Major interaction on record — check this product against your medications before combining. Based on 8 of 9 ingredients. Check your meds →
Dietary supplement

Add Lib Ingredients & Drug Interactions

by Oceanus Naturals

Add Lib label
See full label image
Capsule Category: Other Combinations
Most serious interaction: Major
Clinical methodology reviewed by · Updated Sep 23, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Add Lib 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

The interaction bottom line Most serious interaction: Major

Add Lib is a dietary supplement by Oceanus Naturals with 9 active ingredients. Its ingredients are commonly taken for treating or preventing b12 deficiency, pernicious anemia, low energy and fatigue.Based on those ingredients, 1,231 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Passionflower extract, Fenugreek seed extract, Maitake extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

Jump to a section

Check Your Meds Against Add Lib by Oceanus Naturals

Ask about any prescription or over-the-counter medication and we check it for interactions with Add Lib by Oceanus Naturals — and tell you which ingredient is responsible.

Pharmacist-reviewed data Checks every ingredient Answer in seconds
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HelloPharmacist Scorecard of Add Lib by Oceanus Naturals

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.

From our pharmacy team — supplement deep dive

Generated from HelloPharmacist’s pharmacist-curated databases and editorial rules · Last generated Jul 11, 2026

What’s inside

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 1 of its 9 active ingredients.
  • “Proprietary Blend” is a proprietary blend — the label gives one combined amount (655 mg) without saying how much of each component you get.

Add Lib contains 9 ingredients total. The active components include vitamin B12, a B-complex vitamin critical for energy and nerve function; fenugreek seed extract, used traditionally for sexual health and blood sugar support; cordyceps sinensis extract, an adaptogenic mushroom; maitake mushroom extract, another immune-supporting fungus; passionflower extract, known for calming effects; American ginseng extract, an adaptogen used for vitality; maca extract, a root vegetable supplement; and damiana extract, used in herbal traditions for sexual wellness.

There's also wulinshen extract, a proprietary ingredient we couldn't verify. The product uses microcrystalline cellulose and dicalcium phosphate as inactive ingredients.

Does it work?

Moderate evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Moderate

Some clinical evidence supports this product's ingredients for its stated purpose, but it isn't conclusive.

Why this rating?
  • The label markets this product for: promote energy, mood and sexual desire.
  • We looked for evidence on: Fatigue, Anxiety, Depression, Athletic performance, Erectile dysfunction (ED), Chronic fatigue syndrome (CFS) — and 4 related terms.
  • The strongest evidence on file: Passion Flower is rated "Possibly Effective" for Pre-procedural anxiety (Natural Medicines).
  • Also on file: Cordyceps is rated "Possibly Ineffective" for Athletic performance.
  • Also on file: Maca is rated "Insufficient Reliable Evidence To Rate" for Athletic performance, Chronic fatigue syndrome (CFS), Depression, Fatigue.

The evidence is mixed and often limited. Vitamin B12 is effective for B12 deficiency itself and for Imerslund-Grasbeck disease, and likely effective for cyanide poisoning, though that's not what most people take it for here.

Fenugreek, passionflower, and American ginseng each show possibly effective ratings for sexual dysfunction and related concerns — fenugreek for dysmenorrhea as well, passionflower for insomnia and pre-procedural anxiety. Cordyceps, maitake, and maca all carry insufficient evidence ratings for their listed uses — meaning the science isn't established enough in our data to say whether they work.

Damiana also lacks reliable evidence for sexual dysfunction and its other claimed uses. Because many of these are in a proprietary blend, you're not seeing individual doses, which matters for what the research actually tested.

The evidence, ingredient by ingredient Vitamin B12 Fenugreek Cordyceps Maitake Mushroom Passion Flower American Ginseng Maca Damiana

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 8 of the 8 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 8 of 8.
  • General safety write-ups exist for 8 of 8.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Most ingredients are generally well tolerated when used short-term. Vitamin B12 is very safe orally — your body excretes excess in urine, and it's safe in pregnancy and breastfeeding at normal amounts.

Fenugreek commonly causes digestive upset (bloating, diarrhea, nausea) and rare severe allergic reactions; avoid medicinal doses in pregnancy but it's sometimes used to boost milk supply. Cordyceps and maitake are okay short-term but safety data are limited; both should be avoided in pregnancy and breastfeeding.

Passionflower causes drowsiness and dizziness and should be avoided in pregnancy and breastfeeding. American ginseng may cause headache and should be avoided in pregnancy; breastfeeding safety is unknown.

Maca and damiana have minimal human safety data; both should be avoided in pregnancy and breastfeeding. One case report linked cordyceps to liver inflammation, though it's unclear if cordyceps was responsible.

Side effects, ingredient by ingredient Vitamin B12 Fenugreek Cordyceps Maitake Mushroom Passion Flower American Ginseng Maca Damiana

Meds to double-check

Major interaction found
Known Interaction Concern · database check
Major identified

At least one ingredient has a documented Major-severity interaction. Check your medications for a personalized result.

Why this rating?
  • 7 of the 8 matched ingredients can interact with medications — Maitake Mushroom, Cordyceps, Damiana, Fenugreek, Passion Flower, among others.
  • The most serious interaction on file is rated Major.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; immunosuppressants / transplant drugs; diabetes medications.
  • For scale: 1,232 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Check your exact medications before starting — especially if you take warfarin (a blood thinner; American ginseng may reduce its effectiveness), diabetes drugs (several ingredients may lower blood sugar further), sedatives or anti-anxiety medications (passionflower adds to their effects), blood thinners or antiplatelet drugs like clopidogrel (fenugreek and cordyceps), blood pressure medications like metoprolol (fenugreek), immunosuppressants (cordyceps and American ginseng), MAOIs or other antidepressants (American ginseng), or theophylline, phenytoin, or sildenafil (all interactions with fenugreek). If no interactions are documented for an ingredient we could check, we'll note that — but absence of documented interactions is not a guarantee none exist.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Major medication interactions have been identified, and safety information is well characterized.

Add Lib is designed as a supplement for sexual health and general vitality, mixing adaptogens, mushroom extracts, and traditional herbs. If you take warfarin, diabetes medications, sedatives, immunosuppressants, or MAOIs, you need to check your exact prescriptions with the tool below — several ingredients may affect how they work.

Talk to your pharmacist or doctor before starting, especially if you're pregnant, breastfeeding, or on any regular medication.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 8 of 9 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 25, 2011.

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

At a glance

General information

Key facts about Add Lib, straight from the product label.

Brand Oceanus Naturals
Net contents 60 Capsule(s)
Market status On market
Date entered into DSLD Nov 25, 2011
DSLD ID 2580
Product type Other Combinations
Supplement form Capsule
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult Female (18 - 50 Years)
From the 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 Add Lib by Oceanus Naturals, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
1 Capsule(s)
Maximum serving Sizes:
2 Capsule(s)
Servings per container
60
IngredientAmount% DV
Vitamin B1260 mcg1000%
Proprietary Blend655 mg--
Fenugreek seed extract0 NP--
Cordyceps sinensis extract0 NP--
Maitake extract0 NP--
Wulinshen extract0 NP--
Passionflower extract0 NP--
American Ginseng extract0 NP--
Maca extract0 NP--
Damiana extract0 NP--

Other ingredients: Microcrystalline Cellulose, Dicalcium Phosphate

Tap any ingredient to jump to its full detail below.

Label statements
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.
FDA Statement of Identity

dietary supplement

Suggested/Recommended/Usage/Directions

Suggested Use: Take 1 or 2 capsules in the morning with food.

FDA Disclaimer Statement

This product has not been evaluated by the FDA and is not intended to treat, cure or prevent any disease.

Formula

women

General Statements

Add Lib is 100% natural and hormone-free.

Add Lib is formulated with all natural plant and mushroom extracts, antioxidants, vitamins and other phytonutrients to promote energy, a healthy mood and sexual desire.

Add Lib is not a drug, nor a hormone, rather a revolutionary women’s health supplement. Add Lib supports a healthy body and mind – improving overall energy, while reducing stress and anxiety. Add Lib’s all natural ingredients promote passion and vitality, as well as a healthy balanced mood. It contains powerful phytonutrients to stimulate sexual desire and enhance your libido. Add Lib capsules are formulated with 9 effective ingredients including mushroom extracts, antioxidants and vitamins.

Add Lib naturally promotes energy, a healthy mood and sexual desire

all natural supplement

Benefits

Cordyceps improves energy and vitality levels while promoting respiratory, circulatory, sexual and immune health.

Damiana Extract has been used for hundreds of years to increase sexual desire and relieve stress and anxiety.

Energy | Mood | Desire

Fenugreek Seed Extract promotes healthy libido functions as well as improves body composition, mood and cognition. (contains 50% saponins)

Ginseng and Maca Extracts increase energy, stamina, and endurance, and improve focus.

Ignite your life’s passions

libido enhancement

Maca is growing in world popularity due to its energizing effects and aphrodisiac qualities.

Made in USA

Maitake Extract benefits immune and cardiovascular health.

Passionflower helps keep your body and mind balanced and reduces anxiety.

The Cordyceps in Add Lib helps improve energy and vitality levels while promoting respiratory, circulatory, sexual and immune health. See side panel for more ingredient benefits.

Vitamin B12 is needed for healthy digestion and is known for its energy enhancement benefits.

Wulinshen may help support normal sleep and a healthy mood.

Precautions

Cautions: ·Do not use if pregnant or lactating ·Keep out of reach of children ·Store at room temperature (60-86°F) ·Do not use if blister is torn or broken

Brand IP Statement(s)

©2010 Oceanus Naturals

Formulation

Add Lib is Hormone-free

hormone-free

Is this label outdated? Report a formula or label change and our pharmacy team will review it.

See for yourself

Add Lib by Oceanus Naturals label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

Add Lib label

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)
What’s inside

The Ingredients in Add Lib by Oceanus Naturals

These are the 9 active ingredients this product is made of. Select any to open its full monograph.

Serving size1 Capsule(s) Dosage formCapsule 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.

Vitamin B12

Interacts with
20 drugs
60 mcg per serving

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 & interactions

Proprietary Blend

655 mg per serving

Other (inactive) ingredients: Microcrystalline Cellulose, Dicalcium Phosphate. These complete the product’s ingredient list but are not active constituents.

Interaction report

Add Lib by Oceanus Naturals Drug Interactions

Want to check YOUR meds against Add Lib?

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 checker
1,231Drugs
2 Major 730 Moderate 499 Minor

Ingredients driving the most interactions

Passionflower extract 836
Fenugreek seed extract 389
Maitake extract 260
Cordyceps sinensis extract 249
American Ginseng extract 217

Individual Drug Interactions

The ingredients in Add Lib interact with 1,231 drugs. Click any drug to see the details.

7 of the 9 ingredients in Add Lib interact with drugs. Each result below shows which ingredient is responsible. Passionflower extract Fenugreek seed extract Maitake extract Cordyceps sinensis extract American Ginseng extract Damiana extract Vitamin B12

Each ingredient & the kinds of drugs it affects

For each ingredient in Add Lib 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.

Passionflower extract3 drug types · 836 drugs

Cns Depressants

Concomitant use of passion flower with sedative drugs might cause additive effects and side effects.
Research in animals and humans shows that passion flower has sedative effects which can be additive when used with sedative medications like lorazepam.

Likelihood Possible Evidence D
Cytochrome P450 3A4 (Cyp3A4) Substrates

Theoretically, passion flower might decrease the effects of CYP3A4 substrates.
In vitro research suggests that passion flower can induce CYP3A4 enzymes, albeit to a much lower degree than rifampin, a known CYP3A4 inducer.

Likelihood Possible Evidence D
Organic Anion-Transporting Polypeptide Substrates (Oatp)

Theoretically, passion flower might reduce the bioavailability of OATP2B1 and OATP1A2 substrates.
In vitro research shows that the passion flower constituents apigenin and vitexin inhibit OATP2B1 and OATP1A2. This inhibition may be dose-dependent. One specific high-flavonoid passion flower extract (Valverde) seems to inhibit OATP2B1 and OATP1A2, while another extract with a lower flavonoid concentration (Arkocaps) shows less potent inhibition. OATPs are responsible for the uptake of drugs and other compounds into the body; however, the specific activities of OATP2B1 and OATP1A2 are not well characterized.

Likelihood Possible Evidence D
Passionflower extract full monograph & interactions

Fenugreek seed extract9 drug types · 389 drugs

Anticoagulant/Antiplatelet Drugs

Theoretically, fenugreek might have additive effects when used with anticoagulant or antiplatelet drugs.
Some of the constituents in fenugreek have antiplatelet effects in animal and in vitro research. However, common fenugreek products might not contain sufficient concentrations of these constituents for clinical effects. A clinical study in patients with coronary artery disease or diabetes shows that taking fenugreek seed powder 2.5 grams twice daily for 3 months does not affect platelet aggregation, fibrinolytic activity, or fibrinogen levels .

Likelihood Unlikely Evidence B
Antidiabetes Drugs

Theoretically, fenugreek seed might have additive hypoglycemic effects when used with antidiabetes drugs.
Clinical research shows that fenugreek seed can reduce fasting blood glucose and 2-hour postprandial glucose levels in adults with type 2 diabetes.

Likelihood Probable Evidence B
Clopidogrel (Plavix)

Theoretically, fenugreek seed might alter the clinical effects of clopidogrel by inhibiting its conversion to the active form.
Animal research shows that fenugreek seed 200 mg/kg daily for 14 days increases the maximum serum concentration of clopidogrel by 21%. It is unclear how this affects the pharmacokinetics of the active metabolite of clopidogrel; however, this study found that concomitant use of fenugreek seed and clopidogrel prolonged bleeding time by an additional 11%.

Likelihood Possible Evidence D
Metoprolol (Toprol)

Theoretically, fenugreek seed might have additive hypotensive effects when used with metoprolol.
Animal research shows that fenugreek seed 300 mg/kg daily for 2 weeks decreases systolic and diastolic blood pressure by 9% and 11%, respectively, when administered alone, and by 15% and 22%, respectively, when given with metoprolol 10 mg/kg.

Likelihood Probable Evidence B
Phenytoin (Dilantin)

Theoretically, fenugreek might decrease plasma levels of phenytoin.
Animal research shows that taking fenugreek seeds for 1 week decreases maximum concentrations and the area under the curve of a single dose of phenytoin by 44% and 72%, respectively. This seems to be related to increased clearance. So far, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Sildenafil (Viagra)

Theoretically, concurrent use of sildenafil and fenugreek might reduce levels and therapeutic effects of sildenafil.
Animal research shows that taking fenugreek seeds for 1 week reduces maximum concentrations and the area under the curve of a single dose of sildenafil by 27% and 48%, respectively. So far, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Theophylline

Theoretically, fenugreek may reduce the levels and clinical effects of theophylline.
Animal research shows that fenugreek 50 grams daily for 7 days reduces the maximum serum concentration (Cmax) of theophylline by 28% and the area under the plasma drug concentration-time curve (AUC) by 22%.

Likelihood Possible Evidence D
Warfarin (Coumadin)

Theoretically, fenugreek might have additive effects with warfarin and increase the international normalized ratio (INR).
Some fenugreek constituents have antiplatelet effects, although these might not be present in concentrations that are clinically significant. In one case report, a patient taking warfarin experienced an increased INR when starting to take fenugreek in combination with boldo.

Likelihood Possible Evidence D
Antihypertensive Drugs

Fenugreek may also have an additive effect on blood pressure-lowering medications. Studies on animals have shown that fenugreek seed can decrease both systolic and diastolic blood pressure by up to 22% when combined with metoprolol. Therefore, it is essential to monitor your blood pressure regularly if you are taking fenugreek and metoprolol together or any other antihypertensive drugs.

Likelihood Possible Evidence C
Fenugreek seed extract full monograph & interactions

Maitake extract3 drug types · 260 drugs

Antidiabetes Drugs

Theoretically, combining maitake mushroom with antidiabetes drugs might increase the risk of hypoglycemia.
Clinical research shows that taking maitake mushroom polysaccharide (MMP) can lower blood glucose levels in patients with types 2 diabetes.

Likelihood Possible Evidence B
Antihypertensive Drugs

Theoretically, combining maitake mushroom with antihypertensive drugs might increase the risk of hypotension.
Animal research shows that maitake mushroom can lower blood pressure.

Likelihood Possible Evidence D
Warfarin (Coumadin)

There is limited evidence that maitake mushroom may increase the anticoagulant effects of warfarin.
In a case report, a patient previously stabilized on warfarin developed an elevated international normalized ratio (INR) of 5.1 after taking maitake mushroom (Grifron-Pro Maitake D-Fraction) 1 drop/kg daily in three divided doses for one week. The elevated INR resolved after holding warfarin for two days, then reducing the dose by 11%. It is thought that the beta-glucan constituent of maitake mushroom might cause warfarin dissociation from proteins, resulting in increased free warfarin levels and increased warfarin effects.

Likelihood Possible Evidence D
Maitake extract full monograph & interactions

Cordyceps sinensis extract3 drug types · 249 drugs

Anticoagulant/Antiplatelet Drugs

Theoretically, cordyceps may increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
In vitro and animal research suggests that cordyceps extract inhibits platelet aggregation and function. However, this interaction has not been reported in humans.

Likelihood Possible Evidence D
Immunosuppressants

Theoretically, concurrent use of cordyceps might interfere with immunosuppressive therapy.
Animal and in vitro research suggests that cordyceps stimulates the immune system. However, limited clinical research suggests that taking cordyceps may lower the necessary therapeutic dose of the immunosuppressant cyclosporine, which suggests that cordyceps may have an immunosuppressive effect.

Likelihood Possible Evidence B
Testosterone

Theoretically, concurrent use of cordyceps and testosterone might have additive effects.
Animal research suggests that cordyceps can increase testosterone levels. The clinical significance of this finding is unclear.

Likelihood Possible Evidence D
Cordyceps sinensis extract full monograph & interactions

American Ginseng extract4 drug types · 217 drugs

Warfarin (Coumadin)

American ginseng seems to decrease the effectiveness of warfarin therapy.
Healthy patients receiving warfarin 5 mg daily, who also take American ginseng 1 gram twice daily, seem to have a significantly reduced international normalized ratio (INR).

Likelihood Likely Evidence B
Antidiabetes Drugs

Theoretically, taking American ginseng with antidiabetes drugs might increase the risk of hypoglycemia.
American ginseng seems to lower postprandial blood glucose. Theoretically, concomitant use with antidiabetes drugs might enhance blood glucose lowering effects and possibly cause hypoglycemia.

Likelihood Probable Evidence B
Immunosuppressants

Theoretically, American ginseng use might interfere with immunosuppressive therapy.
American ginseng seems to stimulate immune function. Theoretically, American ginseng might decrease the effectiveness of immunosuppressant drugs.

Likelihood Possible Evidence D
Monoamine Oxidase Inhibitors (Maois)

Theoretically, American ginseng can interfere with MAOI therapy.
There is one case report of insomnia, headache, and tremors when an unspecified ginseng product was used with phenelzine (Nardil), an MAOI. There is also one case report of hypomania when an unspecified ginseng product was used with phenelzine. Theoretically, American ginseng may interfere with MAOI therapy.

Likelihood Possible Evidence D
American Ginseng extract full monograph & interactions

Damiana extract1 drug type · 86 drugs

Antidiabetes Drugs

Theoretically, taking damiana with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research shows that taking damiana lowers blood glucose level.

Likelihood Possible Evidence D
Damiana extract full monograph & interactions

Vitamin B121 drug type · 20 drugs

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.

Likelihood Possible Evidence A
Vitamin B12 full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Add Lib, from the product label.

Oceanus Naturals

See all Oceanus Naturals products
Web Address
AddLibido.com
Pharmacist Counseling Corner

Add Lib by Oceanus Naturals: Common Questions

Does Add Lib by Oceanus Naturals interact with any medications?
Yes. Based on its ingredients, Add Lib has a known interaction with 1,231 medications, including 2 rated major. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Add Lib contains 9 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Does this help with sexual function?
Several ingredients — fenugreek, cordyceps, maca, and damiana — are used traditionally for sexual health, but the evidence is limited. Fenugreek, passionflower, and American ginseng each show possibly effective or insufficient evidence ratings for sexual dysfunction in our data, which means the science isn't strong enough to say for sure whether they work.
Is it safe if I'm pregnant or breastfeeding?
No — the facts advise against this product in pregnancy and breastfeeding. Multiple ingredients (fenugreek, cordyceps, maitake, passionflower, American ginseng, maca, damiana) either lack safety data or raise concerns during pregnancy and lactation. Talk with your doctor or pharmacist for personalized advice if you're considering it during these times.
Will it make me drowsy?
Passionflower extract in this product commonly causes drowsiness, dizziness, and sedation — that's one of its known effects. If you're sensitive to sedating herbs or need to stay alert, this is worth knowing about.
What does vitamin B12 do in this formula?
Vitamin B12 is essential for energy production and nerve health. It's effective for treating B12 deficiency and Imerslund-Grasbeck disease. It's also very safe — excess is removed in your urine, and it's safe in pregnancy and breastfeeding at normal amounts.
What are the inactive ingredients?
The product contains microcrystalline cellulose and dicalcium phosphate — these are standard fillers and binders that help hold the capsule together. They don't add active benefit but are common in supplements.
Can I take this with my blood pressure or diabetes medication?
Not without checking first. Fenugreek, maitake, and American ginseng all interact with blood pressure and diabetes drugs, potentially making them work stronger than expected. Use the medication checker on this page with your exact prescriptions — it's the safest way to know.

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

Not sure if Add Lib 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.

Add Lib label
Go deeper

The Full Monographs Behind Add Lib’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Herb & supplement monograph

Vitamin B12

Interacts with 20 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 helpful for people who are deficient — su...

Read the full Vitamin B12 monograph → Herb & supplement monograph

Fenugreek

Interacts with 389 drugs

Fenugreek is a common kitchen spice that is also taken as a supplement, mainly for blood sugar, cholesterol, and to support breast milk production. Some early research is encouraging for blo...

Read the full Fenugreek monograph → Herb & supplement monograph

Cordyceps

Interacts with 249 drugs

Cordyceps is a fungus used in traditional Chinese medicine for energy, exercise performance, and lung and immune support. Human research is limited and mostly low quality, so its benefits ar...

Read the full Cordyceps monograph → Herb & supplement monograph

Maitake Mushroom

Interacts with 260 drugs

Maitake is an edible mushroom long used as food and in traditional Japanese medicine, and it is being studied for possible immune, blood sugar, and blood pressure effects. The human evidence...

Read the full Maitake Mushroom monograph → Herb & supplement monograph

Passion Flower

Interacts with 836 drugs

Passion flower is a traditional calming herb that many people use for anxiety and sleep. Early studies hint it may help with mild anxiety and restlessness, but the evidence is limited and mo...

Read the full Passion Flower monograph → Herb & supplement monograph

American Ginseng

Interacts with 217 drugs

American ginseng is an herbal root used as an 'adaptogen' to support energy, stress, immune function, and blood sugar. Some uses—such as reducing the chance or length of colds and modestly l...

Read the full American Ginseng monograph → Herb & supplement monograph

Maca

Maca is a nutrient-rich Andean root often used for energy, libido, and menopause symptoms. Early studies suggest it may modestly help sexual desire and some menopause symptoms, but the evide...

Read the full Maca monograph → Herb & supplement monograph

Damiana

Interacts with 86 drugs

Damiana is a traditional herb most famous as an aphrodisiac and mild mood-lifter, but solid human evidence for any of its uses is very limited. It is generally well tolerated in the small am...

Read the full Damiana monograph →
Sources

Sources & How We Checked

Add Lib'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.

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 116 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.

Vitamin B12 30 references
  1. 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
  2. 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
  3. 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..
  4. 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
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Fenugreek 30 references
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Cordyceps 14 references
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Maitake Mushroom 8 references
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Passion Flower 19 references
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  11. Smith, G. W., Chalmers, T. M., and Nuki, G. Vasculitis associated with herbal preparation containing Passiflora extract. Br J Rheumatol. 1993;32(1):87-88.
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American Ginseng 12 references
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Maca 1 reference
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Damiana 2 references
  1. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
  2. Alarcon-Aquilar FJ, Roman-Ramos R, Perez-Gutierrez S, et al. Study of the anti-hyperglycemic effect of plants used as antidiabetics. J Ethnopharmacol 1998;61:101-10. PubMed

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