Interactions on record — worth a quick check against your medications. Based on 3 of 4 ingredients. Check your meds →
Dietary supplement

Apple Cider Vinegar Ginger & Lemon Flavor Ingredients & Drug Interactions

by Flora

Apple Cider Vinegar Ginger & Lemon Flavor label
See full label image
Liquid Category: Other Combinations
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 Ginger & Lemon Flavor 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 Ginger & Lemon Flavor is a dietary supplement by Flora with 4 active ingredients. Its ingredients are commonly taken for preventing or treating low potassium (hypokalemia), supporting healthy blood pressure, muscle cramps.Based on those ingredients, 2,226 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are organic Apple Cider Vinegar, Iron, Potassium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

Jump to a section

Check Your Meds Against Apple Cider Vinegar Ginger & Lemon Flavor by Flora

Ask about any prescription or over-the-counter medication and we check it for interactions with Apple Cider Vinegar Ginger & Lemon Flavor by Flora — and tell you which ingredient is responsible.

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HelloPharmacist Scorecard of Apple Cider Vinegar Ginger & Lemon Flavor by Flora

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 12, 2026

What’s inside

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 2 of its 12 active ingredients.
  • “Proprietary Blend” is a proprietary blend — the label gives one combined amount (89 Gram(s)) without saying how much of each component you get.
  • “Herbal decoction” is listed as a grouped ingredient — the label doesn't break down how much of each component you get.

This product contains 12 ingredients, including potassium, iron, and several herbs. The herbal components — organic ginger, rhubarb, slippery elm, burdock, apple cider vinegar, sheep sorrel, blessed thistle, and red clover — make up a proprietary blend and herbal decoction.

The product also includes water, kelp, and is flavored with organic apple juice concentrate and natural lemon flavor, which are inactive ingredients.

Does it work?

Strong evidence
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

This product doesn't appear to be marketed for a specific use, so we graded its ingredients' overall clinical evidence instead.

Strong

Strong clinical evidence supports its ingredients for:

Why this rating?
  • The label markets general wellness (“support healthy digestion”), not a specific health condition, so there is no single claim to grade against clinical-evidence data.
  • Since the label doesn't commit to one use, we graded the ingredients' overall clinical evidence instead.
  • On file: Anemia of chronic disease — rated "Effective" (Iron) (Natural Medicines).
  • On file: Iron deficiency anemia — rated "Effective" (Iron) (Natural Medicines).
  • On file: Pregnancy-related iron deficiency — rated "Effective" (Iron) (Natural Medicines).
  • On file: Cognitive function — rated "Possibly Effective" (Iron) (Natural Medicines).
  • On file: Heart failure — rated "Possibly Effective" (Iron) (Natural Medicines).

The evidence for effectiveness varies. Iron is rated Effective for iron deficiency anemia and several types of anemia.

Ginger is rated Possibly Effective for pregnancy-related nausea and vomiting and dysmenorrhea (period pain). Rhubarb, sorrel, blessed thistle, red clover, and slippery elm all have Insufficient Reliable Evidence to establish their effectiveness for the conditions studied.

Apple cider vinegar's effectiveness for its proposed uses is also Insufficient Reliable Evidence To Rate. Overall, solid evidence supports iron for anemia, while the herbal ingredients lack sufficient research to confirm their benefits.

The evidence, ingredient by ingredient Potassium Iron 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 10 of the 10 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 10 of 10.
  • General safety write-ups exist for 10 of 10.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Potassium from food is fine, but supplements require medical guidance, especially if you have kidney disease or take certain blood pressure medications — high potassium levels can cause serious heart problems. Iron is generally well tolerated at recommended doses but can cause nausea, constipation, diarrhea, and abdominal pain; excess iron is toxic.

Ginger is generally well tolerated in typical amounts but may cause heartburn, diarrhea, or a peppery mouth sensation at higher doses. Rhubarb root can cause cramping and shouldn't be used long-term; chronic use may deplete potassium and harm the kidneys.

Apple cider vinegar in food amounts is fine, but large doses can cause low potassium levels and bone loss. Regarding pregnancy: potassium supplements need doctor guidance during pregnancy (dietary potassium is appropriate); ginger is possibly safe for morning sickness but check with your doctor first; rhubarb supplement amounts should be avoided in pregnancy; and limited safety data exist for burdock, sorrel, red clover, and blessed thistle in pregnancy.

For breastfeeding: iron is generally acceptable at appropriate doses; ginger and sorrel are likely safe but ask your provider; rhubarb medicinal use should be avoided; and blessed thistle and red clover lack sufficient safety data.

Side effects, ingredient by ingredient Potassium Iron 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?
  • 10 of the 10 matched ingredients can interact with medications — Blessed Thistle, Burdock, Rhubarb, Red Clover, Sorrel, among others.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; immunosuppressants / transplant drugs; diabetes medications; heart-rhythm medications; Parkinson's medications.
  • For scale: 2,227 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.

Check before taking this product if you use blood pressure medications (ACE inhibitors, ARBs, potassium-sparing diuretics), blood thinners (warfarin, anticoagulants, antiplatelet drugs), diabetes medications, thyroid medication (levothyroxine), antibiotics (quinolones or tetracyclines), H2-blockers or proton pump inhibitors for acid reflux, or diuretics (water pills). The highest-severity interactions are Moderate and involve potassium levels and bleeding risk.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.

If you take blood pressure medications, blood thinners, diabetes drugs, thyroid medication, or antibiotics, check with your pharmacist before starting this product — the interactions are real and potentially serious. If you have kidney disease or take potassium-affecting medications, this isn't the right choice without medical supervision.

This product may be reasonable for someone looking for ginger and iron without those medication concerns, but the herbal ingredients lack proven benefits.

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

Assessment coverage: 10 of 12 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Feb 26, 2020.

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 Ginger & Lemon Flavor, straight from the product label.

Brand Flora
Barcode (UPC) 061998681862
Net contents 3.3 fl. Oz.; 100 mL
Market status On market
Date entered into DSLD Feb 26, 2020
DSLD ID 213342
Product type Other Combinations
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Vegan, Vegetarian, Adult (18 - 50 Years), Kosher, Organic, Gluten Free
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 Ginger & Lemon Flavor by Flora, 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:
100 mL
Maximum serving Sizes:
100 mL
UPC/BARCODE
061998681862
IngredientAmount% DV
Calories25 Calorie(s)--
Total Carbohydrates7 Gram(s)2%
Potassium90 mg2%
Water0 NP--
Iron0.2 mg1%
Total Sugars7 Gram(s)--
organic Ginger0 NP--
organic Kelp0 NP--
Proprietary Blend89 Gram(s)--
organic Rhubarb0 NP--
organic Slippery Elm0 NP--
organic Burdock0 NP--
organic Apple Cider Vinegar0 NP--
Herbal decoction0 NP--
organic Sheep Sorrel0 NP--
organic Blessed Thistle0 NP--
organic Red Clover0 NP--

Other ingredients: organic Apple juice concentrate, natural Lemon flavor

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.
Formula

Enjoy the crisp tang of apple cider vinegar combined with the sweet and refreshing citrus flavor of lemon and the spice of ginger. Thoughtfully brewed in small batches, freshly ground organic herbs are water extracted overnight, then blended with organic apple cider vinegar and infused with organic ginger—to support healthy digestion—and the essence of lemon, for an undeniably sweet twist.

Thoughtfully brewed in small batches, freshly ground organic herbs are water extracted overnight, then blended with organic apple cider vinegar and infused with organic ginger—to support healthy digestion—and the essence of lemon,for an undeniably sweet twist. Flora’s Ginger & Lemon Flavor Apple Cider Vinegar is bottled immediately after blending to capture optimum freshness. This wellness shot is uniquely crafted with cleansing herbs found in Flor-Essence, a renowned detox formula. Flora’s Ginger & Lemon Flavor Apple Cider Vinegar will rejuvenate your body and enliven your senses.

Kosher Check

Formulation

Caffeine-free + gluten-free Non-GMO

Vegan

Wellness shot

Certified organic by QAI

Seals/Symbols

Kosher Check

USDA Organic

Non GMO Project Verified nongmoproject.org

FDA Disclaimer Statement

This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

FDA Statement of Identity

Dietary Supplement

General Statements

Product of Canada

Suggested/Recommended/Usage/Directions

Suggested use: Shake bottle well. Drink 1 bottle (100 mL) before or with a meal.

Storage

Store at room temperature.

Precautions

Consult a healthcare practitioner prior to use if you are pregnant or breastfeeding.

Security sealed for your protection. Do not use if seal is missing or damaged.

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

See for yourself

Apple Cider Vinegar Ginger & Lemon Flavor by Flora label

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

Apple Cider Vinegar Ginger & Lemon Flavor 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 Ginger & Lemon Flavor by Flora

These are the 4 active ingredients this product is made of. Select any to open its full monograph.

Serving size100 mL Dosage formLiquid 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.

Potassium

Interacts with
62 drugs
90 mg per serving

Potassium is an essential mineral your body needs for nerve signals, muscle function, and a steady heartbeat, and most people get enough from a balanc...

Potassium monograph & interactions

Iron

Interacts with
80 drugs
0.2 mg per serving

Iron is an essential mineral your body needs to make hemoglobin and carry oxygen in the blood. Supplements are mainly useful for treating or preventin...

Iron monograph & interactions

Proprietary Blend

89 Gram(s) per serving
  • › Herbal decoction

Organic Apple Cider Vinegar

Interacts with
162 drugs
0 NP 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...

Organic Apple Cider Vinegar monograph & interactions

Other (inactive) ingredients: Organic Apple juice concentrate, Natural Lemon flavor. These complete the product’s ingredient list but are not active constituents.

Interaction report

Apple Cider Vinegar Ginger & Lemon Flavor by Flora Drug Interactions

Want to check YOUR meds against Apple Cider Vinegar Ginger & Lemon Flavor?

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
2,226Drugs
2,217 Moderate 9 Minor

Ingredients driving the most interactions

organic Apple Cider Vinegar 162
Iron 80
Potassium 62

Individual Drug Interactions

The ingredients in Apple Cider Vinegar Ginger & Lemon Flavor interact with 2,226 drugs. Click any drug to see the details.

3 of the 4 ingredients in Apple Cider Vinegar Ginger & Lemon Flavor interact with drugs. Each result below shows which ingredient is responsible. organic Apple Cider Vinegar Iron Potassium

Each ingredient & the kinds of drugs it affects

For each ingredient in Apple Cider Vinegar Ginger & Lemon Flavor 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.

organic Apple Cider Vinegar4 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
organic Apple Cider Vinegar full monograph & interactions

Iron13 drug types · 80 drugs

Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)

Iron might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption when taken in a fasting state.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide and iron can be taken together if taken with food. However, if taken on an empty stomach, bictegravir/emtricitabine/tenofovir alafenamide should not be taken with, or 2 hours after, iron containing products.

Likelihood Probable Evidence D
Bisphosphonates

Iron reduces the absorption of bisphosphonates.
Advise patients that doses of bisphosphonates should be separated by at least two hours from doses of all other medications, including supplements such as iron. Divalent cations, including iron, can decrease absorption of bisphosphonates by forming insoluble complexes in the gastrointestinal tract.

Likelihood Probable Evidence D
Denosumab (Prolia, Others)

Administration of intravenous iron within one month of denosumab administration might increase the risk of severe hypophosphatemia and hypocalcemia.
A case of severe hypocalcemia (albumin corrected calcium 6.88 mg/dL, ionized calcium 3.68 mg/dL) and hypophosphatemia (<0.5 mg/dL) with respiratory acidosis, QT interval prolongation, and nonsustained ventricular tachycardia was reported in a 76-year-old male who had received an iron polymaltose infusion within 2 weeks of a subcutaneous injection of denosumab. Serum parathyroid hormone was also elevated (348 pg/mL). Subsequent iron infusions with iron polymaltose and ferric carboxymaltose were followed by transient hypophosphatemia, but without hypocalcemia. Additionally, a literature review describes 6 additional cases of hypophosphatemia and hypocalcemia in patients 52-92 years of age who had been administered intravenous iron as either ferric carboxymaltose or iron polymaltose and subcutaneous denosumab within 1-4 weeks of each other.

Likelihood Possible Evidence D
Dolutegravir (Tivicay)

Iron might decrease dolutegravir levels by reducing its absorption.
Advise patients to take dolutegravir at least 2 hours before or 6 hours after taking iron. Pharmacokinetic research shows that iron can decrease the absorption of dolutegravir from the gastrointestinal tract through chelation. When taken under fasting conditions, a single dose of ferrous fumarate 324 mg orally along with dolutegravir 50 mg reduces overall exposure to dolutegravir by 54%.

Likelihood Probable Evidence B
Integrase Inhibitors

Theoretically, taking iron along with integrase inhibitors might decrease the levels and clinical effects of these drugs.
Iron is a divalent cation. There is concern that iron may decrease the absorption of integrase inhibitors from the gastrointestinal tract through chelation. One pharmacokinetic study shows that iron can decrease blood levels of the specific integrase inhibitor dolutegravir through chelation. Also, other pharmacokinetic research shows that other divalent cations such as calcium can decrease the absorption and levels of some integrase inhibitors through chelation.

Likelihood Possible Evidence D
Levodopa

Iron might decrease levodopa levels by reducing its absorption.
Advise patients to separate doses of levodopa and iron as much as possible. There is some evidence in healthy people that iron forms chelates with levodopa, reducing the amount of levodopa absorbed by around 50%. The clinical significance of this hasn't been determined.

Likelihood Probable Evidence B
Levothyroxine (Synthroid, Others)

Iron might decrease levothyroxine levels by reducing its absorption.
Advise patients to separate levothyroxine and iron doses by at least 2 hours. Iron can decrease the absorption and efficacy of levothyroxine by forming insoluble complexes in the gastrointestinal tract.

Likelihood Probable Evidence B
Methyldopa (Aldomet)

Iron might decrease methyldopa levels by reducing its absorption.
Advise patients to separate methyldopa and iron doses by at least 2 hours. Iron can decrease the absorption of methyldopa from the gastrointestinal tract through chelation, resulting in increases in blood pressure.

Likelihood Probable Evidence B
Mycophenolate Mofetil (Cellcept)

Theoretically, iron might decrease mycophenolate mofetil levels by reducing its absorption.
Advise patients to take iron 4-6 hours before, or 2 hours after, mycophenolate mofetil. It has been suggested that a decrease of absorption is possible, probably by forming nonabsorbable chelates. However, mycophenolate pharmacokinetics are not affected by iron supplementation in available clinical research.

Likelihood Unlikely Evidence D
Penicillamine (Cuprimine, Depen)

Iron might decrease penicillamine levels by reducing its absorption.
Advise patients to separate penicillamine and iron doses by at least 2 hours. Oral iron supplements can reduce absorption of penicillamine by 30% to 70%, probably due to chelate formation. In people with Wilson's disease, this interaction has led to reduced efficacy of penicillamine.

Likelihood Probable Evidence D
Quinolone Antibiotics

Iron might decrease levels of quinolone antibiotics by reducing their absorption.
Advise patients to separate quinolone antibiotics and iron doses by at least 2 hours. Iron decreases the absorption of quinolones due to formation of insoluble complexes in the gastrointestinal tract.

Likelihood Probable Evidence D
Tetracycline Antibiotics

Iron might decrease levels of tetracycline antibiotics by reducing their absorption.
Advise patients to take iron at least 2 hours before or 4 hours after tetracycline antibiotics. Concomitant use can decrease absorption of tetracycline antibiotics from the gastrointestinal tract by 50% to 90%.

Likelihood Probable Evidence D
Chloramphenicol

Theoretically, taking chloramphenicol with iron might reduce the response to iron therapy in iron deficiency anemia.
Chloramphenicol interferes with erythrocyte maturation. However, since chloramphenicol isn't usually taken for prolonged periods, this isn't likely to be clinically significant.

Likelihood Unlikely Evidence D
Iron full monograph & interactions

Potassium3 drug types · 62 drugs

Ace Inhibitors (Aceis)

Using ACEIs with high doses of potassium increases the risk of hyperkalemia.
ACEIs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion. Concomitant use of these drugs with potassium supplements increases the risk of hyperkalemia. However, concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels.

Likelihood Likely Evidence C
Angiotensin Receptor Blockers (Arbs)

Using ARBs with high doses of potassium increases the risk of hyperkalemia.
ARBs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion. Concomitant use of these drugs with potassium supplements increases the risk of hyperkalemia. However, concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels.

Likelihood Likely Evidence C
Potassium-Sparing Diuretics

Concomitant use increases the risk of hyperkalemia.
Using potassium-sparing diuretics with potassium supplements increases the risk of hyperkalemia.

Likelihood Likely Evidence C
Potassium full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Apple Cider Vinegar Ginger & Lemon Flavor, from the product label.

Flora

See all Flora products
Name
FLORA INC.
Street Address
805 E. BADGER RD.
City
LYNDEN
State
WA
ZipCode
98264
Phone Number
1.800.446.2110
Web Address
www.florahealth.com
Pharmacist Counseling Corner

Apple Cider Vinegar Ginger & Lemon Flavor by Flora: Common Questions

Does Apple Cider Vinegar Ginger & Lemon Flavor by Flora interact with any medications?
Yes. Based on its ingredients, Apple Cider Vinegar Ginger & Lemon Flavor has a known interaction with 2,226 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 Ginger & Lemon Flavor contains 4 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is 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.
Will this product help with digestion or upset stomach?
The product contains ginger, which is rated Possibly Effective for pregnancy-related nausea, and apple cider vinegar and rhubarb, which traditionally have been used for digestive support — but the facts don't establish reliable evidence that this product works for general digestive complaints. Ginger at higher doses can actually cause heartburn or diarrhea in some people.
Can I take this if I'm pregnant?
It depends on which ingredients concern you. Ginger is Possibly Safe for morning sickness but check with your doctor first. Iron is generally recommended in pregnancy under your prenatal provider's guidance. Rhubarb supplement amounts should be avoided. Several herbs (burdock, sorrel, blessed thistle, red clover) don't have enough safety data — ask your doctor about this specific product before starting.
Does it contain iron?
Yes, this product contains iron, which is Effective for iron deficiency anemia. However, iron can reduce the absorption of certain antibiotics and thyroid medications if taken at the same time, so you'll need to separate doses. Iron may also cause nausea, constipation, or abdominal pain in some people.
What's in the proprietary blend?
The proprietary blend and herbal decoction contain organic ginger, rhubarb, slippery elm, burdock, sheep sorrel, blessed thistle, and red clover in unspecified amounts. Because the exact amounts aren't listed, it's harder to know whether you're getting meaningful doses of each herb.
Is this safe to take long-term?
The rhubarb and apple cider vinegar in this product shouldn't be used long-term without medical supervision — chronic use can deplete potassium, harm your kidneys, and weaken your bones. Most of the herbal ingredients lack long-term safety data. If you're considering ongoing use, talk to your pharmacist or doctor.
Can I take this with blood thinners like warfarin?
No — without checking with your pharmacist first. Both ginger and rhubarb in this product have documented Moderate interactions with warfarin and may increase your bleeding risk. This is serious enough that you need professional guidance before combining them.

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

Not sure if Apple Cider Vinegar Ginger & Lemon Flavor is safe with your meds?

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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.

Apple Cider Vinegar Ginger & Lemon Flavor label
Go deeper

The Full Monographs Behind Apple Cider Vinegar Ginger & Lemon Flavor’s Ingredients

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

Herb & supplement monograph

Potassium

Interacts with 62 drugs

Potassium is an essential mineral your body needs for nerve signals, muscle function, and a steady heartbeat, and most people get enough from a balanced diet rich in fruits and vegetables. P...

Read the full Potassium monograph → Herb & supplement monograph

Iron

Interacts with 80 drugs

Iron is an essential mineral your body needs to make hemoglobin and carry oxygen in the blood. Supplements are mainly useful for treating or preventing iron deficiency and iron-deficiency an...

Read the full Iron monograph → 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 Ginger & Lemon Flavor'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 227 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.

Potassium 12 references
  1. McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
  2. Gennaro A. Remington: The Science and Practice of Pharmacy. 19th ed. Lippincott: Williams & Wilkins, 1996.
  3. Whelton PK, He J, Cutler JA, et al. Effects of oral potassium on blood pressure. Meta-analysis of randomized controlled clinical trials. JAMA 1997;277:1624-32. PubMed
  4. Phillips, C. O., Kashani, A., Ko, D. K., Francis, G., and Krumholz, H. M. Adverse effects of combination angiotensin II receptor blockers plus angiotensin-converting enzyme inhibitors for left ventricular dysfunction: a quantitative review of data from ra DOI
  5. Altieri, P. I., Herrero, C., Suero, R., and Ortiz, A. Bleeding duodenal ulcer in a patient taking slow-releasing potassium tablets. Bol.Asoc.Med P.R. 1977;69(8):276.
  6. Raf, L. E. Enteric-coated potassium chloride tablets and ulcer of the small intestine. Acta Chir Scand Suppl 1967;(374):1-87.
  7. Potassium chloride oral solution [package insert]. Allentown, PA: Lehigh Valley Technologies, Inc.; 2014.
  8. Potassium chloride injection [package insert]. Lake Forest, IL: Hospira Inc.; 2009.
  9. Patel RB, Tannenbaum S, Viana-Tejedor A, et al. Serum potassium levels, cardiac arrhythmias, and mortality following non-ST-elevation myocardial infarction or unstable angina: insights from MERLIN-TIMI 36. Eur Heart J Acute Cardiovasc Care 2017 Feb;6(1):1 PubMed
  10. Malta D, Arcand J, Ravindran A, Floras V, Allard JP, Newton GE. Adequate intake of potassium does not cause hyperkalemia in hypertensive individuals taking medications that antagonize the renin angiotensin aldosterone system. Am J Clin Nutr 2016 Oct;104(4 PubMed
  11. Keskin M, Kaya A, Tatlisu MA, et al. The effect of serum potassium level on in-hospital and long-term mortality in ST elevation myocardial infarction. Int J cardiol. 2016 Oct 15;221:505-10.
  12. Stallings VA, Harrison M, Oria M; Committee to Review the Dietary Reference Intakes for Sodium and Potassium, Food and Nutrition Board, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine. Washington (DC): National Acad

See these in context on the Potassium monograph →

Iron 72 references
  1. McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
  2. Bruner AB, Joffe A, Duggan AK, et al. Randomized study of cognitive effects of iron supplementation in non- anaemic iron-deficient adolescent girls. Lancet 1996;348:992-6.
  3. Ullen H, Augustsson K, Gustavsson C, Steineck G. Supplementary iron intake and risk of cancer: reversed causality? Cancer Lett 1997;114:215-6.
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Slippery Elm 3 references
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Apple Cider Vinegar 11 references
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Sorrel 8 references
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Blessed Thistle 2 references
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Red Clover 24 references
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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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