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Dietary supplement

Apple Cider Vinegar 200 mg Ingredients & Drug Interactions

by Swanson

Apple Cider Vinegar 200 mg label
See full label image
Tablet Or Pill Category: Botanical
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 16, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Apple Cider Vinegar 200 mg against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.

Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy

The interaction bottom line Most serious interaction: Moderate

Apple Cider Vinegar 200 mg is a dietary supplement by Swanson with 1 active ingredient. Its ingredients are commonly taken for blood sugar support, weight management, digestive upset.Based on those ingredients, 162 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Apple Cider Vinegar, Powder. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

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Check Your Meds Against Apple Cider Vinegar 200 mg by Swanson

Ask about any prescription or over-the-counter medication and we check it for interactions with Apple Cider Vinegar 200 mg by Swanson — and tell you which ingredient is responsible.

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HelloPharmacist Scorecard of Apple Cider Vinegar 200 mg by Swanson

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

Generated from HelloPharmacist’s pharmacist-curated databases and editorial rules · Last generated Jul 16, 2026

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 1 of its 1 active ingredient.
  • No proprietary blends here — you can verify the dose of every single component.

This product contains one active ingredient: apple cider vinegar powder at 200 mg per tablet. The inactive ingredients are calcium carbonate, microcrystalline cellulose, maltodextrin, dicalcium phosphate, stearic acid, magnesium stearate, acacia, purified water, hydroxypropyl methylcellulose, glycerin, croscarmellose sodium, and silica — these are binders, fillers, and capsule materials.

Does it work?

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

The graded evidence we hold for these ingredients covers different conditions than the ones this product is marketed for, so there's no established rating for its stated use — see Apple Cider Vinegar's own graded uses on its monograph.

Why this rating?
  • The label markets this product for: Weight management and healthy glucose metabolism support.
  • We looked for evidence on: Diabetes, Impaired glucose tolerance (prediabetes), Obesity, Metabolic syndrome, Insulin resistance.
  • The closest evidence on file: Apple Cider Vinegar is rated "Insufficient Reliable Evidence To Rate" for Diabetes (Natural Medicines).
  • Also on file: Apple Cider Vinegar is rated "Insufficient Reliable Evidence To Rate" for Obesity, Impaired glucose tolerance (prediabetes).

The evidence for apple cider vinegar on any of its marketed uses — acne, athletic performance, cognitive function, dental plaque, depression, and atopic dermatitis (eczema) — is not established in the data we hold. Each of these carries a rating of insufficient reliable evidence, meaning research hasn't yet shown it works for these purposes.

The evidence, ingredient by ingredient Apple Cider Vinegar

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

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

Why this rating?
  • We hold adverse-effect (side-effect) data for 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

In the amounts you'd get from food, apple cider vinegar is well tolerated. Short-term medicinal use also seems safe in most people.

However, larger doses or long-term use raise concerns. High doses or extended use have been linked to low potassium, elevated renin levels, and bone loss in rare cases — one person who drank 250 mL (about 8 ounces) daily for 6 years developed all three.

If applied directly to skin, undiluted vinegar can cause chemical burns and irritation, so topical use is not recommended. The product facts don't include pregnancy or breastfeeding safety data, so talk with your doctor or pharmacist about whether it's appropriate for you if you're pregnant, planning to become pregnant, or breastfeeding.

Side effects, ingredient by ingredient Apple Cider Vinegar

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 1 of the 1 matched ingredient can interact with medications — Apple Cider Vinegar.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: diabetes medications; heart-rhythm medications.
  • For scale: 162 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.

Before you take this product, check your medications — especially water pills (diuretics), digoxin (Lanoxin), insulin, and other diabetes drugs. The most serious risks are low potassium with diuretics and digoxin, and low blood sugar with antidiabetes drugs.

A pharmacist or your doctor can tell you whether it's safe to combine.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.

Apple cider vinegar in food amounts is generally well tolerated, but this supplement form carries real interaction risks — especially with water pills, heart medications, and diabetes drugs. If you take any prescription medication, check it against the interaction tool on this page before you start.

Even if you're clear to take it, talk with your doctor or pharmacist about dosing and how long you plan to use it, since larger or long-term doses have been associated with serious effects like low potassium and bone loss.

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

Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Feb 22, 2024.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about Apple Cider Vinegar 200 mg, straight from the product label.

Brand Swanson
Barcode (UPC) 087614040363
Net contents 120 Tablet(s)
Market status On market
Date entered into DSLD Feb 22, 2024
DSLD ID 308467
Product type Botanical
Supplement form Tablet Or Pill
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years)
From the label
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.

Supplement Facts

The label details for Apple Cider Vinegar 200 mg by Swanson, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
1 Tablet(s)
Maximum serving Sizes:
1 Tablet(s)
Servings per container
120
UPC/BARCODE
087614040363
IngredientAmount% DV
Apple Cider Vinegar, Powder200 mg--

Other ingredients: Calcium Carbonate, Microcrystalline Cellulose, Maltodextrin, Dicalcium Phosphate, Stearic Acid, Magnesium Stearate, Acacia, Water, Purified, Hydroxypropyl Methylcellulose, Glycerin, Croscarmellose Sodium, Silica

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formulation

High powered system cleanser and diet aid Supports a healthy weight Supports healthy glucose metabolism

Detoxification Support Double Strength Formula

General Statements

Science-Backed Quality Since 1969

Suggested/Recommended/Usage/Directions

Suggested Use: As a dietary supplement, take one tablet one to two times per day with water.

Formula

Each tablet contains twice the apple cider vinegar powder as our original Apple Cider Vinegar tablet.

Apple Cider Vinegar 200 mg per tablet

Precautions

Warning: For adults only.

Consult your physician before using this or any product if you are pregnant, nursing, taking medication or have a medical condition.

Keep out of reach of children.

Do not use if seal is broken.

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.

FDA Statement of Identity

Dietary Supplement

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

See for yourself

Apple Cider Vinegar 200 mg by Swanson label

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

Apple Cider Vinegar 200 mg label

Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.

View the full label (PDF)
What’s inside

The Ingredients in Apple Cider Vinegar 200 mg by Swanson

This is the 1 active ingredient this product is made of. Select it to open its full monograph.

Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container120 Amounts shown are per serving.

Apple Cider Vinegar, Powder

Interacts with
162 drugs
200 mg per serving

Apple cider vinegar is a fermented apple product that many people use hoping to help with blood sugar, weight, or digestion. The evidence for most of...

Apple Cider Vinegar, Powder monograph & interactions

Other (inactive) ingredients: Calcium Carbonate, Microcrystalline Cellulose, Maltodextrin, Dicalcium Phosphate, Stearic Acid, Magnesium Stearate, Acacia, Water, Purified, Hydroxypropyl Methylcellulose, Glycerin, Croscarmellose Sodium, Silica. These complete the product’s ingredient list but are not active constituents.

Interaction report

Apple Cider Vinegar 200 mg by Swanson Drug Interactions

Want to check YOUR meds against Apple Cider Vinegar 200 mg?

Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.

 Go to the checker
162Drugs
89 Moderate 73 Minor

Ingredients driving the most interactions

Apple Cider Vinegar, Powder 162

Individual Drug Interactions

The ingredients in Apple Cider Vinegar 200 mg interact with 162 drugs. Click any drug to see the details.

1 of the 1 ingredient in Apple Cider Vinegar 200 mg interact with drugs. Each result below shows which ingredient is responsible. Apple Cider Vinegar, Powder

Each ingredient & the kinds of drugs it affects

For each ingredient in Apple Cider Vinegar 200 mg 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.

Apple Cider Vinegar, Powder4 drug types · 162 drugs

Digoxin (Lanoxin)

Theoretically, concomitant use of apple cider vinegar with digoxin might increase the risk of cardiac toxicity.
A case of hypokalemia related to chronic use of apple cider vinegar has been reported. Theoretically, overuse of apple cider vinegar could decrease potassium levels, increasing the risk of toxicity with digoxin.

Likelihood Possible Evidence D
Diuretic Drugs

Theoretically, concomitant use of apple cider vinegar with diuretic drugs might increase the risk of hypokalemia.
A case of hypokalemia related to chronic use of apple cider vinegar has been reported. There is some concern that people taking apple cider vinegar along with potassium depleting diuretics might have an increased risk for hypokalemia.

Likelihood Possible Evidence D
Insulin

Theoretically, concomitant use of apple cider vinegar with insulin might increase the risk of hypokalemia.
A case of hypokalemia related to chronic use of apple cider vinegar has been reported. Theoretically, overuse of apple cider vinegar concomitantly with insulin might increase the risk of hypokalemia.

Likelihood Possible Evidence D
Antidiabetes Drugs

Theoretically, taking apple cider vinegar with antidiabetes drugs might increase the risk of hypoglycemia.
Apple cider vinegar might reduce fasting and postprandial blood glucose levels and decrease gastric emptying in people with diabetes. However, not all research agrees. Theoretically, it might have additive effects on glucose levels when used with antidiabetes drugs.

Likelihood Possible Evidence B
Apple Cider Vinegar, Powder full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Apple Cider Vinegar 200 mg, from the product label.

Swanson

See all Swanson products
Name
Swanson Health Products
City
Fargo
State
ND
ZipCode
58104
Phone Number
1-800-437-4148
Web Address
swanson.com
Pharmacist Counseling Corner

Apple Cider Vinegar 200 mg by Swanson: Common Questions

Does Apple Cider Vinegar 200 mg by Swanson interact with any medications?
Yes. Based on its ingredients, Apple Cider Vinegar 200 mg has a known interaction with 162 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Apple Cider Vinegar 200 mg contains a single active ingredient, and that one ingredient can interact with many different medications on its own. We check it against each medication and show the mechanism responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Does apple cider vinegar actually work for acne or eczema?
The evidence isn't established in the data we hold. The product facts show insufficient reliable evidence for those uses — and also for athletic performance, brain function, dental plaque, and depression. That doesn't mean it can't help, just that research hasn't yet proven it does.
Is apple cider vinegar safe to take long-term?
In food amounts, yes — it's well tolerated. But larger supplement doses taken long-term raise concerns. There's one documented case of someone who developed low potassium, high renin levels, and bone loss after drinking vinegar daily for 6 years. If you're thinking of taking it regularly, run it by your doctor or pharmacist first.
Can I use apple cider vinegar on my skin?
The product facts advise against it. Undiluted or strong vinegar can cause chemical burns, skin irritation, and erosion — even from a single application. There are documented cases, including in a teenager. Stick to oral use if you decide to take it.
What is apple cider vinegar powder, and why is it in powder form?
It's vinegar that's been dehydrated into a powder so it can be put into a tablet. This lets you take vinegar by pill instead of drinking the liquid, though the safety and potency may differ from the real thing.
Will this lower my blood sugar if I'm on diabetes medication?
Possibly — apple cider vinegar might reduce blood glucose levels on its own, and if you combine it with diabetes drugs, there's a Minor interaction risk of low blood sugar. Talk with your doctor or pharmacist before adding it if you take any diabetes medication.
What if I'm taking a water pill for high blood pressure?
Water pills can already lower potassium, and apple cider vinegar may do the same. Together, there's a Moderate interaction risk of dangerously low potassium. Check with your doctor or pharmacist before you start this supplement.

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

Not sure if Apple Cider Vinegar 200 mg is safe with your meds?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.

Apple Cider Vinegar 200 mg label
Go deeper

The Full Monographs Behind Apple Cider Vinegar 200 mg’s Ingredients

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

Herb & supplement monograph

Apple Cider Vinegar

Interacts with 162 drugs

Apple cider vinegar is a fermented apple product that many people use hoping to help with blood sugar, weight, or digestion. The evidence for most of these uses is limited and mixed, and the...

Read the full Apple Cider Vinegar monograph →
Sources

Sources & How We Checked

Apple Cider Vinegar 200 mg's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

The 11 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.

Apple Cider Vinegar 11 references
  1. Lhotta K, Hofle G, Gasser R, Finkenstedt G. Hypokalemia, hyperreninemia, and osteoporosis in a patient ingesting large amounts of cider vinegar. Nephron 1998;80:242-3. PubMed
  2. Hill LL, Woodruff LH, Foote JC, Barreto-Alcoba M. Esophageal injury by apple cider vinegar tablets and subsequent evaluation of products. J Am Diet Assoc 2005;105:1141-4. PubMed
  3. Hlebowicz J, Darwiche G, Björgell O, Almér LO. Effect of apple cider vinegar on delayed gastric emptying in patients with type 1 diabetes mellitus: a pilot study. BMC Gastroenterol 2007;7:46. PubMed
  4. Johnston CS, Kim CM, Buller AJ. Vinegar improves insulin sensitivity to a high-carbohydrate meal in subjects with insulin resistance or type 2 diabetes. Diabetes Care 2004;27:281-2. PubMed
  5. Lhotta, K., Hofle, G., Gasser, R., and Finkenstedt, G. Hypokalemia, hyperreninemia and osteoporosis in a patient ingesting large amounts of cider vinegar. Nephron 1998;80(2):242-243. PubMed
  6. Bunick CG, Lott JP, Warren CB, et al. Chemical burn from topical apple cider vinegar. J Am Acad Dermatol 2012;67(4):e143-4. PubMed
  7. Feldstein S, Afshar M, Krakowski AC. Chemical Burn from Vinegar Following an Internet-based Protocol for Self-removal of Nevi. J Clin Aesthet Dermatol. 2015 Jun;8(6):50.
  8. Luu LA, Flowers RH, Kellams AL, et al. Apple cider vinegar soaks [0.5%] as a treatment for atopic dermatitis do not improve skin barrier integrity. Pediatr Dermatol. 2019;36(5):634-639. PubMed
  9. Hadi A, Pourmasoumi M, Najafgholizadeh A, Clark CCT, Esmaillzadeh A. The effect of apple cider vinegar on lipid profiles and glycemic parameters: a systematic review and meta-analysis of randomized clinical trials. BMC Complement Med Ther 2021;21(1):179. PubMed
  10. Feise NK, Johnston CS. Commercial vinegar tablets do not display the same physiological benefits for managing postprandial glucose concentrations as liquid vinegar. J Nutr Metab 2020;2020:9098739. PubMed
  11. Gheflati A, Bashiri R, Ghadiri-Anari A, Reza JZ, Kord MT, Nadjarzadeh A. The effect of apple vinegar consumption on glycemic indices, blood pressure, oxidative stress, and homocysteine in patients with type 2 diabetes and dyslipidemia: A randomized contro

See these in context on the Apple Cider Vinegar monograph →

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

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