Lactoferrin Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Lactoferrin interacts with medications. The heart of this page is the interaction list — every drug Lactoferrin is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Lactoferrin 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 Lactoferrin against your medication
Add one medicationDrugs that interact with Lactoferrin
0 medications have a known interaction with Lactoferrin, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Lactoferrin. 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 Lactoferrin combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Lactoferrin: Uses, Safety & Side Effects
Lactoferrin is an iron-binding protein found naturally in milk and other body fluids, and supplements are usually made from cow's milk or rice. It is being studied for immune support, iron levels, gut health, and infections, but the evidence is still limited and mixed for most uses. It is generally well tolerated, but talk with a pharmacist or doctor before starting it.
- Part used
- Protein from milk (colostrum), or made with recombinant technology
- Common forms
- Capsules, tablets, powders; also added to some infant formulas and functional foods
- Iron deficiency and anemia support
- Immune support
- Gut health
- Stomach (H. pylori) infection
- Acne
- Diarrhea prevention in infants
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated short-term, but high-quality long-term safety data are limited.
When used orally in amounts commonly found in foods. Lactoferrin has Generally Regarded as Safe (GRAS) status in the US.
Read the full pregnancy detailWhen used orally in amounts commonly found in foods. Lactoferrin has Generally Regarded as Safe (GRAS) status in the US. There is insufficient reliabl...
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
Lactoferrin is a protein that binds to iron. It is found naturally in many body fluids, including breast milk (especially colostrum, the first milk after birth), tears, saliva, nasal and intestinal secretions, and more. It is also released by certain white blood cells called neutrophils as part of the body's natural defenses.
Most supplements are made from cow's (bovine) milk. Lactoferrin can also be produced using recombinant technology, including from rice. It comes mostly as capsules, tablets, or powders, and is sometimes added to infant formulas and other functional foods.
People take lactoferrin for a range of reasons, such as supporting the immune system, helping with iron levels, improving gut health, and fighting certain infections.
How it works
Lactoferrin's name comes from its ability to bind iron. By holding onto iron, it may make it harder for some bacteria to grow, since many bacteria need iron to multiply. This is one proposed reason it may have antimicrobial effects.
In laboratory studies, lactoferrin also appears to interact directly with bacteria, viruses, and fungi, and may help regulate parts of the immune system and reduce inflammation. It may also affect how the gut absorbs iron and supports the balance of helpful gut bacteria.
It is important to know that most of these mechanisms come from laboratory or animal research. How well they apply to people taking supplements is still being studied.
Does Lactoferrin work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Possibly Effective Pregnancy-related iron deficiency
Oral lactoferrin seems to improve hemoglobin levels similarly to oral or parenteral iron therapy in patients with pregnancy-related iron deficiency.
Possibly Effective Sepsis
Oral lactoferrin seems to reduce the risk of late-onset sepsis in some premature infants. However, the optimal dosing regimen and patient population is unclear.
Likely Ineffective Fetal and premature infant mortality
Oral lactoferrin does not reduce the risk of all-cause mortality in premature infants.
Likely Ineffective Necrotizing enterocolitis (NEC)
Most research shows that oral lactoferrin does not reduce the incidence of NEC in premature infants.
Also studied for 19 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Acne
Oral lactoferrin has only been studied in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Anemia of chronic disease
Oral lactoferrin might improve hemoglobin levels in some patients with anemia of chronic disease. However, the optimal patient population is unclear.
Insufficient Reliable Evidence To Rate Antibiotic-associated diarrhea
It is unclear if oral lactoferrin is beneficial for preventing antibiotic-associated diarrhea in children or adults.
Insufficient Reliable Evidence To Rate Atopic dermatitis (eczema)
Oral lactoferrin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Bacterial vaginosis
Oral lactoferrin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Chemotherapy-induced anemia
It is unclear if oral lactoferrin is beneficial for chemotherapy-induced anemia.
Insufficient Reliable Evidence To Rate Cognitive function
Oral lactoferrin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Coronavirus disease 2019 (COVID-19)
It is unclear if oral lactoferrin is beneficial for the treatment or prevention of COVID-19.
Insufficient Reliable Evidence To Rate Gastroenteritis-associated nausea and vomiting
It is unclear if oral lactoferrin prevents the development of gastroenteritis-associated nausea and vomiting in children or adults.
Insufficient Reliable Evidence To Rate Gingivitis
Oral lactoferrin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Helicobacter pylori
Research on the use of oral lactoferrin as an adjunct for H. pylori eradication is inconclusive and conflicting.
Insufficient Reliable Evidence To Rate Hepatitis C
It is unclear if oral lactoferrin is beneficial for hepatitis C.
Insufficient Reliable Evidence To Rate Infant development
Oral lactoferrin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Iron deficiency anemia
It is unclear if oral lactoferrin is beneficial for the treatment or prevention of iron deficiency anemia in infants and children.
Insufficient Reliable Evidence To Rate Preterm labor
It is unclear if vaginal lactoferrin is beneficial for preventing preterm labor.
Insufficient Reliable Evidence To Rate Psoriasis
It is unclear if topical lactoferrin is beneficial in psoriasis.
Insufficient Reliable Evidence To Rate Respiratory tract infections
It is unclear if oral lactoferrin is beneficial for treating or preventing respiratory tract infections.
Insufficient Reliable Evidence To Rate Vaginal candidiasis
Oral lactoferrin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Ventilator-associated pneumonia (VAP)
It is unclear if oral lactoferrin is beneficial for preventing VAP.
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
Lactoferrin appears to be generally well tolerated when taken by mouth for short periods. However, long-term safety data are limited, and the quality of supplements can vary between products.
Because most supplements are made from cow's milk, people with a milk or dairy allergy should be cautious or avoid it, as products may contain milk proteins.
For pregnancy, some studies have used lactoferrin, but overall safety is not fully established. Use it only if your doctor recommends it. For breastfeeding, lactoferrin is naturally present in breast milk, but whether taking supplements is safe and helpful is not well studied, so caution is advised.
Give lactoferrin to infants and children only under the guidance of a pediatrician. If you have a chronic medical condition or take medications, check with your pharmacist or doctor first.
Side effects
Lactoferrin is usually well tolerated. When side effects occur, they are most often mild and may include digestive symptoms such as constipation, diarrhea, loss of appetite, stomach upset, or a feeling of fullness.
Less commonly, people have reported skin rash, chills, or tiredness. Allergic reactions are possible, especially in people sensitive to milk. Stop use and seek medical care if you have signs of a serious allergic reaction, such as trouble breathing, swelling of the face or throat, or hives.
Lactoferrin: Reported Adverse Effects
Documented safety reports on Lactoferrin from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, bovine and human recombinant lactoferrin are well tolerated when used in typical doses. However, hjgher doses of 7.2 grams daily increase the risk of side effects and decrease tolerability.
Topically, there is a limited amount of information on the adverse effects of lactoferrin.
Intravaginally, no adverse effects have been reported. However, a thorough evaluation of safety outcomes has not been conducted.
Most Common Adverse Effects:
Orally: Constipation, diarrhea, epigastric pain, and nausea.
Topically: Burning sensation.
Serious Adverse Effects (Rare):
Orally: Bowel obstruction, intestinal perforation.
Anorexia Gastrointestinal
Orally, lactoferrin has been reported to cause diarrhea in some patients. At higher doses of 7.2 grams daily, anorexia and constipation have been reported. However, gastrointestinal effects of lactoferrin, including epigastric pain, constipation, nausea, and diarrhea, are less common than with other sources of iron such as ferrous sulfate. In neonates, single cases of jaundice, bloody stool, bowel obstruction, and intestinal perforation have been reported in clinical trials.
- Okada S, Tanaka K, Sato T, et al. Dose-response trial of lactoferrin in patients with chronic hepatitis C. Jpn J Cancer Res 2002;93:1063-9.
- Abu Hashim H, Foda O, Ghayaty E. Lactoferrin or ferrous salts for iron deficiency anemia in pregnancy: A meta-analysis of randomized trials. Eur J Obstet Gynecol Reprod Biol. 2017;219:45-52.
- Tarnow-Mordi WO, Abdel-Latif ME, Martin A, et al. The effect of lactoferrin supplementation on death or major morbidity in very low birthweight infants (LIFT): a multicentre, double-blind, randomised controlled trial. Lancet Child Adolesc Health. 2020 Jun
- ELFIN trial investigators group. Enteral lactoferrin supplementation for very preterm infants: a randomised placebo-controlled trial. Lancet. 2019 Feb 2;393(10170):423-433. doi: 10.1016/S0140-6736(18)32221-9.
Fatigue Neurologic/CNS
Orally, at higher doses of 7.2 grams daily, lactoferrin has been reported to cause fatigue and chills.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no official standardized dose of lactoferrin, and the right amount can depend on the product, the form, and the reason for use. Doses used in research have varied widely.
The best approach is to follow the directions on the product label and not exceed the recommended amount. Because products differ in strength and quality, look for brands that use third-party testing when possible.
Always check with your pharmacist or doctor before starting lactoferrin, especially for children, during pregnancy or breastfeeding, or if you have a health condition.
Lactoferrin & Pregnancy
Lactoferrin & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 6 references that drive our Lactoferrin 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.
- Food and Drug Administration, CFSAN/Office of Food Additive Safety. Agency Response Letter GRAS Notice No. GRN 000130. 2003. Available at: http://www.cfsan.fda.gov/~rdb/opa-g130.html (Accessed 29 June 2005).
- Okada S, Tanaka K, Sato T, et al. Dose-response trial of lactoferrin in patients with chronic hepatitis C. Jpn J Cancer Res 2002;93:1063-9. PubMed
- Abu Hashim H, Foda O, Ghayaty E. Lactoferrin or ferrous salts for iron deficiency anemia in pregnancy: A meta-analysis of randomized trials. Eur J Obstet Gynecol Reprod Biol. 2017;219:45-52. PubMed
- Tarnow-Mordi WO, Abdel-Latif ME, Martin A, et al. The effect of lactoferrin supplementation on death or major morbidity in very low birthweight infants (LIFT): a multicentre, double-blind, randomised controlled trial. Lancet Child Adolesc Health. 2020 Jun PubMed
- ELFIN trial investigators group. Enteral lactoferrin supplementation for very preterm infants: a randomised placebo-controlled trial. Lancet. 2019 Feb 2;393(10170):423-433. doi: 10.1016/S0140-6736(18)32221-9.
- Lepanto MS, Rosa L, Cutone A, Conte MP, Paesano R, Valenti P. Efficacy of lactoferrin oral administration in the treatment of anemia and anemia of inflammation in pregnant and non-pregnant women: An interventional study. Front Immunol. 2018 Sep 21;9:2123. 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 Lactoferrin
69 brands in our database make a supplement containing Lactoferrin.
Supplement products with Lactoferrin
309 products in our database contain Lactoferrin. Open any to see its full ingredient list and every drug interaction we check.
Lactoferrin: Common Questions
What is Lactoferrin used for, and does it work?
Does Lactoferrin interact with prescription medications?
How are Lactoferrin interactions rated?
Is it safe to take Lactoferrin with my medications?
Where does this Lactoferrin interaction information come from?
What is Lactoferrin used for?
Is Lactoferrin safe to take?
Can I take Lactoferrin if I am allergic to milk?
Is Lactoferrin the same as the Lactoferrin in breast milk?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Lactoferrin
A rotating sample of real supplements in our database that list Lactoferrin — open any to see its full ingredients and every drug interaction we check.
- Flora & Flow by Shaklee Multi-Taskers
- Colostrum Plus by Symbiotics
- Laktoferrin with Colostrum by Allergy Research Group
- Muscle Milk Pro Series Knockout Chocolate by Muscle Milk
- Lean Queen Chocolate Desire by Musclegen Performance Nutrition
- Colostrum by DC
- Lactoferrin by SuperSmart
- Candida Control Advanced by BIOVEA
- Immunity Blend. Blackberry Lemonade by Genesis Today's
- IgG Protect by Ortho Molecular Products
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