Advanced Joint Health Ingredients & Drug Interactions
by New Sun
What is this page for?
First and foremost: checking Advanced Joint Health 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
Advanced Joint Health is a dietary supplement by New Sun with 6 active ingredients. Its ingredients are commonly taken for osteoarthritis, joint pain and stiffness, cartilage support.Based on those ingredients, 170 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Glucosamine Potassium Sulfate. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Advanced Joint Health by New Sun
Ask about any prescription or over-the-counter medication and we check it for interactions with Advanced Joint Health by New Sun — 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 Advanced Joint Health by New Sun
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
Advanced Joint Health contains 6 active ingredients. The main players are glucosamine (as potassium sulfate) for joint cartilage support, and proteolytic enzymes — protein-digesting enzymes called Protease and Protease 6 that may help with inflammation and tissue breakdown.
You'll also find cellulase (which breaks down plant fibers), NEM (a natural eggshell membrane compound), and a botanical joint support blend. The capsule itself is vegetable-based cellulose, with microcrystalline cellulose as a binder and water.
Does it work?
Strong evidence
Glucosamine is likely effective for osteoarthritis — the evidence supports its use for that joint condition. For other uses listed on this product (aging skin, back pain, liver health, and metabolic issues), the evidence isn't established in our data.
The effectiveness of the other active ingredients — the proteolytic enzymes, cellulase, NEM, and the botanical blend — isn't rated in the data we hold.
How safe is it?
Well-documented data
Glucosamine is generally well tolerated, though a small number of people report digestive upset like bloating, constipation, cramps, diarrhea, heartburn, or nausea when taking it by mouth. Allergic reactions are rare but possible — a review found that about 72% of reported adverse events involved sensitivity reactions, ranging from mild (itching, hives) to severe (breathing trouble, low blood pressure), with anaphylaxis reported in very rare cases.
There's also a rare report of asthma getting worse with glucosamine-chondroitin products. For the protease enzymes, digestive upset and allergic reactions are possible, though they're generally well tolerated.
We don't have safety data on file for cellulase, NEM, or the botanical blend. During pregnancy, the safety data advises against glucosamine, and the safety of the protease enzymes hasn't been established — talk with your doctor or pharmacist.
While breastfeeding, there isn't enough data on any of these ingredients to know either way — again, get personalized advice from your healthcare provider.
Meds to double-check
Major interaction found
Before taking Advanced Joint Health, double-check if you're on blood thinners like warfarin (Major severity risk), cancer drugs called topoisomerase II inhibitors (Moderate), diabetes medications, or acetaminophen. Ask your pharmacist to search your exact medications in the tool on this page.
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.
If you have osteoarthritis, glucosamine in this product is likely to help. But if you take blood thinners, cancer drugs, diabetes medications, or acetaminophen, check with your pharmacist first — glucosamine can interact.
Pregnant or breastfeeding? Talk with your doctor before starting.
The proteases and other ingredients are generally well tolerated but may cause digestive upset in some people.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 6 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Aug 24, 2012.
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 Advanced Joint Health, straight from the product label.
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Advanced Joint Health by New Sun, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Protease | 51 AP | -- |
| Cellulase | 100 CU | -- |
| Protease 6 | 40000 HUT | -- |
| NEM | 500 mg | -- |
| Glucosamine Potassium Sulfate | 500 mg | -- |
| Botanical joint support blend | 260 mg | -- |
| Proteolytic Enzyme Blend | 161 mg | -- |
Other ingredients: Vegetable Cellulose, Microcrystalline Cellulose, Water
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.
Precautions
Keep out of reach of children.
Do not use if safety seal is missing or broken.
Allergen Information: Contains shirmp and egg (eggshell membrane).
Warning: Do not use if pregnant or you have bile obstruction or gall stones or suffer from stomach ulcers or hyperacidity.
Do not take this product if you are allergic to eggs or shellfish.
If you are nursing, taking any medications, or experiencing health issues, consult your doctor before use.
Storage
Store in a cool, dry place.
Brand IP Statement(s)
NEM(R) is a registered trademark of ESM Technologies, LLC.
Now with NEM(R) Natural Eggshell Membrane
Suggested/Recommended/Usage/Directions
Recommendation: As a dietary supplement, take two capsules once daily with water.
FDA Disclaimer Statement
*This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
General
Product No. 90-5 V4.0
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Advanced Joint Health by New Sun 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 Advanced Joint Health by New Sun
These are the 6 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule 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.
NEM
Glucosamine Potassium Sulfate
Interacts with170 drugs
Glucosamine is a natural compound found in cartilage and joint fluid, and it is one of the most popular supplements for osteoarthritis, especially of...
Glucosamine Potassium Sulfate monograph & interactionsBotanical joint support blend
Proteolytic Enzyme Blend
- › Protease
- › Cellulase
- › Protease 6
Other (inactive) ingredients: Vegetable Cellulose, Microcrystalline Cellulose, Water. These complete the product’s ingredient list but are not active constituents.
Advanced Joint Health by New Sun Drug Interactions
HelloPharmacist Interaction Report
Advanced Joint Health by New Sun contains glucosamine, which has documented interactions with several medications.
The most serious concern is with blood thinners (anticoagulants) like warfarin — glucosamine may increase warfarin's blood-thinning effect and raise your risk of bruising and bleeding. This is rated Major severity.
Read the full breakdown — every affected drug type, severity by severity
The product also interacts with cancer drugs called topoisomerase II inhibitors (like etoposide and doxorubicin) at Moderate severity — glucosamine may theoretically reduce their effectiveness, though this hasn't been seen in people yet. It carries Minor interactions with diabetes medications and acetaminophen (pain reliever/fever reducer); the diabetes concern is unlikely to be significant in practice, and acetaminophen might reduce pain relief when taken alongside glucosamine.
We could not check the interaction data for cellulase, NEM, or the botanical joint support blend — no monographs are on file for them. The protease ingredients (Protease and Protease 6) have no documented interactions in our data.
Altogether, these interactions span 169 individual medications.
Run your exact medications through the checker on this page before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Advanced Joint Health?
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 Advanced Joint Health interact with 170 drugs. Click any drug to see the details.
1 of the 6 ingredients in Advanced Joint Health interact with drugs. Each result below shows which ingredient is responsible. Glucosamine Potassium Sulfate
WarfarinWarfarin
How Warfarin interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateWarfarin (coumadin) Major
Interaction Summary
Glucosamine might increase the anticoagulant effects of warfarin and increase the risk of bruising and bleeding.
Read the full Glucosamine Potassium Sulfate + Warfarin interactionWarfarin SodiumCoumadin, Panwarfin, Sofarin
How Warfarin Sodium interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateWarfarin (coumadin) Major
Interaction Summary
Glucosamine might increase the anticoagulant effects of warfarin and increase the risk of bruising and bleeding.
Read the full Glucosamine Potassium Sulfate + Warfarin Sodium interactionDaunorubicin CitrateDaunoXome
How Daunorubicin Citrate interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Daunorubicin Citrate interactionDaunorubicin HydrochlorideCerubidine
How Daunorubicin Hydrochloride interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Daunorubicin Hydrochloride interactionDaunorubicin, CytarabineVyxeos
How Daunorubicin, Cytarabine interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Daunorubicin, Cytarabine interactionDoxorubicinAdriamycin, Caelyx, Doxil, Myocet, Rubex
How Doxorubicin interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Doxorubicin interactionEpirubicinEllence
How Epirubicin interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Epirubicin interactionEtoposideEtopophos, VePesid, VP16
How Etoposide interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Etoposide interactionIdarubicinIdamycin
How Idarubicin interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Idarubicin interactionIrinotecanCamptosar, Onivyde
How Irinotecan interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Irinotecan interactionIrinotecan Hydrochloride
How Irinotecan Hydrochloride interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Irinotecan Hydrochloride interactionMitoxantroneNovantrone
How Mitoxantrone interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Mitoxantrone interactionTeniposideVumon
How Teniposide interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Teniposide interactionTopotecanHycamtin
How Topotecan interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Topotecan interactionValrubicinValstar
How Valrubicin interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateTopoisomerase Ii Inhibitors Moderate
Interaction Summary
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
Read the full Glucosamine Potassium Sulfate + Valrubicin interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAntidiabetes Drugs Minor
Interaction Summary
Despite initial concerns, it is unlikely that glucosamine will interfere with the effects of antidiabetes drugs.
Read the full Glucosamine Potassium Sulfate + Acarbose interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + 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 Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Advanced Joint Health — through 1 ingredient. Tap an ingredient for the detail:
Glucosamine Potassium SulfateAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Potassium Sulfate + Acetaminophen, Caffeine, Isometheptene interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Advanced Joint Health with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Glucosamine Potassium Sulfate
Warfarin (Coumadin)
Glucosamine might increase the anticoagulant effects of warfarin and increase the risk of bruising and bleeding.
In two individual case reports, glucosamine/chondroitin combinations were associated with a significant increase in international normalized ratio (INR) in patients previously stabilized on warfarin. In one case, the increase in INR occurred only after tripling the dose of a glucosamine/chondroitin supplement from 500 mg/400 mg daily to 1500/1200 mg daily. Additionally, 20 voluntary case reports to the U.S. Food & Drug Administration (FDA) have linked glucosamine plus chondroitin with increased INR, bruising, and bleeding in patients who were also taking warfarin. There have also been 20 additional case reports to the World Health Organization (WHO) that link glucosamine alone to increased INR in patients taking warfarin. The mechanism of this interaction is unclear. Glucosamine is a small component of heparin, but is not thought to have anticoagulant activity; however, animal research suggests that it might have antiplatelet activity.
Topoisomerase Ii Inhibitors
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
In vitro research suggests that glucosamine might induce resistance to etoposide (VP16, VePesid) and doxorubicin (Adriamycin) by reducing inhibition of topoisomerase II, an enzyme required for DNA replication in tumor cells. This effect has not been reported in humans.
Acetaminophen (Tylenol, Others)
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Anecdotal reports suggest that adding glucosamine to an acetaminophen regimen might decrease pain control in patients with osteoarthritis. Some research suggests that the sulfate portion of glucosamine sulfate might contribute to its effect in osteoarthritis. Since acetaminophen metabolism requires sulfur and reduces serum sulfate concentrations, acetaminophen could theoretically interfere with the action of glucosamine sulfate. Conversely, the administration of sulfate could theoretically decrease the effectiveness of acetaminophen in sulfate-deficient people by increasing its clearance.
Antidiabetes Drugs
Despite initial concerns, it is unlikely that glucosamine will interfere with the effects of antidiabetes drugs.
In vitro and animal research has suggested that glucosamine might increase insulin resistance or decrease insulin production. This has raised concerns that taking glucosamine might worsen diabetes and decrease the effectiveness of diabetes drugs. However, clinical research suggests that glucosamine does not have adverse effects on blood glucose or glycated hemoglobin (HbA1C) in healthy, obese, or type 2 diabetes patients.
Brand information
Manufacturer and brand details for Advanced Joint Health, from the product label.
New Sun
See all New Sun products- Name
- New Sun, Inc.
- City
- Hendersonville
- State
- NC
- ZipCode
- 28792
- Phone Number
- 1-800-544-0777
- Web Address
- www.newsun.net
Advanced Joint Health by New Sun: Common Questions
Does Advanced Joint Health by New Sun interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Will this help my joint pain?
Can I take this while pregnant?
Is it safe to breastfeed while taking this?
What side effects might I notice?
Can I take this with my arthritis pain reliever?
What are the protease enzymes for?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Advanced Joint Health 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 Advanced Joint Health’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Glucosamine
Interacts with 170 drugsGlucosamine is a natural compound found in cartilage and joint fluid, and it is one of the most popular supplements for osteoarthritis, especially of the knee. The evidence is mixed, with so...
Read the full Glucosamine monograph → Herb & supplement monographProteolytic Enzymes (proteases)
Proteolytic enzymes are proteins that help break down other proteins, and common examples include bromelain (from pineapple), papain (from papaya), trypsin, chymotrypsin, and pancreatin. Peo...
Read the full Proteolytic Enzymes (proteases) monograph →Sources & How We Checked
Advanced Joint Health'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 61 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.
Proteolytic Enzymes (proteases) 3 references
- Weeks JA, Harper RA, Simon RA, Burdick JD. Assessment of sensitization risk of a laundry pre-spotter containing protease. Cutan Ocul Toxicol. 2011;30(4):272-9. PubMed
- Marquès LI, Lara S, Abós T, Bartolomé B. Occupational rhinitis due to pepsin. J Investig Allergol Clin Immunol. 2006;16(2):136-7. DOI
- Cartier A, Malo JL, Pineau L, Dolovich J. Occupational asthma due to pepsin. J Allergy Clin Immunol. 1984;73(5 Pt 1):574-7. PubMed
See these in context on the Proteolytic Enzymes (proteases) monograph →
Glucosamine 58 references
- Adams ME. Hype about glucosamine. Lancet 1999;354:353-4. PubMed
- Balkan B, Dunning BE. Glucosamine inhibits glucokinase in vitro and produces a glucose-specific impairment of in vivo insulin secretion in rats. Diabetes 1994;43:1173-9. PubMed
- Giaccari A, Morviducci L, Zorretta D, et al. In vivo effects of glucosamine on insulin secretion and insulin sensitivity in the rat: possible relevance to the maladaptive responses to chronic hyperglycaemia. Diabetologia 1995;38:518-24. PubMed
- Holmang A, Nilsson C, Niklasson M, et al. Induction of insulin resistance by glucosamine reduces blood flow but not interstitial levels of either glucose or insulin. Diabetes 1999;48:106-11. PubMed
- Houpt JB, McMillan R, Wein C, Paget-Dellio SD. Effect of glucosamine hydrochloride in the treatment of pain of osteoarthritis of the knee. J Rheumatol 1999;26:2423-30.
- Barclay TS, Tsourounis C, McCart GM. Glucosamine. Ann Pharmacother 1998;32:574-9.
- Shankar RR, Zhu JS, Baron AD. Glucosamine infusion in rats mimics the beta-cell dysfunction of non-insulin-dependent diabetes mellitus. Metabolism 1998;47:573-7.
- Almada A, Harvey P, Platt K. Effects of chronic oral glucosamine sulfate on fasting insulin resistance index (FIRI) in non-diabetic individuals. FASEB J 2000;14:A750.
- Reginster JY, Deroisy R, Rovati LC, et al. Long-term effects of glucosamine sulfate on osteoarthritis progression: a randomised, placebo-controlled trial. Lancet 2001;357:251-6.
- Does glucosamine increase serum lipid levels and blood pressure? Pharmacist's Letter/Prescriber's Letter 2001;17(11):171115.
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
- Monauni T, Zenti MG, Cretti A, et al. Effects of glucosamine infusion on insulin secretion and insulin action in humans. Diabetes 2000;49:926-35. PubMed
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