Herb & supplement monograph

Superoxide Dismutase (sod) Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Superoxide Dismutase (sod)

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

We don’t currently list any known drug interactions for Superoxide Dismutase (sod). 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 Superoxide Dismutase (sod) combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Superoxide Dismutase (sod): Uses, Safety & Side Effects

The bottom line

Superoxide dismutase (SOD) is a natural antioxidant enzyme your body makes to help neutralize harmful free radicals. While it has clear biological importance, oral supplements may be broken down during digestion, and strong human evidence that taking SOD supplements improves health is limited. Talk to your pharmacist or doctor before using it, especially if you are pregnant or have a health condition.

Part used
Enzyme sourced from plants (such as cantaloupe melon), bovine liver, or made by microbes; also produced naturally in the body
Common forms
Capsules, tablets, topical creams, injectable forms (used in some research settings)
People commonly use it for
  • Antioxidant support
  • Anti-aging and skin health
  • Joint pain and arthritis
  • Exercise recovery and oxidative stress
  • General inflammation

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

Safety at a glance
OverallUse caution

Generally considered low-risk in short-term use, but long-term safety and effectiveness of supplements are 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

Superoxide dismutase (SOD) is an enzyme that your body naturally produces. It is one of the body's main antioxidant defenses, helping to control harmful molecules called free radicals. SOD is found in nearly every cell of the body and also exists in many plants, animals, and microbes.

As a supplement, SOD is usually made from plant sources (such as a special variety of cantaloupe melon), from animal sources like bovine liver, or produced by microorganisms. It comes in capsules, tablets, and topical skin creams. Some research has used injectable forms, but these are not common over-the-counter products.

People take SOD hoping to fight oxidative stress, support healthy skin and aging, ease joint discomfort, and aid recovery from exercise. These are popular and traditional reasons for use and do not mean the supplement is proven to work for these purposes.

How it works

Free radicals are unstable molecules that can damage cells over time. One especially reactive type is the superoxide radical. SOD's job is to convert superoxide into less harmful substances, which are then broken down further by other enzymes like catalase and glutathione peroxidase.

This makes SOD a key part of the body's built-in antioxidant system. The idea behind supplements is to boost this protective activity.

One challenge is that SOD is a protein. When taken by mouth, stomach acid and digestive enzymes may break it down before it can be absorbed, which is why some products use special coatings designed to protect the enzyme. Whether this leads to meaningful effects in the body is still being studied. Much of the supporting science is based on laboratory and animal research.

Effectiveness

Does Superoxide Dismutase (sod) work?

Evidence overview · 18 uses evaluated
2 Possibly effective 1 Leans ineffective 15 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 Osteoarthritis
Rating & evidence shown verbatim from Natural Medicines

Intra-articular injection of superoxide dismutase may reduce pain in patients with osteoarthritis of the knee. It is unclear if oral superoxide dismutase is beneficial in these patients.

Possibly Effective Rheumatoid arthritis (RA)
Rating & evidence shown verbatim from Natural Medicines

Intra-articular injection of superoxide dismutase may reduce knee stiffness, flexion, and pain in patients with RA affecting the knees. It is unclear if oral superoxide dismutase is beneficial in these patients.

Likely Ineffective Myocardial infarction (MI)
Rating & evidence shown verbatim from Natural Medicines

Intravenous superoxide dismutase may not confer additional benefits in patients with acute MI undergoing thrombolysis or coronary angioplasty.

Also studied for 15 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Acute respiratory distress syndrome (ARDS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if subcutaneous superoxide dismutase can prevent bronchopulmonary dysplasia in neonates with ARDS.

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

Although there has been interest in using oral superoxide dismutase to prevent the signs and symptoms of aging, there is insufficient reliable information about the clinical effects of superoxide dismutase for this purpose.

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

Although there has been interest in using oral superoxide dismutase to prevent and treat aging skin, there is insufficient reliable information about the clinical effects of superoxide dismutase for this purpose.

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

Although there has been interest in using topical superoxide dismutase for burns, there is insufficient reliable information about the clinical effects of superoxide dismutase for this purpose.

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

It is unclear if ophthalmic superoxide dismutase is beneficial in patients with noninfectious corneal ulceration.

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

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

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

It is unclear if injecting superoxide dismutase into the bladder wall is beneficial in patients with interstitial cystitis.

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

Oral superoxide dismutase has only been evaluated in combination with other ingredients; its effect when used alone is unclear for male infertility.

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

Oral superoxide dismutase 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

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

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

It is unclear if intravenous superoxide dismutase is beneficial in patients with pneumonia.

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

It is unclear if topical superoxide dismutase is beneficial in patients with radiation fibrosis.

Insufficient Reliable Evidence To Rate Radiation-induced cystitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if injecting superoxide dismutase into the bladder wall is beneficial in patients with radiation-induced cystitis.

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

It is unclear if oral superoxide dismutase is beneficial in patients with stress.

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

It is unclear if oral superoxide dismutase is beneficial in patients with vitiligo.

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

SOD is a natural part of the body, and short-term use of supplements appears to be low-risk for most healthy adults. However, the long-term safety of supplements has not been well studied.

People with allergies should check product labels carefully. Some coated SOD products contain wheat-derived gliadin, which may be a concern for those with celiac disease or wheat allergy. Animal-sourced products (like bovine forms) may also raise concerns for some people.

Pregnancy and breastfeeding: There is not enough reliable safety information for these situations, so it is best to avoid SOD supplements during pregnancy and while breastfeeding unless your doctor advises otherwise.

If you have a chronic health condition or take prescription medicines, talk with your pharmacist or doctor before starting SOD.

Side effects

SOD supplements are not widely reported to cause serious side effects, but they have not been studied enough to fully understand their safety profile.

Possible mild effects could include digestive upset, such as stomach discomfort. Allergic reactions are possible, especially with products that contain wheat-derived or animal-derived ingredients.

If you notice signs of an allergic reaction—such as rash, itching, swelling, or trouble breathing—stop using the product and seek medical care right away.

Superoxide Dismutase (sod): Reported Adverse Effects

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

Orally and parenterally, superoxide dismutase seems to be well tolerated.

Most Common Adverse Effects:

Parenterally: Pain and injection site reactions.

Serious Adverse Effects (Rare):

Parenterally: Anaphylaxis, possibly related to impurities in parenteral formulations.

Reports by condition
Encephalitis Neurologic/CNS

Superoxide dismutase may be prepared from bovine liver. Products made from contaminated or diseased organs might present a human health hazard. There is also concern that spleen extracts produced from cows in countries where bovine spongiform encephalitis (BSE) has been reported might be contaminated with diseased tissue. Thus far, there have been no reports of BSE transfer to humans from contaminated SOD products.

  1. Lewis CJ. Letter to reiterate certain public health and safety concerns to firms manufacturing or importing dietary supplements that contain specific bovine tissues. FDA. Available at: www.cfsan.fda.gov/~dms/dspltr05.html.
Pain Musculoskeletal
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 well-established standard dose for superoxide dismutase supplements. Doses vary widely between products and forms.

The best advice is to follow the directions on the product label and not exceed the recommended amount. Because quality and ingredients differ between brands, choosing a reputable manufacturer is important.

Always check with your pharmacist or doctor before starting SOD, especially if you have allergies, a health condition, or take other medications.

Pregnancy & Breastfeeding

Superoxide Dismutase (sod) & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Superoxide Dismutase (sod) & 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 2 references that drive our Superoxide Dismutase (sod) 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. Lewis CJ. Letter to reiterate certain public health and safety concerns to firms manufacturing or importing dietary supplements that contain specific bovine tissues. FDA. Available at: www.cfsan.fda.gov/~dms/dspltr05.html.
  2. Nielsen OS, Overgaard J, Overgaard M, et al. Orgotein in radiation treatment of bladder cancer. A report on allergic reactions and lack of radioprotective effect. Acta Oncol 1987;26:101-4. 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

Superoxide Dismutase (sod): Common Questions

What is Superoxide Dismutase (sod) used for, and does it work?
People use Superoxide Dismutase (sod) for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Superoxide Dismutase (sod) for Osteoarthritis and Rheumatoid arthritis (RA). 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 Superoxide Dismutase (sod) interact with prescription medications?
We do not currently list any known drug interactions for Superoxide Dismutase (sod). This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Superoxide Dismutase (sod) 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 Superoxide Dismutase (sod) 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 Superoxide Dismutase (sod) 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 Superoxide Dismutase (sod) used for?
People commonly use SOD supplements for antioxidant support, skin and anti-aging benefits, joint discomfort, and exercise recovery. However, strong human evidence proving these benefits is limited.
Does the body make its own SOD?
Yes. SOD is a natural enzyme your body produces in nearly every cell to help neutralize harmful free radicals. It is one of your body's main built-in antioxidant defenses.
Are SOD supplements actually absorbed when taken by mouth?
SOD is a protein, so it can be broken down by stomach acid and digestive enzymes. Some products use special coatings to try to protect it, but whether oral SOD provides meaningful benefits is still uncertain.
Is SOD safe to take during pregnancy or while breastfeeding?
There isn't enough reliable safety information, so it is best to avoid SOD supplements during pregnancy and breastfeeding unless your doctor specifically recommends them.

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

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