Herb & supplement monograph

Ornithine Ketoglutarate (okg) Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Ornithine Ketoglutarate (okg)

0 medications have a known interaction with Ornithine Ketoglutarate (okg), graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Ornithine Ketoglutarate (okg). This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

Read The List Like a Pharmacist

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 Ornithine Ketoglutarate (okg) combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Ornithine Ketoglutarate (okg): Uses, Safety & Side Effects

The bottom line

Ornithine ketoglutarate (OKG) is a compound made by combining the amino acids ornithine and alpha-ketoglutarate, and it has mainly been studied in hospital settings for wound healing, burns, and malnutrition. Evidence for everyday use, such as sports performance, is limited and not convincing. Talk to your pharmacist or doctor before using it, especially if you have a health condition.

Part used
Not applicable (a synthesized amino acid salt)
Common forms
Powder, capsules, tablets, and as part of clinical nutrition formulas
People commonly use it for
  • Wound healing and recovery from injury
  • Muscle preservation in older or hospitalized adults
  • Sports and athletic performance
  • Recovery from burns or surgery
  • Support during malnutrition or critical illness

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

Safety at a glance
OverallUse caution

Generally well tolerated in short-term clinical studies, but long-term safety as a daily supplement is not well established.

PregnancyInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; 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.

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Overview

Ornithine ketoglutarate (OKG) is a man-made compound that combines two natural substances: the amino acid ornithine and alpha-ketoglutarate (a molecule involved in how your body makes energy). It is not an herb and does not come from a plant. Instead, it is produced in a lab as a salt and used as a supplement or as part of medical nutrition products.

OKG has been used most often in hospital and clinical settings. Doctors have studied it for helping people recover from burns, surgery, serious injury, and malnutrition. It is also marketed to athletes and bodybuilders, though the evidence for those uses is much weaker.

How it works

OKG is thought to work by supplying building blocks your body uses during recovery and growth. Once broken down, it provides ornithine and alpha-ketoglutarate, which feed into pathways that make other amino acids such as glutamine, arginine, and proline.

Researchers believe OKG may support the release of certain hormones (like insulin and growth hormone), help the body hold onto nitrogen (a sign of building tissue rather than breaking it down), and supply nutrients important for healing wounds and maintaining muscle.

Much of this is based on laboratory studies, animal research, and short-term human studies in sick patients. The exact way it works in healthy people is not fully understood.

Effectiveness

Does Ornithine Ketoglutarate (okg) work?

Evidence overview · 9 uses evaluated
2 Possibly effective 7 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.
Possibly Effective Burns
Rating & evidence shown verbatim from Natural Medicines

Oral or enteral ornithine ketoglutarate administration seems to improve wound healing in patients with burn injuries.

Possibly Effective Wound healing
Rating & evidence shown verbatim from Natural Medicines

Oral or enteral ornithine ketoglutarate administration seems to reduce the time to wound healing and scar formation and the rate of complications in patients undergoing major surgery.

Also studied for 7 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Chemotherapy-induced nausea and vomiting (CINV)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if intravenous ornithine ketoglutarate is beneficial for CINV in patients receiving highly emetogenic chemotherapy.

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

It is unclear if oral ornithine ketoglutarate is beneficial for growth in short-statured, prepubescent children.

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

It is unclear if intravenous ornithine ketoglutarate is beneficial in patients with hepatic encephalopathy.

Insufficient Reliable Evidence To Rate HIV/AIDS
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral ornithine ketoglutarate is beneficial in patients with HIV.

Insufficient Reliable Evidence To Rate Postoperative muscle loss
Rating & evidence shown verbatim from Natural Medicines

It is unclear if supplementing total parenteral nutrition with ornithine ketoglutarate is beneficial for the prevention of muscle loss after surgery.

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

It is unclear if oral ornithine ketoglutarate is beneficial in elderly patients with heel pressure ulcers.

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

It is unclear if oral ornithine ketoglutarate is beneficial in patients with a recent stroke.

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

In short-term studies, OKG has generally been well tolerated, especially when given under medical supervision. However, the long-term safety of taking it as a daily supplement has not been well studied.

People with kidney disease or liver disease should be especially careful, since these organs process amino acids and related compounds. Anyone with a chronic health condition should check with a pharmacist or doctor first.

Because there is not enough safety information, OKG should be avoided during pregnancy and breastfeeding. It is also not recommended for children unless directed by a healthcare provider.

Side effects

OKG is usually well tolerated in studies, but possible side effects include mild digestive upset such as nausea, stomach discomfort, or diarrhea, especially at higher doses.

Serious side effects have not been commonly reported in research, but because long-term use has not been studied closely, the full picture of risks is not known. Stop taking it and seek medical advice if you have an unexpected or severe reaction.

Ornithine Ketoglutarate (okg): Reported Adverse Effects

Documented safety reports on Ornithine Ketoglutarate (okg) from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Orally, ornithine ketoglutarate seems to be well -tolerated.

Most Common Adverse Effects:

Orally: Abdominal pain, bloating, diarrhea, nausea, and vomiting.

Reports by condition
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 official standardized dose of OKG for general use. In clinical studies, doses were chosen by researchers and given to specific patient groups, often under medical care.

If you use a supplement, follow the directions on the product label and do not assume more is better. Because dosing for everyday use is not well established, it is best to check with a pharmacist or doctor before starting, so they can consider your health and any medicines you take.

Pregnancy & Breastfeeding

Ornithine Ketoglutarate (okg) & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Ornithine Ketoglutarate (okg) & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; 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 3 references that drive our Ornithine Ketoglutarate (okg) 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. Karsegard, V. L., Raguso, C. A., Genton, L., Hirschel, B., and Pichard, C. L-ornithine alpha-ketoglutarate in HIV infection: effects on muscle, gastrointestinal, and immune functions. Nutrition 2004;20(6):515-520.
  2. Meaume, S., Kerihuel, J. C., Constans, T., Teot, L., Lerebours, E., Kern, J., and Bourdel, Marchasson, I. Efficacy and safety of ornithine alpha-ketoglutarate in heel pressure ulcers in elderly patients: results of a randomized controlled trial. J.Nutr.H PubMed
  3. Brocker, P., Vellas, B., Albarede, J. L., and Poynard, T. A two-centre, randomized, double-blind trial of ornithine oxoglutarate in 194 elderly, ambulatory, convalescent subjects. Age Ageing 1994;23(4):303-306. 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

Pharmacist Counseling Corner

Ornithine Ketoglutarate (okg): Common Questions

What is Ornithine Ketoglutarate (okg) used for, and does it work?
People use Ornithine Ketoglutarate (okg) for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Ornithine Ketoglutarate (okg) for Burns and Wound healing. For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Ornithine Ketoglutarate (okg) interact with prescription medications?
We do not currently list any known drug interactions for Ornithine Ketoglutarate (okg). This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Ornithine Ketoglutarate (okg) 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 Ornithine Ketoglutarate (okg) 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 Ornithine Ketoglutarate (okg) 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 Ornithine Ketoglutarate (okg) used for?
It is most often used in clinical settings to support recovery from burns, surgery, injury, and malnutrition. It is also marketed for sports performance, but the evidence for that use is weak.
Is OKG the same as taking ornithine?
Not exactly. OKG combines ornithine with alpha-ketoglutarate as a single salt, which is thought to provide both compounds together. It is different from plain ornithine supplements.
Is OKG safe to take every day?
It appears well tolerated in short-term studies, but the safety of long-term daily use as a supplement has not been well studied. Talk to your pharmacist or doctor before regular use.
Can I take OKG to build muscle?
Many products market it for muscle building, but there is little reliable evidence that it improves strength or muscle size in healthy people. Do not rely on it for these goals.

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

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