Activated B-12 2,000 mcg Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Activated B-12 2,000 mcg 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
Activated B-12 2,000 mcg is a dietary supplement by Superior Source with 4 active ingredients. Its ingredients are commonly taken for sugar substitute / sweetener, blood sugar support in diabetes, weight management.Based on those ingredients, 297 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Stevia leaf extract, Vitamin B6, Vitamin B12. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Activated B-12 2,000 mcg by Superior Source
Ask about any prescription or over-the-counter medication and we check it for interactions with Activated B-12 2,000 mcg by Superior Source — 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
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of Activated B-12 2,000 mcg by Superior Source
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
This product contains 4 active ingredients. Vitamin B12 at 2,000 mcg is the main player — it supports energy, nerve health, and red blood cell formation.
Vitamin B6 and folate are co-actors in that same metabolic pathway, helping your body use B12 effectively. Stevia leaf extract is a sweetener with no calories.
The inactive ingredients are lactose, natural cherry flavor, and acacia gum.
Does it work?
Strong evidence
Vitamin B12 is effective for treating B12 deficiency and a rare condition called Imerslund-Grasbeck disease, and it's likely effective for cyanide poisoning. It's possibly effective for canker sores and a type of nerve pain called postherpetic neuralgia.
Vitamin B6 is effective for sideroblastic anemia and B6 deficiency, and likely effective for high homocysteine levels. We hold no effectiveness data in our system for stevia or L-5 methyltetrahydrofolate for any condition.
How safe is it?
Well-documented data
Vitamin B12 is very safe — your body flushes excess in the urine, so there's no established upper limit. It's considered safe during pregnancy and breastfeeding at normal recommended amounts.
Vitamin B6 is well tolerated at doses under 100 mg daily, but high doses over time can damage nerves; stick to recommended amounts unless your doctor advises otherwise. Stevia leaf extract is generally well tolerated in food amounts, though high-dose supplements lack safety data — we'd use caution with supplement-level doses.
Minor adverse effects from stevia like bloating, dizziness, headache, and nausea usually fade after the first week. Serious allergic reactions are rare.
Meds to double-check
Moderate interaction found
Check your medications if you take lithium (stevia may raise its level), seizure drugs like phenobarbital or phenytoin (B6 may reduce their effectiveness), heart rhythm medication amiodarone (B6 may worsen sun sensitivity), blood pressure drugs (both stevia and B6 may lower pressure further), diabetes medications (stevia may increase low blood sugar risk), or metformin (this product can help restore B12 that metformin depletes). If you take levodopa alone (not with carbidopa), B6 may reduce its effect.
The bottom line
Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
If you take lithium, blood pressure medications, seizure drugs, or metformin, run this product through the checker first — stevia and B6 especially need a look. Otherwise, B12 supplementation is generally a straightforward, well-tolerated choice for boosting energy and supporting nerve health.
Talk to your pharmacist if you're pregnant, nursing, or on any regular medications.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Apr 23, 2020.
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 Activated B-12 2,000 mcg, straight from the product label.
| Brand | Superior Source |
|---|---|
| Net contents | 60 MicroLingual(R) Instant Dissolve Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Apr 23, 2020 |
| DSLD ID | 218666 |
| Product type | Botanical With Nutrients |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | Nutrient, All Other |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Activated B-12 2,000 mcg by Superior Source, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Stevia leaf extract | 2 mg | -- |
| Vitamin B12 | 2000 mcg | 83333% |
| Vitamin B6 | 2 mg | 117.7% |
| Folate | 2000 mcg | 500% |
| L-5 Methyltetrahydrofolate | 1200 mcg | -- |
Other ingredients: Lactose, natural Cherry flavor, Acacia Gum
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
Directions: As a dietary supplement, dissolve one MicroLingual tablet under the tongue as directed by your healthcare provider. This product may also be swallowed.
Formulation
GMO free
Formula
(P-5-P) B-6& Methylfolate
FDA Statement of Identity
Dietary Supplement
Precautions
Allergen statement: Contains milk.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Activated B-12 2,000 mcg by Superior Source 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 Activated B-12 2,000 mcg by Superior Source
These are the 4 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container60 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.
Stevia leaf extract
Interacts with259 drugs
Stevia is a plant-based, calorie-free sweetener that is widely used as a sugar alternative and is considered safe in normal food amounts by major regu...
Stevia leaf extract monograph & interactionsVitamin B12
Interacts with20 drugs
Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very h...
Vitamin B12 monograph & interactionsVitamin B6
Interacts with210 drugs
Vitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is b...
Vitamin B6 monograph & interactionsFolate
- › L-5 Methyltetrahydrofolate
Other (inactive) ingredients: Lactose, Natural Cherry flavor, Acacia Gum. These complete the product’s ingredient list but are not active constituents.
Activated B-12 2,000 mcg by Superior Source Drug Interactions
HelloPharmacist Interaction Report
Activated B-12 2,000 mcg by Superior Source contains several ingredients with documented interactions.
The most serious is stevia leaf extract, which may increase lithium (a mood stabilizer) to unsafe levels — stevia may slow how your kidneys clear it, so if you take lithium, you'll want to check this with us before starting.
Read the full breakdown — every affected drug type, severity by severity
Stevia also has minor interactions with blood pressure medications and diabetes drugs. It might amplify blood pressure-lowering effects or increase your risk of low blood sugar.
Vitamin B6 in this product has moderate interactions with several seizure and heart medications — high doses can reduce how well phenobarbital (Luminal), phenytoin (Dilantin), and amiodarone (Cordarone) work, and it may raise blood pressure when combined with antihypertensive drugs. Vitamin B6 may also speed up levodopa metabolism, though not if you take it with carbidopa (part of Sinemet).
Vitamin B12 has a minor interaction with metformin (Glucophage), which can lower B12 levels over time — but B12 supplementation helps counteract that.
We could not check L-5 methyltetrahydrofolate for interactions. Altogether, these interactions span 294 individual medications.
Use the medication checker on this page to look up your exact drugs before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Activated B-12 2,000 mcg?
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 Activated B-12 2,000 mcg interact with 297 drugs. Click any drug to see the details.
3 of the 4 ingredients in Activated B-12 2,000 mcg interact with drugs. Each result below shows which ingredient is responsible. Stevia leaf extract Vitamin B6 Vitamin B12
Alogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Activated B-12 2,000 mcg — through 2 ingredients. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Alogliptin, Metformin interactionVitamin B12Metformin (glucophage) Minor
Interaction Summary
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals.
Read the full Vitamin B12 + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Alogliptin, Pioglitazone interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionBenserazide, LevodopaMadopar, Prolopa
How Benserazide, Levodopa interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Levodopa Minor
Interaction Summary
Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.
Read the full Vitamin B6 + Benserazide, Levodopa interactionCanagliflozinInvokana
How Canagliflozin interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Canagliflozin interactionCanagliflozin, MetforminInvokamet
How Canagliflozin, Metformin interacts with Activated B-12 2,000 mcg — through 2 ingredients. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Canagliflozin, Metformin interactionVitamin B12Metformin (glucophage) Minor
Interaction Summary
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals.
Read the full Vitamin B12 + Canagliflozin, Metformin interactionCanagliflozin, Metformin HydrochlorideInvokamet XR
How Canagliflozin, Metformin Hydrochloride interacts with Activated B-12 2,000 mcg — through 2 ingredients. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Canagliflozin, Metformin Hydrochloride interactionVitamin B12Metformin (glucophage) Minor
Interaction Summary
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals.
Read the full Vitamin B12 + Canagliflozin, Metformin Hydrochloride interactionCarbidopa, LevodopaDhivy, Rytary, Sinemet, Sinemet CR
How Carbidopa, Levodopa interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Levodopa Minor
Interaction Summary
Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.
Read the full Vitamin B6 + Carbidopa, Levodopa interactionCarbidopa, Levodopa, EntacaponeStalevo
How Carbidopa, Levodopa, Entacapone interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Vitamin B6Levodopa Minor
Interaction Summary
Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.
Read the full Vitamin B6 + Carbidopa, Levodopa, Entacapone interactionChlorpropamideChlorpropam, Diabinese
How Chlorpropamide interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Chlorpropamide interactionDapagliflozinFarxiga
How Dapagliflozin interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Dapagliflozin interactionDapagliflozin Propanediol, MetforminXigduo XR
How Dapagliflozin Propanediol, Metformin interacts with Activated B-12 2,000 mcg — through 2 ingredients. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Dapagliflozin Propanediol, Metformin interactionVitamin B12Metformin (glucophage) Minor
Interaction Summary
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals.
Read the full Vitamin B12 + Dapagliflozin Propanediol, Metformin interactionDapagliflozin Propanediol, Saxagliptin HydrochlorideQtern
How Dapagliflozin Propanediol, Saxagliptin Hydrochloride interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Dapagliflozin Propanediol, Saxagliptin Hydrochloride interactionDapagliflozin, Metformin Hydrochloride, Saxagliptin HydrochlorideQternmet XR
How Dapagliflozin, Metformin Hydrochloride, Saxagliptin Hydrochloride interacts with Activated B-12 2,000 mcg — through 2 ingredients. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Dapagliflozin, Metformin Hydrochloride, Saxagliptin Hydrochloride interactionVitamin B12Metformin (glucophage) Minor
Interaction Summary
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals.
Read the full Vitamin B12 + Dapagliflozin, Metformin Hydrochloride, Saxagliptin Hydrochloride interactionDasiglucagon HydrochlorideZegalogue
How Dasiglucagon Hydrochloride interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Dasiglucagon Hydrochloride interactionDulaglutideTrulicity
How Dulaglutide interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Dulaglutide interactionEmpagliflozinJardiance
How Empagliflozin interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Empagliflozin interactionEmpagliflozin, Linagliptin, Metformin HydrochlorideTrijardy XR
How Empagliflozin, Linagliptin, Metformin Hydrochloride interacts with Activated B-12 2,000 mcg — through 2 ingredients. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Empagliflozin, Linagliptin, Metformin Hydrochloride interactionVitamin B12Metformin (glucophage) Minor
Interaction Summary
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals.
Read the full Vitamin B12 + Empagliflozin, Linagliptin, Metformin Hydrochloride interactionEmpagliflozin, MetforminSynjardy
How Empagliflozin, Metformin interacts with Activated B-12 2,000 mcg — through 2 ingredients. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Empagliflozin, Metformin interactionVitamin B12Metformin (glucophage) Minor
Interaction Summary
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals.
Read the full Vitamin B12 + Empagliflozin, Metformin interactionEmpagliflozin, Metformin HydrochlorideSynjardy XR
How Empagliflozin, Metformin Hydrochloride interacts with Activated B-12 2,000 mcg — through 2 ingredients. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Empagliflozin, Metformin Hydrochloride interactionVitamin B12Metformin (glucophage) Minor
Interaction Summary
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals.
Read the full Vitamin B12 + Empagliflozin, Metformin Hydrochloride interactionErtugliflozinSteglatro
How Ertugliflozin interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Ertugliflozin interactionErtugliflozin, Metformin HydrochlorideSegluromet
How Ertugliflozin, Metformin Hydrochloride interacts with Activated B-12 2,000 mcg — through 2 ingredients. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Ertugliflozin, Metformin Hydrochloride interactionVitamin B12Metformin (glucophage) Minor
Interaction Summary
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals.
Read the full Vitamin B12 + Ertugliflozin, Metformin Hydrochloride interactionExenatideBydureon, Byetta
How Exenatide interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Exenatide interactionExenatide SyntheticBydureon BCISE
How Exenatide Synthetic interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Exenatide Synthetic interactionGliclazideDiamicron
How Gliclazide interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Gliclazide interactionGlimepirideAmaryl
How Glimepiride interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Glimepiride interactionGlipizideGlucotrol, Glucotrol XL
How Glipizide interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Glipizide interactionGlipizide, MetforminMetaglip
How Glipizide, Metformin interacts with Activated B-12 2,000 mcg — through 2 ingredients. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Glipizide, Metformin interactionVitamin B12Metformin (glucophage) Minor
Interaction Summary
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals.
Read the full Vitamin B12 + Glipizide, Metformin interactionGlucagonBaqsimi, Glucagon
How Glucagon interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Glucagon interactionGlucoseIV Glucose
How Glucose interacts with Activated B-12 2,000 mcg — through 1 ingredient. Tap an ingredient for the detail:
Stevia Leaf ExtractAntidiabetes Drugs Minor
Interaction Summary
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Read the full Stevia Leaf Extract + Glucose interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Activated B-12 2,000 mcg 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.
Stevia leaf extract
Lithium
Theoretically, stevia might decrease clearance and increase levels of lithium.
Animal research suggests that stevia extracts might have diuretic activity. Theoretically, increased reabsorption of lithium along with sodium might reduce excretion and increase levels of lithium.
Antidiabetes Drugs
Theoretically, stevia might increase the risk for hypoglycemia when combined with antidiabetes drugs.
Preliminary clinical research in patients with type 2 diabetes suggests that taking a single dose of stevia extract 1000 mg reduces postprandial blood glucose levels when taken with a meal. However, other clinical research in patients with type 1 or type 2 diabetes suggests that taking stevioside 250 mg three times daily does not significantly affect blood glucose levels or glycated hemoglobin (HbA1C) after three months of treatment.
Antihypertensive Drugs
Theoretically, combining stevia or stevia constituents with antihypertensive agents might increase the risk of hypotension.
Stevia extract and stevioside might lower blood pressure in patients with hypertension. However, other clinical research suggests that stevioside does not significantly lower blood pressure in patients with hypertension.
Vitamin B6
Amiodarone (Cordarone)
Theoretically, vitamin B6 might increase the photosensitivity caused by amiodarone.
Despite initial case reports suggesting that pyridoxine may have a protective effect against amiodarone-induced photosensitivity, preliminary clinical research suggests that pyridoxine may actually exacerbate this adverse effect.
Antihypertensive Drugs
Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Research in hypertensive rats shows that vitamin B6 can decrease systolic blood pressure. Similarly, clinical research in patients with hypertension shows that taking high doses of vitamin B6 may reduce systolic and diastolic blood pressure, possibly by reducing plasma levels of epinephrine and norepinephrine.
Phenobarbital (Luminal)
High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenobarbital, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenobarbital to avoid high doses of vitamin B6.
Phenytoin (Dilantin)
High doses of vitamin B6 may reduce the levels and clinical effects of phenytoin.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenytoin, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenytoin to avoid high doses of vitamin B6.
Levodopa
Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.
Vitamin B6 (pyridoxine) enhances the metabolism of levodopa, reducing its clinical effects. However, this interaction does not occur when carbidopa is used concurrently with levodopa (Sinemet). Therefore, it is not likely to be a problem in most people.
Vitamin B12
Metformin (Glucophage)
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals. Prolonged use of metformin can interfere with the absorption of B12 in the digestive system, potentially leading to a deficiency in this essential vitamin.
Brand information
Manufacturer and brand details for Activated B-12 2,000 mcg, from the product label.
Superior Source
See all Superior Source products- Name
- Continental Vitamin Company, Inc.
- City
- Los Angeles
- State
- CA
- ZipCode
- 90058
- Phone Number
- (800) 421-6175
- Web Address
- www.superiorsourcevitamins.com
Activated B-12 2,000 mcg by Superior Source: Common Questions
Does Activated B-12 2,000 mcg by Superior Source interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Will this help my energy levels?
Is it safe to take while pregnant or nursing?
What's stevia doing in a B-vitamin product?
Can I take this if I'm on metformin for diabetes?
What side effects should I watch for?
Is this safe to take long-term?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Activated B-12 2,000 mcg is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
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 Activated B-12 2,000 mcg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Stevia
Interacts with 259 drugsStevia is a plant-based, calorie-free sweetener that is widely used as a sugar alternative and is considered safe in normal food amounts by major regulators. Purified stevia extracts have a...
Read the full Stevia monograph → Herb & supplement monographVitamin B12
Interacts with 20 drugsVitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very helpful for people who are deficient — su...
Read the full Vitamin B12 monograph → Herb & supplement monographVitamin B6
Interacts with 210 drugsVitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is best known for helping with pregnancy-rel...
Read the full Vitamin B6 monograph →Sources & How We Checked
Activated B-12 2,000 mcg'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 72 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.
Stevia 10 references
- Chan P, Xu DY, Liu JC, et al. The effect of stevioside on blood pressure and plasma catecholamines in spontaneously hypertensive rats. Life Sci 1998;63:1679-84. PubMed
- Melis MS. A crude extract of Stevia rebaudiana increases the renal plasma flow of normal and hypertensive rats. Braz J Med Biol Res 1996;29:669-75.
- Melis MS. Chronic administration of aqueous extract of Stevia rebaudiana in rats: renal effects. J Ethnopharmacol 1995;47:129-34. PubMed
- Melis MS, Sainati AR. Effect of calcium and verapamil on renal function of rats during treatment with stevioside. J Ethnopharmacol 1991;33:257-622. PubMed
- Hsieh MH, Chan P, Sue YM, et al. Efficacy and tolerability of oral stevioside in patients with mild essential hypertension: a two-year, randomized, placebo-controlled study. Clin Ther 2003;25:2797-808. PubMed
- Chan P, Tomlinson B, Chen YJ, et al. A double-blind placebo-controlled study of the effectiveness and tolerability of oral stevioside in human hypertension. Br J Clin Pharmacol 2000;50:215-20. PubMed
- Gregersen S, Jeppesen PB, Holst JJ, Hermansen K. Antihyperglycemic effects of stevioside in type 2 diabetic subjects. Metabolism 2004;53:73-6. PubMed
- Barriocanal LA, Palacios M, Benitez G, et al. Apparent lack of pharmacological effect of steviol glycosides used as sweeteners in humans. A pilot study of repeated exposures in some normotensive and hypotensive individuals and in Type 1 and Type 2 diabeti
- Ferri LA, Alves-Do-Prado W, Yamada SS, et al. Investigation of the antihypertensive effect of oral crude stevioside in patients with mild essential hypertension. Phytother Res 2006;20:732-6. PubMed
- Almiron-Roig E, Navas-Carretero S, Castelnuovo G, et al. Impact of acute consumption of beverages containing plant-based or alternative sweetener blends on postprandial appetite, food intake, metabolism, and gastro-intestinal symptoms: Results of the SWEE
Vitamin B12 30 references
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (2000). Washington, DC: National Academy Press, 2000. Available at: http://b
- Hartman TJ, Woodson K, Stolzenberg-Solomon R, et al. Association of the B-vitamins pyridoxal 5'-phosphate (B6), B12, and folate with lung cancer risk in older men. Am J Epidemiol 2001;153:688-94.. DOI
- Jansen T, Romiti R, Kreuter A, Altmeyer P. Rosacea fulminans triggered by high-dose vitamins B6 and B12. J Eur Acad Dermatol Venereol 2001;15:484-5..
- Lange H, Suryapranata H, De Luca G, et al. Folate therapy and in-stent restenosis after coronary stenting. N Engl J Med 2004;350:2673-81. PubMed
- Collin, S. M., Metcalfe, C., Refsum, H., Lewis, S. J., Zuccolo, L., Smith, G. D., Chen, L., Harris, R., Davis, M., Marsden, G., Johnston, C., Lane, J. A., Ebbing, M., Bonaa, K. H., Nygard, O., Ueland, P. M., Grau, M. V., Baron, J. A., Donovan, J. L., Nea
- Geissbuhler, P., Mermillod, B., and Rapin, C. H. Elevated serum vitamin B12 levels associated with CRP as a predictive factor of mortality in palliative care cancer patients: a prospective study over five years. J.Pain Symptom.Manage. 2000;20(2):93-103. PubMed
- Salles, N., Herrmann, F., Sakbani, K., Rapin, C. H., and Sieber, C. High vitamin B12 level: a strong predictor of mortality in elderly inpatients. J Am Geriatr.Soc 2005;53(5):917-918.
- Looker, H. C., Fagot-Campagna, A., Gunter, E. W., Pfeiffer, C. M., Sievers, M. L., Bennett, P. H., Nelson, R. G., Hanson, R. L., and Knowler, W. C. Homocysteine and vitamin B(12) concentrations and mortality rates in type 2 diabetes. Diabetes Metab Res R
- Uhl, W., Nolting, A., Golor, G., Rost, K. L., and Kovar, A. Safety of hydroxocobalamin in healthy volunteers in a randomized, placebo-controlled study. Clin Toxicol (Phila) 2006;44 Suppl 1:17-28. PubMed
- Borron, S. W., Baud, F. J., Barriot, P., Imbert, M., and Bismuth, C. Prospective study of hydroxocobalamin for acute cyanide poisoning in smoke inhalation. Ann Emerg.Med 2007;49(6):794-801, 801. PubMed
- Borron, S. W., Baud, F. J., Megarbane, B., and Bismuth, C. Hydroxocobalamin for severe acute cyanide poisoning by ingestion or inhalation. Am J Emerg.Med 2007;25(5):551-558. PubMed
- Lewis, J. G. Gout, Steatorrhoea, and Megaloblastic Anaemia. Ann Rheum.Dis 1962;21(3):284-286. PubMed
- Tal, S., Shavit, Y., Stern, F., and Malnick, S. Association between vitamin B12 levels and mortality in hospitalized older adults. J Am Geriatr.Soc 2010;58(3):523-526. PubMed
- Baztan, J. J., Gavidia, J. J., Gomez-Pavon, J., Esteve, A., and Ruiperez, I. High vitamin B12 levels and in-hospital mortality. J Am Geriatr.Soc 2010;58(11):2237-2238. PubMed
- Omboni, E., Checchini, M., and Longoni, F. [Hypopotassemia and megaloblastic anemia. Presentation of a case]. Minerva Med 8-31-1987;78(16):1255-1257.
- Aalfs As, Scholvinck LH, Horvath B. Acneiform eruption in a 5-year old due to vitamin B12 supplementation. Eur J Dermatol 2013;23(5):726-7. PubMed
- Balta I, Ozuguz P. Vitamin B12-induced acneiform eruption. Cutan Ocul Toxicol 2014;33(2):94-5. PubMed
- Carman KB, Belgemen T, Yis U. Involuntary movements misdiagnosed as seizure during vitamin B12 treatment. Pediatr Emerg Care 2013;29(11):1223-4. PubMed
- Djuric V, Bogic M, Popadic AP, et al. Anaphylactic reaction to hydroxycobalamin with tolerance to cyanocobalamin. Ann Allergy Asthma Immunol 2012;108(3):207-8. PubMed
- Kartel O, Gulec M, Demirel F, et al. Vitamin B12 allergy and successful desensitization with cyanocobalamin: A case report. Allergol Immunopath (Madr) 2012;40(5):324-5.
- Patiroglu T, Unal E, Yildirim S. Infantile tremor syndrome associated with cobalamin therapy: A case report. Clin Neurol Neurosurg 2013;115(9):1903-5. PubMed
- Schulte S, Barkema LW, Kardaun SH. Long-lasting atypical acneiform eruption with prominent comedones induced by hydroxocobalamin (vitamin B12). J Dtsch Dermatol Ges 2014;12(6):502-3.
- Zanus C, Alberini E, Costa P, et al. Involuntary movements after correction of vitamin B12 deficiency: A video-case report. Epileptic Disord 2012;14(2):174-80. PubMed
- Fanidi A, Carreras-Torres R, Larose TL, et al. Is high vitamin B12 status a cause of lung cancer? Int J Cancer. 2019 Sep 15;145(6):1499-1503. PubMed
- Fujita Y, Mizukami T, Maya Y, et al. Vitamin B12 allergy manifesting as lymphomatoid contact dermatitis. Eur J Dermatol. 2020;30(3):304-305. PubMed
- Dépret F, Hoffmann C, Daoud L, et al. Association between hydroxocobalamin administration and acute kidney injury after smoke inhalation: a multicenter retrospective study. Crit Care. 2019;23(1):421. PubMed
- Khairan P, Sobue T, Eshak ES, et al. Association of dietary intakes of vitamin B12, vitamin B6, folate, and methionine with the risk of esophageal cancer: the Japan Public Health Center-based (JPHC) prospective study. BMC Cancer 2021;21(1):982. PubMed
- Evans J, Pandya A, Ding Y, Qunibi WY. Hydroxocobalamin-Induced Oxalate Nephropathy in a Patient With Smoke Inhalation. Kidney Int Rep 2021;6(8):2228-2231. PubMed
- Lacombe V, Chabrun F, Lacout C, et al. Persistent elevation of plasma vitamin B12 is strongly associated with solid cancer. Sci Rep 2021;11(1):13361. PubMed
- Pegalajar-García MD, Cebolla-Verdugo M, Prados-Carmona Á, Llamas-Segura C, Navarro-Triviño FJ. Systemic allergic dermatitis to cobalt present in cyanocobalamin supplementation. Contact Dermatitis 2023;89(3):203-205. PubMed
Vitamin B6 32 references
- Hansten PD, Horn JR. Drug Interactions Analysis and Management. Vancouver, WA: Applied Therapeutics Inc., 1997 and updates.
- Yates AA, Schlicker SA, Suitor CW. Dietary reference intakes: The new basis for recommendations for calcium and related nutrients, B vitamins, and choline. J Am Diet Assoc 1998;98:699-706. PubMed
- Geerling BJ, Dagnelie PC, Badart-Smook A, et al. Diet as a risk factor for the development of ulcerative colitis. Am J Gastroenterol 2000;95:1008-13. PubMed
- South M. Neonatal seizures after pyridoxine use -- reply. Lancet 1999;354:2083. PubMed
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (2000). Washington, DC: National Academy Press, 2000. Available at: http://b
- Baxter P, Aicardi J. Neonatal seizures after pyridoxine use. Lancet 1999;354:2082-3. PubMed
- Bendich A, Cohen M. Vitamin B6 safety issues. Ann N Y Acad Sci 1990;585:321-30.
- Schaumburg H, Kaplan J, Windebank A. Sensory neuropathy from pyridoxine abuse. A new megavitamin syndrome. N Engl J Med 1983;309:445-8. PubMed
- Gordon N. Pyridoxine dependency: an update. Dev Med Child Neurol 1997;39:63-5. PubMed
- Lewis PJ. Pain in the hand and wrist. Pyridoxine supplements may help patients with carpal tunnel syndrome. BMJ 1995;310:1534. PubMed
- Kaufman G. Pyridoxine against amiodarone-induced photosensitivity (letter). Lancet 1984;1:51-2. PubMed
- Mulrow JP, Mulrow CD, McKenna WJ. Pyridoxine and amiodarone-induced photosensitivity. Ann Intern Med 1985;103:68-9. PubMed
- Kawada A, Kashima A, Shiraishi H, et al. Pyridoxine-induced photosensitivity and hypophosphatasia. Dermatology 2000;201:356-60.. PubMed
- Vasile A, Goldberg R, Kornberg B. Pyridoxine toxicity: report of a case. J Am Osteopath Assoc 1984;83:790-1. DOI
- Hansson O, Sillanpaa M. Pyridoxine and serum concentration of phenytoin and phenobarbitone. Lancet 1976;1:256. DOI
- Jansen T, Romiti R, Kreuter A, Altmeyer P. Rosacea fulminans triggered by high-dose vitamins B6 and B12. J Eur Acad Dermatol Venereol 2001;15:484-5..
- Chittumma P, Kaewkiattikun K, Wiriyasiriwach B. Comparison of the effectiveness of ginger and vitamin B6 for treatment of nausea and vomiting in early pregnancy: a randomized double-blind controlled trial. J Med Assoc Thai 2007;90:15-20.
- Hatzitolios, A., Iliadis, F., Katsiki, N., and Baltatzi, M. Is the anti-hypertensive effect of dietary supplements via aldehydes reduction evidence based? A systematic review. Clin Exp.Hypertens. 2008;30(7):628-639. PubMed
- Vasdev, S., Ford, C. A., Parai, S., Longerich, L., and Gadag, V. Dietary vitamin B6 supplementation attenuates hypertension in spontaneously hypertensive rats. Mol.Cell Biochem. 1999;200(1-2):155-162.
- de, Vogel S., Dindore, V., van, Engeland M., Goldbohm, R. A., van den Brandt, P. A., and Weijenberg, M. P. Dietary folate, methionine, riboflavin, and vitamin B-6 and risk of sporadic colorectal cancer. J Nutr 2008;138(12):2372-2378. PubMed
- Hagen, I., Nesheim, B. I., and Tuntland, T. No effect of vitamin B-6 against premenstrual tension. A controlled clinical study. Acta Obstet.Gynecol.Scand. 1985;64(8):667-670. PubMed
- Aybak, M., Sermet, A., Ayyildiz, M. O., and Karakilcik, A. Z. Effect of oral pyridoxine hydrochloride supplementation on arterial blood pressure in patients with essential hypertension. Arzneimittelforschung. 1995;45(12):1271-1273.
- Lal, K. J., Dakshinamurti, K., and Thliveris, J. The effect of vitamin B6 on the systolic blood pressure of rats in various animal models of hypertension. J Hypertens. 1996;14(3):355-363. PubMed
- Lauritzen CH, Reuter HD, Repges R, Bohnert K, and Schmidt U. Treatment of premenstrual tension syndrome with Vitex agnus castus. Controlled, double-blind study versus pyridoxine. Phytomed 1997;4(3):183-189. PubMed
- Fonseca VA, Lavery LA, Thethi TK, et al. Metanx in type 2 diabetes with peripheral neuropathy: A randomized trial. Am J Med 2013;126(2):141-9. PubMed
- Hankey GJ, Eikelboom JW, Yi Q, et al. Treatment with B vitamins and incidence of cancer in patients with previous stroke or transient ischemic attack: Results of a randomized placebo-controlled trial. Stroke 2012;43(6):1572-7. PubMed
- Hoyer-Kuhn H, Kohbrok S, Volland R, Franklin J, Hero B, Beck BB, Hoppe B. Vitamin B6 in primary hyperoxaluria I: first prospective trial after 40 years of practice. Clin J Am Soc Nephrol. 2014 Mar;9(3):468-77. PubMed
- Mahmoud A, Tabassum S, Al Enazi S, et al. Amelioration of levetiracetam-induced behavioral side effects by pyridoxine. A randomized double blind controlled study. Pediatr Neurol 2021;119:15-21. PubMed
- Gupta M, Gallante B, Bamberger JN, et al. Prospective randomized evaluation of idiopathic hyperoxaluria treatments. J Endourol 2021;35(12):1844-1851. PubMed
- Li H, Chen M, Liang S, et al. Excessive vitamin B6 during treatment is related to poor prognosis of patients with nasopharyngeal carcinoma: A U-shaped distribution suggests low dose supplement. Clin Nutr 2021;40(4):2293-2300. PubMed
- Tanigawa J, Nabatame S, Tominaga K, et al. High-dose pyridoxine treatment for inherited glycosylphosphatidylinositol deficiency. Brain Dev 2021;43(6):680-687. PubMed
- Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 189: Nausea And Vomiting Of Pregnancy. Obstet Gynecol. 2018;131(1):e15-e30. PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC