Medication interaction hub

What Supplements Interact with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Sulfadiazine, Sulfamerazine, Sulfamethazine brand names: Triple Sulfoid, Terfonyl. Every interaction below applies to the brands too.

107 Interactions 5 Major 91 Moderate 11 Minor
Curated & coded by · Clinical Pharmacist · Updated October 4, 2026

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 Sulfadiazine, Sulfamerazine, Sulfamethazine? 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 Sulfadiazine, Sulfamerazine, Sulfamethazine against your other medications, use the drug–drug interaction checker. Educational information from our licensed clinical databases, not medical advice. Our editorial policy

HelloPharmacist Bottom Line
Our Pharmacist Explains
What is this? The interaction data in the HelloPharmacist supplement database is licensed from Natural Medicines Pro by TRC Healthcare (Therapeutic Research). HelloPharmacist pharmacists often add our own analysis and context on top of that licensed data — such as this Bottom Line summary and the notes on individual interaction pages — and any such commentary is noted as ours.

Sulfadiazine, sulfamerazine, and sulfamethazine are sulfa antibiotics, and the 107 supplements on this list warrant genuine care rather than a quick scan. Five interactions are rated major. PABA, found in some B-complex and skin products, can directly undo how these antibiotics kill bacteria, and activated charcoal can soak up the medication before your body absorbs it. The largest group, 38 ingredients including alcohol itself, adds strain on a liver these drugs may already be taxing.

Most of the 91 moderate entries follow two patterns. Probiotics and fermented milk products lose their benefit when the antibiotic kills their live organisms, so space those doses well apart rather than dropping them. Another 20 ingredients heighten the sun sensitivity sulfa drugs are known for, worth remembering before long days outdoors. Eleven more rate only minor. If you remember one thing, make it PABA, which can quietly keep these antibiotics from working at all.

— , Clinical Pharmacist · July 18, 2026

Major 5 Moderate 91 Minor 11 No known interaction 1,345

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 ↓

Top Ingredient Interactions

Sulfadiazine, Sulfamerazine, Sulfamethazine: Top Interactions at a Glance

The most significant Sulfadiazine, Sulfamerazine, Sulfamethazine supplement & herbal interactions, colored by severity. Tap any ingredient to open the full report for that pair.

Showing the 12 highest-ranked of 107 interacting ingredients — plus 1,345 more checked with no known interaction. See the complete ranked list.

Start here

The Major Interactions to Know About

The most clinically significant Sulfadiazine, Sulfamerazine, Sulfamethazine + supplement combinations in our database, best-documented first. Open any card for the full report.

Major Likelihood Likely Para-aminobenzoic Acid (paba) + Sulfadiazine, Sulfamerazine, Sulfamethazinei

Theoretically, concomitant use of PABA and sulfonamide antibiotics inhibits the antibacterial effects of sulfonamide.

Read the full interaction Major Likelihood Likely Siberian Cocklebur + Sulfadiazine, Sulfamerazine, Sulfamethazinei

Siberian cocklebur can adversely affect the liver.

Read the full interaction Major Likelihood Probable Activated Charcoal + Sulfadiazine, Sulfamerazine, Sulfamethazinei

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 Beer + Sulfadiazine, Sulfamerazine, Sulfamethazinei

Concomitant use of alcohol with hepatotoxic drugs may increase the risk of hepatotoxicity.

Read the full interaction Major Likelihood Probable Wine + Sulfadiazine, Sulfamerazine, Sulfamethazinei

Concomitant use of alcohol with hepatotoxic drugs may increase the risk of hepatotoxicity.

Read the full interaction
The complete list

Every Supplement Checked Against Sulfadiazine, Sulfamerazine, Sulfamethazine

All 1,452 ingredients in our database, ranked by severity — 107 with a Sulfadiazine, Sulfamerazine, Sulfamethazine interaction on file and 1,345 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 ↓

Straight answers

Can You Take It With Sulfadiazine, Sulfamerazine, Sulfamethazine?

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 Bacillus Subtilis with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, taking Bacillus subtilis with antibiotic drugs might decrease the effectiveness of B.

Full Bacillus Subtilis + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Cassia Cinnamon with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, large doses of cassia cinnamon might cause additive effects when used with hepatotoxic drugs.

Full Cassia Cinnamon + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Chaparral with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, chaparral might have additive adverse effects on the liver when used with hepatotoxic drugs.

Full Chaparral + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Chlorella with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, chlorella might have additive effects with photosensitizing drugs.

Full Chlorella + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Cilantro with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Evidence from in vitro research suggests that coriandrin, a constituent of cilantro, has photosensitizing effects.

Full Cilantro + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Comfrey with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, comfrey might have additive adverse effects on the liver when used with hepatotoxic drugs.

Full Comfrey + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Coriander with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, coriander might increase the risk of photosensitivity when taken with photosensitizing drugs.

Full Coriander + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Delta-9-tetrahydrocannabinol (thc) with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, drugs that are CYP2C9 inhibitors might increase the levels and adverse effects of THC.

Full Delta-9-tetrahydrocannabinol (thc) + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Ephedra with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, concomitant use might have additive adverse hepatotoxic effects.

Full Ephedra + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Epistane with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, concomitant use might have additive adverse hepatotoxic effects.

Full Epistane + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Fig with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, fig might increase the risk of photosensitivity when used in combination with photosensitizing drugs.

Full Fig + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Flaxseed with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, antibiotics might interfere with the metabolism of flaxseed constituents, which could potentially alter the effects of flaxse...

Full Flaxseed + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Fo-ti with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, fo-ti might increase the risk of liver damage when taken with hepatotoxic drugs.

Full Fo-ti + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Garcinia with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, concomitant use with other potentially hepatotoxic drugs might increase the risk of developing liver damage.

Full Garcinia + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Gotu Kola with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, taking gotu kola with hepatotoxic drugs might have additive adverse effects.

Full Gotu Kola + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Greater Celandine with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. There is some concern that greater celandine can adversely affect the liver.

Full Greater Celandine + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Guar Gum with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Guar gum might reduce the absorption of some oral drugs, potentially decreasing their effectiveness.

Full Guar Gum + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Gum Arabic with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, gum arabic can alter the absorption of oral drugs due to its fiber content.

Full Gum Arabic + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Hemp Agrimony with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Hemp agrimony contains hepatotoxic pyrrolizidine alkaloids (PA).

Full Hemp Agrimony + Sulfadiazine, Sulfamerazine, Sulfamethazine answer

Can you take Kava with Sulfadiazine, Sulfamerazine, Sulfamethazine?

Moderate Possibly, but carefully — this moderate-rated combination may need monitoring, a dose adjustment, or separated timing. Theoretically, using kava with hepatotoxic drugs might increase the risk of liver damage.

Full Kava + Sulfadiazine, Sulfamerazine, Sulfamethazine answer
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 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) Sulfadiazine, Sulfamerazine, Sulfamethazine is classified into the pharmacology categories it belongs to, (2) every supplement interaction documented against any of those categories is inherited by Sulfadiazine, Sulfamerazine, Sulfamethazine, 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.

Sulfadiazine, Sulfamerazine, Sulfamethazine sits in 6 interaction categories. Open any one to see what the group means:

Hepatotoxic Drugs 38 ingredients

Medications with known liver considerations. Supplements that can stress the liver add to the load.

38 of the supplement ingredients on this page reach Sulfadiazine, Sulfamerazine, Sulfamethazine through this category.

Antibiotic Drugs 27 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.

27 of the supplement ingredients on this page reach Sulfadiazine, Sulfamerazine, Sulfamethazine through this category.

Photosensitizing Drugs 20 ingredients

Medications that make skin more sun-sensitive. Supplements with the same property can compound it.

20 of the supplement ingredients on this page reach Sulfadiazine, Sulfamerazine, Sulfamethazine 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 Sulfadiazine, Sulfamerazine, Sulfamethazine through this category.

Cytochrome P450 2C9 (Cyp2C9) Inhibitors 4 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.

4 of the supplement ingredients on this page reach Sulfadiazine, Sulfamerazine, Sulfamethazine through this category.

Sulfonamide Antibiotics 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 Sulfadiazine, Sulfamerazine, Sulfamethazine through this category.

Related: does Sulfadiazine, Sulfamerazine, Sulfamethazine deplete any nutrients?

Sulfadiazine, Sulfamerazine, Sulfamethazine has 20 reported nutrient associations in the research literature — see the Sulfadiazine, Sulfamerazine, Sulfamethazine nutrient depletion report.

Check a real product

Take a Supplement Product? Check the Whole Bottle Against Sulfadiazine, Sulfamerazine, Sulfamethazine

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 Sulfadiazine, Sulfamerazine, Sulfamethazine.

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Products that contain Sulfadiazine, Sulfamerazine, Sulfamethazine-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 Sulfadiazine, Sulfamerazine, Sulfamethazine.

Zi Sheng Teapills by Plum Flower contains Siberian Cocklebur Cold Away by Health Concerns contains Siberian Cocklebur Sugar Coated Bi Yan Pian by Plum Flower contains Siberian Cocklebur Pe Min Kan Wan by Plum Flower contains Siberian Cocklebur
Pharmacist Counseling Corner

Sulfadiazine, Sulfamerazine, Sulfamethazine & Supplements: Common Questions

What supplements interact with Sulfadiazine, Sulfamerazine, Sulfamethazine?
In our interaction database, 107 supplement and herbal ingredients have an interaction with Sulfadiazine, Sulfamerazine, Sulfamethazine on file — 5 rated major, 91 moderate, and 11 minor. That number sounds scarier than it is: severity matters far more than the count, which is why the list on this page is ranked instead of alphabetical. Start at the top. The highest-ranked right now: Para-aminobenzoic Acid (paba), Siberian Cocklebur, Activated Charcoal.
Which Sulfadiazine, Sulfamerazine, Sulfamethazine supplement interactions are the most serious?
Focus on the major group: Para-aminobenzoic Acid (paba), Siberian Cocklebur, Activated Charcoal, Beer and Wine. A major rating means the combination can be clinically significant, not that harm is guaranteed — but it's exactly the kind of thing to run past your pharmacist before your next dose, not after. Jump to the ranked list.
Can I take vitamins or supplements while on Sulfadiazine, Sulfamerazine, Sulfamethazine?
That depends entirely on which supplement. The honest answer for Sulfadiazine, Sulfamerazine, Sulfamethazine is in the ranked list above — and if what you take is a combination product with a dozen ingredients, don't check them one by one: photograph the label with our scanner and we'll check the whole thing at once. Try the label scanner or the interaction checker.
Do brands like Triple Sulfoid have the same supplement interactions as Sulfadiazine, Sulfamerazine, Sulfamethazine?
Yes — Triple Sulfoid, Terfonyl all contain Sulfadiazine, Sulfamerazine, Sulfamethazine, so everything on this page applies to them equally. Interactions belong to the active drug, never to the brand on the box; the same is true of generics.
Where do these interaction ratings come from?
Every rating comes from the Natural Medicines database — the same evidence-graded reference pharmacists and hospitals use — and each interaction carries three separate grades: severity (how bad it can be), likelihood (how well it's documented in studies and case reports), and an evidence level. Our pharmacists review the content; we never let an AI decide an interaction. See how to read the ratings and our editorial policy.
Does Sulfadiazine, Sulfamerazine, Sulfamethazine deplete any vitamins or nutrients?
It might — Sulfadiazine, Sulfamerazine, Sulfamethazine has 20 reported nutrient-depletion associations in the research literature, which is a different question from interactions: instead of a supplement changing the drug, the drug may lower a nutrient over time. See the Sulfadiazine, Sulfamerazine, Sulfamethazine nutrient depletion report for the specifics and what to discuss with your pharmacist.
What about Sulfadiazine, Sulfamerazine, Sulfamethazine and my other medications?
This page covers Sulfadiazine, Sulfamerazine, Sulfamethazine against supplements and herbal ingredients. Checking Sulfadiazine, Sulfamerazine, Sulfamethazine against your other prescription or OTC medications is a different tool — our drug interaction checker covers that side. Head to the drug–drug interaction checker.

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

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Sourcing

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 , 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 October 4, 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.