Spinach Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Spinach interacts with medications. The heart of this page is the interaction list — every drug Spinach is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Spinach 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 Spinach against your medication
Add one medicationSpinach Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Spinach drug interaction appears low for most people. None of the listed interactions are rated major, and the concerns fall into just two medication groups, both supported by limited evidence.
The clearest concern is with warfarin. Spinach is rich in vitamin K, which works against this blood thinner, and human research shows that eating spinach every day for a week can require a warfarin dose change, while having it with a single meal did not push clotting tests out of range. People on warfarin should keep their spinach intake steady from day to day rather than avoid it. There is also a theoretical concern with diabetes medications, since a spinach-rich meal may lower blood sugar after eating, which could add to the effect of these drugs.
Although many medications appear on the list, nearly all of them are individual drugs within these two groups. The diabetes concern is largely theoretical, and even the warfarin effect depends on how much spinach is eaten and how regularly, so occasional servings are unlikely to cause meaningful problems for most people.
Based on HelloPharmacist’s Spinach interaction data and reviewed under our editorial standards.
Drugs that interact with Spinach
88 medications have a known interaction with Spinach, graded by severity. Select any drug for the full evidence-based detail.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Spinach using our pharmacist-reviewed interaction data.
AI summaries are generated from our Spinach interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
AcarboseGlucobay, Prandase, Precose
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Acarbose interaction Acarbose drug page: uses, dosage & side effectsAcetohexamideDymelor
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Acetohexamide interactionAlbiglutideTanzeum
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Albiglutide interactionAlogliptinNesina
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Alogliptin interaction Alogliptin drug page: uses, dosage & side effectsAlogliptin, MetforminKazano
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Alogliptin, Pioglitazone interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionCanagliflozinInvokana
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Canagliflozin interaction Canagliflozin drug page: uses, dosage & side effectsCanagliflozin, MetforminInvokamet
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Canagliflozin, Metformin interactionCanagliflozin, Metformin HydrochlorideInvokamet XR
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Canagliflozin, Metformin Hydrochloride interactionChlorpropamideChlorpropam, Diabinese
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Chlorpropamide interactionDapagliflozinFarxiga
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Dapagliflozin interaction Dapagliflozin drug page: uses, dosage & side effectsDapagliflozin Propanediol, MetforminXigduo XR
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Dapagliflozin Propanediol, Metformin interactionDapagliflozin Propanediol, Saxagliptin HydrochlorideQtern
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Dapagliflozin Propanediol, Saxagliptin Hydrochloride interactionDapagliflozin, Metformin Hydrochloride, Saxagliptin HydrochlorideQternmet XR
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Dapagliflozin, Metformin Hydrochloride, Saxagliptin Hydrochloride interactionDasiglucagon HydrochlorideZegalogue
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Dasiglucagon Hydrochloride interaction Dasiglucagon Hydrochloride drug page: uses, dosage & side effectsDulaglutideTrulicity
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Dulaglutide interaction Dulaglutide drug page: uses, dosage & side effectsEmpagliflozinJardiance
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Empagliflozin interaction Empagliflozin drug page: uses, dosage & side effectsEmpagliflozin, Linagliptin, Metformin HydrochlorideTrijardy XR
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Empagliflozin, Linagliptin, Metformin Hydrochloride interactionEmpagliflozin, MetforminSynjardy
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Empagliflozin, Metformin interactionEmpagliflozin, Metformin HydrochlorideSynjardy XR
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Empagliflozin, Metformin Hydrochloride interactionErtugliflozinSteglatro
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Ertugliflozin interaction Ertugliflozin drug page: uses, dosage & side effectsErtugliflozin, Metformin HydrochlorideSegluromet
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Ertugliflozin, Metformin Hydrochloride interactionExenatideBydureon, Byetta
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Exenatide interaction Exenatide drug page: uses, dosage & side effectsExenatide SyntheticBydureon BCISE
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Exenatide Synthetic interaction Exenatide Synthetic drug page: uses, dosage & side effectsGliclazideDiamicron
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Gliclazide interactionGlimepirideAmaryl
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Glimepiride interaction Glimepiride drug page: uses, dosage & side effectsGlipizideGlucotrol, Glucotrol XL
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Glipizide interaction Glipizide drug page: uses, dosage & side effectsGlipizide, MetforminMetaglip
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Glipizide, Metformin interactionGlucagonBaqsimi, Glucagon
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Glucagon interaction Glucagon drug page: uses, dosage & side effectsGlucoseIV Glucose
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Glucose interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Glyburide interaction Glyburide drug page: uses, dosage & side effectsGlyburide, MetforminGlucovance
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Glyburide, Metformin interactionInhaled InsulinExubera
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Inhaled Insulin interactionInsulinNovoRapid Insulin
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin interactionInsulin (bovine)Hypurin Bovine Neutral
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin (bovine) interactionInsulin (human)Afrezza, Novolin 70/30, Novolin L, Novolin N, Novolin R
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin (human) interaction Insulin (human) drug page: uses, dosage & side effectsInsulin (pork)Hypurin Porcine Neutral, Lente Iletin II, NPH Iletin, NPH Iletin II, Pork Actrapid, Regular Iletin +1 more
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin (pork) interactionInsulin (rdna)Actrapid, Humalog, Humalog Mix 75/25, Humulin 50/50, Humulin 70/30, Humulin L +8 more
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin (rdna) interaction Insulin (rdna) drug page: uses, dosage & side effectsInsulin AspartFiasp
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Aspart interaction Insulin Aspart drug page: uses, dosage & side effectsInsulin Aspart, Insulin DegludecRyzodeg 70/30
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Aspart, Insulin Degludec interactionInsulin DegludecTresiba
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Degludec interaction Insulin Degludec drug page: uses, dosage & side effectsInsulin Degludec, LiraglutideXultophy 100/3.6
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Degludec, Liraglutide interactionInsulin GlargineBasaglar, Lusduna, Semglee
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Glargine interaction Insulin Glargine drug page: uses, dosage & side effectsInsulin Glargine (rdna)Lantus
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Glargine (rdna) interaction Insulin Glargine (rdna) drug page: uses, dosage & side effectsInsulin Glargine RecombinantToujeo Solostar
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Glargine Recombinant interactionInsulin Glargine, LixisenatideSoliqua 100/33
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Glargine, Lixisenatide interactionInsulin Glulisine (rdna)Apidra
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Glulisine (rdna) interaction Insulin Glulisine (rdna) drug page: uses, dosage & side effectsInsulin Human, Sodium ChlorideMyxredlin
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Human, Sodium Chloride interaction Insulin Human, Sodium Chloride drug page: uses, dosage & side effectsInsulin LisproAdmelog, Admelog Solostar
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Lispro interaction Insulin Lispro drug page: uses, dosage & side effectsInsulin Lispro RecombinantHumalog Kwikpen
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Lispro Recombinant interactionInsulin Lispro-aabcLyumjev
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Lispro-aabc interactionInsulin DetermirLevemir
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Insulin Determir interaction Insulin Determir drug page: uses, dosage & side effectsLinagliptinTradjenta
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Linagliptin interaction Linagliptin drug page: uses, dosage & side effectsLinagliptin, Metformin HydrochlorideJentadueto XR
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Linagliptin, Metformin Hydrochloride interactionLiraglutideVictoza
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Liraglutide interaction Liraglutide drug page: uses, dosage & side effectsLiraglutide RecombinantSaxenda
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Liraglutide Recombinant interaction Liraglutide Recombinant drug page: uses, dosage & side effectsLixisenatideAdlyxin
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Lixisenatide interaction Lixisenatide drug page: uses, dosage & side effectsMetforminGlucophage, Metformin
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Metformin interaction Metformin drug page: uses, dosage & side effectsMetformin HydrochlorideRiomet ER
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Metformin Hydrochloride interactionMetformin XrGlucophage XR
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Metformin Xr interactionMetformin, LinagliptinJentadueto
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Metformin, Linagliptin interactionMetformin, RosiglitazoneAvandamet
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Metformin, Rosiglitazone interactionMetformin, SitagliptinJanumet, Janumet XR
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Metformin, Sitagliptin interactionMiglitolGlyset
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Miglitol interaction Miglitol drug page: uses, dosage & side effectsMuraglitazarPargluva
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Muraglitazar interactionNateglinideStarlix
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Nateglinide interaction Nateglinide drug page: uses, dosage & side effectsPioglitazoneActos
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Pioglitazone interaction Pioglitazone drug page: uses, dosage & side effectsPramlintideSymlin
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Pramlintide interaction Pramlintide drug page: uses, dosage & side effectsRepaglinideGlucoNorm, Prandin
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Repaglinide interaction Repaglinide drug page: uses, dosage & side effectsRosiglitazone MaleateAvandia
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Rosiglitazone Maleate interaction Rosiglitazone Maleate drug page: uses, dosage & side effectsSaxagliptinOnglyza
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Saxagliptin interaction Saxagliptin drug page: uses, dosage & side effectsSaxagliptin, Metformin XrKombiglyze
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Saxagliptin, Metformin Xr interactionSemaglutideOzempic, Rybelsus, Wegovy
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Semaglutide interaction Semaglutide drug page: uses, dosage & side effectsSimvastatin, SitagliptinJuvisync
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Simvastatin, Sitagliptin interactionSitagliptinJanuvia, Zituvio
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Sitagliptin interaction Sitagliptin drug page: uses, dosage & side effectsSitagliptin, MetforminZituvimet
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Sitagliptin, Metformin interactionSotagliflozinInpefa
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Sotagliflozin interactionTirzepatideMounjaro, Zepbound
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Tirzepatide interaction Tirzepatide drug page: uses, dosage & side effectsTobutamideMobenol
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Tobutamide interactionTolazamideTolinase
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Tolazamide interaction Tolazamide drug page: uses, dosage & side effectsTolbutamideOrinase
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Tolbutamide interaction Tolbutamide drug page: uses, dosage & side effectsTroglitazoneRezulin
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Troglitazone interactionVildagliptinGalvus
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Vildagliptin interactionWarfarinWarfarin
Spinach contains vitamin K, which can interfere with the activity of warfarin.
Read the full Spinach + Warfarin interaction Warfarin drug page: uses, dosage & side effectsWarfarin SodiumCoumadin, Panwarfin, Sofarin
Spinach contains vitamin K, which can interfere with the activity of warfarin.
Read the full Spinach + Warfarin Sodium interaction Warfarin Sodium drug page: uses, dosage & side effectsPioglitazone, MetforminActoPlus Met
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Pioglitazone, Metformin interactionRosiglitazone, GlimepirideAvandaryl
There are claims that spinach leaves have hypoglycemic effects.
Read the full Spinach + Rosiglitazone, Glimepiride interactionWhat 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 Spinach combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Spinach affects
Every type of medication (drug category) Spinach is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Antidiabetes Drugs
There are claims that spinach leaves have hypoglycemic effects. Evidence from clinical research suggests that consumption of a spinach-rich meal reduces post-meal blood glucose levels. Theoretically, spinach might have additive effects with antidiabetes drugs and increase the risk of hypoglycemia. Monitor blood glucose levels closely. Dose adjustments might be necessary. Some antidiabetes drugs include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), and others.
Warfarin (Coumadin)
Spinach contains vitamin K, which can interfere with the activity of warfarin.
In human research, although eating spinach with one meal does not result in coagulation test results outside the therapeutic range, daily consumption for one week necessitates dose adjustment of warfarin. Individuals using anticoagulants should consume a consistent daily amount of spinach to maintain the effect of anticoagulant therapy.
Spinach: Uses, Safety & Side Effects
Spinach is a nutrient-dense leafy green that is a healthy part of a balanced diet, providing vitamins, minerals, fiber, and antioxidants. While it is very safe as a food, concentrated supplements and extracts are far less studied, and most specific health claims are not strongly proven. People prone to kidney stones or taking blood thinners should be mindful of its oxalate and vitamin K content.
- Scientific name
- Spinacia oleracea
- Family
- Amaranthaceae
- Part used
- Leaves
- Common forms
- Fresh or cooked leaves, powders, juice, capsules, and extracts
- General nutrition and antioxidant support
- Eye health
- Heart health and blood pressure
- Athletic performance
- Constipation and digestive support
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Spinach is safe and nutritious as a food for most people.
When used in amounts commonly found in foods; avoid medicinal amounts.
Read the full pregnancy detailWhen used in amounts commonly found in foods; avoid medicinal amounts.
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
Spinach (Spinacia oleracea) is a leafy green vegetable that has been eaten for hundreds of years. It is thought to have originated in ancient Persia and is now grown all over the world. It can be eaten raw in salads or cooked in many dishes.
Spinach is best known as a food, but it is also sold as a supplement in the form of powders, juices, capsules, and concentrated extracts. People use it because it is rich in vitamins, minerals, fiber, and plant antioxidants.
How it works
Spinach contains many nutrients that may explain its possible benefits. These include vitamins A, C, K, and folate, plus minerals like iron, magnesium, and potassium. It also provides fiber.
Spinach is rich in antioxidants such as lutein, zeaxanthin, and various plant pigments that may help protect cells from damage. It also contains dietary nitrates, which the body can convert into compounds that relax blood vessels and may affect blood flow.
It is important to know that many of these mechanisms come from laboratory studies, animal research, or studies of overall diet. They do not prove that spinach supplements will produce specific health effects in people.
Does Spinach work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Spinach, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 5 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Cognitive function
It is unclear if consuming spinach is beneficial for cognitive function.
Insufficient Reliable Evidence To Rate Muscle strength
It is unclear if oral spinach is beneficial for muscle strength.
Insufficient Reliable Evidence To Rate Nonalcoholic fatty liver disease (NAFLD)
It is unclear if oral spinach can reduce the risk of developing NAFLD.
Insufficient Reliable Evidence To Rate Obesity
It is unclear if consuming spinach is beneficial for weight loss.
Insufficient Reliable Evidence To Rate Polycystic ovary syndrome (PCOS)
It is unclear if oral spinach-derived thylakoids are beneficial for PCOS.
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
As a food, spinach is very safe for most people. Concentrated supplements and extracts are less studied, so use them with more caution and follow product labels.
A few groups should be careful:
- People prone to kidney stones: Spinach is high in oxalates, which can contribute to certain types of kidney stones. If you have a history of stones, talk to your doctor about how much spinach is right for you.
- People on blood thinners: Spinach is high in vitamin K, which affects blood clotting. Large or sudden changes in spinach intake can be a concern—discuss this with your pharmacist or doctor (specific drug interactions are covered elsewhere).
- People with thyroid concerns: Spinach contains compounds called goitrogens, which in very large amounts could affect the thyroid, though this is unlikely with normal food amounts.
Pregnancy and breastfeeding: Eating spinach as a normal food is considered safe and even helpful because of its folate content. However, concentrated spinach supplements have not been well studied in pregnancy or breastfeeding, so it is best to stick to food amounts and check with your doctor before using supplements.
Side effects
Spinach is generally well tolerated as a food. Some people may notice gas or bloating from its fiber content, especially when eating large amounts.
Because of its high oxalate content, frequent large servings could increase the risk of kidney stones in people who are prone to them. Rarely, some people may have an allergy to spinach. As with any leafy green, washing it well helps reduce the risk of foodborne illness.
Spinach: Reported Adverse Effects
Documented safety reports on Spinach from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, spinach is well tolerated when consumed as a food.
Serious Adverse Effects (Rare):
Orally: In infants under 4 months of age, methemoglobinemia has been reported.
All routes of administration: Allergies in sensitive individuals.
Asthma Pulmonary/Respiratory
Lung inflammation associated with allergic alveolitis has been reported after inhalation of spinach powder. The powder has also been reported to induce occupational asthma in a spinach factory worker.
- Schreiber, J., Muller, E., Becker, W. M., Zabel, P., Schlaak, M., and Amthor, M. [Spinach powder-induced exogenous allergic alveolitis]. Pneumologie 1998;52(1):61-65.
- Schuller, A., Morisset, M., Maadi, F., Kolopp Sarda, M. N., Fremont, S., Parisot, L., Kanny, G., and Moneret-Vautrin, D. A. Occupational asthma due to allergy to spinach powder in a pasta factory. Allergy 2005;60(3):408-409.
Dermatitis Dermatologic
Topically, contact dermatitis has been reported from spinach in a 54-year-old female farmer.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no official standardized dose for spinach. As a food, it can be enjoyed in normal serving sizes as part of a balanced diet.
For supplements such as powders, capsules, or extracts, a proven dose has not been established. If you choose to use a spinach supplement, follow the directions on the product label and talk to a pharmacist or doctor first. More is not always better, especially given spinach's oxalate and vitamin K content.
Spinach & Pregnancy
Spinach & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 6 references that drive our Spinach 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.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Karlson, B., Leijd, B., and Hellstrom, K. On the influence of vitamin K-rich vegetables and wine on the effectiveness of warfarin treatment. Acta Med Scand. 1986;220(4):347-350. PubMed
- Roller, E., Meller, S., Homey, B., Ruzicka, T., and Neumann, N. J. [Contact dermatitis caused by spinach, hedge mustard and chives]. Hautarzt 2003;54(4):374-375.
- Schuller, A., Morisset, M., Maadi, F., Kolopp Sarda, M. N., Fremont, S., Parisot, L., Kanny, G., and Moneret-Vautrin, D. A. Occupational asthma due to allergy to spinach powder in a pasta factory. Allergy 2005;60(3):408-409. PubMed
- Gustafsson, K., Asp, N. G., Hagander, B., and Nyman, M. Satiety effects of spinach in mixed meals: comparison with other vegetables. Int.J.Food Sci.Nutr. 1995;46(4):327-334. PubMed
- Schreiber, J., Muller, E., Becker, W. M., Zabel, P., Schlaak, M., and Amthor, M. [Spinach powder-induced exogenous allergic alveolitis]. Pneumologie 1998;52(1):61-65.
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 Spinach
622 brands in our database make a supplement containing Spinach.
Supplement products with Spinach
4,291 products in our database contain Spinach. Open any to see its full ingredient list and every drug interaction we check.
Spinach: Common Questions
What is Spinach used for, and does it work?
Does Spinach interact with prescription medications?
How are Spinach interactions rated?
Is it safe to take Spinach with my medications?
Where does this Spinach interaction information come from?
Is Spinach good for you?
Is it better to eat Spinach raw or cooked?
Can Spinach cause kidney stones?
Are Spinach supplements as good as eating Spinach?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Spinach
A rotating sample of real supplements in our database that list Spinach — open any to see its full ingredients and every drug interaction we check.
- Greens Blend Superfood Chocolate by Amazing Grass
- MULTI by Core Nutritionals
- Raw Calcium by Garden of Life Vitamin Code
- Ashwagandha Gummies 1500 mg Strawberry Flavor by Fantastic Nutrition
- Perfect Food Original Super Green Formula by Garden of Life
- Organic Protein French Vanilla by Purely Inspired
- Organic Whole Food Men's Multi by Amazon Elements
- Perfect Food Raw by Garden of Life
- Perfect Multi Super Greens by Purity Products
- Lean Body For Her Food Based Multi-Vitamin by Labrada Nutrition
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