Drug & supplement interaction

Vitamin B6 + Levodopa, Carbidopa

Levodopa, Carbidopa brand name: Duodopa.

Minor Interaction
Medically reviewed by · Updated September 2026
The bottom line Minor

Vitamin B6 has a minor interaction with Levodopa, Carbidopa. Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.

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

Vitamin B6 and Levodopa, Carbidopa

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

Minor

LEVODOPA

Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.
Vitamin B6 (pyridoxine) enhances the metabolism of levodopa, reducing its clinical effects. However, this interaction does not occur when carbidopa is used concurrently with levodopa (Sinemet). Therefore, it is not likely to be a problem in most people.
Severity Minor Likelihood Unlikely Evidence D

Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's some reassuring news. On its own, levodopa can be broken down faster when you take vitamin B6, which would mean less of it reaching your brain and weaker control of Parkinson's symptoms like stiffness, slowness, and tremor. But your product pairs levodopa with carbidopa, and carbidopa blocks that exact pathway B6 speeds up. So the worry essentially disappears when the two are combined like they are in your medication.

This concern is mostly theoretical, based on how the drugs work rather than real problems people run into. Everyday food and a normal multivitamin amount of B6 are very unlikely to cause trouble. If you're thinking about a high-dose B6 supplement, just run it by your pharmacist or doctor first.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Hansten PD, Horn JR. Drug Interactions Analysis and Management. Vancouver, WA: Applied Therapeutics Inc., 1997 and updates.

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

Vitamin B6 Also Interacts With Other Medications

Vitamin B6 has 205 moderate, 4 minor known drug interactions in our database — the Levodopa, Carbidopa one above is one of them. If you take anything else, check it against the full list below.

Moderate 205 Minor 4 No known interaction 2,621 (incl. Levodopa, Carbidopa)
Taking anything else?

Check Another of Your Medications Against Vitamin B6

Covers the 2,830 medications we’ve checked against Vitamin B6. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Levodopa, Carbidopa

This page covers Vitamin B6 only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Levodopa, Carbidopa page lists 26 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Branched-chain Amino Acids (bcaa) (major), Cowhage (major), Indian Snakeroot (major), Magnesium (major) and Phenylalanine (major).

By severity: 7 major · 17 moderate · 2 minor.

From our pharmacist’s overview on the Levodopa, Carbidopa page

“Cowhage is the first thing to know here. It naturally contains levodopa, sometimes 75 to 400 mg per dose, so stacking it on Levodopa, Carbidopa (Duodopa) risks levodopa excess.”

Reviewed by 2 · Jul 18, 2026

Open the Levodopa, Carbidopa interaction page

One more smart check

Taking Vitamin B6 as Part of a Dietary Supplement Product? Check It for Interactions

We hold 24,838 real supplement products containing Vitamin B6, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Vitamin B6. Your product may carry other ingredients that interact with Levodopa, Carbidopa too, on top of Vitamin B6 — 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 Vitamin B6 and Levodopa, Carbidopa 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 Vitamin B6
Top 10

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

29 days ago today
Medication Levodopa, Carbidopa
Top 25%

#418 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 Vitamin B6

What is Vitamin B6?

  • Morning sickness in pregnancy
  • Premenstrual syndrome (PMS)
  • Preventing or treating B6 deficiency
  • Nerve health and metabolism support
  • Nausea

Vitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is best known for helping with pregnancy-related nausea and may help some people with PMS, but taking very high doses for long periods can cause nerve damage. Get most of your B6 from food, and check with a pharmacist or doctor before taking high-dose supplements.

Read the full Vitamin B6 monograph & all interactions
Keep checking

Other Drugs & Vitamin B6

Browse every other medication we’ve checked against Vitamin B6 — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
205Moderate
4Minor
2,620No known interaction
205 Moderate 4 Minor 2,620 No interaction
Moderate

205 interactions

Showing 60 of 205 moderate interactions — see all 205 on the Vitamin B6 page.

Minor

4 interactions

No interaction 2,620 drugs checked — show the list

We also checked Vitamin B6 against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,620 medications checked with no known interaction — see the full Vitamin B6 list.

See the full Vitamin B6 interactions page
See every supplement checked against Levodopa, Carbidopa, ranked by severity
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

Keep exploring
Vitamin B6 monograph › Uses, safety, and every drug interaction in one place Levodopa, Carbidopa supplement interactions › Every supplement checked against Levodopa, Carbidopa, 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 Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Vitamin B6 and Levodopa, Carbidopa Together: Common Questions

Can you take Vitamin B6 with Levodopa, Carbidopa?
There is only a minor interaction, which is usually not serious. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Vitamin B6 and Levodopa, Carbidopa interaction?
We rate it Minor. This interaction is generally not clinically significant, but it remains worth noting and discussing with your pharmacist.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Levodopa, Carbidopa and Vitamin B6?

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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.