AdenoPlus Ingredients & Drug Interactions
by Nutrasal
What is this page for?
First and foremost: checking AdenoPlus 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
AdenoPlus is a dietary supplement by Nutrasal with 3 active ingredients. Its ingredients are commonly taken for treating or preventing b12 deficiency, pernicious anemia, low energy and fatigue.Based on those ingredients, 86 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Adenosine Monophosphate, Vitamin B12, L-Carnitine. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against AdenoPlus by Nutrasal
Ask about any prescription or over-the-counter medication and we check it for interactions with AdenoPlus by Nutrasal — 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 AdenoPlus by Nutrasal
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
AdenoPlus contains three active ingredients. Vitamin B12 supports nerve and blood cell health and is essential for energy and brain function.
Adenosine Monophosphate (a form of adenosine) plays a role in cellular energy and is marketed for heart rhythm and cardiovascular function. L-Carnitine helps cells produce energy by moving fatty acids into the mitochondria, where they're burned for fuel.
The product is a liquid formulation with several inactive ingredients—glycerin, xylitol, citrus flavoring, lecithin, malic acid, citric acid, L-theanine, stevia leaf extract, potassium sorbate, sodium benzoate, black pepper extract, L-arginine, and purified water. These are added for taste, texture, preservation, and delivery.
Does it work?
Strong evidence
Vitamin B12 is effective for treating B12 deficiency and Imerslund-Grasbeck disease (a rare genetic disorder affecting B12 absorption). It's also likely effective for cyanide poisoning and possibly effective for canker sores and a nerve pain condition called postherpetic neuralgia.
Adenosine Monophosphate is effective when given intravenously for certain heart rhythm problems and for diagnosing heart disease, though the evidence for oral supplement use is limited and safety hasn't been firmly established. L-Carnitine is effective for treating L-carnitine deficiency and possibly effective for high cholesterol, congestive heart failure, and angina.
The strength of evidence for most of these uses varies, so talk with your pharmacist or doctor about what you're hoping this product will do for you.
How safe is it?
Well-documented data
Vitamin B12 is generally very well tolerated. It's needed during pregnancy and breastfeeding and is considered safe at normal recommended amounts.
The body clears excess B12 through urine, so there's no established upper limit. Rarely, correcting a severe B12 deficiency (megaloblastic anemia) with B12 can cause a dangerous drop in potassium (hypokalemia), and allergic reactions like rash or itching are possible in people with cobalt sensitivity.
Adenosine Monophosphate has limited safety data for oral supplement use; the injectable prescription form is powerful and must be given only by a medical professional. Pregnancy and breastfeeding safety have not been established, so it should be avoided in both.
L-Carnitine is generally well tolerated at typical doses, but high doses may cause stomach upset and a fishy body odor. Pregnancy safety data are insufficient, and breastfeeding safety is not well studied.
The most common side effects across all three ingredients are digestive—nausea, abdominal cramps, and diarrhea.
Meds to double-check
Major interaction found
Before taking AdenoPlus, check with your pharmacist if you take dipyridamole (Persantine)—this is a Major interaction and you may need to avoid this product or time it carefully. Also double-check if you're on carbamazepine (Tegretol), warfarin or acenocoumarol (blood thinners), thyroid hormone replacement, metformin (Glucophage), or any methylxanthines like caffeine supplements or theophylline.
These all have documented interactions worth reviewing.
The bottom line
Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
AdenoPlus is intended for people interested in heart health and energy metabolism, but it carries important medication interactions you need to check first—especially if you take blood thinners, heart medications, thyroid pills, or diabetes drugs. If you're pregnant, breastfeeding, or taking any prescription medication, talk with your pharmacist or doctor before you start.
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 Apr 11, 2022.
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 AdenoPlus, straight from the product label.
| Brand | Nutrasal |
|---|---|
| Barcode (UPC) | 602573159095 |
| Net contents | 1 Fluid Ounce(s); 30 Milliliter(s) |
| Market status | On market |
| Date entered into DSLD | Apr 11, 2022 |
| DSLD ID | 261271 |
| Product type | Other Combinations |
| Supplement form | Liquid |
| Dietary claims / uses | Nutrient, All Other |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free |
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 AdenoPlus by Nutrasal, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Vitamin B12 | 1000 mcg | 16667% |
| Adenosine Monophosphate | 25 mg | -- |
| L-Carnitine | 100 mg | -- |
Other ingredients: Water, Purified, Glycerin, Xylitol, L-Arginine, natural Citrus flavors, Lecithin, Malic Acid, Lecithin, Citric Acid, L-Theanine, Stevia leaf extract, Potassium Sorbate, Sodium Benzoate, Black Pepper extract
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.
Formula
Each Serving Provides: 25 mg of adenosine monophosphate, 100 mg L-carnitine and 1000 mcg of Vitamin B-12 with Bioperine and a LipoZome Delivery System to increase absorption and bioavailability.
Adenosine Monophosphate L-carnitine B-12
Suggested/Recommended/Usage/Directions
Suggested Usage: As a dietary supplement take 6 sprays under the tongue and hold for 20 seconds before swallowing. Or as directed by your health care provider.
Storage
Storage: Refrigerate after opening.
Precautions
Keep out of reach of children.
Formulation
Gluten and excipient free
Advanced LipoZome Delivery
Brand IP Statement(s)
Nutrasal Advanced Lipid Science
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
AdenoPlus by Nutrasal 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 AdenoPlus by Nutrasal
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size6 Spray(s) Dosage formLiquid Servings per container30 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 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 & interactionsAdenosine Monophosphate
Interacts with47 drugs
Adenosine is a natural building block your body uses for energy and cell signaling, and a prescription injectable version is used by doctors to treat...
Adenosine Monophosphate monograph & interactionsL-Carnitine
Interacts with19 drugs
L-carnitine is a compound your body makes naturally and also gets from foods like meat. It helps cells turn fat into energy, and supplements are most...
L-Carnitine monograph & interactionsOther (inactive) ingredients: Water, Purified, Glycerin, Xylitol, L-Arginine, Natural Citrus flavors, Lecithin, Malic Acid, Lecithin, Citric Acid, L-Theanine, Stevia leaf extract, Potassium Sorbate, Sodium Benzoate, Black Pepper extract. These complete the product’s ingredient list but are not active constituents.
AdenoPlus by Nutrasal Drug Interactions
HelloPharmacist Interaction Report
AdenoPlus by Nutrasal contains three active ingredients, and two of them carry documented interactions with medications.
Altogether, these interactions span 85 individual medications.
Read the full breakdown — every affected drug type, severity by severity
Adenosine Monophosphate is the source of the most serious concern. It has a Major interaction with dipyridamole (Persantine), a blood vessel–dilating medication used in cardiac stress tests.
Dipyridamole slows how your body breaks down adenosine, which can lead to dizziness, a slow heart rate (bradycardia), and fainting. If you take dipyridamole, you'll need to stop it several days before any cardiac stress test using adenosine, and you should not use this product without talking to your doctor first.
Adenosine Monophosphate also has Moderate interactions with carbamazepine (Tegretol), an anti-seizure medication—both drugs can cause heart block, and using them together could strengthen that risk. It has a Minor interaction with methylxanthines (aminophylline, caffeine, theophylline), which block adenosine's effects.
L-Carnitine carries Moderate interactions with warfarin (Coumadin) and acenocoumarol (Sintrom)—blood thinners that prevent clots—because L-carnitine may boost their blood-thinning power. It also has a Moderate interaction with thyroid hormone replacement, which L-carnitine may weaken.
Vitamin B12 has a Minor interaction with metformin (Glucophage), the standard diabetes medication, because metformin can lower B12 levels over time with long-term use. Please run your medications through the search tool below before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against AdenoPlus?
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 AdenoPlus interact with 86 drugs. Click any drug to see the details.
3 of the 3 ingredients in AdenoPlus interact with drugs. Each result below shows which ingredient is responsible. Adenosine Monophosphate Vitamin B12 L-Carnitine
Aspirin, DipyridamoleAggrenox, Asasantin Retard
How Aspirin, Dipyridamole interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateDipyridamole (persantine) Major
Interaction Summary
Dipyridamole can increase the therapeutic and toxic effects of adenosine.
Read the full Adenosine Monophosphate + Aspirin, Dipyridamole interactionDipyridamoleDipyridamole, Persantin, Persantin Injection, Persantin Retard, Persantine
How Dipyridamole interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateDipyridamole (persantine) Major
Interaction Summary
Dipyridamole can increase the therapeutic and toxic effects of adenosine.
Read the full Adenosine Monophosphate + Dipyridamole interactionAcenocoumarolSintrom
How Acenocoumarol interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineAcenocoumarol (sintrom) Moderate
Interaction Summary
Theoretically, L-carnitine might increase the anticoagulant effects of acenocoumarol.
Read the full L-carnitine + Acenocoumarol interactionCarbamazepineCarbatrol, Carnexiv, Equetro, Tegretol, Tegretol XR
How Carbamazepine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateCarbamazepine (tegretol) Moderate
Interaction Summary
Carbamazepine might increase the risk of heart block when used concomitantly with adenosine.
Read the full Adenosine Monophosphate + Carbamazepine interactionConjugated EstrogensCenestin, Enjuvia, Premarin, Premarin Vaginal Cream
How Conjugated Estrogens interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Conjugated Estrogens interactionDesiccated Thyroid ExtractWesthroid, WP Thyroid
How Desiccated Thyroid Extract interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Desiccated Thyroid Extract interactionDesiccated Thyroid Extract (prescription Drug)Nature-Throid, Thyrar
How Desiccated Thyroid Extract (prescription Drug) interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Desiccated Thyroid Extract (prescription Drug) interactionDextrothyroxineCholoxin
How Dextrothyroxine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Dextrothyroxine interactionHuman Chorionic Gonadotropin (hcg)Pregnyl
How Human Chorionic Gonadotropin (hcg) interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Human Chorionic Gonadotropin (hcg) interactionLevothyroxineEltroxin, Estre, Euthyrox, Levo-T, Levolet, Levothroid +5 more
How Levothyroxine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Levothyroxine interactionLevothyroxine SodiumErmez, Thyquidity, Tirosint-Sol
How Levothyroxine Sodium interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Levothyroxine Sodium interactionLevothyroxine, LiothyronineArmour Thyroid
How Levothyroxine, Liothyronine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Levothyroxine, Liothyronine interactionLiothyronineCytomel
How Liothyronine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Liothyronine interactionLiotrixEuthroid 1, Euthroid 1/2, Euthroid 3
How Liotrix interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Liotrix interactionLiotrix, T4/t3Euthroid 2
How Liotrix, T4/t3 interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Liotrix, T4/t3 interactionMenotropinsMenopur, Repronex
How Menotropins interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Menotropins interactionOspemifeneOsphena
How Ospemifene interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Ospemifene interactionTestosterone UndecanoateAndriol, Aveed, Jatenzo, Kyzatrex
How Testosterone Undecanoate interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Testosterone Undecanoate interactionThyroglobulinProloid
How Thyroglobulin interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Thyroglobulin interactionThyroid HormoneEtwon
How Thyroid Hormone interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineThyroid Hormone Moderate
Interaction Summary
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full L-carnitine + Thyroid Hormone interactionWarfarinWarfarin
How Warfarin interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineWarfarin (coumadin) Moderate
Interaction Summary
Theoretically, L-carnitine might increase the anticoagulant effects of warfarin.
Read the full L-carnitine + Warfarin interactionWarfarin SodiumCoumadin, Panwarfin, Sofarin
How Warfarin Sodium interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
L-carnitineWarfarin (coumadin) Moderate
Interaction Summary
Theoretically, L-carnitine might increase the anticoagulant effects of warfarin.
Read the full L-carnitine + Warfarin Sodium interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateMethylxanthines Minor
Interaction Summary
Methylxanthines are competitive antagonists of adenosine and can block its pharmacologic effects.
Read the full Adenosine Monophosphate + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateMethylxanthines Minor
Interaction Summary
Methylxanthines are competitive antagonists of adenosine and can block its pharmacologic effects.
Read the full Adenosine Monophosphate + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateMethylxanthines Minor
Interaction Summary
Methylxanthines are competitive antagonists of adenosine and can block its pharmacologic effects.
Read the full Adenosine Monophosphate + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateMethylxanthines Minor
Interaction Summary
Methylxanthines are competitive antagonists of adenosine and can block its pharmacologic effects.
Read the full Adenosine Monophosphate + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateMethylxanthines Minor
Interaction Summary
Methylxanthines are competitive antagonists of adenosine and can block its pharmacologic effects.
Read the full Adenosine Monophosphate + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateMethylxanthines Minor
Interaction Summary
Methylxanthines are competitive antagonists of adenosine and can block its pharmacologic effects.
Read the full Adenosine Monophosphate + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateMethylxanthines Minor
Interaction Summary
Methylxanthines are competitive antagonists of adenosine and can block its pharmacologic effects.
Read the full Adenosine Monophosphate + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with AdenoPlus — through 1 ingredient. Tap an ingredient for the detail:
Adenosine MonophosphateMethylxanthines Minor
Interaction Summary
Methylxanthines are competitive antagonists of adenosine and can block its pharmacologic effects.
Read the full Adenosine Monophosphate + Acetaminophen, Caffeine, Isometheptene interactionEach ingredient & the kinds of drugs it affects
For each ingredient in AdenoPlus 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.
Adenosine Monophosphate
Dipyridamole (Persantine)
Dipyridamole can increase the therapeutic and toxic effects of adenosine.
Dipyridamole decreases the metabolism of adenosine. Intravenous infusion of adenosine in patients who are taking dipyridamole can cause dizziness, bradycardia, and syncope. Dipyridamole should be discontinued for several days prior to a cardiac stress test using adenosine.
Carbamazepine (Tegretol)
Carbamazepine might increase the risk of heart block when used concomitantly with adenosine.
Carbamazepine and adenosine can both cause heart block. Giving them concurrently might produce an additive effect.
Methylxanthines
Methylxanthines are competitive antagonists of adenosine and can block its pharmacologic effects.
The methylxanthines, aminophylline, caffeine, and theophylline, can block the effects of adenosine by acting as competitive antagonists at adenosine cell surface receptors. It is recommended that methylxanthines be avoided for 24 hours prior to cardiac stress tests.
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.
L-Carnitine
Acenocoumarol (Sintrom)
Theoretically, L-carnitine might increase the anticoagulant effects of acenocoumarol.
L-carnitine might enhance the anticoagulant effects of acenocoumarol, an oral anticoagulant similar to warfarin, but shorter-acting. There are at least two case reports of INR elevation with concomitant use. In one case, a 33-year-old male with a previously stable INR had an elevated INR of 4.65 after L-carnitine was started and continued for 10 weeks. INR normalized after discontinuation of the L-carnitine-containing product.
Thyroid Hormone
Theoretically, L-carnitine might decrease the effectiveness of thyroid hormone replacement.
L-carnitine appears to act as a peripheral thyroid hormone antagonist by inhibiting entry of thyroid hormone into the nucleus of cells. Taking L-carnitine also seems to diminish some of the symptoms of hyperthyroidism.
Warfarin (Coumadin)
Theoretically, L-carnitine might increase the anticoagulant effects of warfarin.
L-carnitine might increase the anticoagulant effects of acenocoumarol, a shorter-acting oral anticoagulant similar to warfarin. There is not enough information to know whether this interaction occurs with L-carnitine and warfarin.
Brand information
Manufacturer and brand details for AdenoPlus, from the product label.
Nutrasal
See all Nutrasal products- Name
- Nutrasal, Inc.
- City
- Scottsdale
- State
- AZ
- Phone Number
- (800) 777.1886
- Web Address
- www.nutrasal.com
AdenoPlus by Nutrasal: Common Questions
Does AdenoPlus by Nutrasal interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is Vitamin B12 in this product safe if I take metformin for diabetes?
What does L-Carnitine do?
Is this product safe during pregnancy?
Can I take this if I'm breastfeeding?
What are the most common side effects?
Does caffeine interfere with this product?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if AdenoPlus 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 AdenoPlus’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin 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 monographAdenosine
Interacts with 47 drugsAdenosine is a natural building block your body uses for energy and cell signaling, and a prescription injectable version is used by doctors to treat certain fast heart rhythms. As an over-t...
Read the full Adenosine monograph → Herb & supplement monographL-carnitine
Interacts with 19 drugsL-carnitine is a compound your body makes naturally and also gets from foods like meat. It helps cells turn fat into energy, and supplements are most clearly useful for people with a true ca...
Read the full L-carnitine monograph →Sources & How We Checked
AdenoPlus'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 81 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
- 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
Adenosine 10 references
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Agteresch HJ, Dagnelie PC, van den Berg JW, Wilson JH. Adenosine triphosphate: established and potential clinical applications. Drugs 1999;58:211-32.. PubMed
- Agteresch HJ, Dagnelie PC, van der Gaast A, et al. Randomized clinical trial of adenosine 5'-triphosphate in patients with advanced non-small-cell lung cancer. J Natl Cancer Inst 2000;92:321-8.. PubMed
- Haskell CM, Wong M, Williams A, Lee LY. Phase I trial of extracellular adenosine 5'-triphosphate in patients with advanced cancer. Med Pediatr Oncol 1996;27:165-73.. DOI
- Haskell CM, Mendoza E, Pisters KM, et al. Phase II study of intravenous adenosine 5'-triphosphate in patients with previously untreated stage IIIB and stage IV non-small cell lung cancer. Invest New Drugs 1998;16:81-5.. PubMed
- Eisenach JC, Curry R, Hood DD. Dose response of intrathecal adenosine in experimental pain and allodynia. Anesthesiology 2002;97:938-42.. PubMed
- Agteresch HJ, Dagnelie PC, Rietveld T, et al. Pharmacokinetics of intravenous ATP in cancer patients. Eur J Clin Pharmacol 2000;56:49-55.. PubMed
- Underwood DA. Which medications should be held before a pharmacologic or exercise stress test? Cleve Clin J Med 2002;69:449-50. PubMed
- Litmann L, Anderson JD, Monroe MH. Adenosine and Aggrenox: A hazardous combination. Ann Intern Med 2002;137:E-76. PubMed
- Faghihi G, Iraji F, Rajaee Harandi M, et al. Comparison of the efficacy of topical minoxidil 5% and adenosine 0.75% solutions on male androgenic alopecia and measuring patient satisfaction rate. Acta Dermatovenerol Croat 2013;21(3):155-9.
L-carnitine 41 references
- Ellaway CM, Williams K, Leonard H, et al. Rett syndrome: randomized controlled trial of L-carnitine. J Child Neurol 1999;14:162-7. PubMed
- Anon. Carnitor (levocarnitine) package insert. Sigma-Tau Pharmaceuticals Inc, Gaithersburg, MD. December 1999.
- Cherchi A, Lai C, Angelino F, et al. Effects of L-carnitine on exercise tolerance in chronic stable angina: a multicenter, double-blind, randomized, placebo-controlled, crossover study. Int J Clin Pharmacol Ther Toxicol 1985;23:569-72.
- Plioplys AV, Plioplys S. Amantadine and L-carnitine treatment of Chronic Fatigue Syndrome. Neuropsychobiology 1997;35:16-23. PubMed
- Benvenga S, Ruggeri RM, Russo A, et al. Usefulness of L-carnitine, a naturally occurring peripheral antagonist of thyroid hormone action, in iatrogenic hyperthyroidism: a randomized, double-blind, placebo-controlled clinical trial. J Clin Endocrinol Meta
- Martinez E, Domingo P, Roca-Cusachs A. Potentiation of acenocoumarol action by L-carnitine. J Intern Med 1993;233:94.
- Bachmann HU, Hoffmann A. Interaction of food supplement L-carnitine with oral anticoagulant acenocoumarol. Swiss Med Wkly 2004;134:385. PubMed
- Evans AM, Fornasini G. Pharmacokinetics of L-carnitine. Clin Pharmacokinet 2003;42:941-67. PubMed
- 12761 Benvenga S, Amato A, Calvani M, Trimarchi F. Effects of carnitine on thyroid hormone action. Ann N Y Acad Sci 2004;1033:158-67. PubMed
- Ciacci C, Peluso G, Iannoni E, et al. L-Carnitine in the treatment of fatigue in adult celiac disease patients: a pilot study. Dig Liver Dis 2007;39:922-8. PubMed
- Cruciani RA, Dvorkin E, Homel P, et al. Safety, tolerability and symptom outcomes associated with L-carnitine supplementation in patients with cancer, fatigue, and carnitine deficiency: a phase I/II study. J Pain Symptom Manage 2006;32:551-9. PubMed
- Lebrun C, Alchaar H, Candito M, et al. Levocarnitine administration in multiple sclerosis patients with immunosuppressive therapy-induced fatigue. Mult Scler 2006;12:321-4. PubMed
- Malaguarnera M, Cammalleri L, Gargante MP, et al. L-Carnitine treatment reduces severity of physical and mental fatigue and increases cognitive functions in centenarians: a randomized and controlled clinical trial. Am J Clin Nutr 2007;86:1738-44. PubMed
- Mantovani G, Maccio A, Madeddu C, et al. Randomized phase III clinical trial of five different arms of treatment in 322 patients with cancer cachexia. Oncologist 2010;15:200-11.
- Angelova-Fischer I, Rippke F, Fischer TW, Neufang G, Zillikens D. A double-blind, randomized, vehicle-controlled efficacy assessment study of a skin care formulation for improvement of mild to moderately severe acne. J Eur Acad Dermatol Venereol. 2013 Jul PubMed
- Hatamkhani S, Khalili H, Karimzadeh I, Dashti-Khavidaki S, Abdollahi A, Jafari S. Carnitine for prevention of antituberculosis drug-induced hepatotoxicity: a randomized, clinical trial. J Gastroenterol. Hepatol. 2014 May;29(5):997-1004. PubMed
- Boehm G, Stahl B. Oligosaccharides from milk. J Nutr 2007;137(3 Suppl 2):847S-849S.
- Van Oudheusden, L. J. and Scholte, H. R. Efficacy of carnitine in the treatment of children with attention-deficit hyperactivity disorder. Prostaglandins Leukot.Essent.Fatty Acids 2002;67(1):33-38. PubMed
- Derosa, G., Cicero, A. F., Gaddi, A., Mugellini, A., Ciccarelli, L., and Fogari, R. The effect of L-carnitine on plasma lipoprotein(a) levels in hypercholesterolemic patients with type 2 diabetes mellitus. Clin Ther 2003;25(5):1429-1439. PubMed
- Foitzik, K., Hoting, E., Heinrich, U., Tronnier, H., and Paus, R. Indications that topical L-carnitin-L-tartrate promotes human hair growth in vivo. J Dermatol.Sci 2007;48(2):141-144. PubMed
- Kumar, A., Singh, R. B., Saxena, M., Niaz, M. A., Josh, S. R., Chattopadhyay, P., Mechirova, V., Pella, D., and Fedacko, J. Effect of carni Q-gel (ubiquinol and carnitine) on cytokines in patients with heart failure in the Tishcon study. Acta Cardiol. 20
- Cruciani, R. A., Dvorkin, E., Homel, P., Culliney, B., Malamud, S., Lapin, J., Portenoy, R. K., and Esteban-Cruciani, N. L-carnitine supplementation in patients with advanced cancer and carnitine deficiency: a double-blind, placebo-controlled study. J Pa PubMed
- Malaguarnera, M., Vacante, M., Avitabile, T., Malaguarnera, M., Cammalleri, L., and Motta, M. L-Carnitine supplementation reduces oxidized LDL cholesterol in patients with diabetes. Am J Clin.Nutr 2009;89(1):71-76. PubMed
- Alvarez, T. M., Guardiola, P. D., Roldan, J. O., Elviro, R., Wevers, R., and Guijarro, G. [Primary trimethylaminuria: the fish odor syndrome]. Endocrinol.Nutr. 2009;56(6):337-340.
- Wu, Z. M., Lu, X., Wang, Y. W., Sun, J., Tao, J. W., Yin, F. H., and Cheng, H. J. [Short-term medication of L-carnitine before intracytoplasmic sperm injection for infertile men with oligoasthenozoospermia]. Zhonghua Nan.Ke.Xue 2012;18(3):253-256.
- Tarighat, Esfanjani A., Mahdavi, R., Ebrahimi, Mameghani M., Talebi, M., Nikniaz, Z., and Safaiyan, A. The effects of magnesium, L-carnitine, and concurrent magnesium-L-carnitine supplementation in migraine prophylaxis. Biol.Trace Elem.Res 2012;150(1-3): PubMed
- DiNicolantonio, J. J., Lavie, C. J., Fares, H., Menezes, A. R., and O'Keefe, J. H. L-carnitine in the secondary prevention of cardiovascular disease: systematic review and meta-analysis. Mayo Clin Proc. 2013;88(6):544-551. PubMed
- Huang, W. W., Wang, M. Y., Shi, H. M., Peng, Y., Peng, C. S., Zhang, M., Li, Y., Lu, J., and Li, X. B. Comparative study of bioactive constituents in crude and processed Glycyrrhizae radix and their respective metabolic profiles in gastrointestinal tract
- Madsen KL, Preisler N, Orngreen MC, Andersen SP, Olesen JH, Lund AM, Vissing J. Patients with medium-chain acyl-coenzyme a dehydrogenase deficiency have impaired oxidation of fat during exercise but no effect of L-carnitine supplementation. J Clin Endocri
- Prohaska ES, Muzyk AJ, Rivelli SK. Levocarnitine-induced hypophosphatemia in a hemodialysis patient with acute valproic acid toxicity. J Neuropsychiatry Clin Neurosci. 2012 Winter;24(1):E18-9. PubMed
- Shang R, Sun Z, Li H. Effective dosing of L-carnitine in the secondary prevention of cardiovascular disease: a systematic review and meta-analysis. BMC Cardiovasc Disord. 2014 Jul 21;14:88. PubMed
- Zhang JJ, Wu ZB, Cai YJ, Ke B, Huang YJ, Qiu CP, Yang YB, Shi LY, Qin J. L-carnitine ameliorated fasting-induced fatigue, hunger, and metabolic abnormalities in patients with metabolic syndrome: a randomized controlled study. Nutr J. 2014 Nov 26;13:110. PubMed
- Koeth RA, Wang Z, Levison BS, Buffa JA, Org E, Sheehy BT, Britt EB, Fu X, Wu Y, Li L, Smith JD, DiDonato JA, Chen J, Li H, Wu GD, Lewis JD, Warrier M, Brown JM, Krauss RM, Tang WH, Bushman FD, Lusis AJ, Hazen SL. Intestinal microbiota metabolism of L-carn
- Jun DW, Kim BI, Cho YK, Kim HJ, Kwon YO, Park SY, Han SY, Baek YH, Jung YJ, Kim HY, Kim W, Heo J, Woo HY, Hwang SG, Rim KS, Choi JY, Bae SH, Lee YS, Lim YS,Cheong JY, Cho SW, Lee BS, Kim SH, Sohn JH, Kim TY, Paik YH, Kim JK, Lee KS. Efficacy and safety of
- An JH, Kim YJ, Kim KJ, et al. L-carnitine supplementation for the management of fatigue in patients with hypothyroidism on levothyroxine treatment: a randomized, double-blind, placebo-controlled trial. Endocr J. 2016;63(10):885-95. PubMed
- Chen N, Yang M, Zhou M, Xiao J, Guo J, He L. L-carnitine for cognitive enhancement in people without cognitive impairment. Cochrane Database Syst Rev. 2017;3:CD009374. PubMed
- Khajeh B, Dashti-Khavidaki S, Nasiri-Toosi M, Mohammadi K, Jafari A. Effects of pre-transplant L-carnitine supplementation on primary graft dysfunction in liver transplant recipients: a pilot, randomized, placebo-controlled clinical trial. Res Pharm Sci. PubMed
- Kubota K, Uojima H, Shao X, et al. Additional L-carnitine Reduced the Risk of Hospitalization in Patients with Overt Hepatic Encephalopathy on Rifaximin. Dig Dis 2021. PubMed
- Amini L, Yaghini O, Ghazavi M, Aslani N. L-carnitine versus propranolol for pediatric migraine prophylaxis. Iran J Child Neurol 2021;15(2):77-86.
- Shakibaei F, Jelvani D. Effect of adding l -carnitine to risperidone on behavioral, cognitive, social, and physical symptoms in children and adolescents with autism: A randomized double-blinded placebo-controlled clinical trial. Clin Neuropharmacol 2023;4 PubMed
- Moustafa I, Connolly C, Anis M, Mustafa H, Oosthuizen F, Viljoen M. A prospective study to evaluate the efficacy and safety of vitamin E and levocarnitine prophylaxis against doxorubicin-induced cardiotoxicity in adult breast cancer patients. J Oncol Phar PubMed
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