Herb & supplement monograph

Indole-3-carbinol Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Indole-3-carbinol

294 medications have a known interaction with Indole-3-carbinol, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AbciximabReoPro› AbrocitinibCibinqo› AcenocoumarolSintrom› AcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength› Acetaminophen, AspirinGemnisyn› Acetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine› Acetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu› Acetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more› Acetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more› Acetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine› Acetaminophen, Butalbital, CodeineBancap w/ Codeine› Acetaminophen, Butalbital, Codeine PhosphatePhrenilin #3› Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound› Acetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more› Acetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3› Acetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS› Acetaminophen, Caffeine, IsomethepteneMigralam› Acetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual› 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›
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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 Indole-3-carbinol 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 Indole-3-carbinol affects

Every type of medication (drug category) Indole-3-carbinol is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 3 drug categories Indole-3-carbinol interacts with
Anticoagulant/antiplatelet DrugsCytochrome P450 1a2 (cyp1a2) SubstratesEstrogens
Anticoagulant/Antiplatelet Drugs

Theoretically, indole-3-carbinol might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
In vitro research shows that indole-3-carbinol inhibits platelet aggregation.

Likelihood Possible Evidence D
Cytochrome P450 1A2 (Cyp1A2) Substrates

Theoretically, indole-3-carbinol might increase the metabolism of CYP1A2 substrates and lower serum concentrations.
Animal research shows that indole-3-carbinol induces CYP1A2 enzymes.

Likelihood Possible Evidence D
Estrogens

Indole-3-carbinol might interfere with the effects of estrogen therapy.
Preliminary clinical and in vitro evidence shows that indole-3-carbinol has antiestrogenic activity.

Likelihood Possible Evidence D
Monograph

Indole-3-carbinol: Uses, Safety & Side Effects

The bottom line

Indole-3-carbinol (I3C) is a compound formed when you eat cruciferous vegetables like broccoli and cabbage, and it is sold as a supplement mainly for hormone-related and cell-protective effects. Most human evidence is preliminary or comes from lab and animal studies, so it should not be relied on to prevent or treat any disease. Talk to your pharmacist or doctor before using it, and avoid it in pregnancy and breastfeeding.

Family
Brassicaceae
Part used
Derived from glucosinolates found in cruciferous vegetables (broccoli, cabbage, Brussels sprouts, cauliflower)
Common forms
Capsules, tablets, softgels; sometimes combined with or compared to diindolylmethane (DIM)
People commonly use it for
  • Estrogen and hormone balance support
  • Breast and cervical health
  • Prostate health
  • Antioxidant and 'detox' support
  • General cancer-prevention interest

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

Safety at a glance
OverallUse caution

Likely fine in food amounts, but supplement doses are less studied and should be used cautiously.

PregnancyInsufficient reliable information

There is insufficient reliable information available about the safety of indole-3-carbinol when used during pregnancy and lactation; avoid using.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

There is insufficient reliable information available about the safety of indole-3-carbinol when used during pregnancy and lactation; 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

Indole-3-carbinol (I3C) is a natural compound your body makes when you chew or digest cruciferous vegetables. These include broccoli, cabbage, Brussels sprouts, cauliflower, and kale. The vegetables contain a substance called glucobrassicin, and when the plant cells are broken (by chopping or chewing), it changes into I3C.

As a supplement, I3C is sold in capsules and tablets. People often take it hoping to support hormone balance, breast or prostate health, and the body's natural 'detox' systems. A related compound called diindolylmethane (DIM) forms from I3C in the stomach and is sometimes sold alongside it.

It is important to know that eating these vegetables and taking a concentrated supplement are not the same thing. Supplements give much higher amounts of I3C than a normal diet, and the long-term effects of high doses are not well understood.

How it works

I3C is thought to affect the way the liver breaks down hormones, especially estrogen. In lab studies it appears to shift estrogen breakdown toward forms that some researchers believe may be less harmful, though this is not fully proven in people.

I3C also turns into diindolylmethane (DIM) in the acidic environment of the stomach. Both compounds have been studied in cells for effects on enzymes that process toxins and on signals that control cell growth.

Much of this work is based on laboratory and animal research. What happens in a test tube or in mice does not always carry over to the human body, so these mechanisms should be seen as proposed ideas rather than confirmed facts.

Effectiveness

Does Indole-3-carbinol work?

Evidence overview · 9 uses evaluated
9 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 Indole-3-carbinol, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 9 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Breast cancer
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral indole-3-carbinol for breast cancer, there is insufficient reliable information about the clinical effects of indole-3-carbinol for this purpose.

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

It is unclear if oral indole-3-carbinol is beneficial in patients with cervical dysplasia.

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

Although there has been interest in using oral indole-3-carbinol for colorectal cancer, there is insufficient reliable information about the clinical effects of indole-3-carbinol for this purpose.

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

Although there has been interest in using oral indole-3-carbinol for fibromyalgia, there is insufficient reliable information about the clinical effects of indole-3-carbinol for this purpose.

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

Although there has been interest in using oral indole-3-carbinol for liver disease, there is insufficient reliable information about the clinical effects of indole-3-carbinol for this purpose.

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

It is unclear if oral indole-3-carbinol is beneficial in patients with nonmelanoma skin cancer.

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

It is unclear if oral indole-3-carbinol is beneficial in patients with ovarian cancer.

Insufficient Reliable Evidence To Rate Recurrent respiratory papillomatosis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral indole-3-carbinol is beneficial in patients with recurrent respiratory papillomatosis.

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

It is unclear if oral indole-3-carbinol is beneficial in patients with SLE.

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

Eating cruciferous vegetables is safe and healthy for most people. Concentrated I3C supplements are less well studied, especially at high doses or over long periods.

People with hormone-sensitive conditions (such as certain breast, uterine, or prostate conditions) should be especially careful, because I3C may affect estrogen activity. Anyone with a thyroid condition or liver problems should also check with a healthcare provider first.

Pregnancy and breastfeeding: Avoid I3C supplements. There is not enough safety data, and because the compound may influence hormones, it is safest to skip it during these times. Getting these nutrients from normal amounts of food is fine, but concentrated pills are not recommended.

Always talk with a pharmacist or doctor before starting I3C, particularly if you take prescription medicines or have a chronic health condition.

Side effects

At typical supplement doses, reported side effects are usually mild. These can include stomach upset, nausea, or changes in bowel habits. Some people notice changes in the color of their urine.

At higher doses, there have been reports of balance problems, skin rash, or mild tremor in some studies, though this is not common. Because high-dose, long-term safety is not well established, more is not necessarily better.

Stop the supplement and seek medical advice if you have an allergic reaction, severe or lasting digestive problems, or any unusual neurological symptoms.

Indole-3-carbinol: Reported Adverse Effects

Documented safety reports on Indole-3-carbinol from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Orally, indole-3-carbinol seems to be well tolerated.

Most Common Adverse Effects:

Orally: Diarrhea, imbalance, nausea, rash, tremor, unsteadiness.

Reports by condition
Diarrhea Gastrointestinal
Myasthenia gravis Neurologic/CNS

Indole-3-carbinol has been associated with reports of unsteadiness and imbalance, especially at higher doses. An adult male taking 400 mg twice daily for treatment of recurrent respiratory papillomatosis developed imbalance and tremor after 10 days of treatment. This resolved when the dose was halved. Two children who took 3 times the intended weight-based dose of indole-3-carbinol in one day developed unsteadiness and nausea.

  1. Rosen CA, Woodson GE, Thompson JW, et al. Preliminary results of the use of indole-3-carbinol for recurrent respiratory papillomatosis. Otolaryngol Head Neck Surg 1998;118:810-5.
  2. Anon. Indole-3-carbinol. Monograph. Alternative Medicine Review 2005;10(4):337-42.
Myasthenia gravis Dermatologic

Orally, indole-3-carbinol has been associated with reports of rash. A woman taking indole-3-carbinol 375 mg daily for treatment of systemic lupus erythematosus (SLE) developed a generalized maculopapular rash which resolved when indole-3-carbinol was discontinued and recurred when it was restarted.

  1. Reed GA, Peterson KS, Smith HJ, et al. A phase I study of indole-3-carbinol in women: tolerability and effects. Cancer Epidemiol Biomarkers Prev 2005;14:1953-60.
  2. McAlindon TE, Gulin J, Chen T, et al. Indole-3-carbinol in women with SLE: effect on estrogen metabolism and disease activity. Lupus 2001;10:779-83.
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 officially established or standardized dose for I3C. Different products and studies have used different amounts, and there is no agreed-upon 'best' dose.

The safest approach is to follow the directions on the product label and not exceed them. Because supplement quality varies, look for products from reputable manufacturers, ideally with third-party testing.

Before starting, check with your pharmacist or doctor — especially if you are taking other medicines, have a hormone-sensitive condition, or are managing a chronic illness. They can help you decide whether I3C is appropriate for you.

Pregnancy & Breastfeeding

Indole-3-carbinol & Pregnancy

Insufficient reliable information

There is insufficient reliable information available about the safety of indole-3-carbinol when used during pregnancy and lactation; avoid using.

Indole-3-carbinol & Breastfeeding

Insufficient reliable information

There is insufficient reliable information available about the safety of indole-3-carbinol when used during pregnancy and lactation; 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 9 references that drive our Indole-3-carbinol 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. Rosen CA, Woodson GE, Thompson JW, et al. Preliminary results of the use of indole-3-carbinol for recurrent respiratory papillomatosis. Otolaryngol Head Neck Surg 1998;118:810-5. PubMed
  2. Bell MC, Crowley-Nowick P, Bradlow HL, et al. Placebo-controlled trial of indole-3-carbinol in the treatment of CIN. Gynecol Oncol 2000;78:123-9. PubMed
  3. He YH, Friesen MD, Ruch RJ, Schut HA. Indole-3-carbinol as a chemopreventive agent in 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine (PhIP) carcinogenesis: inhibition of PhIP-DNA adduct formation, acceleration of PhIP metabolism, and induction of cytoch
  4. Kim, Y. S. and Milner, J. A. Targets for indole-3-carbinol in cancer prevention. J.Nutr.Biochem. 2005;16(2):65-73. PubMed
  5. Anon. Indole-3-carbinol. Monograph. Alternative Medicine Review 2005;10(4):337-42.
  6. McAlindon TE, Gulin J, Chen T, et al. Indole-3-carbinol in women with SLE: effect on estrogen metabolism and disease activity. Lupus 2001;10:779-83. PubMed
  7. Reed GA, Peterson KS, Smith HJ, et al. A phase I study of indole-3-carbinol in women: tolerability and effects. Cancer Epidemiol Biomarkers Prev 2005;14:1953-60. PubMed
  8. Bradlow HL, Michnovicz JJ, Halper M, et al. Long-term responses of women to indole-3-carbinol or a high fiber diet. Cancer Epidemiol Biomarkers Prev 1994;3:591-5.
  9. Paliwal P, Chauhan G, Gautam D, Dash D, Patne SCU, Krishnamurthy S. Indole-3-carbinol improves neurobehavioral symptoms in a cerebral ischemic stroke model. Naunyn Schmiedebergs Arch Pharmacol. 2018;391(6):613-625. 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 Indole-3-carbinol

287 products in our database contain Indole-3-carbinol. Open any to see its full ingredient list and every drug interaction we check.

17-Beta by iSatori Capsule 90 Capsule(s) View ingredients & interactions Advanced Testosterone by GNC Men's Capsule 60 Capsule(s) View ingredients & interactions Alpha Cut HD by Science of Alpha Capsule 60 Veggie Capsule(s) View ingredients & interactions AndroBoost by Nutrients for Health Other (e.g. Tea Bag) 60 Caplet(s) View ingredients & interactions AndroSense T-Correct by Natural Factors Capsule 60 Vegetarian Capsule(s) View ingredients & interactions Anti-Aromatase Reversitol Testosterone by iForce Nutrition Capsule 60 Capsule(s) View ingredients & interactions Arima-XD by VMI Sports Capsule 60 Capsule(s) View ingredients & interactions Arima-XD by VMI Sports Capsule 90 Capsule(s) View ingredients & interactions Arimid-X by Max Drive Nutrition Capsule 60 Capsule(s) View ingredients & interactions Aroma Block-R by EFX Sports Tablet Or Pill 30 Tablet(s) View ingredients & interactions BalanceBlend by Fairhaven Health Capsule 90 Capsule(s) View ingredients & interactions Battle Fuel XT by MusclePharm Capsule 160 Capsule(s) View ingredients & interactions Black Ox by Enhanced Capsule 240 Capsule(s) View ingredients & interactions Black Ox Test Booster by EA Enhanced Capsule 240 Capsule(s) View ingredients & interactions Bloat Reduce by Addrena Tablet Or Pill 60 Tablet(s) View ingredients & interactions Bone & Body Factors by ProCaps Laboratories Capsule 60 Perma-Fresh Packet(s) · 240 Easy-To-Swallow Capsule(s) View ingredients & interactions Breast Health by femMED Capsule 45 Vegetable Capsule(s) View ingredients & interactions Breast Health by ProCaps Capsule 360 Easy-To-Swallow Capsule(s) View ingredients & interactions Breast Health by ProCaps Laboratories Capsule 360 Easy-To-Swallow Capsule(s) View ingredients & interactions Breast Health by FemMed Capsule 45 Vegetable Capsule(s) View ingredients & interactions Breast Health Formula by Life Extension Capsule 60 Capsule(s) View ingredients & interactions Breast Health Formula by Life Extension Capsule 60 Capsule(s) View ingredients & interactions Breast Health Formula by Life Extension Capsule 60 Capsule(s) View ingredients & interactions BreastGard with EstroFlush by Solaray Capsule 60 Vegetarian Capsule(s) View ingredients & interactions
Pharmacist Counseling Corner

Indole-3-carbinol: Common Questions

What is Indole-3-carbinol used for, and does it work?
People use Indole-3-carbinol 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 Indole-3-carbinol interact with prescription medications?
Yes. We list 294 medications with a known interaction with Indole-3-carbinol. Use the checker above to see how Indole-3-carbinol interacts with a specific drug.
How are Indole-3-carbinol 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 Indole-3-carbinol 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 Indole-3-carbinol 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 Indole-3-carbinol used for?
People most commonly take it for hormone or estrogen balance, breast and prostate health, and general 'detox' support. However, strong human evidence is lacking, so it is not proven to treat or prevent any disease.
Is it better to eat broccoli or take an I3C supplement?
Eating cruciferous vegetables is well known to be healthy and safe. Concentrated supplements provide much higher amounts than food and are far less studied, so vegetables are generally the safer choice unless your doctor recommends otherwise.
Can I take Indole-3-carbinol while pregnant or breastfeeding?
No. There is not enough safety information, and because it may affect hormones, supplement forms should be avoided during pregnancy and breastfeeding. Eating normal amounts of vegetables is fine.
What is the difference between I3C and DIM?
DIM (diindolylmethane) is formed from I3C in your stomach, so they are closely related. Both are sold as supplements, and they are sometimes used for similar reasons, but neither has strong proof of benefit.

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

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