Herb & supplement monograph

Fermented Wheat Germ Extract Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Fermented Wheat Germ Extract

303 medications have a known interaction with Fermented Wheat Germ Extract, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
6-mercaptopurinePurinethol› AbrocitinibCibinqo› Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief› Acetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex› Acetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu› Acetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu› Acetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief› Acetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength› Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG› Acetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid› Acetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR› Acetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin› Acetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule› Acetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus› Acetaminophen, Chlorpheniramine, PseudoephedrineAlka-Seltzer PLUS Liquid Gels, Children's Tylenol Cold, Codimal, Comtrex, Extra Strength Tylenol Allergy Sinus, Lorsin +3 more› Acetaminophen, DextromethorphanTylenol Cough Ex Strength› Acetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil› Acetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A› Acetaminophen, Dextromethorphan, Guaifenesin, PhenylpropanolamineAnatuss› Acetaminophen, Dextromethorphan, Guaifenesin, PseudoephedrineRobitussin Cold, Severe Cold, Suphedrine Cold/Cough› Acetaminophen, Dextromethorphan, Phenylpropanolamine, PyrilamineTheracaps› Acetaminophen, Dextromethorphan, PseudoephedrineAlka-Seltzer PLUS Flu Liquid Gels, Non Aspirin Cold Caps, Tylenol Cold, Tylenol Flu Daytime Ex Strength, Tylenol Flu Ex Strength› Acetaminophen, MeperidineDemerol APAP› Acetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs› AdalimumabHumira› Adalimumab-adazHyrimoz› Adalimumab-adbmCyltezo› Adalimumab-afzbAbrilada› Adalimumab-attoAmjevita› Adalimumab-bwwdHadlima›
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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 Fermented Wheat Germ Extract combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Fermented Wheat Germ Extract affects

Every type of medication (drug category) Fermented Wheat Germ Extract is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 2 drug categories Fermented Wheat Germ Extract interacts with
ImmunosuppressantsSerotonergic Drugs
Immunosuppressants

Theoretically, fermented wheat germ extract might decrease the effects of immunosuppressants.
Animal research suggests that fermented wheat germ extract can stimulate immune function.

Likelihood Possible Evidence D
Serotonergic Drugs

Theoretically, concomitant use of fermented wheat germ extract with serotonergic medications may increase the risk of serotonergic adverse effects.
Animal research shows that fermented wheat germ can increase levels of serotonin in the brain.

Likelihood Possible Evidence D
Monograph

Fermented Wheat Germ Extract: Uses, Safety & Side Effects

The bottom line

Fermented wheat germ extract is a supplement made by fermenting wheat germ with yeast, and it is most often marketed for people going through cancer treatment. While some early research and a few small studies are interesting, the overall evidence is limited and far from conclusive, so it should never replace standard medical care. Talk with your oncologist or pharmacist before using it, since it is a supplement and not an approved treatment.

Scientific name
Triticum aestivum
Family
Poaceae
Part used
Wheat germ (fermented with baker's yeast, Saccharomyces cerevisiae)
Common forms
Powder (to mix in water or juice), capsules, tablets
People commonly use it for
  • Cancer supportive care (as a complementary product)
  • Immune support
  • General wellness during cancer treatment
  • Antioxidant support
  • Fatigue during illness

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

Safety at a glance
OverallUse caution

Generally tolerated in short-term studies, but long-term safety is not well established and people with cancer should clear it with their care team.

PregnancyBest avoided

There is not enough safety data, so it is best avoided during pregnancy.

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

Fermented wheat germ extract (often sold under brand names) is a dietary supplement made from wheat germ, which is the nutrient-rich inner part of the wheat kernel. The wheat germ is fermented using baker's yeast, a process that changes its chemistry and concentrates certain natural compounds.

Wheat is one of the most widely grown grains in the world. The germ is a byproduct of milling wheat into flour. After fermentation, the extract is dried into a powder and sold as a drink mix, capsules, or tablets.

This product is most commonly marketed to people with cancer as a complementary or supportive supplement. It is important to understand that it is sold as a dietary supplement, not as a drug, and it has not been approved to treat any disease.

How it works

Fermenting wheat germ with yeast produces natural compounds, including substances called benzoquinones (such as 2,6-dimethoxy-1,4-benzoquinone), which are thought to be among the active ingredients.

Laboratory and animal studies suggest these compounds may affect how cells use sugar (glucose metabolism) and may influence certain immune cells. Researchers have proposed that this could make some cancer cells more vulnerable, but most of this work has been done in test tubes or animals, not confirmed in people.

In short, the proposed mechanisms are interesting but unproven in humans. What happens in a lab dish does not always translate into real benefits for patients.

Effectiveness

Does Fermented Wheat Germ Extract work?

Evidence overview · 6 uses evaluated
6 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 Fermented Wheat Germ Extract, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 6 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Chemotherapy-related infection
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral fermented wheat germ extract is effective for the prevention of febrile neutropenia in children receiving chemotherapy.

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

It is unclear if oral fermented wheat germ extract is beneficial in patients with colorectal cancer.

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

It is unclear if oral fermented wheat germ extract is beneficial in patients with melanoma.

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

It is unclear if oral fermented wheat germ extract is beneficial in patients with prostate cancer.

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

It is unclear if oral fermented wheat germ extract is beneficial in patients with RA.

Insufficient Reliable Evidence To Rate Systemic lupus erythematosus (SLE)
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral fermented wheat germ extract for SLE, there is insufficient reliable information about the clinical effects of fermented wheat germ extract 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

In short-term studies, fermented wheat germ extract has generally been tolerated. However, its long-term safety is not well understood, and it has not been tested in large, diverse groups of people.

People with celiac disease, wheat allergy, or gluten sensitivity should be especially careful, since the product is made from wheat. People with diabetes or low blood sugar should use caution because of possible effects on blood sugar. Anyone with cancer should talk to their oncologist before starting it, since supplements can sometimes interfere with treatment.

For pregnancy and breastfeeding, there is not enough safety information, so it is best to avoid it during these times. Children should not use it unless a doctor advises otherwise. Always tell your pharmacist or doctor about any supplements you take.

Side effects

Reported side effects are usually mild and may include digestive upset, such as nausea, bloating, soft stools or diarrhea, and stomach discomfort. Some people notice the taste or smell unpleasant when mixing the powder.

Because the product is made from wheat, people who are allergic to wheat could have an allergic reaction. Stop using it and seek medical help if you have signs of a serious allergic reaction such as hives, swelling, or trouble breathing.

Long-term and rare side effects are not well documented because of limited research, so report any new or unusual symptoms to your healthcare provider.

Fermented Wheat Germ Extract: Reported Adverse Effects

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

Orally, fermented wheat germ extract seems to be well tolerated.

Most Common Adverse Effects:

Orally: Diarrhea, nausea.

Reports by condition
Constipation Gastrointestinal

Orally, fermented wheat germ extract may cause diarrhea, nausea, flatulence, satiation, soft stools, and constipation. In one clinical study, diarrhea and nausea with or without vomiting were reported in 6% and 3% of patients, respectively.

  1. Jakab F, Shoenfeld Y, Balogh A, et al. A medical nutriment has supportive value in the treatment of colorectal cancer. Br J Cancer 2003;89(3):465-469.
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 for fermented wheat germ extract that applies to everyone. Doses used in studies have varied, and the right amount for any specific purpose has not been established.

The safest approach is to follow the directions on the product label and to check with your pharmacist or doctor first, especially if you are undergoing cancer treatment. Do not assume that taking more will work better, and do not use it as a replacement for prescribed therapy.

Pregnancy & Breastfeeding

Fermented Wheat Germ Extract & 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 7 references that drive our Fermented Wheat Germ Extract 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. Jakab F, Shoenfeld Y, Balogh A, et al. A medical nutriment has supportive value in the treatment of colorectal cancer. Br J Cancer 2003;89(3):465-469. PubMed
  2. Hidvegi M, Raso E, Tomoskozi Farkas R, Lapis K, Szende B. Effect of MSC on the immune response of mice. Immunopharmacology 1999;41(3):183-186. PubMed
  3. Sukkar SG, Rossi E. Oxidative stress and nutritional prevention in autoimmune rheumatic diseases. Autoimmun Rev 2004;3(3):199-206. PubMed
  4. Ehrenfeld M, Blank M, Shoenfeld Y, Hidvegi M. AVEMAR (a new benzoquinone-containing natural product) administration interferes with the Th2 response in experimental SLE and promotes amelioration of the disease. Lupus 2001;10(9):622-627. PubMed
  5. Gidali J, Hidvégi M, Fehér I, et al. The effect of Avemar treatment on the regeneration of leukocytes, thrombocytes and reticulocytes in sublethally irradiated or cyclophosphamide treated mice. First Congress of the Hungarian Society of Clinical Oncology,
  6. Vucskits, AV, Hullar, I, Bersenyi, A, Andrasofszky, E, Kulcsar, M, Szabo, J. Effect of fulvic and humic acids on performance, immune response and thyroid function in rats. J Anim Physiol Anim Nutr (Berl) 2010;94(6):721-728. PubMed
  7. Hu Z, Zhao P, Liao A, et al. Fermented Wheat Germ Alleviates Depression-like Behavior in Rats with Chronic and Unpredictable Mild Stress. Foods 2023;12(5):920. 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

Pharmacist Counseling Corner

Fermented Wheat Germ Extract: Common Questions

What is Fermented Wheat Germ Extract used for, and does it work?
People use Fermented Wheat Germ Extract 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 Fermented Wheat Germ Extract interact with prescription medications?
Yes. We list 303 medications with a known interaction with Fermented Wheat Germ Extract. Use the checker above to see how Fermented Wheat Germ Extract interacts with a specific drug.
How are Fermented Wheat Germ Extract 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 Fermented Wheat Germ Extract 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 Fermented Wheat Germ Extract 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 Fermented Wheat Germ Extract used for?
It is most often used as a complementary supplement by people going through cancer treatment, as well as for general immune and antioxidant support. The evidence for these uses is limited, so it should not replace standard medical care.
Does Fermented Wheat Germ Extract treat or cure cancer?
No. It is sold as a dietary supplement and is not an approved cancer treatment. Some early research is interesting, but there is not enough strong evidence to say it treats or cures any cancer.
Is it safe to take during pregnancy or breastfeeding?
There is not enough safety information for these situations, so it is best to avoid it during pregnancy and breastfeeding unless your doctor specifically advises otherwise.
Can people with celiac disease or a wheat allergy take it?
Caution is needed because the product is made from wheat. People with celiac disease, gluten sensitivity, or wheat allergy should talk to their doctor before using it and may need to avoid it.

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

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