Methionine Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Methionine interacts with medications. The heart of this page is the interaction list — every drug Methionine is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Methionine 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 Methionine against your medication
Add one medicationDrugs that interact with Methionine
0 medications have a known interaction with Methionine, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Methionine. 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 Methionine combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Methionine: Uses, Safety & Side Effects
Methionine is an essential amino acid that your body needs for protein building and many basic chemical reactions. Most people get enough from a normal diet, and supplements are generally not needed unless directed by a healthcare provider. High doses can cause side effects, so talk to your pharmacist or doctor before using methionine supplements.
- Part used
- Amino acid (made through fermentation or chemical synthesis for supplements)
- Common forms
- Capsules, tablets, powder, and as part of amino acid blends; also given intravenously in hospitals
- Acetaminophen (Tylenol) overdose support
- Liver health
- Urinary tract acidification
- Supporting protein and nutritional needs
- General antioxidant support
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Usually safe in food amounts, but high-dose supplements may cause side effects and should be used with medical guidance.
When used orally in amounts commonly found in food. There is insufficient reliable information available about the safety of methionine in medical dos...
Read the full pregnancy detailWhen used orally in amounts commonly found in food. There is insufficient reliable information available about the safety of methionine in medical dos...
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
Methionine is an essential amino acid, which means your body cannot make it and must get it from food. It is one of the building blocks of protein and plays a part in many important chemical reactions in the body.
You can find methionine naturally in protein-rich foods such as meat, fish, eggs, dairy, and some plant foods like Brazil nuts, sesame seeds, and soy. Because it is so common in food, most people who eat a balanced diet get plenty of it.
As a supplement, methionine is sold as capsules, tablets, or powder. It is sometimes included in amino acid blends. In hospitals, a related form is used as part of a known treatment for acetaminophen (Tylenol) poisoning.
How it works
Methionine is needed to build proteins, but it also has other jobs. The body uses it to make a compound called S-adenosylmethionine (SAMe), which helps add chemical "tags" (called methyl groups) to DNA, proteins, and other molecules. These reactions are involved in many basic body processes.
Methionine also helps the body make glutathione, an important antioxidant that protects cells and helps the liver clear out harmful substances. This is one reason it is used in acetaminophen poisoning, where glutathione gets used up.
It can also make the urine slightly more acidic, which is why it has been used for certain urinary issues. Many of these effects are understood from lab and animal research, and not every proposed benefit has been proven in people.
Does Methionine work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Possibly Effective Neural tube birth defects
High dietary intake of methionine during pregnancy seems to reduce the risk of neural tube birth defects.
Also studied for 15 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Acetaminophen poisoning
It is unclear if oral methionine is beneficial in patients with acute acetaminophen poisoning.
Insufficient Reliable Evidence To Rate Allergic rhinitis (hay fever)
Although there has been interest in using oral methionine for seasonal allergies, there is insufficient reliable information about the clinical effects of methionine for this purpose.
Insufficient Reliable Evidence To Rate Androgenic alopecia
Oral methionine has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Asthma
Although there has been interest in using oral methionine for asthma, there is insufficient reliable information about the clinical effects of methionine for this purpose.
Insufficient Reliable Evidence To Rate Breast cancer
It is unclear if high dietary intake of methionine reduces the risk of breast cancer.
Insufficient Reliable Evidence To Rate Cisplatin-associated ototoxicity
It is unclear if oral D-methionine prevents cisplatin-associated ototoxicity.
Insufficient Reliable Evidence To Rate Colorectal cancer
It is unclear if high dietary intake of methionine reduces the risk of colorectal cancer.
Insufficient Reliable Evidence To Rate Genital herpes
Oral L-methionine has only been evaluated in combination with other ingredients; its effects when used alone is unclear.
Insufficient Reliable Evidence To Rate Herpes zoster (shingles)
Oral L-methionine has only been evaluated in combination with other ingredients; its effects when used alone is unclear.
Insufficient Reliable Evidence To Rate Human papillomavirus (HPV)
It is unclear if oral methionine is beneficial for the treatment of HPV lesions or for reducing the incidence of relapse.
Insufficient Reliable Evidence To Rate Menopausal symptoms
It is unclear if oral L-methionine is beneficial for reducing hot flashes.
Insufficient Reliable Evidence To Rate Pancreatitis
Oral methionine has only been evaluated in combination with other ingredients; its effects when used alone is unclear.
Insufficient Reliable Evidence To Rate Parkinson disease
Although there has been interest in using oral methionine for Parkinson disease, there is insufficient reliable information about the clinical effects of methionine for this purpose.
Insufficient Reliable Evidence To Rate Urinary tract infections (UTI)
Oral methionine has only been evaluated in combination with other ingredients; its effects when used alone is unclear.
Insufficient Reliable Evidence To Rate Wound healing
Although there has been interest in using oral methionine for wound healing, there is insufficient reliable information about the clinical effects of methionine for this purpose.
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
Getting methionine from food is considered safe and is part of a healthy diet. Taking it as a high-dose supplement is a different matter and may cause problems, so it should only be used with guidance from a healthcare provider.
People with certain inherited disorders that affect how the body handles amino acids (such as homocystinuria) should avoid methionine supplements. Those with liver or kidney disease should also be careful and check with a doctor first.
For pregnancy and breastfeeding, normal amounts found in food are fine, but the safety of supplement-level doses has not been clearly established. To be safe, avoid methionine supplements during pregnancy and breastfeeding unless your doctor specifically recommends them.
Always talk with a pharmacist or doctor before starting methionine, especially if you take other medicines or have a health condition.
Side effects
In food amounts, methionine does not usually cause side effects. With supplements, especially at higher doses, some people may have nausea, vomiting, drowsiness, or irritability.
Very high intakes may raise levels of a substance called homocysteine in the blood, which some researchers link to heart and blood vessel concerns. Because of this, taking large amounts long-term is not recommended without medical supervision.
If you notice any unusual or severe symptoms after taking methionine, stop and contact a healthcare provider.
Methionine: Reported Adverse Effects
Documented safety reports on Methionine from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, methionine is well tolerated when used in amounts commonly found in foods. Intravenously, methionine is generally well tolerated.
Most Common Adverse Effects:
All ROAs: Dizziness, drowsiness, hypotension, irritability, and vomiting. Methionine may also cause headache, increased homocysteine levels, increased urinary calcium excretion, and leukocytosis.
Serious Adverse Effects (Rare):
All ROAs: Cerebral edema, hepatic encephalopathy. In infants, intravenous methionine has been linked to liver toxicity.
Cancer Oncologic
Although one case-control study of incident, histologically-confirmed gastric cancer has indicated that a diet rich in methionine, salt, and nitrite is associated with an increased risk of gastric cancer, a large observational study that adjusted for multiple factors, including sodium intake, has found no association between high dietary intake of methionine and gastric cancer.
- La Vecchia C, Negri E, Franceschi S, Decarli A. Case-control study on influence of methionine, nitrite, and salt on gastric carcinogenesis in northern Italy. Nutr Cancer 1997;27:65-8.
- Khairan P, Sobue T, Eshak ES, et al. Association of B Vitamins and Methionine Intake with the Risk of Gastric Cancer: The Japan Public Health Center-based Prospective Study. Cancer Prev Res (Phila) 2022;15(2):101-110.
Cardiovascular disease (CVD) Cardiovascular
Orally or intravenously, methionine can cause hypotension. High-dose methionine (75-100 mg/kg daily) may increase plasma concentrations of homocysteine, which is a risk factor for vascular disease. However, a study of patients with type 2 diabetes and a history of cardiovascular disease (CVD) showed that methionine loading did not increase homocysteine concentrations, and that a cause-effect relationship between increased intake of methionine and endothelial dysfunction has not been clearly established.
- Cottington EM, LaMantia C, Stabler SP, et al. Adverse event associated with methionine loading test: a case report. Arterioscler Thromb Vasc Biol 2002;22:1046-50..
- Anon. Should methionine be added to paracetamol formulations? Drug Ther Perspect 1997;10:11-3.
- McAuley, D. F., Hanratty, C. G., McGurk, C., Nugent, A. G., and Johnston, G. D. Effect of methionine supplementation on endothelial function, plasma homocysteine, and lipid peroxidation. J.Toxicol.Clin.Toxicol. 1999;37(4):435-440.
- Hanratty, C. G., McGrath, L. T., McAuley, D. F., Young, I. S., and Johnston, G. D. The effects of oral methionine and homocysteine on endothelial function. Heart 2001;85(3):326-330.
- Ward, M., McNulty, H., McPartlin, J., Strain, J. J., Weir, D. G., and Scott, J. M. Effect of supplemental methionine on plasma homocysteine concentrations in healthy men: a preliminary study. Int.J.Vitam.Nutr.Res. 2001;71(1):82-86.
- Smulders, Y. M., Rakic, M., Slaats, E. H., Treskes, M., Sijbrands, E. J., Odekerken, D. A., Stehouwer, C. D., and Silberbusch, J. Fasting and post-methionine homocysteine levels in NIDDM. Determinants and correlations with retinopathy, albuminuria, and c
Cirrhosis Hepatic
A single dose of 8 grams of methionine has reportedly caused hepatic encephalopathy in patients with cirrhosis. Long-term use of methionine-containing parenteral nutrition solution has been linked to liver toxicity in infants.
- Anon. Should methionine be added to paracetamol formulations? Drug Ther Perspect 1997;10:11-3.
- Btaiche IF, Khalidi N. Parenteral nutrition-associated liver complications in children. Pharmacotherapy 2002;22:188-211..
Cluster headache Neurologic/CNS
Orally or intravenously, methionine can cause dizziness, drowsiness, headache, and irritability.
A case of cerebral edema ultimately leading to death has been reported in a patient receiving methionine 100 mg/kg orally. The post-load plasma concentrations of methionine were substantially higher in this patient than those previously reported in humans receiving this usual oral loading dose, leading the authors to postulate that an overdose of methionine may have been administered erroneously. This can occur when plasma methionine levels rise above 3000 mcmol/L. Another case of progressive cerebral edema associated with high methionine levels and betaine (N,N,N-trimethylglycine) therapy in a patient with cystathionine beta-synthase (CBS) deficiency has been reported. The authors stated that the cerebral edema was most likely precipitated by the betaine therapy, but that the exact mechanism is uncertain.
- Cottington EM, LaMantia C, Stabler SP, et al. Adverse event associated with methionine loading test: a case report. Arterioscler Thromb Vasc Biol 2002;22:1046-50..
- Anon. Should methionine be added to paracetamol formulations? Drug Ther Perspect 1997;10:11-3.
- Talukdar R, Murthy HV, Reddy DN. Role of methionine containing antioxidant combination in the management of pain in chronic pancreatitis: a systematic review and meta-analysis. Pancreatology 2015;15(2):136-44.
- Yaghmai, R., Kashani, A. H., Geraghty, M. T., Okoh, J., Pomper, M., Tangerman, A., Wagner, C., Stabler, S. P., Allen, R. H., Mudd, S. H., and Braverman, N. Progressive cerebral edema associated with high methionine levels and betaine therapy in a patient
Nausea and vomiting Gastrointestinal
Orally or intravenously, methionine can cause vomiting.
- Cottington EM, LaMantia C, Stabler SP, et al. Adverse event associated with methionine loading test: a case report. Arterioscler Thromb Vasc Biol 2002;22:1046-50..
- Anon. Should methionine be added to paracetamol formulations? Drug Ther Perspect 1997;10:11-3.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no single standard supplement dose of methionine for general health, and most healthy people do not need extra beyond what they eat. Your body's daily methionine needs are normally met through a balanced diet.
If a product is used, follow the directions on the label and do not take more than recommended. Medical uses, such as for acetaminophen overdose, involve specific protocols managed by healthcare professionals and should never be attempted on your own.
Because needs and safe amounts can vary, check with a pharmacist or doctor before taking methionine supplements.
Methionine & Pregnancy
Methionine & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 12 references that drive our Methionine 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.
- La Vecchia C, Negri E, Franceschi S, Decarli A. Case-control study on influence of methionine, nitrite, and salt on gastric carcinogenesis in northern Italy. Nutr Cancer 1997;27:65-8. PubMed
- Btaiche IF, Khalidi N. Parenteral nutrition-associated liver complications in children. Pharmacotherapy 2002;22:188-211.. PubMed
- Cottington EM, LaMantia C, Stabler SP, et al. Adverse event associated with methionine loading test: a case report. Arterioscler Thromb Vasc Biol 2002;22:1046-50.. PubMed
- Anon. Should methionine be added to paracetamol formulations? Drug Ther Perspect 1997;10:11-3. DOI
- Smulders, Y. M., Rakic, M., Slaats, E. H., Treskes, M., Sijbrands, E. J., Odekerken, D. A., Stehouwer, C. D., and Silberbusch, J. Fasting and post-methionine homocysteine levels in NIDDM. Determinants and correlations with retinopathy, albuminuria, and c
- McAuley, D. F., Hanratty, C. G., McGurk, C., Nugent, A. G., and Johnston, G. D. Effect of methionine supplementation on endothelial function, plasma homocysteine, and lipid peroxidation. J.Toxicol.Clin.Toxicol. 1999;37(4):435-440. PubMed
- Hanratty, C. G., McGrath, L. T., McAuley, D. F., Young, I. S., and Johnston, G. D. The effects of oral methionine and homocysteine on endothelial function. Heart 2001;85(3):326-330. PubMed
- Ward, M., McNulty, H., McPartlin, J., Strain, J. J., Weir, D. G., and Scott, J. M. Effect of supplemental methionine on plasma homocysteine concentrations in healthy men: a preliminary study. Int.J.Vitam.Nutr.Res. 2001;71(1):82-86. PubMed
- Yaghmai, R., Kashani, A. H., Geraghty, M. T., Okoh, J., Pomper, M., Tangerman, A., Wagner, C., Stabler, S. P., Allen, R. H., Mudd, S. H., and Braverman, N. Progressive cerebral edema associated with high methionine levels and betaine therapy in a patient
- Talukdar R, Murthy HV, Reddy DN. Role of methionine containing antioxidant combination in the management of pain in chronic pancreatitis: a systematic review and meta-analysis. Pancreatology 2015;15(2):136-44. PubMed
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC: The National Academies Press, 2005. Available at: https://doi.org/10.17226 DOI
- Khairan P, Sobue T, Eshak ES, et al. Association of B Vitamins and Methionine Intake with the Risk of Gastric Cancer: The Japan Public Health Center-based Prospective Study. Cancer Prev Res (Phila) 2022;15(2):101-110. 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 Methionine
601 brands in our database make a supplement containing Methionine.
Supplement products with Methionine
3,160 products in our database contain Methionine. Open any to see its full ingredient list and every drug interaction we check.
Methionine: Common Questions
What is Methionine used for, and does it work?
Does Methionine interact with prescription medications?
How are Methionine interactions rated?
Is it safe to take Methionine with my medications?
Where does this Methionine interaction information come from?
What is Methionine used for?
Do I need a Methionine supplement?
Is Methionine safe to take?
Can I take Methionine during pregnancy or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Methionine
A rotating sample of real supplements in our database that list Methionine — open any to see its full ingredients and every drug interaction we check.
- All Day You May 10:1:1 BCAA Fruit Punch by Rich Piana 5% Nutrition
- Ultimate Hair & Nail Formula by Bluebonnet
- Mega Men by GNC Mega Men
- More Than A Multiple Multivitamin Formula by American Health
- Amino Thrust Green Apple by Labrada
- Aqueous Chromium by Biotics Research Corporation
- Cell Detox Formula by Beyond Health
- Whey Isolate Vanilla Creme by Prolab
- Ultra Cardio Support Pack by Douglas Laboratories
- Collagen Peptides Natural Unflavored by FREZZOR
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