Herb & supplement monograph

Rutin Drug Interactions, Uses, Effectiveness, Safety & More

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Rutin Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Rutin drug interaction appears low for most people. None of the listed interactions are rated major, and the concerns identified so far come from animal research rather than well-documented human studies.

Interactions deserving the most attention

The interactions that deserve the most attention involve diabetes medications. Animal research suggests rutin may lower blood sugar on its own, so combining it with these drugs could, in theory, add to their effect and increase the chance of low blood sugar. This has not been confirmed in people, but blood sugar is a closely watched measure, so anyone using insulin or oral diabetes drugs should be aware of the possibility. Beyond this, no interaction in rutin's profile stands out as well established.

What the rest of the list means

Although rutin's interaction list covers dozens of medications, that number largely reflects one theoretical concern applied across many individual drugs. The evidence behind it comes from animal studies, not from documented problems in people taking these combinations. In other words, a long list here signals caution worth knowing about, not proven harm.

Check your medications against Rutin

Based on HelloPharmacist’s Rutin interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Rutin

86 medications have a known interaction with Rutin, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AcarboseGlucobay, Prandase, Precose› AcetohexamideDymelor› AlbiglutideTanzeum› AlogliptinNesina› Alogliptin, MetforminKazano› Alogliptin, PioglitazoneOseni› Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi› CanagliflozinInvokana› Canagliflozin, MetforminInvokamet› Canagliflozin, Metformin HydrochlorideInvokamet XR› ChlorpropamideChlorpropam, Diabinese› DapagliflozinFarxiga› Dapagliflozin Propanediol, MetforminXigduo XR› Dapagliflozin Propanediol, Saxagliptin HydrochlorideQtern› Dapagliflozin, Metformin Hydrochloride, Saxagliptin HydrochlorideQternmet XR› Dasiglucagon HydrochlorideZegalogue› DulaglutideTrulicity› EmpagliflozinJardiance› Empagliflozin, Linagliptin, Metformin HydrochlorideTrijardy XR› Empagliflozin, MetforminSynjardy› Empagliflozin, Metformin HydrochlorideSynjardy XR› ErtugliflozinSteglatro› Ertugliflozin, Metformin HydrochlorideSegluromet› ExenatideBydureon, Byetta› Exenatide SyntheticBydureon BCISE› GliclazideDiamicron› GlimepirideAmaryl› GlipizideGlucotrol, Glucotrol XL› Glipizide, MetforminMetaglip› GlucagonBaqsimi, Glucagon›
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 Rutin combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Rutin affects

Every type of medication (drug category) Rutin is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Rutin interacts with
Antidiabetes Drugs
Antidiabetes Drugs

Theoretically, taking rutin with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research suggests that rutin has hypoglycemic effects.

Likelihood Possible Evidence D
Monograph

Rutin: Uses, Safety & Side Effects

The bottom line

Rutin is a plant flavonoid (often taken from buckwheat or citrus) that people use mainly for blood vessel and circulation problems like varicose veins and hemorrhoids. The evidence is limited and mostly preliminary, so it should not replace proven treatments. It is generally well tolerated, but talk to your pharmacist or doctor before starting it, especially if you are pregnant or breastfeeding.

Part used
A flavonoid found in many plants, such as buckwheat, citrus fruits, apples, and tea
Common forms
Tablets, capsules, powders, and combination supplements (sometimes with vitamin C or other bioflavonoids)
People commonly use it for
  • Varicose veins and chronic venous insufficiency
  • Hemorrhoids
  • Easy bruising and fragile capillaries
  • Swelling (edema) in the legs
  • General antioxidant support

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 food and short-term supplement use, but high-quality long-term safety data are limited.

PregnancyLikely Safe

When used orally in amounts commonly found in foods. There is insufficient reliable information available about the use of supplemental rutin; avoid a...

Read the full pregnancy detail
BreastfeedingLikely Safe

When used orally in amounts commonly found in foods. There is insufficient reliable information available about the use of supplemental rutin; avoid a...

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

Rutin is a natural plant compound called a flavonoid. Flavonoids are colorful plant chemicals that act as antioxidants. Rutin is found in many everyday foods, including buckwheat, apples, citrus fruits, figs, asparagus, and black tea.

As a supplement, rutin is usually sold in tablets, capsules, or powders. It is sometimes combined with vitamin C or other plant compounds called bioflavonoids. People have used rutin for a long time, mostly for problems related to blood vessels and circulation, such as varicose veins, swelling in the legs, and hemorrhoids.

How it works

Rutin is an antioxidant, meaning it may help protect cells from a type of damage caused by unstable molecules called free radicals. Researchers believe it may also help strengthen the walls of small blood vessels (capillaries) and reduce how easily they leak fluid, which is why it is studied for swelling and vein problems.

In the body, rutin is broken down into a related compound called quercetin, which may also have antioxidant and anti-inflammatory effects. It is important to know that most of this information comes from laboratory and animal studies. How well these effects apply to people taking rutin supplements is still not clear.

Effectiveness

Does Rutin work?

Evidence overview · 16 uses evaluated
16 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.

For Rutin, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 16 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Aging skin
Rating & evidence shown verbatim from Natural Medicines

It is unclear if topical rutin is beneficial for aging skin.

Insufficient Reliable Evidence To Rate Autism spectrum disorder
Rating & evidence shown verbatim from Natural Medicines

Oral rutin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

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

It is unclear if oral rutin is beneficial for diabetes.

Insufficient Reliable Evidence To Rate Exercise-induced respiratory infections
Rating & evidence shown verbatim from Natural Medicines

Oral rutin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

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

Although there is interest in using oral rutin for hemorrhoids, there is insufficient reliable information about the clinical effects of rutin for this condition.

Insufficient Reliable Evidence To Rate Inflammatory bowel disease (IBD)
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral rutin for IBD, there is insufficient reliable information about the clinical effects of rutin for these conditions.

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

Oral rutin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Multiple sclerosis (MS)
Rating & evidence shown verbatim from Natural Medicines

Oral rutin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

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

It is unclear if oral rutin is beneficial for obesity.

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

Although there is interest in using oral rutin for oral mucositis, there is insufficient reliable information about the clinical effects of rutin for this condition.

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

Oral rutin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

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

Oral rutin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

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

Oral rutin has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

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

Although there is interest in using oral rutin for stroke prevention, there is insufficient reliable information about the clinical effects of rutin for this purpose.

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

Although there is interest in using topical rutin for sunburn prevention, there is insufficient reliable information about the clinical effects of rutin for this purpose.

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

Although there is interest in using oral rutin for varicose veins, there is insufficient reliable information about the clinical effects of rutin for this condition.

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

Rutin is found naturally in many foods and is generally considered well tolerated when taken in supplement form for short periods. However, high-quality, long-term safety studies are limited, so we do not fully know the effects of taking large amounts over time.

Pregnancy: There is not enough reliable safety information for supplement doses during pregnancy. To be safe, avoid rutin supplements while pregnant unless your doctor specifically recommends them.

Breastfeeding: Safety during breastfeeding is unknown. It is best to avoid rutin supplements while nursing.

People with bleeding disorders, those scheduled for surgery, and anyone with a chronic health condition should check with a pharmacist or doctor before using rutin. Always tell your healthcare team about any supplements you take.

Side effects

When taken in typical amounts, rutin is usually well tolerated. Some people may notice mild side effects such as headache, upset stomach, gas, or a rash.

Serious side effects appear to be uncommon, but allergic reactions are possible with any supplement. Stop taking rutin and seek medical care if you have signs of an allergic reaction, such as swelling, trouble breathing, or a widespread rash.

Rutin: Reported Adverse Effects

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

Reports by condition
Cluster headache Neurologic/CNS

Orally, rutin may cause headache in some people.

  1. Mehta DK (Ex Ed). British National Formulary, Number 37. British Medical Association and Royal Pharmaceutical Society of Great Britain: London, England, March 1999.
Niacin-induced flushing Dermatologic

Orally, rutin may cause flushing and rashes in some people.

  1. Mehta DK (Ex Ed). British National Formulary, Number 37. British Medical Association and Royal Pharmaceutical Society of Great Britain: London, England, March 1999.
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 rutin. Different products contain different amounts, and rutin is often combined with other ingredients.

Because a proven safe and effective dose has not been clearly established, the best approach is to follow the directions on the product label and not take more than recommended. Talk to your pharmacist or doctor before starting rutin so they can help you decide whether it is appropriate for you and what amount makes sense.

Pregnancy & Breastfeeding

Rutin & Pregnancy

Likely Safe

When used orally in amounts commonly found in foods. There is insufficient reliable information available about the use of supplemental rutin; avoid amounts greater than those found in foods.

Rutin & Breastfeeding

Likely Safe

When used orally in amounts commonly found in foods. There is insufficient reliable information available about the use of supplemental rutin; avoid amounts greater than those found in foods.

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 2 references that drive our Rutin 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. Mehta DK (Ex Ed). British National Formulary, Number 37. British Medical Association and Royal Pharmaceutical Society of Great Britain: London, England, March 1999.
  2. Sun C, Wang L, Sun J, Wang Z, Tang Z. Hypoglycemic and hypolipidemic effects of rutin on hyperglycemic rats. J Tradit Chin Med. 2020;40(4):640-645.
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

Product directory

Supplement products with Rutin

3,883 products in our database contain Rutin. Open any to see its full ingredient list and every drug interaction we check.

1 After Packet by New Earth Edge Capsule 60 Packet(s) View ingredients & interactions 1 Vitamin + Mineral by Pioneer Tablet Or Pill 120 Vegetarian Tablet(s) View ingredients & interactions 3 en 1 by Bellodec-tta Tablet Or Pill 60 Tablet(s) View ingredients & interactions 30 Day Beauty Regimen by Bronson Tablet Or Pill 30 Packet(s) View ingredients & interactions 4Life Transfer Factor Plus RiteStart Men by 4Life Unknown 30 Packet(s) View ingredients & interactions 50+ Men Multivitamin + Supporting Herbs Iron Free by Super Nutrition SimplyOne Tablet Or Pill 30 Tablet(s) View ingredients & interactions 50+ Men Multivitamin + Supporting Herbs Iron Free by Super Nutrition SimplyOne Tablet Or Pill 90 Tablet(s) View ingredients & interactions 50+ Women Multivitamin + Supporting Herbs by Super Nutrition SimplyOne Tablet Or Pill 90 Tablet(s) View ingredients & interactions A.I. Enzymes by Pure Encapsulations Capsule 120 Capsule(s) View ingredients & interactions A.J.'s Ultra Multi without Iron by Altrum Nutrition Tablet Or Pill 180 Tablet(s) View ingredients & interactions Accell Therapeutic by Systemic Formulas Powder 920 Gram(s) View ingredients & interactions AccuVision by Advanced Nutrition by Zahler Capsule 120 Capsule(s) View ingredients & interactions AccuVision by Advanced Nutrition by Zahler Capsule 120 Capsule(s) View ingredients & interactions Acerola C-500 500 mg Berry Flavor by Radiance Other (e.g. Tea Bag) 60 Chewable Wafer(s) View ingredients & interactions Acerola C-500 Natural Berry Flavor by Nutrition Warehouse Other (e.g. Tea Bag) 60 Chewable Wafer(s) View ingredients & interactions Acerola Cherry Chewable C 500 mg Fruit Flavor by Source Naturals Tablet Or Pill 100 Tablet(s) View ingredients & interactions Acerola-Raspberry Chewable Vitamin C 300 mg by Newflower Farmers Markets Tablet Or Pill 90 Tablet(s) View ingredients & interactions Acerola/Flavonoid by Pure Encapsulations Capsule 120 Capsule(s) View ingredients & interactions Acerola/Flavonoid by Pure Encapsulations Capsule 120 Capsule(s) View ingredients & interactions ACF Advanced Immune Response by Buried Treasure Liquid Nutrients Liquid 16 fl. Oz. · 473 mL View ingredients & interactions ACF Extra Strength by Buried Treasure Liquid Nutrients Liquid 16 fl. Oz. · 473 mL View ingredients & interactions Activator by Nutri-Spec Tablet Or Pill 240 Tablet(s) View ingredients & interactions Active 55 by Buried Treasure Liquid Nutrients Liquid 32 fl. Oz. · 946 mL View ingredients & interactions Active Seniors Unflavored by All One Powder 16.2 oz. · 460 Gram(s) View ingredients & interactions
Pharmacist Counseling Corner

Rutin: Common Questions

What is Rutin used for, and does it work?
People use Rutin for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Rutin interact with prescription medications?
Yes. We list 86 medications with a known interaction with Rutin. Use the checker above to see how Rutin interacts with a specific drug.
How are Rutin 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 Rutin 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 Rutin 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 Rutin used for?
People most commonly take Rutin for blood vessel and circulation concerns, such as varicose veins, hemorrhoids, leg swelling, and easy bruising. The evidence for these uses is limited, so it is not a proven treatment.
Is Rutin found in food?
Yes. Rutin is a natural flavonoid found in foods like buckwheat, apples, citrus fruits, figs, and black tea, so most people get some through their diet.
Is Rutin safe to take?
It is generally well tolerated for short-term use, but long-term safety data are limited. Check with your pharmacist or doctor first, especially if you have a health condition or take other medicines.
Can I take Rutin during pregnancy or while breastfeeding?
There is not enough safety information for supplement doses, so it is best to avoid Rutin supplements during pregnancy and breastfeeding unless your doctor advises otherwise.

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

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