Ascophyllum Nodosum Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Ascophyllum Nodosum interacts with medications. The heart of this page is the interaction list — every drug Ascophyllum Nodosum is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Ascophyllum Nodosum is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Ascophyllum Nodosum against your medication
Add one medicationAscophyllum Nodosum Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Ascophyllum Nodosum drug interactions are all rated moderate and center almost entirely on its iodine content, so the main risk of a clinically significant interaction falls on people taking thyroid-related medicines rather than most people. None of the listed interactions are rated major, and every one traces back to the same concern: this brown seaweed naturally contains iodine, which can affect thyroid function.
The combination that stands out most is with amiodarone, a heart rhythm drug that is itself very high in iodine; taking both could push iodine levels too high and disturb thyroid function, and this concern has some human support. Thyroid hormone replacement and antithyroid drugs also deserve care, since extra iodine may shift thyroid levels in either direction and make these closely monitored medicines harder to keep steady.
A list of about two dozen medications sounds long, but it reflects one shared mechanism, not many separate dangers. Most of these interactions are theoretical, based on how high-dose iodine can behave, and the iodine in this seaweed is absorbed less readily than iodine from supplements like potassium iodide. Solid human studies confirming harm are lacking.
Based on HelloPharmacist’s Ascophyllum Nodosum interaction data and reviewed under our editorial standards.
Drugs that interact with Ascophyllum Nodosum
22 medications have a known interaction with Ascophyllum Nodosum, graded by severity. Select any drug for the full evidence-based detail.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Ascophyllum Nodosum using our pharmacist-reviewed interaction data.
AI summaries are generated from our Ascophyllum Nodosum interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
AmiodaroneCordarone, Pacerone
Theoretically, combining Ascophyllum nodosum with amiodarone might cause excessively high iodine levels.
Read the full Ascophyllum Nodosum + Amiodarone interaction Amiodarone drug page: uses, dosage & side effectsCarbimazoleNeo-Mercazole
Due to its iodine content, Ascophyllum nodosum might alter the effects of antithyroid drugs.
Read the full Ascophyllum Nodosum + Carbimazole interactionConjugated EstrogensCenestin, Enjuvia, Premarin, Premarin Vaginal Cream
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Conjugated Estrogens interactionDesiccated Thyroid ExtractWesthroid, WP Thyroid
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Desiccated Thyroid Extract interactionDesiccated Thyroid Extract (prescription Drug)Nature-Throid, Thyrar
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Desiccated Thyroid Extract (prescription Drug) interactionDextrothyroxineCholoxin
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Dextrothyroxine interactionHuman Chorionic Gonadotropin (hcg)Pregnyl
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Human Chorionic Gonadotropin (hcg) interactionLevothyroxineEltroxin, Estre, Euthyrox, Levo-T, Levolet, Levothroid +5 more
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Levothyroxine interaction Levothyroxine drug page: uses, dosage & side effectsLevothyroxine SodiumErmez, Thyquidity, Tirosint-Sol
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Levothyroxine Sodium interactionLevothyroxine, LiothyronineArmour Thyroid
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Levothyroxine, Liothyronine interactionLiothyronineCytomel
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Liothyronine interaction Liothyronine drug page: uses, dosage & side effectsLiotrixEuthroid 1, Euthroid 1/2, Euthroid 3
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Liotrix interaction Liotrix drug page: uses, dosage & side effectsLiotrix, T4/t3Euthroid 2
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Liotrix, T4/t3 interactionMenotropinsMenopur, Repronex
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Menotropins interactionMethenamine MandelateMandelamine, Methimazole
Due to its iodine content, Ascophyllum nodosum might alter the effects of antithyroid drugs.
Read the full Ascophyllum Nodosum + Methenamine Mandelate interaction Methenamine Mandelate drug page: uses, dosage & side effectsMethimazoleTapazole
Due to its iodine content, Ascophyllum nodosum might alter the effects of antithyroid drugs.
Read the full Ascophyllum Nodosum + Methimazole interaction Methimazole drug page: uses, dosage & side effectsOspemifeneOsphena
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Ospemifene interaction Ospemifene drug page: uses, dosage & side effectsPotassium Iodide (prescription Drug)Thyro-Block
Due to its iodine content, Ascophyllum nodosum might alter the effects of antithyroid drugs.
Read the full Ascophyllum Nodosum + Potassium Iodide (prescription Drug) interactionPropylthiouracil, PtuPropylthiouracil
Due to its iodine content, Ascophyllum nodosum might alter the effects of antithyroid drugs.
Read the full Ascophyllum Nodosum + Propylthiouracil, Ptu interaction Propylthiouracil, Ptu drug page: uses, dosage & side effectsTestosterone UndecanoateAndriol, Aveed, Jatenzo, Kyzatrex
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Testosterone Undecanoate interaction Testosterone Undecanoate drug page: uses, dosage & side effectsThyroglobulinProloid
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Thyroglobulin interactionThyroid HormoneEtwon
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Read the full Ascophyllum Nodosum + Thyroid Hormone interactionWhat Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction 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.
- Possible. Interaction 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
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Ascophyllum Nodosum combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Ascophyllum Nodosum affects
Every type of medication (drug category) Ascophyllum Nodosum is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Amiodarone (Cordarone)
Theoretically, combining Ascophyllum nodosum with amiodarone might cause excessively high iodine levels.
Ascophyllum nodosum contains iodine, although the bioavailability of iodine from Ascophyllum nodosum is lower than that of potassium iodide. Amiodarone contains 37.3% iodine and can increase iodine levels. Concomitant use might increase the risk of having excessive iodine levels and adversely affecting thyroid function. Monitor thyroid function.
Antithyroid Drugs
Due to its iodine content, Ascophyllum nodosum might alter the effects of antithyroid drugs.
Ascophyllum nodosum contains iodine, although the bioavailability of iodine from Ascophyllum nodosum is lower than that of potassium iodide. Iodine in high doses has been reported to cause both hyperthyroidism and hypothyroidism, depending on the individual's past medical history. Taking Ascophyllum nodosum while using antithyroid drugs could alter the effects of the antithyroid drugs.
Thyroid Hormone
Due to its iodine content, Ascophyllum nodosum might alter the effects of thyroid hormone.
Ascophyllum nodosum contains iodine, although the bioavailability of iodine from Ascophyllum nodosum is lower than that of potassium iodide. Iodine in high doses has been reported to cause both hyperthyroidism and hypothyroidism, depending on the individual's past medical history. Taking Ascophyllum nodosum while using thyroid hormone could alter the effects of thyroid hormone.
Ascophyllum Nodosum: Uses, Safety & Side Effects
Ascophyllum nodosum (often sold as bladderwrack or brown seaweed) is a nutrient-rich algae that people use for weight, blood sugar, and thyroid support, but solid human evidence is limited for most of these uses. Because it naturally contains iodine and can absorb heavy metals like arsenic, it should be used cautiously, and pregnant or breastfeeding people should avoid it unless a doctor approves.

- Scientific name
- Ascophyllum nodosum
- Family
- Fucaceae
- Part used
- Whole seaweed (thallus/fronds)
- Common forms
- Capsules, tablets, powder, extracts, teas, and topical products
- Weight management
- Blood sugar support
- Thyroid support (iodine source)
- Digestive health
- Source of vitamins and minerals
- Joint comfort
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally used in foods, but its iodine content and possible heavy metal contamination warrant caution.
Insufficient reliable information available; avoid using amounts greater than those found in food.
Read the full pregnancy detailInsufficient reliable information available; avoid using amounts greater than those found in food.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Ascophyllum nodosum is a type of brown seaweed, also widely known as bladderwrack, knotted wrack, or egg wrack. It grows along cold, rocky shorelines in the North Atlantic, including parts of Europe, Iceland, Greenland, the northeastern United States, and eastern Canada.
This seaweed has long been used as food, animal feed, and fertilizer. As a supplement, it is sold in capsules, powders, teas, and extracts. People take it for many reasons, often because it is naturally rich in nutrients such as iodine, minerals, and plant compounds called polysaccharides and phlorotannins.
How it works
Ascophyllum nodosum contains several compounds that researchers find interesting. Fucoidans and laminarin are polysaccharides (complex sugars) that may act on the immune system and gut. Phlorotannins are antioxidant compounds found only in brown seaweed.
In laboratory studies, some of these compounds appear to block enzymes that digest carbohydrates and fats, which is one proposed way the seaweed might affect blood sugar and weight. It also provides iodine, a mineral the thyroid needs to make hormones.
It is important to know that much of this research comes from test tube and animal studies. What happens in a lab does not always translate to real benefits in people.
Does Ascophyllum Nodosum work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Ascophyllum Nodosum, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 9 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Dental plaque
It is unclear if oral Ascophyllum nodosum is beneficial in patients with dental plaque.
Insufficient Reliable Evidence To Rate Gastroesophageal reflux disease (GERD)
Although there has been interest in using oral Ascophyllum nodosum for GERD, there is insufficient reliable information about the clinical effects of Ascophyllum nodosum for this purpose.
Insufficient Reliable Evidence To Rate Gingivitis
It is unclear if oral Ascophyllum nodosum is beneficial in patients with dental plaque.
Insufficient Reliable Evidence To Rate Impaired glucose tolerance (prediabetes)
Oral Ascophyllum nodosum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Inflammatory bowel disease (IBD)
Although there has been interest in using oral Ascophyllum nodosum for IBD, there is insufficient reliable information about the clinical effects of Ascophyllum nodosum for this purpose.
Insufficient Reliable Evidence To Rate Iodine deficiency
It is unclear if oral Ascophyllum nodosum is beneficial in patients with iodine deficiency.
Insufficient Reliable Evidence To Rate Metabolic syndrome
Oral Ascophyllum nodosum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Obesity
Oral Ascophyllum nodosum has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Peptic ulcers
Although there has been interest in using oral Ascophyllum nodosum for peptic ulcers, there is insufficient reliable information about the clinical effects of Ascophyllum nodosum for this purpose.
Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.
Safety & precautions
When eaten in normal food amounts, brown seaweed is generally considered safe for most healthy adults. As a concentrated supplement, there are some important cautions.
Iodine: Ascophyllum nodosum can contain large and variable amounts of iodine. Too much iodine may trigger or worsen thyroid problems, including both underactive and overactive thyroid. People with thyroid disease should be especially careful.
Heavy metals: Seaweed naturally absorbs minerals from seawater, including arsenic, cadmium, and other heavy metals. Contaminated products have been reported, so choosing a tested, reputable brand matters.
Pregnancy and breastfeeding: Avoid using this supplement. The high and unpredictable iodine content and possible contaminants could harm a developing baby or pass into breast milk.
Talk to your pharmacist or doctor before starting, especially if you have a thyroid condition, kidney disease, or take any medicines.
Side effects
Reported side effects are usually mild and may include stomach upset, bloating, or digestive changes. Because of its iodine content, regular use may affect thyroid function and could cause symptoms such as a change in energy, weight, or heart rate over time.
Rarely, contaminated products have been linked to heavy metal exposure, including arsenic. Allergic reactions to seaweed are also possible. Stop use and seek medical care if you have signs of an allergic reaction or unexplained symptoms.
Ascophyllum Nodosum: Reported Adverse Effects
Documented safety reports on Ascophyllum Nodosum from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Reports by conditionMyasthenia gravis Endocrine
Orally, taking Ascophyllum nodosum powder 500 mg daily for 14 days has been reported to cause elevated levels of thyroid stimulating hormone (TSH) in 2 of 22 women in a clinical trial. The powder contained 356 mcg iodine per 500 mg. Levels of free thyroxine (T4) were unaffected.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no well-established standard dose of Ascophyllum nodosum. Products vary widely in strength and iodine content, which makes consistent dosing difficult.
If you choose to use it, follow the directions on the product label and do not exceed the recommended amount. Because of the iodine concern, it is wise to check with a pharmacist or doctor first, particularly to avoid getting too much iodine from all your supplements combined.
Ascophyllum Nodosum & Pregnancy
Ascophyllum Nodosum & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 5 references that drive our Ascophyllum Nodosum 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.
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
- Sterling JB, Heymann WR. Potassium iodide in dermatology: a 19th century drug for the 21st century-uses, pharmacology, adverse effects, and contraindications. J Am Acad Dermatol 2000;43:691-7. PubMed
- Combet E, Ma ZF, Cousins F, et al. Low-level seaweed supplementation improves iodine status in iodine-insufficient women. Br J Nutr 2014;112:753-61. PubMed
- Simmons-Boyce JL, Purcell SL, Nelson CM, MacKinnon SL. Dietary Ascophyllum nodosum increases urinary excretion of tricarboxylic acid cycle intermediates in male Sprague-dawley rats. J Nutr 2009;139:1487-94. PubMed
- Sorge US, Henriksen M, Bastan A, et al. Short communication: Iodine concentrations in serum, milk, and tears after feeding Ascophyllum nodosum to dairy cows-A pilot study. J Dairy Sci 2016;99:8472-6. PubMed
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.
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
Brands that make products with Ascophyllum Nodosum
87 brands in our database make a supplement containing Ascophyllum Nodosum.
Supplement products with Ascophyllum Nodosum
363 products in our database contain Ascophyllum Nodosum. Open any to see its full ingredient list and every drug interaction we check.
Ascophyllum Nodosum: Common Questions
What is Ascophyllum Nodosum used for, and does it work?
Does Ascophyllum Nodosum interact with prescription medications?
How are Ascophyllum Nodosum interactions rated?
Is it safe to take Ascophyllum Nodosum with my medications?
Where does this Ascophyllum Nodosum interaction information come from?
Is Ascophyllum Nodosum the same as bladderwrack and kelp?
What do people use Ascophyllum Nodosum for?
Can I take it for thyroid problems?
Is it safe during pregnancy or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Ascophyllum Nodosum
A rotating sample of real supplements in our database that list Ascophyllum Nodosum — open any to see its full ingredients and every drug interaction we check.
- Toxin Therapy by Harmonic Innerprizes
- Maximum Vibrance Vanilla Bean by Vibrant Health
- Perfect Postnatal Whole-Food Multivitamin by New Chapter
- Raw Reserve Berry by Amazing Grass
- KidGreenz Natural Tropical Fruit Flavor by Nature's Plus Source of Life Animal Parade
- Berberine with InSea2 by XYMOGEN
- Thyro Complex by Endo-met Laboratories
- Menopause Support by Best Naturals
- Kelp by Oregon's Wild Harvest
- Cardio Cuts 4.0 Gummy Candy Rush by NDS Nutrition
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