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Dietary supplement

Multi Enzyme Ingredients & Drug Interactions

by Thorne

Capsule Category: Non-nutrient/non-botanical
Most serious interaction: Minor
The interaction bottom line Most serious interaction: Minor

Multi Enzyme is a dietary supplement by Thorne with 5 active ingredients. Its ingredients are commonly taken for low stomach acid (hypochlorhydria), bloating and gas, indigestion.Based on those ingredients, 36 medications have a known interaction with it, the most serious rated minor. The ingredients most likely to interact are Betaine Hydrochloride. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Multi Enzyme by Thorne

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

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 5 active ingredients.
  • “Pancreatin” is listed as a grouped ingredient — the label gives one combined amount (200 mg) without saying how much of each component you get.

Multi Enzyme by Thorne contains 5 active ingredients: amylase, protease, lipase, betaine hydrochloride, and pepsin—plus pancreatin, which is a blend of digestive enzymes. These are all intended to support digestion by breaking down food.

The product also contains three inactive ingredients: hypromellose, calcium laurate, and leucine.

Does it work?

No specific claim
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
General wellness

This product is marketed for general wellness, not a specific health condition, so there's no single claim to grade against clinical evidence.

Why this rating?
  • The label markets general wellness (“GI support and digestion”), not a specific health condition, so there is no single claim to grade against clinical-evidence data.

The evidence we hold on these ingredients is limited. Protease and pepsin have no effectiveness ratings in our data.

Lipase has been studied for inflammatory bowel disease (IBD), dyspepsia (indigestion), and prematurity, but the data is not reliable enough to rate it. Betaine hydrochloride has been studied for similar digestive complaints plus hypothyroidism, diarrhea, rheumatoid arthritis, food allergies, and hay fever—again, the evidence doesn't establish how well it works.

No amylase effectiveness data is on file.

The evidence, ingredient by ingredient Betaine Hydrochloride Proteolytic Enzymes (proteases) Lipase

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 3 of the 3 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 3 of 3.
  • General safety write-ups exist for 3 of 3.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Protease and pepsin are generally well tolerated by most adults but may cause digestive upset or allergic reactions in some people. Lipase is also generally well tolerated but should be used under medical guidance if you have serious digestive conditions.

Betaine hydrochloride may irritate the stomach and is not safe for anyone with ulcers, gastritis, or true acid reflux; it could theoretically worsen heartburn. During pregnancy, safety data for betaine hydrochloride advises against use.

Protease, pepsin, and lipase safety data is not complete enough in pregnancy—talk with your doctor or pharmacist before taking this product if you're pregnant. During breastfeeding, betaine hydrochloride should be avoided.

Protease and pepsin have little safety data while breastfeeding, so medical advice is needed. Lipase safety while breastfeeding has not been well studied—check with your healthcare provider first.

Side effects, ingredient by ingredient Betaine Hydrochloride Proteolytic Enzymes (proteases) Lipase

Meds to double-check

Minor interactions only
Known Interaction Concern · database check
Minor only

Only Minor-severity interactions are documented for these ingredients.

Why this rating?
  • 1 of the 3 matched ingredients can interact with medications — Betaine Hydrochloride.
  • The most serious interaction on file is rated Minor.
  • For scale: 36 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 with your pharmacist if you take any acid-reducing medications: H2-blockers (like famotidine), antacids, or proton pump inhibitors (PPIs like omeprazole). Betaine hydrochloride in this product increases stomach acid and may reduce how well these drugs work.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure marketed for general wellness rather than one specific gradeable purpose. Only minor medication interactions are documented, and safety information is well characterized.

Multi Enzyme is designed to support digestion with a blend of digestive enzymes and betaine hydrochloride. If you take acid-reducing medications (H2-blockers, antacids, or PPIs), double-check with your pharmacist before starting—betaine hydrochloride can weaken their effect.

If you're pregnant, breastfeeding, or have a history of ulcers or serious digestive issues, talk with your pharmacist first.

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

Assessment coverage: 4 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Dec 21, 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 Multi Enzyme, straight from the product label.

Brand Thorne
Barcode (UPC) 693749410027
Net contents 180 Capsule(s)
Market status On market
Date entered into DSLD Dec 21, 2024
DSLD ID 323075
Product type Non-nutrient/non-botanical
Supplement form Capsule
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years), 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 Multi Enzyme by Thorne, 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 Capsule(s)
Maximum serving Sizes:
2 Capsule(s)
Servings per container
90
UPC/BARCODE
693749410027
IngredientAmount% DV
Amylase0 NP--
Protease0 NP--
Lipase0 NP--
Betaine Hydrochloride1.04 Gram(s)--
Pancreatin200 mg--
Pepsin40 mg--

Other ingredients: Hypromellose, Calcium Laurate, Leucine

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

GI Support

Gluten free

Suggested/Recommended/Usage/Directions

Suggested Use: Take 1-2 capsules with each meal or as recommended by your health-care practitioner.

Precautions

Tamper evident: Use only if bottle is sealed.

If pregnant, consult your health-care practitioner before using this product.

Do not take this product out of the capsule. This product is contraindicated in patients with peptic ulcers.

Storage

Store tightly sealed in a cool, dry place.

Formula

Betaine, Pancreatin, Pepsin for Digestion Support

The pancreatin in one capsule contains no less than: Amylase 22,500 USP Units, Protease 20,000 USP Units, Lipase 3,500 USP Units.

FDA Statement of Identity

Dietary Supplement

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.

See for yourself

Multi Enzyme by Thorne label

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

What’s inside

The Ingredients in Multi Enzyme by Thorne

These are the 5 active ingredients this product is made of. Select any to open its full monograph.

Serving size1 Capsule(s) Dosage formCapsule Servings per container90 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.

Betaine Hydrochloride

Interacts with
36 drugs
1.04 Gram(s) per serving

Betaine hydrochloride is a supplement used to temporarily increase stomach acid in people who may have low acid levels. Evidence for its benefits is l...

Betaine Hydrochloride monograph & interactions

Pancreatin

200 mg per serving Form: Porcine

Pepsin

No known
interactions
40 mg per serving Form: Porcine

Proteolytic enzymes are proteins that help break down other proteins, and common examples include bromelain (from pineapple), papain (from papaya), tr...

Pepsin monograph & interactions

Other (inactive) ingredients: Hypromellose, Calcium Laurate, Leucine. These complete the product’s ingredient list but are not active constituents.

Interaction report

Multi Enzyme by Thorne Drug Interactions

Want to check YOUR meds against Multi Enzyme?

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
36Drugs
36 Minor

Ingredients driving the most interactions

Each ingredient & the kinds of drugs it affects

For each ingredient in Multi Enzyme 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.

Betaine Hydrochloride3 drug types · 36 drugs

Antacids

Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
In human research, betaine hydrochloride increases stomach acidity. Antacids are taken to decrease stomach acidity. Theoretically, taking betaine hydrochloride along with antacids might decrease the effects of the antacids.

Likelihood Possible Evidence D
H2-Blockers

Betaine hydrochloride increases stomach acidity and could decrease the effects of H2-blockers.
In human research, betaine hydrochloride increases stomach acidity. H2-blockers are used to decrease stomach acidity. Theoretically, taking betaine hydrochloride along with H2-blockers might decrease the effects of H2-blockers.

Likelihood Possible Evidence D
Proton Pump Inhibitors (Ppis)

Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
In human research, betaine hydrochloride increases stomach acidity. PPIs are used to decrease stomach acidity. Theoretically, taking betaine hydrochloride along with PPIs might decrease the effects of PPIs

Likelihood Possible Evidence D
The maker

Brand information

Manufacturer and brand details for Multi Enzyme, from the product label.

Thorne

See all Thorne products
Name
Thorne Research, Inc.
Phone Number
1-800-228-1966
Web Address
Thorne.com
Pharmacist Counseling Corner

Multi Enzyme by Thorne: Common Questions

Does Multi Enzyme by Thorne interact with any medications?
Yes. Based on its ingredients, Multi Enzyme has a known interaction with 36 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Multi Enzyme contains 5 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 my indigestion or heartburn?
We don't have enough reliable evidence to say whether these ingredients actually work for indigestion or heartburn. If you have heartburn or reflux, betaine hydrochloride in this product could make it worse—and if you take acid-reducing medications, it may interfere with them. Talk to your pharmacist about what's right for you.
Can I take this if I'm pregnant?
Betaine hydrochloride should be avoided during pregnancy based on the safety data. For the other ingredients—protease, pepsin, and lipase—there isn't enough safety information to know either way. Talk with your doctor or pharmacist for personalized advice.
Is this safe while breastfeeding?
Betaine hydrochloride should be avoided while breastfeeding. Protease and pepsin have little safety data while breastfeeding, so medical advice is needed. Lipase safety hasn't been well studied during breastfeeding either. Check with your healthcare provider first.
Can people with ulcers or gastritis take this?
No. Betaine hydrochloride increases stomach acid and may irritate or worsen gastric or duodenal ulcers and gastritis. This product is not safe for you if you have these conditions.
What are these digestive enzymes supposed to do?
Amylase, protease, lipase, pepsin, and the enzymes in pancreatin are designed to break down different parts of food—carbohydrates, proteins, and fats. Betaine hydrochloride is meant to increase stomach acid to support that process.
Are there any fillers in this product?
Yes. In addition to the active ingredients, Multi Enzyme contains hypromellose, calcium laurate, and leucine as inactive ingredients.

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

Not sure if Multi Enzyme 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.

Multi Enzyme label
Sources

Sources & How We Checked

Multi Enzyme'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 6 references behind this product’s interaction data

Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.

Proteolytic Enzymes (proteases) 3 references
  1. Weeks JA, Harper RA, Simon RA, Burdick JD. Assessment of sensitization risk of a laundry pre-spotter containing protease. Cutan Ocul Toxicol. 2011;30(4):272-9. PubMed
  2. Marquès LI, Lara S, Abós T, Bartolomé B. Occupational rhinitis due to pepsin. J Investig Allergol Clin Immunol. 2006;16(2):136-7. DOI
  3. Cartier A, Malo JL, Pineau L, Dolovich J. Occupational asthma due to pepsin. J Allergy Clin Immunol. 1984;73(5 Pt 1):574-7. PubMed

See these in context on the Proteolytic Enzymes (proteases) monograph →

Lipase 1 reference
  1. Casper C, Hascoet JM, Ertl T, et al. Recombinant bile salt-stimulated lipase in preterm infant feeding: A randomized phase 3 study. PLoS One. 2016;11(5):e0156071. PubMed

See these in context on the Lipase monograph →

Betaine Hydrochloride 2 references
  1. Yago MR, Frymoyer A, Benet LZ, Smelick GS, Frassetto LA, Ding X, Dean B, Salphati L, Budha N, Jin JY, Dresser MJ, Ware JA. The use of betaine HCl to enhance dasatinib absorption in healthy volunteers with rabeprazole-induced hypochlorhydria. AAPS J. 2014 PubMed
  2. Yago MR, Frymoyer AR, Smelick GS, Frassetto LA, Budha NR, Dresser MJ, Ware JA, Benet LZ. Gastric reacidification with betaine HCl in healthy volunteers with rabeprazole-induced hypochlorhydria. Mol Pharm. 2013 Nov 4;10(11):4032-7. PubMed

See these in context on the Betaine Hydrochloride 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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