Indole-3-carbinol Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Indole-3-carbinol interacts with medications. The heart of this page is the interaction list — every drug Indole-3-carbinol is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Indole-3-carbinol 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 Indole-3-carbinol against your medication
Add one medicationDrugs 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.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Indole-3-carbinol using our pharmacist-reviewed interaction data.
AI summaries are generated from our Indole-3-carbinol 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 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 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.
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.
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.
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.
Indole-3-carbinol: Uses, Safety & Side Effects
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)
- 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.
Likely fine in food amounts, but supplement doses are less studied and should be used cautiously.
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 detailThere is insufficient reliable information available about the safety of indole-3-carbinol when used during pregnancy and lactation; avoid using.
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
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.
Does Indole-3-carbinol work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
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
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
It is unclear if oral indole-3-carbinol is beneficial in patients with cervical dysplasia.
Insufficient Reliable Evidence To Rate Colorectal cancer
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
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
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
It is unclear if oral indole-3-carbinol is beneficial in patients with nonmelanoma skin cancer.
Insufficient Reliable Evidence To Rate Ovarian cancer
It is unclear if oral indole-3-carbinol is beneficial in patients with ovarian cancer.
Insufficient Reliable Evidence To Rate Recurrent respiratory papillomatosis
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)
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.
Diarrhea Gastrointestinal
Orally, indole-3-carbinol increases gastrointestinal motility and has been associated with diarrhea.
- 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.
- 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.
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.
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.
- 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.
- 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.
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.
Indole-3-carbinol & Pregnancy
Indole-3-carbinol & Breastfeeding
© 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.
- 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
- 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
- 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
- Kim, Y. S. and Milner, J. A. Targets for indole-3-carbinol in cancer prevention. J.Nutr.Biochem. 2005;16(2):65-73. PubMed
- Anon. Indole-3-carbinol. Monograph. Alternative Medicine Review 2005;10(4):337-42.
- 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
- 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
- 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.
- 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
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 Indole-3-carbinol
121 brands in our database make a supplement containing Indole-3-carbinol.
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.
Indole-3-carbinol: Common Questions
What is Indole-3-carbinol used for, and does it work?
Does Indole-3-carbinol interact with prescription medications?
How are Indole-3-carbinol interactions rated?
Is it safe to take Indole-3-carbinol with my medications?
Where does this Indole-3-carbinol interaction information come from?
What is Indole-3-carbinol used for?
Is it better to eat broccoli or take an I3C supplement?
Can I take Indole-3-carbinol while pregnant or breastfeeding?
What is the difference between I3C and DIM?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Indole-3-carbinol
A rotating sample of real supplements in our database that list Indole-3-carbinol — open any to see its full ingredients and every drug interaction we check.
- Indole-3-Carbinol by Nature's Sunshine
- Triple Action Cruciferous Vegetable Extract with Resveratrol by Life Extension
- BreastGard with EstroFlush by Solaray
- I3C + DIM by Wellness Resources
- Reacta C 500 mg by Solaray
- Healthy Hormone Formula by GNC Mega Men
- Project Shred by Anabolic Warfare
- Methyl Andro by PMD Platinum
- Estrogenex 2nd Generation 600 mg by Hi-Tech Pharmaceuticals
- Her Desire All Natural Sexual Health by Angry Supplements
Have a question about Indole-3-carbinol?
Our pharmacists answer your medication & supplement questions — free.