Alpha Spray Ingredients & Drug Interactions
by IMSOALPHA
What is this page for?
First and foremost: checking Alpha Spray 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
Alpha Spray is a dietary supplement by IMSOALPHA with 5 active ingredients. Its ingredients are commonly taken for anxiety and stress, sleep problems, relaxation.Based on those ingredients, 791 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are GABA, Longjack, Macuna pruriens. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
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HelloPharmacist Scorecard of Alpha Spray by IMSOALPHA
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
Low disclosure
Alpha Spray contains five active ingredients. GABA is a neurotransmitter your brain uses for relaxation and sleep.
Deer Antler Velvet is an animal-derived ingredient studied for potential benefits to bone and athletic recovery. Alpha-GPC is a phospholipid compound that supports brain cell function and has shown promise for memory in people with Alzheimer disease.
Macuna pruriens (also called cowhage) is a tropical plant seed containing levodopa, the same active compound used in Parkinson disease medications. Longjack (Eurycoma longifolia) is a plant root traditionally used in Southeast Asia, with some evidence suggesting it may support sexual interest in aging men.
The product also contains inactive ingredients: distilled water, natural flavors, citric acid, and potassium sorbate as a preservative.
Does it work?
Not established
The evidence in our data supports only limited claims. Longjack is rated possibly effective for sexual desire; Alpha-GPC is rated possibly effective for Alzheimer disease.
For the other uses listed—GABA for anxiety, athletic performance, ADHD, and chronic bronchitis; Deer Antler Velvet for wound healing, heart disease, high blood pressure, bone health, sexual desire, and aging; Macuna pruriens for anxiety, Parkinson disease, and rheumatoid arthritis; and Longjack for athletic performance and back pain—the evidence is insufficient to rate them. In other words, we don't have reliable data that these ingredients work for those purposes.
How safe is it?
Well-documented data
GABA appears generally well tolerated short-term, though long-term safety is not well studied. The most common side effects reported in studies are drowsiness, stomach upset, throat burning, muscle weakness, and nausea.
One case of temporary loss of menstrual periods was reported. Deer Antler Velvet and Alpha-GPC are generally well tolerated in short-term use, but long-term safety for both is not fully established.
Alpha-GPC has rarely been linked to dizziness, headache, insomnia, and gastrointestinal symptoms; very rarely, stroke has been reported with oral use lasting two months or longer. Macuna pruriens is generally tolerated, but because it contains levodopa (an active drug), it should be used with professional guidance.
Common side effects are diarrhea, flatulence, and dry mouth; when taken in larger amounts, nausea, abdominal bloating, and vomiting have been reported. About 3% of people in one study reported insomnia.
Longjack is generally tolerated short-term, but long-term safety is uncertain. If it raises testosterone above normal levels, risks include acne and liver problems.
Meds to double-check
Major interaction found
Before taking Alpha Spray, double-check these medication types with your pharmacist: methyldopa or non-selective MAOIs (Major risk of dangerous blood pressure changes), levodopa or any Parkinson medications (Major risk of serious side effects), blood pressure medications including guanethidine (Moderate to Major risks), antipsychotics (Moderate risk of reduced effectiveness), tricyclic antidepressants (Moderate risk), antidiabetes medications (Moderate risk of low blood sugar), and anesthetics used during surgery (Moderate risk of irregular heartbeat). Propranolol, birth control pills, estrogen supplements, and scopolamine patches carry Minor risks.
If you take any prescription medication, use the checker on this page to verify your exact drugs.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Major medication interactions have been identified, and safety information is well characterized.
Alpha Spray is best approached with caution, especially if you take blood pressure medications, antidepressants (especially MAOIs or tricyclics), antipsychotics, diabetes medications, or are about to have surgery. The ingredient Macuna pruriens carries the most serious interaction risks.
Talk to your pharmacist or doctor before starting, particularly if you're on any prescription medication.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 5 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 19, 2021.
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 Alpha Spray, 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 Alpha Spray by IMSOALPHA, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Proprietary Blend | 27250 ng | -- |
| GABA | 0 NP | -- |
| Deer Antler Velvet | 0 NP | -- |
| Alpha GPC | 0 NP | -- |
| Macuna pruriens | 0 NP | -- |
| Longjack | 0 NP | -- |
Other ingredients: distilled Water, Natural Flavors, Citric Acid, Potassium Sorbate
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.
Formulation
Imsoalpha's Alpha Spray may support decreased body fat, an increase in strength, muscle tone and muscle size, an improved immune system, and a reduction in joint soreness.
Hormone free
Suggested/Recommended/Usage/Directions
Suggested Use: As a dietary supplement, spray four (4) to six (6) sprays under the tongue and swallow at bedtime. May repeat in the morning if desired for added benefit.
Precautions
Warning: Do not exceed recommended dose. Discontinue use and consult your physician if any adverse reactions occur.
Pregnant or nursing mothers, children under 18, and individuals with a known medical condition should consult a physician before using this or any dietary supplement.
Pregnant or nursing mothers, children under 18, and individuals with a known medical condition should consult a physician before using this or any dietary supplement.
Do not use if tamper evident seal is missing or broken.
Keep out of reach of children.
Storage
Store in a cool, dry place.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Formula
Secretagogue with deer antler velvet
36,000 NG
FDA Statement of Identity
Dietary Supplement
General Statements
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Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Alpha Spray by IMSOALPHA 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 Alpha Spray by IMSOALPHA
These are the 5 active ingredients this product is made of. Select any to open its full monograph.
Serving size4 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.
Proprietary Blend
- › GABA
- › Deer Antler Velvet
- › Alpha GPC
- › Macuna pruriens
- › Longjack
Other (inactive) ingredients: Distilled Water, Natural Flavors, Citric Acid, Potassium Sorbate. These complete the product’s ingredient list but are not active constituents.
Alpha Spray by IMSOALPHA Drug Interactions
HelloPharmacist Interaction Report
Alpha Spray by IMSOALPHA contains five active ingredients, and several of them interact with medications.
The most serious concern is Macuna pruriens (cowhage), which contains levodopa and has Major-severity interactions with three drug types: methyldopa (a blood pressure medication), MAOIs (a class of antidepressants), and levodopa itself. Using cowhage with methyldopa or non-selective MAOIs risks dangerous drops or spikes in blood pressure; using it alongside levodopa increases the risk of levodopa-related side effects like nausea, involuntary movements, and dizziness.
Read the full breakdown — every affected drug type, severity by severity
Macuna pruriens also carries Moderate-severity interactions with antidiabetes drugs (increasing low blood sugar risk), antipsychotic medications (potentially reducing their effectiveness), tricyclic antidepressants (older antidepressants that may reduce cowhage's effects and raise blood pressure), certain anesthetics (risk of irregular heartbeat), and guanethidine (a blood pressure medication—additive blood pressure drop). GABA has Moderate-severity interaction with blood pressure medications, increasing the risk of low blood pressure.
GABA and CNS depressants (like sedatives or opioids) may have Minor additive sedative effects, though the clinical importance is unclear. Deer Antler Velvet and Longjack (Eurycoma longifolia) carry Minor interactions: Deer Antler Velvet with birth control pills and estrogen medications, and Longjack with the beta-blocker propranolol, certain enzyme substrates, and testosterone.
Alpha-GPC has a Minor interaction only with scopolamine (a motion sickness patch).
Altogether, these interactions span 788 individual medications. Use the medication checker on this page to verify your exact prescriptions before starting Alpha Spray.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Alpha Spray?
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 Alpha Spray interact with 791 drugs. Click any drug to see the details.
5 of the 5 ingredients in Alpha Spray interact with drugs. Each result below shows which ingredient is responsible. GABA Longjack Macuna pruriens Deer Antler Velvet Alpha GPC
AmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis
How Amphetamine interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Macuna Pruriens + Amphetamine interactionBenserazide, LevodopaMadopar, Prolopa
How Benserazide, Levodopa interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensLevodopa Major
Interaction Summary
Concomitant use can increase the risk of levodopa-related adverse effects.
Read the full Macuna Pruriens + Benserazide, Levodopa interactionCarbidopa, LevodopaDhivy, Rytary, Sinemet, Sinemet CR
How Carbidopa, Levodopa interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensLevodopa Major
Interaction Summary
Concomitant use can increase the risk of levodopa-related adverse effects.
Read the full Macuna Pruriens + Carbidopa, Levodopa interactionCarbidopa, Levodopa, EntacaponeStalevo
How Carbidopa, Levodopa, Entacapone interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensLevodopa Major
Interaction Summary
Concomitant use can increase the risk of levodopa-related adverse effects.
Read the full Macuna Pruriens + Carbidopa, Levodopa, Entacapone interactionChlorothiazide, MethyldopaAldochlor, Aldoclor 150, Aldoclor 250
How Chlorothiazide, Methyldopa interacts with Alpha Spray — through 2 ingredients. Tap an ingredient for the detail:
Macuna PruriensMethyldopa (aldomet) Major
Interaction Summary
Theoretically, concomitant use of cowhage and methyldopa might increase the risk of hypotension.
Read the full Macuna Pruriens + Chlorothiazide, Methyldopa interactionGabaAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking GABA with antihypertensive drugs might increase the risk of hypotension.
Read the full Gaba + Chlorothiazide, Methyldopa interactionHydrochlorothiazide, MethyldopaAldoril 15, Aldoril 25, Aldoril D30, Methazide
How Hydrochlorothiazide, Methyldopa interacts with Alpha Spray — through 2 ingredients. Tap an ingredient for the detail:
Macuna PruriensMethyldopa (aldomet) Major
Interaction Summary
Theoretically, concomitant use of cowhage and methyldopa might increase the risk of hypotension.
Read the full Macuna Pruriens + Hydrochlorothiazide, Methyldopa interactionGabaAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking GABA with antihypertensive drugs might increase the risk of hypotension.
Read the full Gaba + Hydrochlorothiazide, Methyldopa interactionIsocarboxazidMarplan
How Isocarboxazid interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Macuna Pruriens + Isocarboxazid interactionLevodopaInbrija, Larodopa
How Levodopa interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensLevodopa Major
Interaction Summary
Concomitant use can increase the risk of levodopa-related adverse effects.
Read the full Macuna Pruriens + Levodopa interactionLevodopa, CarbidopaDuodopa
How Levodopa, Carbidopa interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensLevodopa Major
Interaction Summary
Concomitant use can increase the risk of levodopa-related adverse effects.
Read the full Macuna Pruriens + Levodopa, Carbidopa interactionMethyldopaAldomet, Methyldopa
How Methyldopa interacts with Alpha Spray — through 2 ingredients. Tap an ingredient for the detail:
Macuna PruriensMethyldopa (aldomet) Major
Interaction Summary
Theoretically, concomitant use of cowhage and methyldopa might increase the risk of hypotension.
Read the full Macuna Pruriens + Methyldopa interactionGabaAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking GABA with antihypertensive drugs might increase the risk of hypotension.
Read the full Gaba + Methyldopa interactionMoclobemideManerix, Moclobemide
How Moclobemide interacts with Alpha Spray — through 2 ingredients. Tap an ingredient for the detail:
Macuna PruriensMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Macuna Pruriens + Moclobemide interactionLongjackCytochrome P450 2c19 (cyp2c19) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels of CYP2C19 substrates.
Read the full Longjack + Moclobemide interactionOzanimod HydrochlorideZeposia
How Ozanimod Hydrochloride interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Macuna Pruriens + Ozanimod Hydrochloride interactionPhenelzine SulfateNardil
How Phenelzine Sulfate interacts with Alpha Spray — through 2 ingredients. Tap an ingredient for the detail:
Macuna PruriensMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Macuna Pruriens + Phenelzine Sulfate interactionGabaCns Depressants Minor
Interaction Summary
Theoretically, GABA might have additive sedative effects when used in conjunction with CNS depressants.
Read the full Gaba + Phenelzine Sulfate interactionRasagilineAzilect
How Rasagiline interacts with Alpha Spray — through 2 ingredients. Tap an ingredient for the detail:
Macuna PruriensMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Macuna Pruriens + Rasagiline interactionLongjackCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
Read the full Longjack + Rasagiline interactionSafinamide MesylateXadago
How Safinamide Mesylate interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Macuna Pruriens + Safinamide Mesylate interactionSelegilineCarbex, Eldepryl, Emsam, Zelapar
How Selegiline interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Macuna Pruriens + Selegiline interactionTranylcypromineParnate
How Tranylcypromine interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Read the full Macuna Pruriens + Tranylcypromine interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Macuna Pruriens + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
GabaAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking GABA with antihypertensive drugs might increase the risk of hypotension.
Read the full Gaba + Acebutolol interactionAcepromazineAtravet
How Acepromazine interacts with Alpha Spray — through 2 ingredients. Tap an ingredient for the detail:
Macuna PruriensAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, use of cowhage might decrease the clinical effects of antipsychotic drugs.
Read the full Macuna Pruriens + Acepromazine interactionGabaCns Depressants Minor
Interaction Summary
Theoretically, GABA might have additive sedative effects when used in conjunction with CNS depressants.
Read the full Gaba + Acepromazine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
GabaAntihypertensive Drugs, Cns Depressants Moderate
Interaction Summary
Theoretically, taking GABA with antihypertensive drugs might increase the risk of hypotension.
Read the full Gaba + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Macuna Pruriens + Acetohexamide interactionAcetophenazineTindal
How Acetophenazine interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, use of cowhage might decrease the clinical effects of antipsychotic drugs.
Read the full Macuna Pruriens + Acetophenazine interactionAlbiglutideTanzeum
How Albiglutide interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Macuna Pruriens + Albiglutide interactionAlfentanilAlfenta
How Alfentanil interacts with Alpha Spray — through 2 ingredients. Tap an ingredient for the detail:
Macuna PruriensAnesthesia Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and anesthesia might increase the risk of arrhythmias.
Read the full Macuna Pruriens + Alfentanil interactionGabaCns Depressants Minor
Interaction Summary
Theoretically, GABA might have additive sedative effects when used in conjunction with CNS depressants.
Read the full Gaba + Alfentanil interactionAliskirenTekturna
How Aliskiren interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
GabaAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking GABA with antihypertensive drugs might increase the risk of hypotension.
Read the full Gaba + Aliskiren interactionAlogliptinNesina
How Alogliptin interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Macuna Pruriens + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Macuna Pruriens + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
Macuna PruriensAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Macuna Pruriens + Alogliptin, Pioglitazone interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with Alpha Spray — through 1 ingredient. Tap an ingredient for the detail:
GabaAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking GABA with antihypertensive drugs might increase the risk of hypotension.
Read the full Gaba + Ambrisentan interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Alpha Spray 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.
GABA
Antihypertensive Drugs
Theoretically, taking GABA with antihypertensive drugs might increase the risk of hypotension.
Some clinical research shows that GABA can decrease blood pressure in patients with hypertension.
Cns Depressants
Theoretically, GABA might have additive sedative effects when used in conjunction with CNS depressants. However, it is unclear if this concern is clinically relevant.
Endogenous GABA has well-established relaxant effects and GABA(A) receptors have an established physiological role in sleep. However, the effects of GABA supplements are unclear, as it is unknown whether exogenous GABA crosses the blood-brain barrier. Although there have been limited reports of drowsiness or tiredness with GABA supplements, these effects have not been widely reported in clinical studies. Additionally, intravenous GABA 0.1-1 mg/kg has been shown to induce anxiety in a dose-dependent manner.
Longjack
Propranolol (Inderal)
Eurycoma longifolia can reduce the levels and clinical effects of propranolol.
A small clinical study in healthy persons shows that taking a single dose of a water-based Eurycoma longifolia extract 200 mg, in combination with a single dose of propranolol 80 mg, reduces the propranolol area under the curve (AUC) by 29%, reduces the peak concentration by 42%, and increases time to peak concentration by 86% when compared with control. Since the elimination half-life of propranolol did not change, it seems that Eurycoma longifolia alters the kinetics of propranolol by decreasing its absorption in the gut, and not by altering its metabolism. It is not known if separating administration will prevent this interaction.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, Eurycoma longifolia might increase levels CYP1A2 substrates.
In vitro research suggests that methanolic Eurycoma longifolia root extract weakly inhibits CYP1A2 enzymes. This effect has not been reported in humans.
Cytochrome P450 2A6 (Cyp2A6) Substrates
Theoretically, Eurycoma longifolia might increase levels of CYP2A6 substrates.
In vitro research suggests that methanolic Eurycoma longifolia root extract weakly inhibits CYP2A6 enzymes. This effect has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, Eurycoma longifolia might increase levels of CYP2C19 substrates.
In vitro research suggests that methanolic Eurycoma longifolia root extract weakly inhibits CYP2C19 enzymes. This effect has not been reported in humans.
Testosterone
Theoretically, Eurycoma longifolia may further increase levels of testosterone.
A clinical study in aging males with testosterone levels below 300 ng/dL shows that taking a specific water extract of Eurycoma longifolia roots (Physta; Biotropics Malaysia) 100-200 mg daily with breakfast for 12 weeks increases total testosterone levels by 8% to 11% when compared with placebo. It is unclear whether this increase would occur in individuals with normal testosterone levels.
Macuna pruriens
Levodopa
Concomitant use can increase the risk of levodopa-related adverse effects.
Cowhage contains levodopa. Some cowhage products have been standardized to contain 75-400 mg of levodopa per dose.
Methyldopa (Aldomet)
Theoretically, concomitant use of cowhage and methyldopa might increase the risk of hypotension.
Cowhage contains levodopa. Use of levodopa with methyldopa might cause additive hypotension. In addition, methyldopa may inhibit peripheral decarboxylation of levodopa and increase levodopa levels in the central nervous system; avoid using.
Monoamine Oxidase Inhibitors (Maois)
Theoretically, concomitant use of cowhage and non-selective MAOIs might increase the risk of hypertensive crisis.
Cowhage contains levodopa. Use of levodopa with non-selective MAOIs might cause hypertensive crisis. However, this interaction has not been reported with MAO-B selective inhibitors such as selegiline.
Anesthesia
Theoretically, concomitant use of cowhage and anesthesia might increase the risk of arrhythmias.
Cowhage contains levodopa. Use of levodopa with cyclopropane or halogenated hydrocarbon anesthesia has led to arrhythmias. Other anesthetics have not been implicated. Use other anesthetics in patients taking cowhage or tell patients to stop taking cowhage at least 2 weeks before surgery.
Antidiabetes Drugs
Theoretically, concomitant use of cowhage and antidiabetes drugs might increase the risk of hypoglycemia.
Animal research shows that cowhage might have hypoglycemic effects.
Antipsychotic Drugs
Theoretically, use of cowhage might decrease the clinical effects of antipsychotic drugs.
Cowhage contains levodopa. Use of levodopa might counteract the antidopaminergic effects of antipsychotic medications.
Guanethidine (Ismelin)
Theoretically, concomitant use of cowhage and guanethidine might increase the risk of hypotension.
Cowhage contains levodopa. Use of levodopa with guanethidine might cause additive hypotension; avoid using.
Tricyclic Antidepressants (Tcas)
Theoretically, use of TCAs might reduce the levels and clinical effects of cowhage.
Cowhage contains levodopa. Use of TCAs might reduce the absorption of levodopa. Some case reports describe patients that developed hypertension and dyskinesia when taking both levodopa and TCAs.
Deer Antler Velvet
Contraceptive Drugs
Theoretically, deer velvet might interfere with the effectiveness of contraceptive drugs.
Laboratory research shows that deer velvet contains small quantities of estradiol and testosterone. While clinical research shows that taking deer velvet extract does not raise testosterone levels, estradiol levels were not measured.
Estrogens
Theoretically, deer velvet might increase the effects and side effects of estrogens.
Laboratory evidence shows that deer velvet contains small quantities of estradiol and testosterone. While clinical research shows that taking deer velvet extract does not raise testosterone levels, estradiol levels were not measured.
Alpha GPC
Scopolamine (Transderm Scop)
Theoretically, alpha-GPC might decrease the effects of scopolamine.
A small clinical study shows that alpha-GPC can partially counteract the attention and memory impairment effects caused by scopolamine given intramuscularly. Whether alpha-GPC can decrease the beneficial anti-motion sickness effects of the scopolamine patch (Transderm Scop) is unclear.
Brand information
Manufacturer and brand details for Alpha Spray, from the product label.
IMSOALPHA
See all IMSOALPHA products- Name
- IMSOALPHA.COM
- Street Address
- 117 Elk Drive, Unit E
- City
- Murrells Inlet
- State
- SC
- ZipCode
- 29576
- Phone Number
- 1.803.832.2542
Alpha Spray by IMSOALPHA: Common Questions
Does Alpha Spray by IMSOALPHA interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take Alpha Spray if I'm on blood pressure medication?
Is Alpha Spray safe during pregnancy?
Can I breastfeed while taking Alpha Spray?
What does Macuna pruriens do in this product?
Does Alpha Spray really improve memory and brain function?
What are the most common side effects I might notice?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Alpha Spray’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Gamma-aminobutyric Acid (gaba)
Interacts with 419 drugsGABA is a calming chemical messenger (neurotransmitter) that your body makes on its own, and it is sold as a supplement for stress, anxiety, and sleep. The science behind oral GABA supplemen...
Read the full Gamma-aminobutyric Acid (gaba) monograph → Herb & supplement monographDeer Velvet
Interacts with 52 drugsDeer velvet is a traditional remedy made from the soft, growing antlers of deer or elk, and it is most often promoted for energy, athletic performance, and joint health. Good-quality human e...
Read the full Deer Velvet monograph → Herb & supplement monographAlpha-gpc
Interacts with 16 drugsAlpha-GPC is a choline-containing compound used mainly for memory, brain health, and as a choline source. There is some evidence it may help cognition in people with dementia, but evidence i...
Read the full Alpha-gpc monograph → Herb & supplement monographCowhage
Interacts with 193 drugsCowhage (Mucuna pruriens) is a tropical legume best known as a natural source of L-dopa, the compound the body turns into dopamine. It is most studied for Parkinson's disease symptoms and ma...
Read the full Cowhage monograph → Herb & supplement monographEurycoma Longifolia
Interacts with 248 drugsEurycoma longifolia (tongkat ali) is a Southeast Asian herb most popular for supporting testosterone, libido, and male fertility, with some small human studies suggesting possible benefits....
Read the full Eurycoma Longifolia monograph →Sources & How We Checked
Alpha Spray'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 34 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.
Gamma-aminobutyric Acid (gaba) 12 references
- Cavagnini F, Invitti C, Pinto M, et al. Effect of acute and repeated administration of gamma aminobutyric acid (GABA) on growth hormone and prolactin secretion in man. Acta Endocrinol (Copenh) 1980;93:149-54.
- Nurnberger JI Jr, Berrettini WH, Simmons-Alling S, et al. Intravenous GABA administration is anxiogenic in man. Psychiatry Res 1986;19:113-7. PubMed
- Gershman RN, Vasilenko MA, Iliushina GG, et al. [Gammalon in the rehabilitation in infantile cerebral palsy]. Pediatr.Akus.Ginekol. 1977;(6):26-7.
- Loeb C, Benassi E, Bo, GP, et al. Preliminary evaluation of the effect of GABA and phosphatidylserine in epileptic patients. Epilepsy Res. 1987;1:209-12 . PubMed
- Inoue K, Shirai T, Ochiai H, et al. Blood-pressure-lowering effect of a novel fermented milk containing gamma-aminobutyric acid (GABA) in mild hypertensives. Eur J Clin Nutr 2003;57:490-95.
- ELLIOTT, K. A. and JASPER, H. H. Gammaaminobutyric acid. Physiol Rev. 1959;39(2):383-406.
- Winsky-Sommerer, R. Role of GABAA receptors in the physiology and pharmacology of sleep. Eur.J.Neurosci. 2009;29(9):1779-1794.
- Meldrum, B. S. GABAergic mechanisms in the pathogenesis and treatment of epilepsy. Br.J.Clin.Pharmacol. 1989;27 Suppl 1:3S-11S. PubMed
- Loeb, C., Marinari, U. M., Benassi, E., Besio, G., Cottalasso, D., Cupello, A., Maffini, M., Mainardi, P., Pronzato, M. A., and Scotto, P. A. Phosphatidylserine increases in vivo the synaptosomal uptake of exogenous GABA in rats. Exp.Neurol. 1988;99(2):4 PubMed
- Melis, G. B., Paoletti, A. M., Mais, V., and Fioretti, P. Interference of dopamine infusion on gamma-amino butyric acid (GABA)-stimulated prolactin increase. J.Endocrinol.Invest 1980;3(4):445-448.
- Boonstra E, de Kleijn R, Colzato LS, Alkemade A, Forstmann BU, Nieuwenhuis S. Neurotransmitters as food supplements: the effects of GABA on brain and behavior. Front Psychol. 2015 Oct 6;6:1520. doi: 10.3389/fpsyg.2015.01520. eCollection 2015. PubMed
- de Bie TH, Witkamp RF, Balvers MG, Jongsma MA. Effects of ?-aminobutyric acid supplementation on glucose control in adults with prediabetes: A double-blind, randomized, placebo-controlled trial. Am J Clin Nutr 2023;118(3):708-719. PubMed
See these in context on the Gamma-aminobutyric Acid (gaba) monograph →
Deer Velvet 2 references
- Sleivert, G., Burke, V., Palmer, C., Walmsley, A., Gerrard, D., Haines, S., and Littlejohn, R. The effects of deer antler velvet extract or powder supplementation on aerobic power, erythropoiesis, and muscular strength and endurance characteristics. Int PubMed
- Bubenik, G. A., Miller, K. V., Lister, A. L., Osborn, D. A., Bartos, L., and van der Kraak, G. J. Testosterone and estradiol concentrations in serum, velvet skin, and growing antler bone of male white-tailed deer. J Exp Zoolog.A Comp Exp Biol 3-1-2005;30 PubMed
Alpha-gpc 4 references
- Di Perri R, Coppola G, Ambrosio LA, et al. A multicentre trial to the evaluate the efficacy and tolerability of alpha-glycerylphosphorylcholine versus cytosine diphosphocholine in patients with vascular dementia. J Int Med Res 1991;19:330-41.
- Barbagallo Sangiorgi G, Barbagallo M, Giordano M, et al. Alpha-glycerophosphocholine in the mental recovery of cerebral ischemic attacks: An Italian multicenter clinical trial. Ann N Y Acad Sci 1994;717:253-69. PubMed
- Canal N, Franceschi M, Alberoni M, et al. Effect of L-alpha-glyceryl-phosphorylcholine on amnesia caused by scopolamine. Int J Clin Pharmacol Ther Toxicol 1991;29:103-7.
- Lee G, Choi S, Chang J, et al. Association of L-a glycerylphosphorylcholine with subsequent stroke risk after 10 Years. JAMA Netw Open 2021;4(11):e2136008.
Cowhage 12 references
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Anon. Epidemiological notes and reports: Mucuna pruriens-associated pruritus--New Jersey. MMWR Morb Mortal Wkly Rep 1985;34:732-3.
- HP-200 in Parkinson's Disease study group. An alternative medicine treatment for Parkinson's disease: Results of a multicenter clinical trial. J Alt Comp Med 1995;1:249-55. DOI
- Infante ME, Perez AM, Simao MR, et al. Outbreak of acute toxic psychosis attributed to Mucuna pruriens. Lancet 1990;336:1129. PubMed
- Vaidya AB, Rajagopalan TG, Mankodi NA, et al. Treatment of Parkinson's disease with the cowhage plant-Mucuna pruriens Bak. Neurol India 1978;26:171-6.
- Vadivel V, Janardhanan K. Nutritional and anti-nutritional composition of velvet bean: an under-utilized food legume in south India. Int J Food Sci Nutr 2000;51:279-87. PubMed
- Akhtar MS, Qureshi AQ, Iqbal J. Antidiabetic evaluation of Mucuna pruriens, Linn seeds. J Pak Med Assoc 1990;40:147-50.
- Prakash, D., Niranjan, A., and Tewari, S. K. Some nutritional properties of the seeds of three Mucuna species. Int.J.Food Sci.Nutr. 2001;52(1):79-82.
- Vadivel, V. and Janardhanan, K. Nutritional and antinutritional characteristics of seven South Indian wild legumes. Plant Foods Hum.Nutr 2005;60(2):69-75. PubMed
- Creapure (Creatine Monohydrate). Toxicological Datasheet. Degussa BioActives. Available at: https://www.fda.gov/ohrms/DOCKETS/.../95s-0316-rpt0154-54-Ref-50-vol112.pdf.
- Pulikkalpura H, Kurup R, Mathew PJ, Baby S. Levodopa in Mucuna pruriens and its degradation. Sci Rep 2015;5:11078. PubMed
Eurycoma Longifolia 4 references
- Salman SA, Amrah S, Wahab MS, et al. Modification of propranolol's bioavailability by Eurycoma longifolia water-based extract. J Clin Pharm Ther 2010;35:691-6. PubMed
- Tambi MI, Imran MK, Henkel RR. Standardised water-soluble extract of Eurycoma longifolia, Tongkat ali, as testosterone booster for managing men with late-onset hypogonadism? Andrologia 2011 Jun 15. doi: 10.1111/j.1439-0272.2011.01168.x. [Epub ahead of pri PubMed
- Han YM, Kim IS, Rehman SU, Choe K, Yoo HH. In vitro evaluation of the effects of Eurycoma longifolia extract on CYP-mediated drug metabolism. Evid Based Complement Alternat Med 2015;2015:631329.
- Chinnappan SM, George A, Pandey P, Narke G, Choudhary YK. Effect of Eurycoma longifolia standardised aqueous root extract-Physta ® on testosterone levels and quality of life in ageing male subjects: a randomised, double-blind, placebo-controlled multicent
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC