has returned at least 6 months after platinum-based treatment, and in combination with paclitaxel as a first-line treatment for metastatic breast cancer after prior chemotherapy with an anthracycline (a specific class of chemo drug).

It is also given in combination with cisplatin for non-small cell lung cancer (NSCLC) that cannot be removed surgically or has spread. For pancreatic cancer that is locally advanced or has spread, it is used as a single agent — including in patients who have already been treated with fluorouracil.

Most-Reported Side Effects for Gemcitabine

From FAERS, the FDA’s public side-effect reporting system (53,020 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Disease progression 4,850 reports
Thrombocytopenia 3,706 reports
Neutropenia 3,295 reports
Anemia 3,084 reports
Malignant neoplasm progression 2,912 reports
See full Gemcitabine Injection drug information
Keep checking

Other Drugs & Threonine

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

3Major
0Moderate
0Minor
2,826No known interaction
3 Major 2,826 No interaction
Major

3 interactions

No interaction 2,826 drugs checked — show the list

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

Showing the 60 most looked-up of 2,826 medications checked with no known interaction — see the full Threonine list.

See the full Threonine interactions page
See every supplement checked against Gemcitabine, ranked by severity
Evidence & sources

Threonine References

The 4 references that drive our Threonine 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. Tandan R, Bromberg MB, Forshew D, et al. A controlled trial of amino acid therapy in amyotrophic lateral sclerosis: I. Clinical, functional, and maximum isometric torque data. Neurology 1996;47:1220-6. PubMed
  2. Lee A, Patterson V. A double blind study of L-threonine in patients with spinal spasticity. Acta Neurol Scand 1993;88:334-8. PubMed
  3. Blin O, Pouget J, Aubrespy G, et al. A double-blind placebo controlled trial of L-threonine in amyotrophic lateral sclerosis. J Neurol 1992;239:79-81.
  4. Roufs JB. L-threonine as a symptomatic treatment for amyotrophic lateral sclerosis (ALS). Med Hypotheses 1991;34:20-3. 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 Threonine and Gemcitabine Together: Common Questions

Is it safe to take Threonine with Gemcitabine?
We do not list a known interaction between Threonine and Gemcitabine. 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.
How was the Threonine and Gemcitabine combination checked?
Interactions in our licensed database are recorded against drug classes. Gemcitabine is filed under 2 classifications, and Threonine has documented interactions with 1 drug class — none of Gemcitabine'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 Threonine interact with any other medications?
Yes. Threonine has 3 documented drug interactions in our database — Gemcitabine 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 Gemcitabine interact with any supplements?
Yes. Gemcitabine has documented interactions with 39 supplements in our database — Threonine is not one of them. The Gemcitabine 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

Threonine monograph Uses, safety profile, and every drug interaction in one place Gemcitabine Injection drug information The full plain-English guide to this medication Gemcitabine supplement interactions Every supplement checked against Gemcitabine, 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 4 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Gemcitabine and Threonine?

Our pharmacists answer your medication & supplement questions — free.

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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.