Glutamine Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Glutamine interacts with medications. The heart of this page is the interaction list — every drug Glutamine is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Glutamine 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 Glutamine against your medication
Add one medicationGlutamine Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Glutamine drug interaction appears low for most people. None of the listed interactions are rated major, and the main concern comes from theory rather than anything shown to happen in people.
The one group that stands out is anticonvulsants, the medications used to control seizures. The body converts glutamine into glutamate, a brain chemical that excites nerve activity, so in theory extra glutamine could work against seizure medicines. This has never actually been reported in humans, but because seizure control leaves little room for error, we think anyone taking these medications should treat glutamine with extra caution and keep their prescriber in the loop.
Although dozens of medications appear on the interaction list, that number does not mean each combination is harmful. The concern here rests on a single predicted mechanism, not on documented problems in people, and no interaction has been confirmed in human studies. For most medications, glutamine has no established effect at all.
Based on HelloPharmacist’s Glutamine interaction data and reviewed under our editorial standards.
Drugs that interact with Glutamine
50 medications have a known interaction with Glutamine, 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 Glutamine using our pharmacist-reviewed interaction data.
AI summaries are generated from our Glutamine interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
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 Glutamine 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 Glutamine affects
Every type of medication (drug category) Glutamine is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Anticonvulsants
Theoretically, glutamine might antagonize the effects of anticonvulsant medications.
Glutamine is metabolized to the excitatory neurotransmitter glutamate. Glutamate might have antagonistic effects with anticonvulsant drugs. However, this interaction has not yet been reported in humans.
Glutamine: Uses, Safety & Side Effects
Glutamine is the most abundant amino acid in the body and is usually made in your muscles. A prescription form is FDA-approved to help reduce sickle cell disease complications, but for most popular uses such as muscle building, gut health, and immunity the evidence is limited or mixed. It is generally well tolerated in healthy people, but anyone with serious liver or kidney problems should check with a doctor first.
- Part used
- Amino acid (made in the body and found in protein-rich foods)
- Common forms
- Powder, capsules, tablets, prescription oral powder (for sickle cell disease)
- Muscle recovery and sports performance
- Gut health and 'leaky gut'
- Recovery from severe illness or injury
- Immune support
- Side effects of cancer treatment (mucositis)
- Sickle cell disease (prescription form)
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated in healthy adults, but people with kidney or liver disease should use it only under medical supervision.
When consumed in amounts commonly found in foods. There is insufficient reliable information available about the safety of glutamine when used in larg...
Read the full pregnancy detailWhen consumed in amounts commonly found in foods. There is insufficient reliable information available about the safety of glutamine when used in larg...
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
Glutamine (often sold as L-glutamine) is an amino acid, one of the building blocks the body uses to make protein. It is the most common free amino acid in your blood and muscles. Unlike an herb, it does not come from a plant you grow; your body makes most of it in your skeletal muscle, and you also get it from protein-rich foods like meat, fish, eggs, dairy, and beans.
Glutamine is normally called a non-essential amino acid because your body can make it on its own. However, during times of major physical stress, such as serious infection, surgery, burns, or trauma, your body may use up glutamine faster than it can make it. In those situations it is considered conditionally essential.
As a supplement, glutamine is popular with athletes and people interested in gut and immune health. A specific prescription form is also approved to help people with sickle cell disease.
How it works
Glutamine plays several roles in the body. It acts as a major carrier of nitrogen and carbon between organs, helping balance amino acids throughout the body.
It is also an important fuel source for fast-dividing cells, including cells that line the intestines and certain immune cells. Because of this, supporters believe glutamine may help maintain the gut lining and support the immune system, especially when the body is under stress.
In sickle cell disease, glutamine is thought to reduce stress on red blood cells by helping with the cell's natural antioxidant balance, which may make painful crises less frequent.
Many of these proposed mechanisms come from laboratory and animal research or from studies in very ill patients, and they do not always translate into clear benefits for healthy people.
Does Glutamine work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Effective Sickle cell disease
A specific oral glutamine powder (Endari, Emmaus Medical, Inc) is approved by the US Food and Drug Administration (FDA) to reduce acute complications of sickle cell disease.
Possibly Effective Critical illness (trauma)
Oral and intravenous glutamine seem to reduce infectious complications in critically ill adults. However, glutamine does not seem to reduce mortality in this population.
Possibly Effective HIV/AIDS-related wasting
Oral glutamine seems to attenuate weight loss related to HIV/AIDS.
Possibly Effective Pancreatitis
Clinical research shows that enteral or parental glutamine administration may reduce the risk of complications and duration of hospitalization in adults with severe acute pancreatitis.
Possibly Effective Postoperative recovery
Clinical research in adults hospitalized after abdominal surgery shows that postoperative enteral or parental glutamine administration may reduce the duration of hospitalization and improve postoperative nutritional status. The benefits of preoperative glutamine in adults scheduled for cardiac surgery is unclear.
Possibly Ineffective Athletic performance
Oral glutamine does not seem to improve athletic performance.
Possibly Ineffective Burns
Clinical research shows that enteral glutamine does not reduce the risk of mortality or hospital length of stay in adults with severe burns. Evidence for the use of intravenous (IV) glutamine is inconclusive.
Possibly Ineffective Crohn disease
Oral glutamine does not seem to improve symptoms of this condition.
Possibly Ineffective Cystinuria
Oral glutamine does not seem to improve cystinuria.
Possibly Ineffective Low birth weight
Oral glutamine does not seem to reduce adverse consequences of low birth weight in infants.
Possibly Ineffective Muscular dystrophy
Oral glutamine does not seem to improve symptoms of Duchenne muscular dystrophy.
Possibly Ineffective Prematurity
Oral glutamine does not seem to reduce morbidity or mortality associated with prematurity.
Possibly Ineffective Radiation-induced diarrhea
Oral glutamine does not seem to improve diarrhea due to radiation therapy.
Also studied for 30 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Alcohol use disorder
Although there is interest in using oral glutamine for alcohol use disorder, there is insufficient reliable information about the clinical effects of glutamine for this condition.
Insufficient Reliable Evidence To Rate Antiretroviral-associated diarrhea
It is unclear if oral glutamine improves diarrhea caused by antiretroviral agents.
Insufficient Reliable Evidence To Rate Attention deficit-hyperactivity disorder (ADHD)
Although there is interest in using oral glutamine for ADHD, there is insufficient reliable information about the clinical effects of glutamine for this condition.
Insufficient Reliable Evidence To Rate Cardiovascular disease (CVD)
It is unclear if dietary glutamine intake alters the risk of CVD or CVD-related mortality.
Insufficient Reliable Evidence To Rate Chemotherapy-induced diarrhea
It is unclear if oral or parenteral administration of glutamine reduces the incidence or severity of chemotherapy-induced diarrhea.
Insufficient Reliable Evidence To Rate Chemotherapy-induced leukopenia
It is unclear if oral glutamine reduces leukopenia caused by chemotherapy.
Insufficient Reliable Evidence To Rate Coronavirus disease 2019 (COVID-19)
It is unclear if oral glutamine is beneficial in patients hospitalized with COVID-19 pneumonia.
Insufficient Reliable Evidence To Rate Cystic fibrosis
It is unclear if oral glutamine improves growth and development in children with cystic fibrosis.
Insufficient Reliable Evidence To Rate Diabetic foot ulcers
Oral glutamine has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Exercise-induced muscle damage
It is unclear if oral glutamine is beneficial for exercise-induced muscle damage.
Insufficient Reliable Evidence To Rate Hematopoietic stem cell transplant (HSCT)
It is unclear whether oral glutamine or glutamine added to parenteral nutrition improves morbidity and mortality in patients undergoing HSCT. Some research has suggested that intravenous glutamine may actually worsen outcomes.
Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
There is limited evidence on the oral use of glutamine in patients with IBS.
Insufficient Reliable Evidence To Rate Lung cancer
It is unclear if oral glutamine improves survival in patients with advanced lung cancer.
Insufficient Reliable Evidence To Rate Malnutrition
It is unclear if oral alanyl-glutamine improves height and weight in children at risk for malnutrition.
Insufficient Reliable Evidence To Rate Obesity
It is unclear if oral glutamine is beneficial for weight loss.
Insufficient Reliable Evidence To Rate Opioid withdrawal
Oral glutamine has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Oral mucositis
There is contradictory evidence about the effects of glutamine in patients with, or at risk of developing, oral mucositis from chemotherapy or radiotherapy.
Insufficient Reliable Evidence To Rate Paclitaxel-induced myalgia and arthralgia
It is unclear if oral glutamine reduces the risk for myalgias and arthralgias due to paclitaxel.
Insufficient Reliable Evidence To Rate Peptic ulcers
Although there is interest in using oral glutamine for peptic ulcers, there is insufficient reliable information about the clinical effects of glutamine for this condition.
Insufficient Reliable Evidence To Rate Postoperative adhesions
It is unclear if intraperitoneal glutamine is beneficial for preventing postoperative adhesions.
Insufficient Reliable Evidence To Rate Postoperative fistula
Oral glutamine has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Postoperative infection
It is unclear if oral or intravenous glutamine is beneficial for the prevention of postoperative infection in patients who are recovering from surgery.
Insufficient Reliable Evidence To Rate Prediabetes
Glutamine has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Pressure ulcers
Oral glutamine has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Radiation dermatitis
It is unclear if oral glutamine reduces the risk of developing dermatitis from radiation therapy.
Insufficient Reliable Evidence To Rate Radiation-induced esophagitis
It is unclear if oral glutamine reduces the risk of developing esophagitis from radiation therapy.
Insufficient Reliable Evidence To Rate Short bowel syndrome
It is unclear if oral glutamine improves symptoms of short bowel syndrome.
Insufficient Reliable Evidence To Rate Traumatic Brain injury (TBI)
It is unclear if intravenous glutamine is beneficial in patients hospitalized with severe TBI.
Insufficient Reliable Evidence To Rate Vincristine-induced neuropathy
It is unclear if oral glutamine reduces the risk of developing neuropathy from treatment with vincristine in children.
Insufficient Reliable Evidence To Rate Wound healing
It is unclear if oral glutamine improves wound healing.
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
For most healthy adults, glutamine taken by mouth appears to be reasonably safe when used in typical supplement amounts. Because the body makes and uses glutamine every day, it is normally well tolerated.
Use extra caution if you have kidney disease or liver disease, since these organs are involved in processing amino acids and the byproducts of protein. People with these conditions should only take glutamine under the supervision of a healthcare provider.
People with a history of seizures or certain mental health conditions should also talk to a doctor first, because glutamine is related to glutamate, a chemical messenger in the brain.
Pregnancy and breastfeeding: There is not enough reliable safety information about taking glutamine supplements during pregnancy or while breastfeeding. To be safe, avoid supplement doses during these times unless your doctor specifically recommends them.
As with any supplement, choose products from reputable brands and let your pharmacist or doctor know what you are taking.
Side effects
Glutamine is usually well tolerated. When side effects do occur, they are often mild and may include stomach upset, nausea, bloating, gas, or constipation.
Higher doses are more likely to cause digestive discomfort. Some people taking the prescription powder for sickle cell disease have reported headache, belly pain, cough, or pain in the arms and legs.
Serious reactions are uncommon. Stop using it and seek medical care if you develop signs of an allergic reaction, such as rash, swelling, or trouble breathing. If you have kidney or liver problems and notice new symptoms, contact your healthcare provider.
Glutamine: Reported Adverse Effects
Documented safety reports on Glutamine from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally and intravenously, glutamine is generally well tolerated.
Most Common Adverse Effects:
Orally: Belching, bloating, constipation, cough, diarrhea, flatulence, gastrointestinal pain, headache, musculoskeletal pain, nausea, and vomiting.
Bipolar disorder Neurologic/CNS
Orally, glutamine has been associated with dizziness and headache. A single case of dizziness has been reported in a patient treated with oral glutamine 0.5 grams/kg. However, the symptom resolved after reducing the dose to 0.25 grams/kg. Mania and hypomania have been reported in 2 patients with bipolar disorder taking commercially purchased glutamine up to 4 grams daily. Glutamine is metabolized to glutamate and ammonia, both of which might have neurological effects in people with neurological and psychiatric diseases or in people predisposed to hepatic encephalopathy.
- Laviano A, Molfino A, Lacaria MT, Canelli A, De Leo S, Preziosa I, Rossi Fanelli F. Glutamine supplementation favors weight loss in nondieting obese female patients. A pilot study. Eur J Clin Nutr. 2014 Nov;68(11):1264-6.
- Mebane AH. L-Glutamine and mania. Am J Psychiatry 984;141:1302-3.
- Garlick PJ. Assessment of the safety of glutamine and other amino acids. J Nutr 2001;131:2556S-61S..
Constipation Gastrointestinal
Orally, glutamine has been associated with belching, bloating, constipation, flatulence, nausea, vomiting, diarrhea, and gastrointestinal (GI) pain. Nausea, vomiting, constipation, diarrhea, and GI pain have been reported in clinical trials using high-dose glutamine 10-30 grams (0.3 grams/kg) in two divided doses daily to treat sickle cell disease. One case of dyspepsia and one case of abdominal pain have been reported in patients taking glutamine 5-15 grams twice daily orally for up to 1 year. In a small trial of healthy males, taking a single dose of about 60 grams (0.9 grams/kg of fat free body mass [FFM]) was associated with a 50% to 79% incidence of GI discomfort, nausea, and belching, compared with a 7% to 28% incidence with a lower dose of about 20 grams (0.3 gram/kg FFM). Flatulence, bloating, lower GI pain, and urge to regurgitate occurred at similar rates regardless of dose, and there were no cases of heartburn, vomiting, or diarrhea/constipation. It is possible that certain GI side effects occur only after multiple doses of glutamine.
- Niihara Y, Miller ST, Kanter J, et al. A Phase 3 Trial of l-Glutamine in Sickle Cell Disease. N Engl J Med 2018;379(3):226-35. doi: 10.1056/NEJMoa1715971.
- Endari (l-glutamine) [package insert]. Torrance, CA: Emmaus Medical,Inc; 2017.
- Ogden HB, Child RB, Fallowfield JL, et al. Gastrointestinal Tolerance of Low, Medium and High Dose Acute Oral l-Glutamine Supplementation in Healthy Adults: A Pilot Study. Nutrients. 2020;12(10):2953.
Cough Other
Orally, glutamine has been associated with cough when a powdered formulation is used. It is unclear if this was due to accidental inhalation. One case of a burning sensation and one case of hypersplenism has been reported in a patient taking glutamine 5-15 grams twice daily orally for up to 1 year.
- Endari (l-glutamine) [package insert]. Torrance, CA: Emmaus Medical,Inc; 2017.
Pain Musculoskeletal
Orally, glutamine 30 grams daily has been associated with cases of musculoskeletal pain and non-cardiac chest pain in clinical trials for patients with sickle cell disease.
Urinary tract infections (UTIs) Oncologic
There is some concern that glutamine might be used by rapidly growing tumors and possibly stimulate tumor growth. Although tumors may utilize glutamine and other amino acids, preliminary research shows that glutamine supplementation does not increase tumor growth. In fact, there is preliminary evidence that glutamine might actually reduce tumor growth.
- Miller AL. Therapeutic considerations of L-glutamine: a review of the literature. Altern Med Rev 1999;4:239-48..
- Bozzetti F, Biganzoli L, Gavazzi C, et al. Glutamine supplementation in cancer patients receiving chemotherapy: a double-blind randomized study. Nutrition 1997;13:748-51..
- Ziegler TR. Glutamine supplementation in cancer patients receiving bone marrow transplantation and high dose chemotherapy. J Nutr 2001;131:2578S-84S..
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no single standardized dose of glutamine for general supplement use, and the right amount depends on why it is being used. Doses studied in research and used in hospitals vary widely and are often individualized.
The prescription product for sickle cell disease is dosed by body weight and prescribed by a doctor, so it should only be used as directed by your healthcare team.
For over-the-counter products, follow the directions on the label and do not exceed the recommended amount. If you are unsure how much to take or whether glutamine is right for you, check with your pharmacist or doctor first.
Glutamine & Pregnancy
Glutamine & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 11 references that drive our Glutamine 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.
- Miller AL. Therapeutic considerations of L-glutamine: a review of the literature. Altern Med Rev 1999;4:239-48..
- Bozzetti F, Biganzoli L, Gavazzi C, et al. Glutamine supplementation in cancer patients receiving chemotherapy: a double-blind randomized study. Nutrition 1997;13:748-51.. PubMed
- Mebane AH. L-Glutamine and mania. Am J Psychiatry 984;141:1302-3.
- Meldrum BS. Glutamate as a neurotransmitter in the brain: review of physiology and pathology. J Nutr 2000;130:1007S-15S.. PubMed
- Garlick PJ. Assessment of the safety of glutamine and other amino acids. J Nutr 2001;131:2556S-61S.. PubMed
- Chapman AG. Glutamate and epilepsy. J Nutr 2000;130:1043S-5S.. PubMed
- Ziegler TR. Glutamine supplementation in cancer patients receiving bone marrow transplantation and high dose chemotherapy. J Nutr 2001;131:2578S-84S.. PubMed
- Laviano A, Molfino A, Lacaria MT, Canelli A, De Leo S, Preziosa I, Rossi Fanelli F. Glutamine supplementation favors weight loss in nondieting obese female patients. A pilot study. Eur J Clin Nutr. 2014 Nov;68(11):1264-6. PubMed
- Endari (l-glutamine) [package insert]. Torrance, CA: Emmaus Medical,Inc; 2017.
- Niihara Y, Miller ST, Kanter J, et al. A Phase 3 Trial of l-Glutamine in Sickle Cell Disease. N Engl J Med 2018;379(3):226-35. doi: 10.1056/NEJMoa1715971.
- Ogden HB, Child RB, Fallowfield JL, et al. Gastrointestinal Tolerance of Low, Medium and High Dose Acute Oral l-Glutamine Supplementation in Healthy Adults: A Pilot Study. Nutrients. 2020;12(10):2953. 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 Glutamine
894 brands in our database make a supplement containing Glutamine.
Supplement products with Glutamine
5,651 products in our database contain Glutamine. Open any to see its full ingredient list and every drug interaction we check.
Glutamine: Common Questions
What is Glutamine used for, and does it work?
Does Glutamine interact with prescription medications?
How are Glutamine interactions rated?
Is it safe to take Glutamine with my medications?
Where does this Glutamine interaction information come from?
What is Glutamine used for?
Does Glutamine help build muscle?
Is Glutamine safe to take every day?
Can I take Glutamine while pregnant or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Glutamine
A rotating sample of real supplements in our database that list Glutamine — open any to see its full ingredients and every drug interaction we check.
- ABC White Wicked Watermelon by Core Nutritionals
- L-Glutamine Powder by Thorne
- Brain & Vision by Focus Factor
- Monster Milk Chocolate by CytoSport
- Airborne Original Lemon Lime Effervescent Tablets by Airborne
- L-Glutamine 500 mg by Woodstock Vitamins
- Amino Acid Complete by Klaire Labs
- Target P-14 Formula by Nature's Sunshine
- Ultra Pump Fuel Insanity Miami Sunrise by PMD
- TruGlutamine by PEScience
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