Herb & supplement monograph

Ergothioneine Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Ergothioneine

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

We don’t currently list any known drug interactions for Ergothioneine. 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 Ergothioneine combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Ergothioneine: Uses, Safety & Side Effects

The bottom line

Ergothioneine is a naturally occurring amino acid–like compound (an antioxidant) found mostly in mushrooms and made by certain fungi and bacteria. Early laboratory studies suggest it may help protect cells from oxidative stress, but solid human evidence for any specific health benefit is still limited. It appears generally well tolerated, but if you are pregnant, breastfeeding, or taking other medicines, check with your pharmacist or doctor first.

Part used
Naturally found in certain mushrooms and other foods; produced by some fungi and bacteria
Common forms
Capsules, tablets, powders, and as a nutrient in mushroom-based foods
People commonly use it for
  • Antioxidant support
  • Healthy aging and longevity
  • Cellular protection
  • Cognitive and brain health
  • General wellness

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

Safety at a glance
OverallUse caution

Appears well tolerated in foods and short-term studies, but long-term supplement safety is not well established.

PregnancyInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information 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.

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Overview

Ergothioneine is a naturally occurring compound that acts as an antioxidant. It is sometimes called a "longevity vitamin," though it is not officially a vitamin. The human body does not make ergothioneine on its own — we get it from foods.

The richest dietary sources are mushrooms, especially certain varieties like oyster and shiitake. It is also made by some fungi and bacteria in the soil, and smaller amounts are found in foods such as beans, oats, and organ meats. Our bodies have a special transporter protein that carries ergothioneine into cells, which suggests it may play a useful biological role.

People take ergothioneine supplements hoping to support antioxidant defenses, healthy aging, and general wellness. It is sold as capsules, tablets, and powders.

How it works

Ergothioneine is thought to act mainly as an antioxidant, meaning it can help neutralize unstable molecules called free radicals that may damage cells over time. Unlike many antioxidants, it is fairly stable and seems to be concentrated in tissues that face a lot of oxidative stress.

The body has a specific transporter (called OCTN1) that actively pulls ergothioneine into cells. Scientists believe this is a clue that the compound serves a protective purpose, possibly in the mitochondria (the part of the cell that makes energy).

It's important to remember that these proposed mechanisms are largely based on laboratory and animal research. How meaningful they are for human health is still being studied.

Effectiveness

Does Ergothioneine work?

Evidence overview · 2 uses evaluated
2 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.

For Ergothioneine, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 2 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Coronary heart disease (CHD)
Rating & evidence shown verbatim from Natural Medicines

Some observational research has found that higher plasma levels of ergothioneine are associated with a lower risk of CHD, cardiovascular mortality, and overall mortality. However, it is unclear if increased intake of ergothioneine through the diet or supplementation reduces the risk of CHD or cardiovascular mortality.

Sources Ref 102097
Insufficient Reliable Evidence To Rate Joint pain
Rating & evidence shown verbatim from Natural Medicines

Preliminary clinical research shows that taking two capsules daily for 6 weeks of a specific product (ErgoFlex, Oxis International) containing ergothioneine 500 mcg, along with glucosamine, hyaluronic acid, glycosaminoglycans, collagen, acai, cat's claw, and willow bark has a moderate effect on pain when compared to baseline in patients with mild to moderate chronic joint pain. It is not clear if this combination product affects range of motion. The validity of this finding is limited by the lack of a comparator group. Additionally, it is not clear if this effect is due to ergothioneine, the other ingredients, or the combination.

Sources Ref 97669

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

Ergothioneine is naturally present in the everyday diet, and in short-term human studies supplements have generally been well tolerated. Still, long-term safety at supplement doses has not been firmly established.

People with serious medical conditions, those taking prescription medicines, and anyone considering high doses should talk with a pharmacist or doctor before starting. Choose products from reputable brands that use third-party testing, since supplements are not tightly regulated.

Because there is not enough safety information, pregnant and breastfeeding people should avoid ergothioneine supplements. Getting ergothioneine through normal amounts of food, such as mushrooms, is a different matter and is generally considered part of a healthy diet.

Side effects

In the studies done so far, ergothioneine has not been linked to common or serious side effects, and most people tolerate it well. Some people may notice mild digestive discomfort when taking any new supplement.

Because long-term and high-dose use has not been thoroughly studied, rare side effects cannot be ruled out. Stop taking it and seek medical advice if you notice an allergic reaction such as rash, itching, swelling, or trouble breathing.

Dosing

There is no officially established dose for ergothioneine supplements. Doses used in research have varied, and a standard recommended amount has not been set.

The safest approach is to follow the dosing on the product label and not exceed it. Because needs and tolerances differ from person to person, check with your pharmacist or doctor before starting, especially if you take other medicines or have a health condition. You can also increase your intake naturally by eating more mushrooms.

Pregnancy & Breastfeeding

Ergothioneine & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Ergothioneine & Breastfeeding

Insufficient reliable information

Insufficient reliable information 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 2 references that drive our Ergothioneine 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. Benson KF, Ager DM, Landes B, Aruoma OI, Jensen GS. Improvement of joint range of motion (ROM) and reduction of chronic pain after consumption of an ergothioneine-containing nutritional supplement. Prev Med. 2012;54 Suppl:S83-9. PubMed
  2. Smith E, Ottosson F, Hellstrand S, et al. Ergothioneine is associated with reduced mortality and decreased risk of cardiovascular disease. Heart 2019. pii: heartjnl-2019-315485. 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

Brand directory

Brands that make products with Ergothioneine

7 brands in our database make a supplement containing Ergothioneine.

Pharmacist Counseling Corner

Ergothioneine: Common Questions

What is Ergothioneine used for, and does it work?
People use Ergothioneine for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Ergothioneine interact with prescription medications?
We do not currently list any known drug interactions for Ergothioneine. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Ergothioneine 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 Ergothioneine 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 Ergothioneine 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 Ergothioneine used for?
People most often take it as an antioxidant and for general wellness, healthy aging, and cellular protection. Strong human evidence for any specific benefit is still limited.
Is Ergothioneine safe?
It is found naturally in foods like mushrooms and appears well tolerated in short-term studies, but the long-term safety of supplement doses is not well established. Check with your pharmacist or doctor before taking it.
Can I get Ergothioneine from food instead of a supplement?
Yes. Mushrooms — especially varieties like oyster and shiitake — are the richest dietary source, and smaller amounts are found in foods such as beans and oats.
Is it safe to take Ergothioneine during pregnancy or breastfeeding?
Because there is not enough safety data, it is best to avoid Ergothioneine supplements while pregnant or breastfeeding.

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

Keep exploring

Products that contain Ergothioneine

A rotating sample of real supplements in our database that list Ergothioneine — open any to see its full ingredients and every drug interaction we check.

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