What Supplements Interact with Ranitidine Bismuth Citrate?
Ranitidine Bismuth Citrate brand name: Tritec. Every interaction below applies to the brands too.
Drug–supplement interaction data sourced from Natural Medicines Pro, the licensed clinical database from TRC Healthcare / Therapeutic Research, with additional analysis by the HelloPharmacist Pharmacist Team. Our sources · Editorial policy
What is this page for?
One answer, for one medication: what supplements and herbal products interact with Ranitidine Bismuth Citrate? Every vitamin, herb, and supplement ingredient we’ve checked against it is on this page, ranked by severity, each linking to the full report for that exact pair.
This page covers supplement interactions only — to check Ranitidine Bismuth Citrate against your other medications, use the drug–drug interaction checker. Educational information from our licensed clinical databases, not medical advice. Our editorial policy
73 supplements and herbal ingredients have interactions with Ranitidine Bismuth Citrate on file in the HelloPharmacist interaction database — 2 rated major, 43 moderate, and 28 minor. The most serious involve Activated Charcoal and St. John's Wort.
Our assessment: with 2 major-rated interactions on the list, this one deserves real attention — know the major entries before combining anything with Ranitidine Bismuth Citrate.
Ranked by severity below. Every entry links to the full pharmacist-reviewed report for that exact combination — what can happen, how likely it is, and what to do about it.
This box checks one ingredient at a time (like turmeric or magnesium). Taking a supplement product with a whole label of ingredients? Search the product instead — we check every ingredient on it ↓
Ranitidine Bismuth Citrate: Top Interactions at a Glance
The most significant Ranitidine Bismuth Citrate supplement & herbal interactions, colored by severity. Tap any ingredient to open the full report for that pair.
Showing the 12 highest-ranked of 73 interacting ingredients — plus 1,379 more checked with no known interaction. See the complete ranked list.
The Major Interactions to Know About
The most clinically significant Ranitidine Bismuth Citrate + supplement combinations in our database, best-documented first. Open any card for the full report.
Activated charcoal reduces systemic exposure to many drugs, including those that undergo enterohepatic recirculation, regardless of the route of administration.
Read the full interaction Major Likelihood Probable St. John's Wort + Ranitidine Bismuth CitrateiSt.
Read the full interactionEvery Supplement Checked Against Ranitidine Bismuth Citrate
All 1,452 ingredients in our database, ranked by severity — 73 with a Ranitidine Bismuth Citrate interaction on file and 1,379 with none found. Filter by severity or search any ingredient; hover the for what each ingredient is.
Looking for an interaction with a specific supplement product? Search products instead ↓
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Activated CharcoalActivated Carbon, animal Charcoal, carbo Vegetabilis, +13 more Probable
What it is: Activated charcoal is a highly porous form of carbon that can bind certain substances in the gut, and it is used in hospitals to treat some...
Activated charcoal reduces systemic exposure to many drugs, including those that undergo enterohepatic recirculation, regardless of the route of administration.
Read the full Activated Charcoal + Ranitidine Bismuth Citrate interactionSt. John's WortHypericum Perforatum, amber Touch-and-heal, barbe De Saint-jean, +13 more Probable
Coffee CharcoalCafé Arabica, café Carbonisé, café Robusta, +5 more Probable
What it is: Coffee charcoal is made by roasting green coffee beans until they turn black, creating a charcoal-like material used traditionally for diarr...
Coffee charcoal can reduce the absorption of orally administered drugs and should be separated from oral drug administration by at least two hours.
Read the full Coffee Charcoal + Ranitidine Bismuth Citrate interactionEuropean MandrakeMandragora Officinarum, alraunwurzel, mandragora, +7 more Probable
What it is: European mandrake is a highly toxic plant from the nightshade family that was used in ancient and medieval times as a sedative and pain reli...
Theoretically, concurrent use might increase absorption of some drugs because of inhibited gastrointestinal (GI) motility caused by European mandrake.
Read the full European Mandrake + Ranitidine Bismuth Citrate interactionGlucomannanGlucomanano, glucomannane, konjac, +1 more Probable
What it is: Glucomannan is a soluble fiber from the konjac root that swells into a gel in your stomach, which may help with mild weight loss, constipati...
Theoretically, glucomannan may decrease absorption of drugs taken orally.
Read the full Glucomannan + Ranitidine Bismuth Citrate interactionGoldensealHydrastis Canadensis, chinese Goldenseal, eye Balm, +14 more Probable
What it is: Goldenseal is a popular North American herb that contains berberine, a compound studied for antimicrobial effects.
Theoretically, goldenseal might increase or decrease serum levels of P-glycoprotein (P-gp) substrates.
Read the full Goldenseal + Ranitidine Bismuth Citrate interactionYohimbePausinystalia Yohimbe, 11-hydroxy Yohimbine, coryanthe Yohimbe, +7 more Probable
What it is: Yohimbe is a West African tree bark that contains yohimbine, a compound mainly promoted for erectile dysfunction and as an aphrodisiac.
CYP2D6 inhibitors may increase the levels and adverse effects of yohimbine, a constituent of yohimbe.
Read the full Yohimbe + Ranitidine Bismuth Citrate interactionAfrican Wild Potato Possible
What it is: African Wild Potato (Hypoxis hemerocallidea) is a southern African plant traditionally used as a tonic and for immune, prostate, and inflamm...
In vitro evidence shows that African wild potato extract inhibits OAT3.
Read the full African Wild Potato + Ranitidine Bismuth Citrate interactionBanderolOtoba Parvifolia Possible
What it is: Banderol is a Nutramedix-branded herbal extract made from the bark of the Amazonian tree Otoba parvifolia, most often promoted as part of al...
Small lab studies have found that Banderol may also inhibit OATP1B3 (Organic Anion Transporting Polypeptide 1B3), in addition to OATP1B1.
Read the full Banderol + Ranitidine Bismuth Citrate interactionBeer Possible
What it is: Beer is an alcoholic beverage that contains some minerals, B vitamins, and plant compounds from hops and grain, but it is not a health suppl...
Concomitant use might increase blood alcohol levels and adverse effects.
Read the full Beer + Ranitidine Bismuth Citrate interactionBitter MelonMomordica Charantia, african Cucumber, ampalaya, +20 more Possible
What it is: Bitter melon is a tropical fruit eaten as food and used in traditional medicine, most often for blood sugar control.
Theoretically, bitter melon might increase levels of P-glycoprotein substrates.
Read the full Bitter Melon + Ranitidine Bismuth Citrate interactionBlack PepperPiper Nigrum, black Peppercorn, extrait De Poivre, +23 more Possible
What it is: Black pepper is a common kitchen spice that is generally safe in the amounts used in food.
Theoretically, black pepper might increase levels of P-glycoprotein substrates.
Read the full Black Pepper + Ranitidine Bismuth Citrate interactionBulbine Natalensis Possible
What it is: Bulbine natalensis is a South African plant marketed mainly as a testosterone-boosting and libido supplement, but the human evidence is esse...
Theoretically, Bulbine natalensis stem might increase the levels and clinical effects of p-glycoprotein substrates.
Read the full Bulbine Natalensis + Ranitidine Bismuth Citrate interactionCaffeic Acid Possible
What it is: Caffeic acid is a natural plant compound found in coffee, many fruits, vegetables, and herbs, and it is studied mainly for its antioxidant a...
Theoretically, caffeic acid might increase the levels and clinical effects of OAT3 substrates.
Read the full Caffeic Acid + Ranitidine Bismuth Citrate interactionCannabisCannabis Sativa, anashca, banji, +25 more Possible
What it is: Cannabis contains many active compounds, mainly THC (which causes a 'high') and CBD (which does not).
Theoretically, cannabis might alter levels of drugs that are substrates of P-glycoprotein (P-gp).
Read the full Cannabis + Ranitidine Bismuth Citrate interactionDanshenSalvia Bowleyana, ch'ih Shen, chinese Red Sage, +15 more Possible
What it is: Danshen is a root used in traditional Chinese medicine, mainly for heart and circulation problems.
Danshen might alter the levels of drugs cleared by p-glycoprotein.
Read the full Danshen + Ranitidine Bismuth Citrate interactionDelta-9-tetrahydrocannabinol (thc)Bho, black Glass, budder, +9 more Possible
What it is: THC is the main mind-altering compound in cannabis and is best known for causing a 'high.' A prescription form (dronabinol) is approved for...
Theoretically, THC might alter levels of drugs that are substrates of P-glycoprotein (P-gp).
Read the full Delta-9-tetrahydrocannabinol (thc) + Ranitidine Bismuth Citrate interactionDiosmin Possible
What it is: Diosmin is a citrus-derived flavonoid most often used for vein-related problems such as chronic venous insufficiency and hemorrhoids, and it...
Theoretically, diosmin might increase levels of drugs that are substrates of P-glycoprotein (P-gp).
Read the full Diosmin + Ranitidine Bismuth Citrate interactionEleutheroEleutherococcus Senticosus, acanthopanax Obovatus, ciwujia Root, +13 more Possible
What it is: Eleuthero is an herb traditionally used as an 'adaptogen' to fight fatigue, boost energy, and help the body handle stress.
Theoretically, eleuthero might increase levels of P-glycoprotein substrates.
Read the full Eleuthero + Ranitidine Bismuth Citrate interactionFever BarkAlstonia Constricta, alstonia Bark, australian Febrifuge, +10 more Possible
What it is: Fever bark is the bark of the Australian tree Alstonia constricta, used in traditional medicine for fever, diarrhea, and infections.
Theoretically, CYP2D6 inhibitors might increase the levels and clinical effects of yohimbine, a constituent of fever bark.
Read the full Fever Bark + Ranitidine Bismuth Citrate interactionGingerZingiber Officinale, african Ginger, ardraka, +21 more Possible
What it is: Ginger is a widely used culinary spice with a long history in traditional medicine, and it has the strongest evidence for helping with nause...
Ginger might increase the absorption and blood levels of P-glycoprotein (P-gp) substrates.
Read the full Ginger + Ranitidine Bismuth Citrate interactionGinkgoGinkgo Biloba, abricot Argenté Japonais, adiantifolia, +13 more Possible
What it is: Ginkgo is one of the world's most popular herbal supplements, mostly taken to support memory and circulation.
Theoretically, taking ginkgo with P-glycoprotein substrates might increase the levels and adverse effects of these substrates.
Read the full Ginkgo + Ranitidine Bismuth Citrate interactionGreen TeaCamellia Sinensis, green Sencha Tea, green Tea Extract, +17 more Possible
What it is: Green tea is a popular beverage rich in antioxidants called catechins, and drinking it in normal amounts is considered safe for most people.
Green tea might increase the levels and adverse effects of P-glycoprotein (P-gp) substrates.
Read the full Green Tea + Ranitidine Bismuth Citrate interactionGuar GumDietary Fiber, farine De Guar, fibre Alimentaire, +10 more Possible
What it is: Guar gum is a soluble, gel-forming fiber from the guar bean that may modestly help with cholesterol, blood sugar, and bowel regularity.
Guar gum might reduce the absorption of some oral drugs, potentially decreasing their effectiveness.
Read the full Guar Gum + Ranitidine Bismuth Citrate interactionGum ArabicAcacia, acacia Gum, arabic Gum, +16 more Possible
What it is: Gum arabic is a soluble dietary fiber from the acacia tree that is widely used as a safe food additive and is sometimes taken as a supplemen...
Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.
Read the full Gum Arabic + Ranitidine Bismuth Citrate interactionHesperidinAlpha-glucosyl Hesperidin, alpha-glucosylhesperidin, bioflavonoid, +8 more Possible
What it is: Hesperidin is a flavonoid found in citrus fruits that is often combined with diosmin and used for vein and circulation problems like hemorrh...
Theoretically, hesperidin might inhibit P-glycoprotein-mediated drug efflux and potentially increase levels of drugs that are substrates of P-glycoprotein.
Read the full Hesperidin + Ranitidine Bismuth Citrate interactionIbogaTabernanthe Iboga, bois Sacré, eboka Possible
What it is: Iboga is a Central African shrub whose root bark contains ibogaine, a powerful hallucinogenic compound studied mainly for addiction.
Theoretically, taking iboga with CYP2D6 inhibitors might increase the levels and clinical effects of ibogaine.
Read the full Iboga + Ranitidine Bismuth Citrate interactionIndian Long PepperPiper Longum, bi Ba, bi Bo, +17 more Possible
What it is: Indian long pepper (pippali) is a spice long used in Ayurvedic medicine and is best known for its piperine content, which may increase how w...
Theoretically, Indian long pepper might increase levels of P-glycoprotein substrates.
Read the full Indian Long Pepper + Ranitidine Bismuth Citrate interactionKavaPiper Methysticum, ava Pepper, ava Root, +20 more Possible
What it is: Kava is a Pacific Island plant traditionally used to promote relaxation and ease anxiety, and some studies suggest it may help mild anxiety.
It is unclear if kava inhibits P-glycoprotein (P-gp); research is conflicting.
Read the full Kava + Ranitidine Bismuth Citrate interactionLicoriceGlycyrrhiza Echinate, alcacuz, bois Doux, +17 more Possible
What it is: Licorice root is a traditional remedy used for sore throats, coughs, and digestive complaints, but solid human evidence is limited for most...
Theoretically, licorice might decrease the absorption of P-glycoprotein substrates.
Read the full Licorice + Ranitidine Bismuth Citrate interactionMethoxylated Flavones Possible
What it is: Methoxylated flavones (often called polymethoxyflavones) are a group of plant compounds, found mainly in citrus peel, that include substance...
In vitro evidence shows that some methoxylated flavones including tangeretin, nobiletin, and heptamethoxyflavone, inhibit P-glycoprotein.
Read the full Methoxylated Flavones + Ranitidine Bismuth Citrate interactionMoringaMoringa Oleifera Possible
What it is: Moringa is a nutrient-rich plant whose leaves are widely used as a food and supplement, especially in parts of the world where malnutrition...
Theoretically, moringa leaf extract might increase the levels and clinical effects of P-glycoprotein substrates.
Read the full Moringa + Ranitidine Bismuth Citrate interactionNeemAzadirachta Indica, arishta, arishtha, +18 more Possible
What it is: Neem is a tree from India used for centuries in traditional medicine, especially for skin, dental, and antimicrobial purposes.
Theoretically, neem leaf extract might increase the levels and clinical effects of P-glycoprotein substrates.
Read the full Neem + Ranitidine Bismuth Citrate interactionOregon GrapeMahonia Aquifolium, barberry, berberis, +13 more Possible
What it is: Oregon grape is a shrub whose root contains berberine and related compounds.
Theoretically, Oregon grape might increase serum levels of drugs that are P-glycoprotein (P-gp) substrates.
Read the full Oregon Grape + Ranitidine Bismuth Citrate interactionQuercetin7-pentahydroxyflavone, bioflavonoid, bioflavonoid Complex, +9 more Possible
What it is: Quercetin is a plant flavonoid with antioxidant and anti-inflammatory properties found in many common foods and sold as a supplement.
Theoretically, concomitant use might increase the effects and adverse effects of OAT3 substrates.
Read the full Quercetin + Ranitidine Bismuth Citrate interactionRabdosia RubescensRabdosia Rubescens, bing Ling Cao, blushred Rabdosia, +5 more Possible
What it is: Rabdosia rubescens is a Chinese herb traditionally used for sore throats, inflammation, and infections, and its compound oridonin has drawn...
Rabdosia rubescens might increase levels of p-glycoprotein substrates.
Read the full Rabdosia Rubescens + Ranitidine Bismuth Citrate interactionRhodiolaRhodiola Rosea, arctic Root, golden Root, +12 more Possible
What it is: Rhodiola is an herb traditionally used to fight fatigue and help the body cope with stress.
Theoretically, rhodiola might increase levels of P-glycoprotein substrates.
Read the full Rhodiola + Ranitidine Bismuth Citrate interactionSageSalvia Officinalis, broadleaf Sage, common Sage, +14 more Possible
What it is: Sage is a common kitchen herb that is generally safe in food amounts and is traditionally used for sore throats, digestion, sweating, and me...
Theoretically, sage might increase levels of drugs transported by P-glycoprotein.
Read the full Sage + Ranitidine Bismuth Citrate interactionSchisandraSchisandra Chinensis, bac Ngu Vi Tu, baie De Schisandra, +10 more Possible
What it is: Schisandra is a traditional Chinese medicine berry used as an adaptogen for stress, fatigue, and liver support.
Schisandra might increase the levels and clinical effects of P-glycoprotein substrates.
Read the full Schisandra + Ranitidine Bismuth Citrate interactionSlippery ElmIndian Elm, moose Elm, olmo Americano, +7 more Possible
What it is: Slippery elm is a traditional herbal remedy made from the inner bark of a North American elm tree, used mainly to soothe sore throats and ir...
Theoretically, slippery elm may slow the absorption and reduce serum levels of oral drugs.
Read the full Slippery Elm + Ranitidine Bismuth Citrate interactionStrawberry Possible
What it is: Strawberry is a popular, nutrient-rich fruit that supplies vitamin C, fiber, and antioxidant plant compounds.
In vitro research suggests that strawberry extract can inhibit p-glycoprotein efflux.
Read the full Strawberry + Ranitidine Bismuth Citrate interactionSweet OrangeCitrus Sinensis, blood Orange, citri Sinensis, +14 more Possible
What it is: Sweet orange is a common citrus fruit that is a good source of vitamin C, fiber, and antioxidants, and is enjoyed as a food worldwide.
Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.
Read the full Sweet Orange + Ranitidine Bismuth Citrate interactionTragacanthAdragante, astragale Adragant, astragale De Marseille, +14 more Possible
What it is: Tragacanth is a plant gum used mainly as a thickener and emulsifier in foods, cosmetics, and medicines, and traditionally to soothe the thro...
Theoretically, tragacanth might alter absorption of oral drugs.
Read the full Tragacanth + Ranitidine Bismuth Citrate interactionWhite Pepper Possible
What it is: White pepper comes from the same plant as black pepper and is mostly used as a kitchen spice.
Theoretically, white pepper might increase levels of p-glycoprotein substrates.
Read the full White Pepper + Ranitidine Bismuth Citrate interactionWine Possible
What it is: Wine is an alcoholic beverage made from fermented grapes and is not a true dietary supplement or medicine.
Concomitant use might increase blood alcohol levels and adverse effects.
Read the full Wine + Ranitidine Bismuth Citrate interactionThyroid Extract Likely
What it is: Thyroid extract supplements are made from dried animal thyroid gland and may contain real thyroid hormones (T3 and T4), but the amounts in o...
Food and medications can interfere with thyroid hormone absorption.
Read the full Thyroid Extract + Ranitidine Bismuth Citrate interactionAgarAgar-agar, agarose, agarose Gel, +17 more Possible
What it is: Agar is a plant-based gel made from red seaweed that is widely used as a vegetarian alternative to gelatin and as a source of dietary fiber.
Agar forms a thick gel, which may disrupt the absorption of nutrients and medications.
Read the full Agar + Ranitidine Bismuth Citrate interactionAletrisAletris Farinosa, ague, ague Grass, +12 more Possible
What it is: Aletris (true unicorn root or colic root) is a North American herb traditionally used for menstrual problems and digestive complaints, but t...
Theoretically, due to reports that aletris increases stomach acid, aletris might decrease the effectiveness of H2-blockers.
Read the full Aletris + Ranitidine Bismuth Citrate interactionAlginAlginate, alginate De Calcium, alginate De Magnésium, +12 more Possible
What it is: Algin (alginate) is a fiber-like substance from brown seaweed that is widely used as a thickener, gel, and binder in foods and medicines.
Theoretically, algin can alter the absorption of oral drugs.
Read the full Algin + Ranitidine Bismuth Citrate interactionAlpiniaAlpinia Officinarum, alpinie, catarrh Root, +19 more Possible
What it is: Alpinia (lesser galangal) is a ginger-family root long used in Asian cooking and traditional medicine, mainly for digestive and inflammatory...
Theoretically, alpinia might decrease the effectiveness of H2-blockers.
Read the full Alpinia + Ranitidine Bismuth Citrate interactionBaikal SkullcapScutellaria Baicalensis, baikal Scullcap, baikal Skullcap Root, +16 more Possible
What it is: Baikal skullcap is a traditional Chinese herb (Huang Qin) used for inflammation, allergies, and infections, with active compounds like baica...
Theoretically, Baikal skullcap might increase levels of drugs transported by P-glycoprotein.
Read the full Baikal Skullcap + Ranitidine Bismuth Citrate interactionBetaine HydrochlorideTrimethylglycine Hydrochloride Possible
What it is: Betaine hydrochloride is a supplement used to temporarily increase stomach acid in people who may have low acid levels.
Betaine hydrochloride increases stomach acidity and could decrease the effects of H2-blockers.
Read the full Betaine Hydrochloride + Ranitidine Bismuth Citrate interactionBlack PsylliumAfrican Plantain, brown Psyllium, dietary Fiber, +16 more Possible
What it is: Black psyllium is a soluble-fiber supplement made from the seeds of a Plantago plant, used mostly to ease constipation and support digestive...
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Black Psyllium + Ranitidine Bismuth Citrate interactionBlessed ThistleCnicus Benedictus, carbenia Benedicta, cardo Bendito, +11 more Possible
What it is: Blessed thistle is a bitter herb traditionally used to stimulate appetite and ease mild digestive complaints.
Theoretically, blessed thistle might decrease the effectiveness of H2-blockers.
Read the full Blessed Thistle + Ranitidine Bismuth Citrate interactionBlond PsylliumPlantago Ovata, balle De Psyllium, blond Plantago, +14 more Possible
What it is: Blond psyllium is a soluble fiber from the seed husks of Plantago ovata, and it is one of the better-studied fiber supplements.
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Blond Psyllium + Ranitidine Bismuth Citrate interactionCalamusAcorus Calamus, acore Calame, acore Odorant, +20 more Possible
What it is: Calamus is a swamp plant with a long history in Ayurvedic and traditional Chinese medicine, mostly for digestive and nervous-system complain...
Theoretically, taking calamus might reduce the effectiveness of H2-blockers.
Read the full Calamus + Ranitidine Bismuth Citrate interactionCalumba Possible
What it is: Calumba is the dried root of an African climbing plant that has long been used as a bitter tonic to stimulate appetite and ease digestive co...
Theoretically, calumba might decrease the effectiveness of H2-blockers.
Read the full Calumba + Ranitidine Bismuth Citrate interactionCarobCeratonia Siliqua, algarrobo, carob Flour, +16 more Possible
What it is: Carob is a Mediterranean tree whose pods are widely used as a caffeine-free, naturally sweet cocoa alternative and as a thickener (carob gum...
Theoretically, carob might also impair the absorption of oral drugs.
Read the full Carob + Ranitidine Bismuth Citrate interactionCinchonaCinchona Calisaya, arbol De La Quina, bois Aux Fièvres, +14 more Possible
What it is: Cinchona bark is the natural source of quinine and has been used for centuries to treat malaria and fever, but the bark itself is not standa...
Theoretically, taking cinchona might decrease the effectiveness of H2-blockers.
Read the full Cinchona + Ranitidine Bismuth Citrate interactionCubebsPiper Cubeba, cubeb, cubeb Berries, +14 more Possible
What it is: Cubebs are spicy, peppery berries from a vine in the pepper family that have long been used in traditional medicine for coughs, digestion, a...
Theoretically, due to reports that cubebs increases stomach acid, cubebs might decrease the effectiveness of H2-blockers.
Read the full Cubebs + Ranitidine Bismuth Citrate interactionDevil's ClawHarpagophytum Procumbens, devils Claw, devil's Claw Root, +9 more Possible
What it is: Devil's claw is a southern African plant used mainly for arthritis and back pain, and some studies suggest it may help ease these types of d...
Theoretically, devil's claw might increase levels of P-glycoprotein substrates.
Read the full Devil's Claw + Ranitidine Bismuth Citrate interactionGrapefruitCitrus Paradisi Possible
What it is: Grapefruit is a nutritious citrus fruit rich in vitamin C and other nutrients, and it is generally safe to eat.
Grapefruit juice does not seem to affect renal P-glycoprotein (P-gp).
Read the full Grapefruit + Ranitidine Bismuth Citrate interactionHercules ClubZanthoxylum Clava-herculis, prickly Yellow Wood, sea Ash, +4 more Possible
What it is: Hercules Club (southern prickly ash) is a traditional folk remedy used mainly for toothache, digestion, and joint pain, often by chewing the...
Theoretically, Hercules club may decrease the clinical effects of H2 blockers.
Read the full Hercules Club + Ranitidine Bismuth Citrate interactionKaraya GumBassora Tragacanth, goma Karaya, gomme Karaya, +14 more Possible
What it is: Karaya gum is a natural plant gum from the Sterculia tree that is mostly used as a bulk-forming laxative and as a thickener or adhesive in f...
Co-administration of oral drugs with bulk forming laxatives such as karaya gum may decrease, increase, or have no effect on the absorption of drugs.
Read the full Karaya Gum + Ranitidine Bismuth Citrate interactionMarshmallowAlthaea Officinalis, altea, alteia, +16 more Possible
What it is: Marshmallow root is a traditional herb rich in soothing, gel-like fibers called mucilage, which is why it has long been used for coughs, sor...
Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Read the full Marshmallow + Ranitidine Bismuth Citrate interactionNorthern Prickly AshZanthoxylum Americanum, angelica Tree, clavalier, +7 more Possible
What it is: Northern Prickly Ash is a North American shrub whose bark and berries have a long history in folk medicine, especially for toothache, joint...
Theoretically, northern prickly ash might decrease the effectiveness of H2-blockers.
Read the full Northern Prickly Ash + Ranitidine Bismuth Citrate interactionPuravive Possible
What it is: Puravive is a branded, multi-ingredient capsule marketed mainly for weight loss by claiming to boost brown fat activity, but there is no pub...
Puravive contains quercetin.
Read the full Puravive + Ranitidine Bismuth Citrate interactionQuassia Possible
What it is: Quassia is a tropical wood known for its very bitter taste, traditionally used as a digestive bitter and as a folk remedy for parasites and...
Theoretically, due to reports that quassia increases stomach acid, quassia might decrease the effectiveness of H2-blockers.
Read the full Quassia + Ranitidine Bismuth Citrate interactionSesame Possible
What it is: Sesame is a nutritious seed and oil widely used in cooking and traditional medicine, and it provides healthy fats, fiber, and antioxidant co...
Theoretically, sesame might alter the transport of P-glycoprotein substrates.
Read the full Sesame + Ranitidine Bismuth Citrate interactionTurmericCurcuma Longa, curcuma, curcumae Longa, +17 more Possible
What it is: Turmeric is a popular spice whose main active compounds, curcuminoids, are studied mostly for inflammation and joint pain.
Theoretically, turmeric might increase the absorption of P-glycoprotein substrates.
Read the full Turmeric + Ranitidine Bismuth Citrate interactionUva UrsiArctostaphylos Uva-ursi, arberry, arbousier, +16 more Possible
What it is: Uva ursi is a traditional herb used mainly for urinary tract infections, and its leaves contain a compound called arbutin that may have anti...
Theoretically, uva ursi may alter the levels of drugs transported by P-glycoprotein.
Read the full Uva Ursi + Ranitidine Bismuth Citrate interactionXanthan GumBacterial Polysaccharide, corn Sugar Gum, goma Xantana, +7 more Possible
What it is: Xanthan gum is a fermentation-made fiber widely used to thicken and stabilize foods and to thicken liquids for people with swallowing diffic...
Theoretically, xanthan gum can alter the absorption of oral drugs due to its fiber qualities.
Read the full Xanthan Gum + Ranitidine Bismuth Citrate interactionMilk ThistleSilybum Marianum, artichaut Sauvage, blessed Milk Thistle, +12 more Unlikely
What it is: Milk thistle is a popular herbal supplement most often used for liver health, and its main active component is a group of compounds called s...
Theoretically, milk thistle might increase the absorption of P-glycoprotein substrates.
Read the full Milk Thistle + Ranitidine Bismuth Citrate interactionCan You Take It With Ranitidine Bismuth Citrate?
One-line answers, one card per combination — scroll through today’s 20 and tap any card for the full report. A different set rotates in daily until every combination has had its turn.
Can you take St. John's Wort with Ranitidine Bismuth Citrate?
Major Use real caution — this is a major-rated interaction, generally best avoided or used only under close supervision. St.
Full St. John's Wort + Ranitidine Bismuth Citrate answerCan you take Devil's Claw with Ranitidine Bismuth Citrate?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, devil's claw might increase levels of P-glycoprotein substrates.
Full Devil's Claw + Ranitidine Bismuth Citrate answerCan you take Neem with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, neem leaf extract might increase the levels and clinical effects of P-glycoprotein substrates.
Full Neem + Ranitidine Bismuth Citrate answerCan you take Oregon Grape with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, Oregon grape might increase serum levels of drugs that are P-glycoprotein (P-gp) substrates.
Full Oregon Grape + Ranitidine Bismuth Citrate answerCan you take Quercetin with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, concomitant use might increase the effects and adverse effects of OAT3 substrates.
Full Quercetin + Ranitidine Bismuth Citrate answerCan you take Rabdosia Rubescens with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Rabdosia rubescens might increase levels of p-glycoprotein substrates.
Full Rabdosia Rubescens + Ranitidine Bismuth Citrate answerCan you take Rhodiola with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, rhodiola might increase levels of P-glycoprotein substrates.
Full Rhodiola + Ranitidine Bismuth Citrate answerCan you take Sage with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, sage might increase levels of drugs transported by P-glycoprotein.
Full Sage + Ranitidine Bismuth Citrate answerCan you take Schisandra with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Schisandra might increase the levels and clinical effects of P-glycoprotein substrates.
Full Schisandra + Ranitidine Bismuth Citrate answerCan you take Slippery Elm with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, slippery elm may slow the absorption and reduce serum levels of oral drugs.
Full Slippery Elm + Ranitidine Bismuth Citrate answerCan you take Strawberry with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. In vitro research suggests that strawberry extract can inhibit p-glycoprotein efflux.
Full Strawberry + Ranitidine Bismuth Citrate answerCan you take Sweet Orange with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Sweet orange juice seems to modulate P-glycoprotein (P-gp), which might affect the blood levels of P-gp substrates.
Full Sweet Orange + Ranitidine Bismuth Citrate answerCan you take Tragacanth with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, tragacanth might alter absorption of oral drugs.
Full Tragacanth + Ranitidine Bismuth Citrate answerCan you take White Pepper with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, white pepper might increase levels of p-glycoprotein substrates.
Full White Pepper + Ranitidine Bismuth Citrate answerCan you take Wine with Ranitidine Bismuth Citrate?
Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Concomitant use might increase blood alcohol levels and adverse effects.
Full Wine + Ranitidine Bismuth Citrate answerCan you take Thyroid Extract with Ranitidine Bismuth Citrate?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Food and medications can interfere with thyroid hormone absorption.
Full Thyroid Extract + Ranitidine Bismuth Citrate answerCan you take Agar with Ranitidine Bismuth Citrate?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Agar forms a thick gel, which may disrupt the absorption of nutrients and medications.
Full Agar + Ranitidine Bismuth Citrate answerCan you take Aletris with Ranitidine Bismuth Citrate?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, due to reports that aletris increases stomach acid, aletris might decrease the effectiveness of H2-blockers.
Full Aletris + Ranitidine Bismuth Citrate answerCan you take Algin with Ranitidine Bismuth Citrate?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, algin can alter the absorption of oral drugs.
Full Algin + Ranitidine Bismuth Citrate answerCan you take Alpinia with Ranitidine Bismuth Citrate?
Minor Usually — this is a minor-rated interaction, generally not clinically significant but worth mentioning to your pharmacist. Theoretically, alpinia might decrease the effectiveness of H2-blockers.
Full Alpinia + Ranitidine Bismuth Citrate answerWhat 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 entry links to a full report with the clinical detail, likelihood, evidence level, and citations for that exact combination.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
How Does Our Interaction Checker Work?
Behind every verdict on this page is a category system. Our source database doesn’t document supplement interactions drug-by-drug — it documents them against groups of medications that behave the same way (for example, “drugs processed by the CYP3A4 liver enzyme” or “blood-thinning medications”).
So the check works in three steps: (1) Ranitidine Bismuth Citrate is classified into the pharmacology categories it belongs to, (2) every supplement interaction documented against any of those categories is inherited by Ranitidine Bismuth Citrate, and (3) each ingredient keeps its own severity, likelihood, and evidence grades from the underlying record. That’s why one supplement can carry several records for one drug — it may interact through more than one category.
Ranitidine Bismuth Citrate sits in 5 interaction categories. Open any one to see what the group means:
P-Glycoprotein Substrates 37 ingredients
A drug-transport group: these medications are moved in and out of cells by the P-glycoprotein pump. Supplements that affect the pump can change how much of the drug is absorbed or kept in the body.
37 of the supplement ingredients on this page reach Ranitidine Bismuth Citrate through this category.
Oral Drugs 17 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
17 of the supplement ingredients on this page reach Ranitidine Bismuth Citrate through this category.
H2-Blockers 14 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
14 of the supplement ingredients on this page reach Ranitidine Bismuth Citrate through this category.
Organic Anion Transporter 3 (Oat3) Substrates 4 ingredients
A pharmacology grouping from our source database: medications in this group share a property that certain supplements are known to interact with, so an interaction documented for the group applies to every drug in it.
4 of the supplement ingredients on this page reach Ranitidine Bismuth Citrate through this category.
Cytochrome P450 2D6 (Cyp2D6) Inhibitors 3 ingredients
A drug-metabolism group: these medications are processed by the named liver enzyme (a cytochrome P450). Supplements that speed this enzyme up or slow it down can lower or raise the medication's levels in your body.
3 of the supplement ingredients on this page reach Ranitidine Bismuth Citrate through this category.
About Ranitidine Bismuth Citrate
Ranitidine is an H2 blocker used to treat ulcers, acid reflux, heartburn, and conditions where the stomach produces too much acid.
Generic name: Ranitidine Bismuth Citrate · Brand name: Tritec.
See the full Ranitidine drug informationRelated: does Ranitidine Bismuth Citrate deplete any nutrients?
Ranitidine Bismuth Citrate has 6 reported nutrient associations in the research literature — see the Ranitidine Bismuth Citrate nutrient depletion report.
Take a Supplement Product? Check the Whole Bottle Against Ranitidine Bismuth Citrate
Most supplements are combination products — and the interaction may come from an ingredient you didn’t buy it for. Search any product below (or scan its label) and we’ll check every ingredient on it against Ranitidine Bismuth Citrate.
Search a supplement product
Type a product name, brand, or UPC — smart search across our full catalog.
Grounded search over our product catalog — every verdict comes from our interaction database, never AI guesswork. How we use AI
Or scan the bottle
Photograph any Supplement Facts panel — we read the ingredients and check each one against your medications. Free, in seconds.
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Products that contain Ranitidine Bismuth Citrate-interacting ingredients
Real supplements from the NIH label database that contain the top interacting ingredients on this page — each one is worth a full label check before combining with Ranitidine Bismuth Citrate.
Ranitidine Bismuth Citrate & Supplements: Common Questions
What supplements interact with Ranitidine Bismuth Citrate?
Which Ranitidine Bismuth Citrate supplement interactions are the most serious?
Can I take vitamins or supplements while on Ranitidine Bismuth Citrate?
Do brands like Tritec have the same supplement interactions as Ranitidine Bismuth Citrate?
Where do these interaction ratings come from?
Does Ranitidine Bismuth Citrate deplete any vitamins or nutrients?
What about Ranitidine Bismuth Citrate and my other medications?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Where This Data Comes From — and Why You Can Trust It
🧪 Licensed clinical database
Every interaction verdict on this page comes from Natural Medicines Pro (TRC Healthcare / Therapeutic Research) — the same evidence-graded reference used by pharmacists and hospitals. We license this data directly; we do not scrape it, and no AI invents an interaction.
🧑⚕️ Pharmacist review
This page is curated and coded by Dr. Brian Staiger, PharmD, BCPS, Clinical Pharmacist, with additional analysis by the HelloPharmacist Pharmacist Team. Editorial commentary is ours; the licensed interaction records are shown as sourced.
🔄 Kept current
Our interaction database refreshes on a weekly cycle, and this page re-checks the live database every time it’s rebuilt — what you see reflects the database as of September 24, 2026.
🔍 Full transparency
How every dataset on this site is sourced, licensed, and updated is documented publicly: our data sources · editorial policy · how we use AI.
Educational information, not medical advice. An interaction being on file does not mean it will happen to you — and absence of one is not proof of safety. Never start or stop a medication or supplement without talking to your pharmacist or doctor.