Ornithine Ketoglutarate (okg) Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Ornithine Ketoglutarate (okg) interacts with medications. The heart of this page is the interaction list — every drug Ornithine Ketoglutarate (okg) is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Ornithine Ketoglutarate (okg) 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 Ornithine Ketoglutarate (okg) against your medication
Add one medicationDrugs 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.
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.
Ornithine Ketoglutarate (okg): Uses, Safety & Side Effects
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
- 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.
Generally well tolerated in short-term clinical studies, but long-term safety as a daily supplement is not well established.
Insufficient reliable information available; avoid using.
Read the full pregnancy detailInsufficient reliable information available; 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
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.
Does Ornithine Ketoglutarate (okg) work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Possibly Effective Burns
Oral or enteral ornithine ketoglutarate administration seems to improve wound healing in patients with burn injuries.
Possibly Effective Wound healing
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)
It is unclear if intravenous ornithine ketoglutarate is beneficial for CINV in patients receiving highly emetogenic chemotherapy.
Insufficient Reliable Evidence To Rate Child growth
It is unclear if oral ornithine ketoglutarate is beneficial for growth in short-statured, prepubescent children.
Insufficient Reliable Evidence To Rate Hepatic encephalopathy
It is unclear if intravenous ornithine ketoglutarate is beneficial in patients with hepatic encephalopathy.
Insufficient Reliable Evidence To Rate HIV/AIDS
It is unclear if oral ornithine ketoglutarate is beneficial in patients with HIV.
Insufficient Reliable Evidence To Rate Postoperative muscle loss
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
It is unclear if oral ornithine ketoglutarate is beneficial in elderly patients with heel pressure ulcers.
Insufficient Reliable Evidence To Rate Stroke
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.
Diarrhea Gastrointestinal
Orally, the most common adverse effects are gastrointestinal in nature, including abdominal pain, bloating, diarrhea, nausea, and vomiting.
- 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.
- 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
- 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.
Pruritus Dermatologic
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.
Ornithine Ketoglutarate (okg) & Pregnancy
Ornithine Ketoglutarate (okg) & Breastfeeding
© 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.
- 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.
- 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
- 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
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
Ornithine Ketoglutarate (okg): Common Questions
What is Ornithine Ketoglutarate (okg) used for, and does it work?
Does Ornithine Ketoglutarate (okg) interact with prescription medications?
How are Ornithine Ketoglutarate (okg) interactions rated?
Is it safe to take Ornithine Ketoglutarate (okg) with my medications?
Where does this Ornithine Ketoglutarate (okg) interaction information come from?
What is Ornithine Ketoglutarate (okg) used for?
Is OKG the same as taking ornithine?
Is OKG safe to take every day?
Can I take OKG to build muscle?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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