Apidextra Hardcore Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Apidextra Hardcore 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
Apidextra Hardcore is a dietary supplement by Advantage Nutraceuticals with 8 active ingredients. Its ingredients are commonly taken for treating or preventing b12 deficiency, pernicious anemia, low energy and fatigue.Based on those ingredients, 969 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Garcinia cambogia, Green Coffee bean extract, Chromium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Apidextra Hardcore by Advantage Nutraceuticals
Ask about any prescription or over-the-counter medication and we check it for interactions with Apidextra Hardcore by Advantage Nutraceuticals — 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 Apidextra Hardcore by Advantage Nutraceuticals
Four independent checks of what is known — a summary of the available information, not a grade of the product itself.
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
The stated purpose hasn't been mapped to our evidence data yet.
Why this rating?
- We haven't mapped this product's purpose to our evidence data yet — it'll be graded on the next content refresh.
Every active ingredient lists its own amount on the label.
Why this rating?
- The label discloses an exact amount for 8 of its 8 active ingredients.
- “Chromium” is listed as a grouped ingredient — the label gives one combined amount (60 mcg) without saying how much of each component you get.
At least one ingredient has a documented Major-severity interaction. Check your medications for a personalized result.
Why this rating?
- 4 of the 4 matched ingredients can interact with medications — Garcinia, Vitamin B12, Coffee, Irvingia Gabonensis.
- The most serious interaction on file is rated Major.
- Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; diabetes medications; lithium.
- For scale: 942 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.
Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.
Why this rating?
- We hold adverse-effect (side-effect) data for 4 of the 4 matched ingredients.
- Pregnancy & breastfeeding safety ratings cover 4 of 4.
- General safety write-ups exist for 4 of 4.
- Remember: this measures how much safety information exists. Thin data is not the same as being safe.
HelloPharmacist summaryFully disclosed formula with no assessable stated purpose. Major medication interactions have been identified, and safety information is well characterized.
Assessment coverage: 4 of 8 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Aug 26, 2014.
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 Apidextra Hardcore, straight from the product label.
| Brand | Advantage Nutraceuticals |
|---|---|
| Barcode (UPC) | 794504422832 |
| Net contents | 120 Capsule(s) |
| Market status | Off market |
| Date entered into DSLD | Aug 26, 2014 |
| DSLD ID | 36541 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Apidextra Hardcore by Advantage Nutraceuticals, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Vitamin B12 | 5000 mcg | 83333% |
| Phenylethylamine | 37.5 mg | -- |
| Green Coffee bean extract | 200 mg | -- |
| Chromium | 60 mcg | 50% |
| Chromax | 500 mcg | -- |
| Garcinia cambogia | 750 mg | -- |
| ThermoDiamine(TM) | 10 mg | -- |
| Irvingia gabonensis | 150 mg | -- |
| Razberi-K | 100 mg | -- |
Other ingredients: Gelatin, Silicon Dioxide
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
Recommended Use: Take 2 capsules 30 minutes before breakfast, lunch and/or exercise with 8-16 ounces of water. Do not take within 6 hours of bedtime.
Precautions
Not intended for use by persons under 18 years of age. Keep out of reach of children.
Do not take take this product if you are pregnant or nursing.
Do not exceed recommended use. In case of an accidental overdose, seek professional assistance immediately.
FDA Disclaimer Statement
The statements made hereon have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Brand IP Statement(s)
(c) 2013 Advantage Nutraceuticals, LLC
General Statements
MADE IN USA
NEW FORMULA!
Maximum Strength Weight Loss Supplement
- Hardcore Weight Loss Formula - Designed For Men & Women - All-Natural Ingredients
Apidextra Research Laboratories
General
No. 974-8493022-3 M11Y13 2001
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Apidextra Hardcore by Advantage Nutraceuticals 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 Apidextra Hardcore by Advantage Nutraceuticals
These are the 8 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule Servings per container60 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Vitamin B12
Interacts 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 & interactionsPhenylethylamine
Green Coffee bean extract
Interacts with591 drugs
Coffee is a widely consumed beverage made from roasted coffee beans, valued mainly for its caffeine, which boosts alertness and energy. For most healt...
Green Coffee bean extract monograph & interactionsChromium
Interacts with178 drugs
Chromium is an essential trace mineral involved in how the body handles sugar and fat. Some studies suggest it may modestly help blood sugar control i...
Chromium monograph & interactions- › Chromax
Garcinia cambogia
Interacts with704 drugs
Garcinia is a tropical fruit whose rind contains hydroxycitric acid (HCA), widely marketed for weight loss and appetite control. The scientific eviden...
Garcinia cambogia monograph & interactionsThermoDiamine(TM)
Irvingia gabonensis
Interacts with94 drugs
Irvingia gabonensis (African mango) is a seed extract marketed mainly for weight loss and metabolic health. A few small studies suggest possible benef...
Irvingia gabonensis monograph & interactionsRazberi-K
Other (inactive) ingredients: Gelatin, Silicon Dioxide. These complete the product’s ingredient list but are not active constituents.
Apidextra Hardcore by Advantage Nutraceuticals Drug Interactions
Apidextra Hardcore contains 8 ingredients, and 5 of them have known drug interactions. Altogether they interact with 969 medications. Here’s the picture, then you can look up your own drug.
Want to check YOUR meds against Apidextra Hardcore?
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 Apidextra Hardcore interact with 969 drugs. Click any drug to see the details.
5 of the 8 ingredients in Apidextra Hardcore interact with drugs. Each result below shows which ingredient is responsible. Garcinia cambogia Green Coffee bean extract Chromium Irvingia gabonensis Vitamin B12
AcepromazineAtravet
How Acepromazine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Green Coffee Bean Extract + Acepromazine interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Amlodipine, Celecoxib interactionBupivacaine, MeloxicamZynrelef Kit
How Bupivacaine, Meloxicam interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Bupivacaine, Meloxicam interactionCarphenazineProketazin
How Carphenazine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Green Coffee Bean Extract + Carphenazine interactionCelecoxibCelebrex, Elyxyb
How Celecoxib interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Celecoxib interactionChlorpromazineThorazine, Thorazine Spansules
How Chlorpromazine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Green Coffee Bean Extract + Chlorpromazine interactionClomipramineAnafranil, Anafranil SR
How Clomipramine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractTricyclic Antidepressants (tcas) Minor
Interaction Summary
Theoretically, TCAs might bind with coffee constituents when taken at the same time.
Read the full Green Coffee Bean Extract + Clomipramine interactionCyamemazineTercian
How Cyamemazine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Green Coffee Bean Extract + Cyamemazine interactionDiflunisalDolobid
How Diflunisal interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Diflunisal interactionEsketamineSpravato
How Esketamine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractTricyclic Antidepressants (tcas) Minor
Interaction Summary
Theoretically, TCAs might bind with coffee constituents when taken at the same time.
Read the full Green Coffee Bean Extract + Esketamine interactionEthanolEthanol
How Ethanol interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractAlcohol (ethanol) Minor
Interaction Summary
Theoretically, alcohol might increase the levels and adverse effects of caffeine.
Read the full Green Coffee Bean Extract + Ethanol interactionEtodolacEtodolac, Lodine, Lodine XL, Ultradol
How Etodolac interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Etodolac interactionEtoricoxibArcoxia
How Etoricoxib interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Etoricoxib interactionFenoprofen CalciumNalfon
How Fenoprofen Calcium interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Fenoprofen Calcium interactionFloctafenineIdarac
How Floctafenine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Floctafenine interactionFluphenazineFluphenazine, Permitil, Prolixin
How Fluphenazine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Green Coffee Bean Extract + Fluphenazine interactionFlurbiprofenAnsaid, Flurbiprofen, Flurprofen, Froben, Froben SR, Ocufen
How Flurbiprofen interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Flurbiprofen interactionIndomethacinIndo-Lemmon, Indocin, Indocin SR, Indomethagan, Tivorbex
How Indomethacin interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Indomethacin interactionIsopropamide, ProchlorperazineCombid
How Isopropamide, Prochlorperazine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Green Coffee Bean Extract + Isopropamide, Prochlorperazine interactionIsopropamide, TrifluoperazineStelabid Forte, Stelabid No 1, Stelabid No 2
How Isopropamide, Trifluoperazine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractPhenothiazines Minor
Interaction Summary
Theoretically, phenothiazines might increase the levels and adverse effects of caffeine.
Read the full Green Coffee Bean Extract + Isopropamide, Trifluoperazine interactionKetorolac TromethamineAcuvail, Toradol
How Ketorolac Tromethamine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Ketorolac Tromethamine interactionKetorolac Tromethamine, Phenylephrine HydrochlorideOmidria
How Ketorolac Tromethamine, Phenylephrine Hydrochloride interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Ketorolac Tromethamine, Phenylephrine Hydrochloride interactionLofepramineFeprapax, Gamanil, Lomont, Tymelyt
How Lofepramine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractTricyclic Antidepressants (tcas) Minor
Interaction Summary
Theoretically, TCAs might bind with coffee constituents when taken at the same time.
Read the full Green Coffee Bean Extract + Lofepramine interactionMeclofenamateMeclomen
How Meclofenamate interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Meclofenamate interactionMefenamic AcidPonstel
How Mefenamic Acid interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Mefenamic Acid interactionMeloxicamAnjeso, Mobic, Qmiiz ODT, Vivlodex
How Meloxicam interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Meloxicam interactionMexiletineMexitil
How Mexiletine interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
Green Coffee Bean ExtractMexiletine (mexitil) Minor
Interaction Summary
Theoretically, mexiletine might increase the levels and adverse effects of caffeine.
Read the full Green Coffee Bean Extract + Mexiletine interactionNabumetoneNabumetone, Relafen
How Nabumetone interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Nabumetone interactionNepafenacIlevro, Nevanac
How Nepafenac interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Nepafenac interactionOxaprozinDaypro
How Oxaprozin interacts with Apidextra Hardcore — through 1 ingredient. Tap an ingredient for the detail:
ChromiumNonsteroidal Anti-inflammatory Drugs (nsaids) Minor
Interaction Summary
NSAIDs might increase chromium levels in the body.
Read the full Chromium + Oxaprozin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Apidextra Hardcore 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.
Garcinia cambogia
Anticoagulant/Antiplatelet Drugs
Theoretically, hydroxycitric acid (HCA), the main active ingredient in garcinia, might increase the risk of bleeding when used with antiplatelet or anticoagulant drugs.
HCA inhibits platelet aggregation in vitro. The inhibitory effect seems to be greater in platelets extracted from diabetic subjects than non-diabetic subjects.
Antidiabetes Drugs
Theoretically, hydroxycitric acid (HCA), the main active ingredient in garcinia, might have additive effects with antidiabetes drugs and increase the risk of hypoglycemia.
HCA reduces fasting and postprandial blood glucose levels in animal models, theoretically by delaying glucose absorption. This effect has not been reported in humans.
Hepatotoxic Drugs
Theoretically, concomitant use with other potentially hepatotoxic drugs might increase the risk of developing liver damage.
There have been reports of acute hepatitis with elevated liver enzymes associated with garcinia, when taken alone or in combination with other ingredients. Case reports collected from the Drug Induced Liver Injury Network suggest this risk may be greater in people who carry the HLA B*35:01 allele.
Serotonergic Drugs
Theoretically, combining garcinia with other serotonergic drugs might increase the risk of serotonergic side effects, including serotonin syndrome.
In one report, a patient experienced serotonin syndrome after taking garcinia extract (60% hydroxycitric acid) 1000 mg daily in combination with escitalopram 20 mg, which had been taken for a year. The patient was switched to sertraline 50 mg daily and again experienced serotonin syndrome.
Green Coffee bean extract
Ephedrine
Theoretically, concomitant use might increase the risk of stimulant adverse effects.
Coffee contains caffeine. There is evidence that using ephedrine with caffeine might increase the risk of serious life-threatening or debilitating adverse effects such as hypertension, myocardial infarction, stroke, seizures, and death. Tell patients to avoid taking caffeine with ephedrine and other stimulants.
Adenosine (Adenocard)
Theoretically, coffee might decrease the vasodilatory effects of adenosine and interfere with its use prior to stress testing.
Coffee contains caffeine. Caffeine is a competitive inhibitor of adenosine at the cellular level. However, caffeine does not seem to affect supplemental adenosine because high interstitial levels of adenosine overcome the antagonistic effects of caffeine. It is recommended that methylxanthines such as caffeine, as well as methylxanthine-containing products, be stopped 24 hours prior to pharmacological stress tests. However, methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Alendronate (Fosamax)
Coffee reduces alendronate bioavailability.
Separate coffee ingestion and alendronate administration by two hours. Coffee reduces alendronate bioavailability by 60%.
Anticoagulant/Antiplatelet Drugs
Theoretically, coffee may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Coffee contains caffeine. Caffeine is reported to have antiplatelet activity. Theoretically, the caffeine in coffee might increase the risk of bleeding when used concomitantly with these agents. However, this interaction has not been reported in humans. There is some evidence that caffeinated coffee might increase the fibrinolytic activity in blood.
Beta-Adrenergic Agonists
Theoretically, concomitant use of large amounts of coffee might increase cardiac inotropic effects of beta-agonists.
Coffee contains caffeine. Caffeine can increase cardiac inotropic effects of beta-agonists.
Cimetidine (Tagamet)
Theoretically, cimetidine might increase the effects and adverse effects of caffeine in coffee.
Coffee contains caffeine. Cimetidine can reduce caffeine clearance by 31% to 42%.
Clozapine (Clozaril)
Theoretically, coffee might increase the levels and adverse effects of clozapine and acutely exacerbate psychotic symptoms.
Coffee contains caffeine. Caffeine can increase the effects and toxicity of clozapine. Caffeine doses of 400-1000 mg daily inhibit clozapine metabolism. Clozapine is metabolized by cytochrome P450 1A2 (CYP1A2). Researchers speculate that caffeine might inhibit CYP1A2. However, there is no reliable evidence that caffeine affects CYP1A2. There is also speculation that genetic factors might make some patients be more sensitive to the interaction between clozapine and caffeine.
Contraceptive Drugs
Theoretically, concomitant use might increase the effects and adverse effects of caffeine found in coffee.
Coffee contains caffeine. Oral contraceptive drugs can decrease caffeine clearance by 40% to 65%.
Dipyridamole (Persantine)
Theoretically, coffee might decrease the vasodilatory effects of dipyridamole and interfere with its use prior to stress testing.
Coffee contains caffeine. Caffeine is a methylxyanthine that may inhibit dipyridamole-induced vasodilation. It is recommended that methylxanthines such as caffeine, as well as methylxanthine-containing products such as coffee, be stopped 24 hours prior to pharmacological stress tests. Methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Disulfiram (Antabuse)
Theoretically, disulfiram might increase the risk of adverse effects from caffeine.
Coffee contains caffeine. In human research, disulfiram decreases the clearance and increases the half-life of caffeine.
Diuretic Drugs
Theoretically, concomitant use might increase the risk of hypokalemia.
Coffee contains caffeine. Caffeine, especially in excessive amounts, can reduce potassium levels due to stimulation of the sodium-potassium pump. Diuretics can also cause lower potassium levels.
Estrogens
Theoretically, estrogens might increase the levels and adverse effects of caffeine.
Coffee contains caffeine. Estrogen inhibits caffeine metabolism.
Fluvoxamine (Luvox)
Theoretically, fluvoxamine might increase the levels and adverse effects of caffeine.
Coffee contains caffeine. Fluvoxamine reduces caffeine metabolism.
Lamotrigine (Lamictal)
Coffee consumption can decrease the levels and clinical effects of lamotrigine.
A pharmacokinetic study in patients taking lamotrigine shows that consumption of coffee, both caffeinated and decaffeinated, can decrease the area under the concentration-time curve (AUC) and the peak plasma level (Cmax) of lamotrigine. Each additional cup of coffee reduced the AUC and Cmax by 4% and 3%, respectively. It is unclear whether this interaction is due to induction of lamotrigine metabolism or inhibition of lamotrigine absorption.
Levothyroxine (Synthroid, Others)
Coffee can reduce the absorption of levothyroxine.
In some patients, coffee can reduce levothyroxine absorption, possibly through the formation of non-absorbable complexes. A pharmacokinetic study in these patients found that 25-30 mL of espresso coffee consumed with levothyroxine tablets delayed the time to peak plasma levels by 38-43 minutes, reduced the peak plasma level (Cmax) by 19% to 36%, and reduced the area under the curve (AUC) by 27% to 36%. Coffee consumed one hour after levothyroxine did not affect absorption. It is not known whether this interaction occurs with other types of coffee. Tell patients to avoid drinking coffee at the same time that they take their levothyroxine, and for up to an hour afterwards.
Lithium
Theoretically, abrupt coffee withdrawal might increase the levels and adverse effects of lithium.
Coffee contains caffeine. Abrupt caffeine withdrawal can increase serum lithium levels. Two cases of lithium tremor that worsened with abrupt coffee withdrawal have been reported. There is also one case of a 2.8-fold increase in blood lithium levels after a patient taking lithium reduced his coffee consumption from 13-20 cups daily to 10 cups daily.
Monoamine Oxidase Inhibitors (Maois)
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Coffee contains caffeine. Caffeine has been shown to inhibit monoamine oxidase (MAO) A and B in laboratory studies. Concomitant intake of large amounts of caffeine with MAOIs might precipitate a hypertensive crisis. In a case report, a patient that consumed 10-12 cups of caffeinated coffee and took the MAOI tranylcypromine presented with severe hypertension. Hypertension was resolved after the patient switched to drinking decaffeinated coffee.
Nicotine
Theoretically, concomitant use might increase the risk of hypertension.
Coffee contains caffeine. Concomitant use of caffeine and nicotine has been shown to have additive cardiovascular effects, including increased heart rate and blood pressure. Blood pressure was increased by 10.8/12.4 mmHg when the agents were used concomitantly.
Pentobarbital (Nembutal)
Theoretically, coffee might reduce the effects of pentobarbital.
Coffee contains caffeine. Theoretically, caffeine might negate the hypnotic effects of pentobarbital.
Phenylpropanolamine
Theoretically, phenylpropanolamine might increase the risk of hypertension, as well as the levels and adverse effects of caffeine.
Coffee contains caffeine. Concomitant use of phenylpropanolamine and caffeine might cause an additive increase in blood pressure. Phenylpropanolamine also seems to increase caffeine serum levels.
Pioglitazone (Actos)
Theoretically, coffee might increase the levels and clinical effects of pioglitazone.
Coffee contains caffeine. Animal research suggests that caffeine can modestly increase the maximum concentration, area under the curve, and half-life of pioglitazone, and also reduce its clearance. This increased the antidiabetic effects of pioglitazone. However, the exact mechanism of this interaction is unclear.
Quinolone Antibiotics
Theoretically, quinolone antibiotics might increase the levels and adverse effects of caffeine.
Coffee contains caffeine. Concomitant use of caffeine and quinolones can decrease caffeine clearance and increase effects and risk of adverse effects.
Riluzole (Rilutek)
Theoretically, concomitant use might increase the levels and adverse effects of both caffeine and riluzole.
Coffee contains caffeine. Caffeine and riluzole are both metabolized by cytochrome P450 1A2 (CYP1A2), and concomitant use might reduce metabolism of one or both agents.
Stimulant Drugs
Theoretically, concomitant use might increase stimulant adverse effects.
Coffee contains caffeine. Due to the central nervous system (CNS) stimulant effects of caffeine, concomitant use with stimulant drugs can increase the risk of adverse effects.
Theophylline
Theoretically, coffee might increase the levels and adverse effects of theophylline.
Coffee contains caffeine, which can increase theophylline levels.
Chromium
Antidiabetes Drugs
Theoretically, chromium may have additive effects with antidiabetic agents and increase the risk of hypoglycemia.
Some research shows that taking chromium might lower blood glucose levels, especially in patients with poorly controlled type 2 diabetes.
Insulin
Theoretically, concomitant use of chromium and insulin might increase the risk of hypoglycemia.
In clinical research, chromium has been shown to increase insulin sensitivity,
Levothyroxine (Synthroid, Others)
Chromium might bind levothyroxine in the intestinal tract and decrease levothyroxine absorption.
Clinical research in healthy volunteers shows that taking chromium picolinate 1000 mcg with levothyroxine 1 mg decreases serum levels of levothyroxine by 17% when compared to taking levothyroxine alone. Advise patients to take levothyroxine at least 30 minutes before or 3-4 hours after taking chromium.
Aspirin
Theoretically, aspirin might increase chromium absorption.
Animal research suggests that aspirin may increase chromium absorption and chromium levels in the blood.
Nonsteroidal Anti-Inflammatory Drugs (Nsaids)
NSAIDs might increase chromium levels in the body.
Drugs that are prostaglandin inhibitors, such as NSAIDs, seem to increase chromium absorption and retention.
Irvingia gabonensis
Antidiabetes Drugs
Theoretically, taking Irvingia gabonensis with antidiabetes drugs might increase the risk of hypoglycemia in some patients.
Human research shows that Irvingia gabonensis decreases blood sugar in diabetic patients being treated with antidiabetes agents. Monitor blood glucose levels closely. Dose adjustments might be necessary.
Testosterone
Theoretically, taking Irvingia gabonensis with testosterone products drugs might cause additive effects in some patients.
Animal research suggests that Irvingia gabonensis increases testosterone levels. The mechanism of action is unclear. Until more is known, advise patients taking testosterone to avoid using or use Irvingia gabonensis cautiously.
Vitamin B12
Metformin (Glucophage)
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals. Prolonged use of metformin can interfere with the absorption of B12 in the digestive system, potentially leading to a deficiency in this essential vitamin.
Brand information
Manufacturer and brand details for Apidextra Hardcore, from the product label.
Advantage Nutraceuticals
See all Advantage Nutraceuticals products- Name
- Advantage Nutraceuticals
- City
- Orem
- State
- UT
- ZipCode
- 84057
Apidextra Hardcore by Advantage Nutraceuticals: Common Questions
Does Apidextra Hardcore by Advantage Nutraceuticals interact with any medications?
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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 Apidextra Hardcore’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 monographCoffee
Interacts with 591 drugsCoffee is a widely consumed beverage made from roasted coffee beans, valued mainly for its caffeine, which boosts alertness and energy. For most healthy adults, moderate coffee intake is gen...
Read the full Coffee monograph → Herb & supplement monographChromium
Interacts with 178 drugsChromium is an essential trace mineral involved in how the body handles sugar and fat. Some studies suggest it may modestly help blood sugar control in certain people with type 2 diabetes, b...
Read the full Chromium monograph → Herb & supplement monographGarcinia
Interacts with 704 drugsGarcinia is a tropical fruit whose rind contains hydroxycitric acid (HCA), widely marketed for weight loss and appetite control. The scientific evidence is weak and mixed, with most studies...
Read the full Garcinia monograph → Herb & supplement monographIrvingia Gabonensis
Interacts with 94 drugsIrvingia gabonensis (African mango) is a seed extract marketed mainly for weight loss and metabolic health. A few small studies suggest possible benefits, but the research is limited and low...
Read the full Irvingia Gabonensis monograph →Sources & How We Checked
Apidextra Hardcore'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 309 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
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