17 Manganese Copper-Cobalt Ingredients & Drug Interactions
by Somaplex
What is this page for?
First and foremost: checking 17 Manganese Copper-Cobalt against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
17 Manganese Copper-Cobalt is a dietary supplement by Somaplex with 3 active ingredients. Its ingredients are commonly taken for bone health support, antioxidant and enzyme support, filling dietary gaps.Based on those ingredients, 114 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Manganese Sulfate, Cupric Gluconate. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against 17 Manganese Copper-Cobalt by Somaplex
Ask about any prescription or over-the-counter medication and we check it for interactions with 17 Manganese Copper-Cobalt by Somaplex — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of 17 Manganese Copper-Cobalt by Somaplex
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
Somaplex contains 3 active ingredients: manganese sulfate, cupric gluconate, and cobaltous sulfate. Manganese helps your body process amino acids, cholesterol, and carbohydrates, and it's especially important if you're deficient in it.
Copper supports bone strength, immune function, and iron metabolism. Cobalt is included here as an inorganic mineral form, though the product information notes it has no proven benefit and carries toxicity concerns.
The formula also contains water and ethyl alcohol as inactive ingredients.
Does it work?
Strong evidence
The evidence for these ingredients is mixed. Manganese sulfate is effective for manganese deficiency—if that's your situation, it works.
For other uses like hay fever, osteoporosis, COPD, weight loss, and joint pain, the evidence isn't strong enough to rate it. Cupric gluconate is likely effective for copper deficiency.
However, it's possibly ineffective for Alzheimer disease, and there's insufficient evidence for acne or chemotherapy-related anemia. Cobaltous sulfate has no effectiveness ratings in our data.
How safe is it?
Well-documented data
Manganese and copper are generally well tolerated at normal dietary doses, but high-dose supplements carry real risks. High-dose manganese can cause serious nerve damage resembling Parkinson disease, and one severe case involved irreversible Parkinson disease from taking 100 mg daily for years.
High-dose manganese also risks liver damage. Copper toxicity at high doses is also a concern.
Cobalt is the bigger worry here: inorganic cobalt supplements aren't recommended because they've caused heart damage, hearing loss, and vision loss in some people taking them for anemia. For manganese, amounts in prenatal vitamins are fine, but avoid high-dose supplements in pregnancy.
Copper is needed in pregnancy at recommended amounts—stay within those limits. Cobalt should be avoided in pregnancy and breastfeeding due to toxicity risks and lack of safety data.
Meds to double-check
Moderate interaction found
If you take an antipsychotic drug like haloperidol, check with your pharmacist before using this product—manganese may increase toxicity risk. Also double-check if you're on quinolone antibiotics (like ciprofloxacin) or tetracycline antibiotics (like doxycycline), since manganese may reduce how well they work.
If you take penicillamine for Wilson disease or rheumatoid arthritis, the copper may interfere—your pharmacist can help you space doses. And if you use oral contraceptives, discuss the copper content with your pharmacist or doctor.
The bottom line
Scorecard at a glanceFully disclosed formula with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
If you're deficient in manganese or copper, this product targets those conditions. You'll want to check your medications—especially antipsychotics, quinolone or tetracycline antibiotics, penicillamine, or oral contraceptives—before starting.
The cobalt ingredient here is a significant concern: inorganic cobalt has no proven benefit and carries serious risks of heart, hearing, and vision damage. Talk to your pharmacist about whether this product is right for you and whether a cobalt-free alternative might work better.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Sep 25, 2013.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about 17 Manganese Copper-Cobalt, straight from the product label.
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for 17 Manganese Copper-Cobalt by Somaplex, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Manganese Sulfate | 0.195 mcg | -- |
| Cupric Gluconate | 0.195 mcg | -- |
| Cobaltous Sulfate | 0.195 mcg | -- |
Other ingredients: Water, ethyl alcohol
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
Suggested Use: Adults take 20 drops on the tongue or in 1 oz. water two times daily. Children receive 1/2 or less of the adult amount.
Precautions
Tamper Evident: Use this product only if tamper evident ring has not been broken away from base of cap.
General
2993
General Statements
IONIZED TRACE ELEMENTS
17
>>NESTMANN<<
Made in Germany Nestmann Pharma Zapfendorf/Bamberg
FDA Statement of Identity
SUPPLEMENT
Seals/Symbols
MPI
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
17 Manganese Copper-Cobalt by Somaplex label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in 17 Manganese Copper-Cobalt by Somaplex
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size0.3 mL Dosage formLiquid Servings per container49 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Manganese Sulfate
Interacts with83 drugs
Manganese is an essential trace mineral your body needs in small amounts for bone formation, metabolism, and antioxidant defense, and most people get...
Manganese Sulfate monograph & interactionsCupric Gluconate
Interacts with31 drugs
Copper is an essential trace mineral your body needs in small amounts for making red blood cells, supporting nerves and bones, and helping enzymes wor...
Cupric Gluconate monograph & interactionsCobaltous Sulfate
No knowninteractions
Cobalt is a trace element that the body only needs as part of vitamin B12 (cobalamin); there is no proven reason to take inorganic cobalt supplements,...
Cobaltous Sulfate monograph & interactionsOther (inactive) ingredients: Water, Ethyl alcohol. These complete the product’s ingredient list but are not active constituents.
17 Manganese Copper-Cobalt by Somaplex Drug Interactions
HelloPharmacist Interaction Report
Somaplex's three active ingredients do interact with medications.
Manganese sulfate carries the most serious documented concerns. It theoretically increases the risk of manganese toxicity when combined with antipsychotic drugs (Moderate severity), and may reduce how your body absorbs quinolone and tetracycline antibiotics (both Moderate).
The manganese-antipsychotic interaction is particularly notable because hallucinations and behavioral changes have been reported in patients taking haloperidol or similar drugs alongside manganese.
Read the full breakdown — every affected drug type, severity by severity
Cupric gluconate also has documented interactions. It may decrease penicillamine absorption if you're taking that medication for Wilson disease or rheumatoid arthritis—separating doses by at least 2 hours can help.
Additionally, if you use oral contraceptives, copper levels in your blood may rise above the normal range, which theoretically increases the risk of copper toxicity (Minor severity).
Cobaltous sulfate shows no interactions in our data, though the facts note inorganic cobalt supplements carry serious toxicity risks and aren't generally recommended. Altogether, these interactions span 114 individual medications.
Before you start this product, check your exact prescriptions using the search tool on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against 17 Manganese Copper-Cobalt?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in 17 Manganese Copper-Cobalt interact with 114 drugs. Click any drug to see the details.
2 of the 3 ingredients in 17 Manganese Copper-Cobalt interact with drugs. Each result below shows which ingredient is responsible. Manganese Sulfate Cupric Gluconate
AcepromazineAtravet
How Acepromazine interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Acepromazine interactionAcetophenazineTindal
How Acetophenazine interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Acetophenazine interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Amitriptyline, Perphenazine interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese Sulfate + Amphotericin, Tetracycline interactionAripiprazoleAbilify, Abilify Maintena, Abilify Mycite
How Aripiprazole interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Aripiprazole interactionAripiprazole LauroxilAristada, Aristada Initio Kit
How Aripiprazole Lauroxil interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Aripiprazole Lauroxil interactionAsenapineSaphris, Secuado
How Asenapine interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Asenapine interactionBismuth Subsalicylate, Metronidazole, TetracyclineHelidac
How Bismuth Subsalicylate, Metronidazole, Tetracycline interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese Sulfate + Bismuth Subsalicylate, Metronidazole, Tetracycline interactionBrexpiprazoleRexulti
How Brexpiprazole interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Brexpiprazole interactionButaperazineRepoise
How Butaperazine interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Butaperazine interactionCariprazine HydrochlorideVraylar
How Cariprazine Hydrochloride interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Cariprazine Hydrochloride interactionCarphenazineProketazin
How Carphenazine interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Carphenazine interactionChlorpromazineThorazine, Thorazine Spansules
How Chlorpromazine interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Chlorpromazine interactionChlorprothixeneTaractan
How Chlorprothixene interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Chlorprothixene interactionChlortetracyclineAureomycin
How Chlortetracycline interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese Sulfate + Chlortetracycline interactionCinoxacinCinobac
How Cinoxacin interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese Sulfate + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese Sulfate + Ciprofloxacin interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese Sulfate + Clinafloxacin interactionClozapineClozaril, Versacloz
How Clozapine interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Clozapine interactionCyamemazineTercian
How Cyamemazine interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Cyamemazine interactionDemeclocyclineDeclomycin
How Demeclocycline interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese Sulfate + Demeclocycline interactionDoripenemDoribax
How Doripenem interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateQuinolone Antibiotics, Tetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese Sulfate + Doripenem interactionDoxycyclineDoryx, Doxy, Doxy-D, Doxycin, Doxycycline Injection, Doxylin +6 more
How Doxycycline interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese Sulfate + Doxycycline interactionDoxycycline HyclateActiclate, Acticlate Cap, Lymepak
How Doxycycline Hyclate interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese Sulfate + Doxycycline Hyclate interactionDoxycycline MonohydrateErfacea
How Doxycycline Monohydrate interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese Sulfate + Doxycycline Monohydrate interactionDoxycylineDoxychel
How Doxycyline interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese Sulfate + Doxycyline interactionEnoxacinPenetrex
How Enoxacin interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese Sulfate + Enoxacin interactionEravacyclineXerava
How Eravacycline interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese Sulfate + Eravacycline interactionFinafloxacinXtoro
How Finafloxacin interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese Sulfate + Finafloxacin interactionFlupenthixolFluanxol
How Flupenthixol interacts with 17 Manganese Copper-Cobalt — through 1 ingredient. Tap an ingredient for the detail:
Manganese SulfateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese Sulfate + Flupenthixol interactionEach ingredient & the kinds of drugs it affects
For each ingredient in 17 Manganese Copper-Cobalt with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Manganese Sulfate
Antipsychotic Drugs
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Hallucinations and behavioral changes have been reported in a patient with liver disease who was taking haloperidol and manganese. Researchers speculate that taking manganese along with haloperidol, phenothiazine-derivatives, or other antipsychotic medications might increase the risk of manganese toxicity in some patients.
Quinolone Antibiotics
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Manganese is a multivalent cation. Interactions resulting in reduced quinolone absorption have been reported between quinolones and other multivalent cations, such as calcium and iron.
Tetracycline Antibiotics
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Manganese is a multivalent cation. Interactions resulting in reduced tetracycline absorption have been reported between tetracyclines and other multivalent cations, such as calcium and iron.
Cupric Gluconate
Penicillamine (Cuprimine, Depen)
Theoretically, taking copper with penicillamine might decrease the absorption of penicillamine; separate dosing by at least 2 hours.
Copper chelates penicillamine, which decreases its absorption and may reduce its clinical effects.
Contraceptive Drugs
Theoretically, taking copper with contraceptive drugs might increase the levels and toxic effects of copper.
A meta-analysis of clinical studies suggests that chronic use of oral contraceptives increases serum copper levels by a mean of 57 mcg/dL. In most people, this resulted in levels above the normal reference range for copper.
Brand information
Manufacturer and brand details for 17 Manganese Copper-Cobalt, from the product label.
17 Manganese Copper-Cobalt by Somaplex: Common Questions
Does 17 Manganese Copper-Cobalt by Somaplex interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is this safe during pregnancy?
Can I take this while breastfeeding?
What is manganese actually for?
Why is cobalt in here if it's not recommended?
What happens if I take too much of this product?
Does copper help with Alzheimer disease?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if 17 Manganese Copper-Cobalt is safe with your meds?
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind 17 Manganese Copper-Cobalt’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Manganese
Interacts with 83 drugsManganese is an essential trace mineral your body needs in small amounts for bone formation, metabolism, and antioxidant defense, and most people get enough from a normal diet. Supplements m...
Read the full Manganese monograph → Herb & supplement monographCopper
Interacts with 31 drugsCopper is an essential trace mineral your body needs in small amounts for making red blood cells, supporting nerves and bones, and helping enzymes work. Most people get enough copper from fo...
Read the full Copper monograph → Herb & supplement monographCobalt
Cobalt is a trace element that the body only needs as part of vitamin B12 (cobalamin); there is no proven reason to take inorganic cobalt supplements, and doing so can be harmful. If you nee...
Read the full Cobalt monograph →Sources & How We Checked
17 Manganese Copper-Cobalt's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 43 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Manganese 21 references
- Hansten PD, Horn JR. Hansten and Horn's Drug Interactions Analysis and Management. Vancouver, CAN:Appl Therapeut, 1999.
- Barrington WW, Angle CR, Willcockson NK, et al. Autonomic function in manganese alloy workers. Environ Res 1998;78:50-8. PubMed
- Hauser RA, Zesiewicz TA, Martinez C, et al. Blood manganese correlates with brain magnetic resonance imaging changes in patients with liver disease. Can J Neurol Sci 1996;23:95-8. PubMed
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
- Lee JW. Manganese intoxication. Arch Neurol 2000;57:597-9.. PubMed
- Powers KM, Smith-Weller T, Franklin GM, et al. Parkinson's disease risks associated with dietary iron, manganese, and other nutrient intakes. Neurology 2003;60:1761-6.. PubMed
- McMillan, D. E. A brief history of the neurobehavioral toxicity of manganese: some unanswered questions. Neurotoxicology 1999;20(2-3):499-507.
- Gerber, G. B., Leonard, A., and Hantson, P. Carcinogenicity, mutagenicity and teratogenicity of manganese compounds. Crit Rev Oncol Hematol. 2002;42(1):25-34. PubMed
- Jiang, Y. and Zheng, W. Cardiovascular toxicities upon manganese exposure. Cardiovasc.Toxicol 2005;5(4):345-354. PubMed
- Mehta, R. and Reilly, J. J. Manganese levels in a jaundiced long-term total parenteral nutrition patient: potentiation of haloperidol toxicity? Case report and literature review. JPEN J Parenter.Enteral Nutr 1990;14(4):428-430. PubMed
- Nemery, B. Metal toxicity and the respiratory tract. Eur Respir.J 1990;3(2):202-219. DOI
- Vanek VW, Borum P, Buchman A, et al. A.S.P.E.N. position paper: recommendations for changes in commercially available parenteral multivitamin and multi-trace element products. Nutr Clin Pract. 2012;27:440-491.doi: 10.1177/0884533612446706 PubMed
- Schuh MJ. Possible Parkinson's disease induced by chronic manganese supplement ingestion. Consult Pharm. 2016;31(12):698-703. doi: 10.4140/TCP.n.2016.698. PubMed
- Baker B, Ali A, Isenring L. Recommendations for manganese supplementation to adult patients receiving long-term home parenteral nutrition: an analysis of the supporting evidence. Nutr Clin Pract 2016;31(2):180-5. doi: 10.1177/0884533615591600. PubMed
- Ho CSH, Ho RCM, Quek AML. Chronic manganese toxicity associated with voltage-gated potassium channel complex antibodies in a relapsing neuropsychiatric disorder. Int J Environ Res Public Health 2018;15(4). pii: E783. doi: 10.3390/ijerph15040783. PubMed
- Yamamoto M, Sakurai K, Eguchi A, et al.; Japan Environment and Children's Study Group: Association between blood manganese level during pregnancy and birth size: the Japan environment and children's study (JECS). Environ Res 2019;172:117-26. PubMed
- Li D, Ge X, Liu Z, et al. Association between long-term occupational manganese exposure and bone quality among retired workers. Environ Sci Pollut Res Int 2020;27(1):482-9. PubMed
- Martin KV, Sucharew H, Dietrich KN, et al. Co-exposure to manganese and lead and pediatric neurocognition in East Liverpool, Ohio. Environ Res 2021;202:111644. PubMed
- Racette BA, Nelson G, Dlamini WW, et al. Depression and anxiety in a manganese-exposed community. Neurotoxicology 2021;85:222-33. PubMed
- Ruiz-Azcona L, Fernández-Olmo I, Expósito A, et al. Impact of environmental airborne manganese exposure on cognitive and motor functions in adults: a systematic review and meta-analysis. Int J Environ Res Public Health 2021;18(8):4075. PubMed
- Uyar E, Gurkas E, Aksu AU, et al. Can therapeutic plasma exchange be life-saving in life-threatening manganese intoxication?. Transfus Apher Sci 2022;61(4):103417. PubMed
Copper 11 references
- Murry JJ, Healy MD. Drug-mineral interactions: a new responsibility for the hospital dietician. J Am Diet Assoc 1991;91:66-73.
- Campbell IA, Elmes PC. Ethambutol and the eye: zinc and copper (letter). Lancet 1975;2:711. DOI
- Segal S, Kaminski S. Drug-nutrient interactions. American Druggist 1996 Jul;42-8.
- Kozak SF, Inderlied CB, Hsu HY, et al. The role of copper on ethambutol's antimicrobial action and implications for ethambutol-induced optic neuropathy. Diag Microbiol Infect Dis 1998;30:83-7. PubMed
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
- Cantilena LR, Klaassen CD. The effect of chelating agents on the excretion of endogenous metals. Toxicol Appl Pharmacol 1982;63:344-50.
- Babic Z, Tariba B, Kovacic J, Pizent A, Varnai VM, Macan J. Relevance of serum copper elevation induced by oral contraceptives: a meta-analysis. Contraception. 2013 Jun;87(6):790-800. PubMed
- Qui Q, Zhang F, Zhu W, Wu J, Liang M. Copper in diabetes mellitus: a meta-analysis and systematic review of plasma and serum studies. Biol Trace Elem Res 2017;177(1):53-63.
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