Herb & supplement monograph

Benfotiamine Drug Interactions, Uses, Effectiveness, Safety & More

Check Benfotiamine against your medication

Add one medication
Benfotiamine
+
Start typing any prescription or over-the-counter drug name.
Reviewed by licensed pharmacists Sourced from Natural Medicines
Interaction report

Drugs that interact with Benfotiamine

0 medications have a known interaction with Benfotiamine, graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Benfotiamine. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

Read The List Like a Pharmacist

What 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 Benfotiamine combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Benfotiamine: Uses, Safety & Side Effects

The bottom line

Benfotiamine is a man-made, fat-soluble form of vitamin B1 (thiamine) that the body may absorb more easily than regular thiamine. It is mostly studied for diabetic nerve problems, but the evidence is mixed and limited, so it should not replace prescribed treatments. Talk with your pharmacist or doctor before starting it.

Benfotiamine
Part used
Synthetic compound (a derivative of vitamin B1)
Common forms
Tablets, capsules
People commonly use it for
  • Diabetic nerve pain (neuropathy)
  • Supporting healthy nerve function
  • Thiamine deficiency
  • Oxidative stress
  • General wellness

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally well tolerated in studies, but long-term safety is not fully known.

PregnancyInsufficient reliable information

Insufficient reliable information is available; avoid using.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information is available; avoid using.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Jump to a section

Overview

Benfotiamine is a synthetic (man-made) version of thiamine, also known as vitamin B1. Its chemical name is S-benzoylthiamine O-monophosphate. Unlike regular thiamine, which dissolves in water, benfotiamine is fat-soluble. This difference is thought to help it pass through cell membranes more easily and may lead to higher levels of active vitamin B1 in the body.

It is sold as a dietary supplement, usually in tablet or capsule form. People often take it hoping to support nerve health, manage problems linked to diabetes, or correct low thiamine levels. It is not a plant or herb but a laboratory-made compound based on a natural vitamin.

How it works

Once absorbed, benfotiamine is converted in the body into thiamine and its active form, thiamine diphosphate. Thiamine is an important helper (cofactor) for several enzymes that the body uses to turn food into energy.

Researchers believe benfotiamine may help reduce harmful byproducts of high blood sugar, sometimes called advanced glycation end-products (AGEs), and may lower certain types of cellular stress. These ideas come mostly from laboratory and animal studies, and it is not certain how strongly they apply to people in everyday life.

Effectiveness

Does Benfotiamine work?

Evidence overview · 7 uses evaluated
1 Possibly effective 1 Leans ineffective 5 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.
Possibly Effective Diabetic neuropathy
Rating & evidence shown verbatim from Natural Medicines

Oral benfotiamine might improve symptoms of diabetic neuropathy.

Possibly Ineffective Diabetic nephropathy
Rating & evidence shown verbatim from Natural Medicines

Oral benfotiamine does not seem to improve markers of diabetic nephropathy.

Also studied for 5 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Alcohol use disorder
Rating & evidence shown verbatim from Natural Medicines

Small clinical studies suggest that oral benfotiamine may modestly improve symptoms and reduce alcohol consumption in some patients with alcohol use disorder.

Insufficient Reliable Evidence To Rate Alzheimer disease
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral benfotiamine helps to prevent Alzheimer disease onset or progression.

Insufficient Reliable Evidence To Rate Osteoarthritis
Rating & evidence shown verbatim from Natural Medicines

Oral benfotiamine has only been evaluated in combination with other B vitamins; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Peripheral neuropathy
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral benfotiamine is beneficial in patients with alcohol-induced peripheral neuropathy.

Insufficient Reliable Evidence To Rate Rheumatoid arthritis (RA)
Rating & evidence shown verbatim from Natural Medicines

Oral benfotiamine has only been evaluated in combination with other B vitamins; its effect when used alone is unclear.

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

In studies, benfotiamine has generally been well tolerated when taken by mouth for several weeks to months. However, its long-term safety has not been fully studied.

People with diabetes should not use benfotiamine in place of their prescribed medicines, and they should keep monitoring their blood sugar and following their care plan. Anyone with a medical condition, or who takes regular medications, should check with a pharmacist or doctor first.

For pregnancy and breastfeeding, there is not enough safety information available. To be safe, it is best to avoid benfotiamine during these times unless your healthcare provider specifically recommends it.

Side effects

Benfotiamine is usually well tolerated. When side effects occur, they tend to be mild and may include stomach upset, nausea, or mild skin reactions.

Serious side effects appear to be rare. As with any supplement, an allergic reaction is possible. Stop using it and seek medical care if you notice signs such as rash, swelling, or trouble breathing.

Benfotiamine: Reported Adverse Effects

Documented safety reports on Benfotiamine from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Reports by condition
Myasthenia gravis Dermatologic

Orally, allergic skin reactions have been reported in two out of 98 patients taking benfotiamine 300-600 mg daily for 6 weeks in one clinical study. The rate of adverse events was not different between treatment and placebo groups.

  1. Stracke H, Gaus W, Achenbach U, Federlin K, Bretzel RG. Benfotiamine in diabetic polyneuropathy (BENDIP): results of a randomised, double blind, placebo-controlled clinical study. Exp Clin Endocrinol Diabetes 2008;116(10):600-5.
Myasthenia gravis Gastrointestinal

Orally, slight gastrointestinal discomfort has been reported in six out of 98 patients taking benfotiamine 300-600 mg daily for 6 weeks in one clinical study. The rate of adverse events was not different between treatment and placebo groups.

  1. Stracke H, Gaus W, Achenbach U, Federlin K, Bretzel RG. Benfotiamine in diabetic polyneuropathy (BENDIP): results of a randomised, double blind, placebo-controlled clinical study. Exp Clin Endocrinol Diabetes 2008;116(10):600-5.
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.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no official standardized dose of benfotiamine for any condition. Doses used in studies have varied, and the best amount for a given person is not well established.

The safest approach is to follow the directions on the product label and to ask your pharmacist or doctor what is appropriate for you. Do not assume that taking more will work better, and avoid using it to self-treat a serious condition without medical guidance.

Pregnancy & Breastfeeding

Benfotiamine & Pregnancy

Insufficient reliable information

Insufficient reliable information is available; avoid using.

Benfotiamine & Breastfeeding

Insufficient reliable information

Insufficient reliable information is available; 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

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 1 references that drive our Benfotiamine 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. Stracke H, Gaus W, Achenbach U, Federlin K, Bretzel RG. Benfotiamine in diabetic polyneuropathy (BENDIP): results of a randomised, double blind, placebo-controlled clinical study. Exp Clin Endocrinol Diabetes 2008;116(10):600-5. PubMed
Keep reading

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

Product directory

Supplement products with Benfotiamine

360 products in our database contain Benfotiamine. Open any to see its full ingredient list and every drug interaction we check.

Activated B-Complex High Bioavailability by Swanson Capsule 60 Veggie Cap(s) View ingredients & interactions Active B Complex by Carlson Capsule 60 Vegetarian Capsule(s) View ingredients & interactions ActivNutrients Performance by XYMOGEN Capsule 120 Vegetarian Capsule(s) View ingredients & interactions Advanced Blood Sugar Support with Pycnogenol by Dr. Sinatra Capsule 30 Capsule(s) View ingredients & interactions Advanced Glucose Support by OL Olympian Labs Capsule 60 Vegetarian Capsule(s) View ingredients & interactions Ageless Priority by Life Priority Capsule 180 Capsule(s) View ingredients & interactions Alcohol Detox by SuperSmart Capsule 120 Vegetarian Capsule(s) View ingredients & interactions Alcohol Detox by SuperSmart Capsule 120 Vegetarian Capsule(s) View ingredients & interactions Anti-Alcohol Antioxidants With HepatoProtection Complex by Life Extension Capsule 100 Capsule(s) View ingredients & interactions Anti-Alcohol Complex by Life Extension Capsule 60 Capsule(s) View ingredients & interactions Anti-Alcohol HepatoProtection Complex by Life Extension Capsule 60 Capsule(s) View ingredients & interactions Anti-Alcohol HepatoProtection Complex by Life Extension Capsule 60 Capsule(s) View ingredients & interactions Anti-Alcohol With HepatoProtection Complex by Life Extension Capsule 60 Capsule(s) View ingredients & interactions Anti-Glycation Support by Country Life Ageless Theory Capsule 60 Vegetarian Capsule(s) View ingredients & interactions B Activ by XYMOGEN Capsule 30 Vegetarian Capsule(s) View ingredients & interactions B Activ by XYMOGEN Capsule 180 Vegetarian Capsule(s) View ingredients & interactions B Activ by XYMOGEN Capsule 90 Vegetarian Capsule(s) View ingredients & interactions B Activ by XYMOGEN Capsule 90 Vegetarian Capsule(s) View ingredients & interactions B Activ by XYMOGEN Capsule 180 Vegetarian Capsule(s) View ingredients & interactions B-Complex by Healthy Origins Capsule 60 Veggie Cap(s) View ingredients & interactions B-Complex by Patient One 1 MediNutritionals Capsule 60 Vegetable Capsule(s) View ingredients & interactions B-Complex by Advanced Nutrition by Zahler Tablet Or Pill 60 Timed Release Tablet(s) View ingredients & interactions B-Complex by Paradise Earth's Blend Capsule 60 Vegetarian Capsule(s) View ingredients & interactions B-Complex by Paradise Earth's Blend Capsule 60 Vegetarian Capsule(s) View ingredients & interactions
Pharmacist Counseling Corner

Benfotiamine: Common Questions

What is Benfotiamine used for, and does it work?
People use Benfotiamine for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Benfotiamine for Diabetic neuropathy. For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Benfotiamine interact with prescription medications?
We do not currently list any known drug interactions for Benfotiamine. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Benfotiamine interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Benfotiamine with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Benfotiamine interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Benfotiamine used for?
It is most often used to support nerve health and to help with symptoms of diabetic nerve damage, as well as to address low thiamine (vitamin B1) levels. Evidence for most of these uses is limited.
Is Benfotiamine the same as vitamin B1?
It is a man-made, fat-soluble form of vitamin B1 (thiamine). The body converts it into thiamine, but it may be absorbed more easily than the standard water-soluble form.
Is Benfotiamine safe to take?
It is generally well tolerated in short-term studies, but its long-term safety is not fully known. Check with your pharmacist or doctor before starting it, especially if you have a health condition or take other medicines.
Can I take Benfotiamine while pregnant or breastfeeding?
There is not enough safety information for these situations, so it is best to avoid it unless your healthcare provider advises otherwise.

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

Have a question about Benfotiamine?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist