Hyaluronic Acid Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Hyaluronic Acid interacts with medications. The heart of this page is the interaction list — every drug Hyaluronic Acid is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Hyaluronic Acid 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 Hyaluronic Acid against your medication
Add one medicationDrugs that interact with Hyaluronic Acid
0 medications have a known interaction with Hyaluronic Acid, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Hyaluronic Acid. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.
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 Hyaluronic Acid combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Hyaluronic Acid: Uses, Safety & Side Effects
Hyaluronic acid is a natural substance in the body that helps hold water in the skin, joints, and eyes. Oral and topical products are popular for skin moisture and joint comfort, and the evidence is moderate for some uses (like dry eyes and skin hydration) but weaker for others. It is generally well tolerated, but talk to your pharmacist or doctor before starting, especially if you are pregnant or breastfeeding.
- Part used
- Naturally found in skin, joints, and connective tissue; supplements are usually made by bacterial fermentation or from animal sources
- Common forms
- Oral capsules, tablets, liquids, topical creams and serums, eye drops, and injectable products (given by professionals)
- Skin hydration and aging
- Joint comfort and osteoarthritis
- Dry eyes
- Wound and tissue healing
- Gum and mouth health
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated for most adults, but long-term safety of supplements is not fully studied.
There is insufficient reliable information available about the safety of hyaluronic acid; avoid using.
Read the full pregnancy detailThere is insufficient reliable information available about the safety of hyaluronic acid. It is not known if hyaluronic acid is excreted in breast mil...
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
Hyaluronic acid (also called hyaluronan) is a natural substance your body makes. It is found in your skin, joints, eyes, and other connective tissues. One of its main jobs is to hold water, which helps keep these tissues moist, cushioned, and flexible.
Because the body's own supply tends to drop with age, hyaluronic acid has become popular in skin care and joint products. Supplements are usually made through a fermentation process using bacteria, though some are made from animal sources like rooster combs.
People use it in many forms: pills and liquids you swallow, creams and serums you put on your skin, eye drops for dryness, and injections given by healthcare providers (for joints or cosmetic fillers).
How it works
Hyaluronic acid's key feature is that it can hold a large amount of water. This is why it helps keep skin plump and joints lubricated.
In the skin, it may help the surface retain moisture, which can make skin look smoother and more hydrated. In the joints, it is a normal part of the fluid that cushions and lubricates the moving parts.
When taken as a supplement by mouth, it is broken down during digestion, so exactly how much reaches the skin or joints is still being studied. Much of the support for how it works comes from laboratory research and the body's natural use of the substance, rather than from large human trials.
Does Hyaluronic Acid work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Possibly Effective Dry eye
Applying eye drops containing hyaluronic acid alone or in combination with other ingredients, seems to improve symptoms of dry eye.
Possibly Effective Venous leg ulcers
Topical application of hyaluronic acid-impregnated gauze reduces wound size and promotes wound healing.
Also studied for 23 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Aging skin
Oral hyaluronic acid has only been evaluated in combination with other ingredients; its effect when used alone is unclear. It is also unclear if topical hyaluronic acid is beneficial for aging skin.
Insufficient Reliable Evidence To Rate Allergic rhinitis (hay fever)
It is unclear if nasal irrigation with sodium hyaluronate is beneficial in patients with mild, persistent seasonal allergic rhinitis.
Insufficient Reliable Evidence To Rate Burns
It is unclear if topical hyaluronic acid is beneficial in patients with burns.
Insufficient Reliable Evidence To Rate Canker sores
It is unclear if topical hyaluronic acid is beneficial for canker sores.
Insufficient Reliable Evidence To Rate Corneal abrasion
It is unclear if eye drops containing hyaluronic acid are beneficial in preventing recurrence in patients with a history of traumatic corneal abrasion.
Insufficient Reliable Evidence To Rate Diabetic foot ulcers
Oral hyaluronic acid has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Exercise-induced muscle soreness
Oral hyaluronic acid has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Gastroesophageal reflux disease (GERD)
Oral hyaluronic acid has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Gingivitis
It is unclear if hyaluronic acid used in a mouthwash reduces gingivitis severity.
Insufficient Reliable Evidence To Rate Intranasal surgery
It is unclear if topical hyaluronic acid irrigation improves recovery in patients after nasal surgery.
Insufficient Reliable Evidence To Rate Intrauterine adhesions
Several small studies suggest that intrauterine administration of hyaluronic acid gel seems to prevent intrauterine adhesions after uterine surgery.
Insufficient Reliable Evidence To Rate Lichen planus
It is unclear if topical hyaluronic acid is beneficial in patients with oral lichen planus.
Insufficient Reliable Evidence To Rate Melasma
It is unclear if topical hyaluronic acid is beneficial in patients with moderate to severe facial melasma.
Insufficient Reliable Evidence To Rate Oral mucositis
Topical hyaluronic acid has only been evaluated in combination with other ingredients; its effects when used alone is unclear.
Insufficient Reliable Evidence To Rate Osteoarthritis
It is unclear if oral hyaluronic acid is beneficial in patients with osteoarthritis of the knee.
Insufficient Reliable Evidence To Rate Otitis media
It is unclear if using intranasal hyaluronic acid solution is beneficial for otitis media in children.
Insufficient Reliable Evidence To Rate Radiation dermatitis
It is unclear if topical hyaluronic acid is beneficial for the prevention of radiation dermatitis.
Insufficient Reliable Evidence To Rate Rhinosinusitis
It is unclear if hyaluronic acid solution is beneficial for acute or chronic rhinosinusitis when used in an intranasal saline rinse.
Insufficient Reliable Evidence To Rate Sexual dysfunction
It is unclear if vaginal hyaluronic acid is beneficial for improving sexual function in adults with dyspareunia.
Insufficient Reliable Evidence To Rate Tooth extraction
It is unclear if topical hyaluronic acid is beneficial for wound healing after tooth extraction.
Insufficient Reliable Evidence To Rate Urinary tract infections (UTIs)
Oral and intravesical hyaluronic acid have been evaluated for the prevention of UTI in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Vaginal atrophy
It is unclear if topical hyaluronic acid is beneficial for improving symptoms of vaginal atrophy.
Insufficient Reliable Evidence To Rate Wound healing
Small clinical studies show that topical hyaluronic acid and hyaluronic acid derivatives may improve the healing of various types of wounds.
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
Hyaluronic acid is generally considered well tolerated for most adults when used as a supplement, topical product, or eye drop. Because it is a substance the body already makes, serious reactions are uncommon with oral and topical use.
Injectable forms (joint or cosmetic) carry more risk and should only be given by trained healthcare professionals, as they can cause infection, swelling, or other problems.
People with a history of allergies should be cautious, especially with animal-sourced products. If you have any medical condition or are taking medications, check with your pharmacist or doctor first.
Pregnancy and breastfeeding: There is not enough reliable safety information for oral supplements during pregnancy or breastfeeding. To be safe, avoid oral hyaluronic acid supplements during these times unless your doctor specifically recommends them.
Side effects
Oral and topical hyaluronic acid usually cause few side effects. When they do occur, they tend to be mild.
Possible effects include skin redness or irritation with topical products, mild stomach upset with oral forms, and temporary stinging with eye drops.
Allergic reactions are rare but possible. Stop use and seek medical care if you notice signs like rash, swelling, or trouble breathing. With injections, watch for pain, redness, swelling, or signs of infection at the site and contact your provider promptly.
Hyaluronic Acid: Reported Adverse Effects
Documented safety reports on Hyaluronic Acid from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally and topically, hyaluronic acid appears to be well tolerated.
Most Common Adverse Effects:
Topically: Eczema, erythema, itching, wound hemorrhage, wound infection (e.g., erysipelas).
Eczema Dermatologic
The use of needle-free devices to inject hyaluronic acid for cosmetic purposes has been reported to cause serious injury, and in some cases permanent harm, to the skin, lips, and eyes.
Topically, hyaluronic acid application has been reported to cause eczema, erythema, itching, wound hemorrhage, and wound infection (e.g., erysipelas).
- U.S. Food and Drug Administration. Do Not Use Needle-Free Devices for Injection of Dermal Fillers - FDA Safety Communication. October 8, 2021. Available at: https://www.fda.gov/medical-devices/safety-communications/do-not-use-needle-free-devices-injection
- Disphanurat W, Srisantithum B. Efficacy and safety of 0.15% isobutylamido thiazolyl resorcinol combined with hyaluronic acid vs 0.15% isobutylamido thiazolyl resorcinol or hyaluronic acid alone in melasma treatment: A randomized evaluator-blind trial. J C
- Humbert P, Mikosinki J, Benchikhi H, Allaert FA. Efficacy and safety of a gauze pad containing hyaluronic acid in treatment of leg ulcers of venous or mixed origin: a double-blind, randomised, controlled trial. Int Wound J 2013;10(2):159-66.
Pain Ocular/Otic
Ocular pain has been reported rarely in patients using eye drops containing up to 0.3% hyaluronic acid.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no single standardized dose of hyaluronic acid that fits everyone, and the right amount depends on the form and how it is used.
Oral supplements come in a range of strengths, and topical products and eye drops vary by brand. The best approach is to follow the directions on the product label and not exceed the recommended amount.
If you are unsure which product or amount is right for you, ask your pharmacist or doctor for guidance before starting.
Hyaluronic Acid & Pregnancy
Hyaluronic Acid & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 4 references that drive our Hyaluronic Acid 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.
- Park Y, Song JS, Choi CY, Yoon KC, Lee HK, Kim HS. A randomized multicenter study comparing 0.1%, 0.15%, and 0.3% sodium hyaluronate with 0.05% cyclosporine in the treatment of dry eye. J Ocul Pharmacol Ther. 2017;33(2):66-72. PubMed
- U.S. Food and Drug Administration. Do Not Use Needle-Free Devices for Injection of Dermal Fillers - FDA Safety Communication. October 8, 2021. Available at: https://www.fda.gov/medical-devices/safety-communications/do-not-use-needle-free-devices-injection
- Disphanurat W, Srisantithum B. Efficacy and safety of 0.15% isobutylamido thiazolyl resorcinol combined with hyaluronic acid vs 0.15% isobutylamido thiazolyl resorcinol or hyaluronic acid alone in melasma treatment: A randomized evaluator-blind trial. J C PubMed
- Humbert P, Mikosinki J, Benchikhi H, Allaert FA. Efficacy and safety of a gauze pad containing hyaluronic acid in treatment of leg ulcers of venous or mixed origin: a double-blind, randomised, controlled trial. Int Wound J 2013;10(2):159-66. 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 Hyaluronic Acid
516 brands in our database make a supplement containing Hyaluronic Acid.
Supplement products with Hyaluronic Acid
1,925 products in our database contain Hyaluronic Acid. Open any to see its full ingredient list and every drug interaction we check.
Hyaluronic Acid: Common Questions
What is Hyaluronic Acid used for, and does it work?
Does Hyaluronic Acid interact with prescription medications?
How are Hyaluronic Acid interactions rated?
Is it safe to take Hyaluronic Acid with my medications?
Where does this Hyaluronic Acid interaction information come from?
What is Hyaluronic Acid used for?
Does taking Hyaluronic Acid by mouth actually reach my skin or joints?
Is Hyaluronic Acid safe to take every day?
Can I use Hyaluronic Acid while pregnant or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Hyaluronic Acid
A rotating sample of real supplements in our database that list Hyaluronic Acid — open any to see its full ingredients and every drug interaction we check.
- Extra Strength Hair, Skin & Nails by Nature's Bounty Optimal Solutions
- Mega Men Sport Multivitamin by GNC Mega Men
- Glucosamine HCl 1500 mg Plus MSM 1500 mg by Schiff
- Glucosamine Chondroitin MSM by GNC Triflex
- Hyaluronic Acid by BIOVEA
- Women by Nutrafol
- Ladies' One 40+ by Bluebonnet
- Dreamy + Collagen Boost Ginger Honey Tea by zolt.
- HLA Joint Support by Progressive Professional from Progressive Laboratories
- Hyaluronic Acid 100 mg by Lake Avenue Nutrition
Have a question about Hyaluronic Acid?
Our pharmacists answer your medication & supplement questions — free.