Berberine VasoQX Ingredients & Drug Interactions
by NuMedica
What is this page for?
First and foremost: checking Berberine VasoQX 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
Berberine VasoQX is a dietary supplement by NuMedica with 3 active ingredients. Its ingredients are commonly taken for heart health, statin-related muscle aches, migraine prevention.Based on those ingredients, 1,267 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Berberine Hydrochloride, Gynostemma pentaphyllum, Coenzyme Q-10. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Berberine VasoQX by NuMedica
Ask about any prescription or over-the-counter medication and we check it for interactions with Berberine VasoQX by NuMedica — 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 Berberine VasoQX by NuMedica
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
Berberine VasoQX contains three active ingredients. Coenzyme Q10 (CoQ10) is an antioxidant compound your body makes naturally and that helps power your cells' energy production.
Berberine hydrochloride is an alkaloid extracted from plants, studied for effects on blood sugar and cholesterol. Gynostemma pentaphyllum, also called jiaogulan, is an herbal extract traditionally used in East Asian wellness practices.
The capsule itself is made from hydroxypropyl methylcellulose (a plant-based cellulose), along with microcrystalline cellulose, bamboo silica, and L-leucine as inactive ingredients.
Does it work?
Moderate evidence
The evidence backing these ingredients is mixed. Coenzyme Q10 is likely effective for CoQ10 deficiency itself and possibly effective for fibromyalgia, migraines, congestive heart failure, and diabetic nerve damage.
Berberine is possibly effective for high cholesterol, polycystic ovary syndrome (PCOS), high blood pressure, and diabetes, and has been studied against the stomach bacteria H. pylori. Gynostemma is possibly effective for diabetes, but for other conditions it's studied for — cancer, heart disease, liver health, and respiratory infections — the evidence is too limited to rate.
The data we hold doesn't establish effectiveness for any combination or specific condition this product may be marketed for.
How safe is it?
Well-documented data
Coenzyme Q10 is generally well tolerated; the most common side effects reported in trials are gastrointestinal — appetite loss, diarrhea, heartburn, nausea — occurring in less than 1% of users. Headache, dizziness, and insomnia have been reported, and rarely skin itching or rash.
However, there isn't enough reliable safety data during pregnancy, so it's best to avoid it unless your doctor advises otherwise. Safety while breastfeeding hasn't been well studied.
Berberine is generally well tolerated short-term but commonly causes digestive upset: belly pain, bloating, constipation, diarrhea, gas, nausea, and vomiting. It may also cause dizziness, drowsiness, fatigue, and headache.
Pregnancy safety data advises against use — berberine may cross the placenta and has been linked to newborn harm. Avoid while breastfeeding; berberine passes into breast milk.
Gynostemma is well tolerated for up to 4 months but long-term safety is unclear. Common side effects are diarrhea and nausea; dry mouth, dizziness, and insomnia have also been reported.
Avoid during pregnancy and breastfeeding because safety data is insufficient.
Meds to double-check
Major interaction found
Before taking this product, check with your pharmacist if you take cyclosporine (a Major concern with berberine). For Moderate concerns, double-check blood thinners or antiplatelet drugs like warfarin or aspirin, diabetes medications, any drug metabolized by CYP3A4, CYP2D6, or CYP2C9 enzymes (your pharmacist can identify these), sedating medications, and immune-suppressing drugs.
Use the medication checker on this page for your specific medications.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
This product combines three plant-based ingredients with some research behind them for metabolic and cardiovascular support, but it carries significant interaction risks with many medications — especially cyclosporine, blood thinners, diabetes drugs, and drugs metabolized by major liver enzymes. If you take any prescription medication, particularly immunosuppressants, anticoagulants, antidiabetes drugs, or sedatives, talk with your pharmacist before starting.
It's not recommended in pregnancy or while breastfeeding.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Feb 23, 2025.
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 Berberine VasoQX, straight from the product label.
| Brand | NuMedica |
|---|---|
| Barcode (UPC) | 812527015081 |
| Net contents | 90 Vegetable Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Feb 23, 2025 |
| DSLD ID | 326164 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy Free |
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 Berberine VasoQX by NuMedica, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Coenzyme Q-10 | 40 mg | -- |
| Berberine Hydrochloride | 400 mg | -- |
| Gynostemma pentaphyllum | 150 mg | -- |
Other ingredients: Hydroxypropyl Methylcellulose, Microcrystalline Cellulose, L-Leucine, Bamboo Silica
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
Directions: Adults take one capsule 1-3 times per day or as directed by your healthcare practitioner.
Formula
Berberine VasoQX offers support for maintaining already healthy blood glucose metabolism, insulin and cardiovascular function. Berberine has been found to aid in AMPK activation, a process which plays an important role in assisting metabolism regulation. With the addition of Gynostemma pentaphyllum and CoQ10, Berberine VasoQX provides powerful antioxidant protection and supports optimal vascular, immune and gastrointestinal health.
Featuring CoQ10 & Gynostemma
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.
Precautions
Warning: If you are on insulin treatment or taking hypoglycemic medications, consult with your healthcare practitioner before using this product.
Caution: Keep out of reach of children.
This product is not labeled for sale in the State of California.
Storage
Storage: Keep tightly closed in a cool, dry place.
Seals/Symbols
cGMP Third-Party Certified Facility
Brand IP Statement(s)
NuMedica Advancing Nutrition
General Statements
Professional quality formulas
Formulation
Cardiovascular and Glycemic Support
Does not contain: Milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, soy. Gluten-Free
Gluten-Free
Vegetarian
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Berberine VasoQX by NuMedica 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 Berberine VasoQX by NuMedica
These are the 3 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.
Coenzyme Q-10
Interacts with198 drugs
CoQ10 is a vitamin-like substance your body makes naturally that helps cells produce energy and acts as an antioxidant. It is generally well tolerated...
Coenzyme Q-10 monograph & interactionsBerberine Hydrochloride
Interacts with1,160 drugs
Berberine is a yellow plant compound that has shown promise for lowering blood sugar and cholesterol in some studies, but the quality of research vari...
Berberine Hydrochloride monograph & interactionsGynostemma pentaphyllum
Interacts with327 drugs
Jiaogulan is a climbing vine used in traditional Chinese medicine as an adaptogen and for heart, blood sugar, and cholesterol support. Early human and...
Gynostemma pentaphyllum monograph & interactionsOther (inactive) ingredients: Hydroxypropyl Methylcellulose, Microcrystalline Cellulose, L-Leucine, Bamboo Silica. These complete the product’s ingredient list but are not active constituents.
Berberine VasoQX by NuMedica Drug Interactions
HelloPharmacist Interaction Report
Berberine VasoQX by NuMedica contains three active ingredients, and berberine hydrochloride is the one with the most serious interaction on file.
It can significantly raise blood levels of cyclosporine (an immune-suppressing drug used after transplants), which is a Major concern — berberine inhibits the enzyme that breaks down cyclosporine, so levels can climb dangerously high.
Read the full breakdown — every affected drug type, severity by severity
The product also carries Moderate interactions with a broad range of medications. Berberine can increase bleeding risk with blood thinners and antiplatelet drugs (like warfarin or aspirin), raise blood sugar medication levels (antidiabetes drugs), and boost levels of drugs metabolized by three key liver enzymes (CYP3A4, CYP2D6, CYP2C9) — a category that spans many common prescriptions.
It may also add to the drowsiness of sedating drugs. Coenzyme Q10 in this product can weaken warfarin's effect and theoretically reduce chemotherapy effectiveness, and it might add to blood pressure-lowering drugs.
Gynostemma (jiaogulan) can increase bleeding risk with anticoagulants, may reduce effectiveness of immune-suppressing drugs, and can raise low blood sugar risk with diabetes medications.
Altogether, these interactions span 1,252 individual medications. We could not check one inactive ingredient — L-leucine — for interaction data.
Please use the medication checker on this page to look up your exact drugs before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Berberine VasoQX?
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 Berberine VasoQX interact with 1,267 drugs. Click any drug to see the details.
3 of the 3 ingredients in Berberine VasoQX interact with drugs. Each result below shows which ingredient is responsible. Berberine Hydrochloride Gynostemma pentaphyllum Coenzyme Q-10
CyclosporineCequa, Ciclosporine, Gengraf, Neoral, Sandimmune, Verkazia +1 more
How Cyclosporine interacts with Berberine VasoQX — through 2 ingredients. Tap an ingredient for the detail:
Berberine HydrochlorideCyclosporine (neoral, Sandimmune), Cytochrome P450 3a4 (cyp3a4) Substrates Major
Interaction Summary
Berberine can increase serum levels of cyclosporine.
Read the full Berberine Hydrochloride + Cyclosporine interactionGynostemma PentaphyllumImmunosuppressants Moderate
Interaction Summary
Theoretically, jiaogulan might decrease the effectiveness of immunosuppressive therapy.
Read the full Gynostemma Pentaphyllum + Cyclosporine interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Gynostemma PentaphyllumImmunosuppressants Moderate
Interaction Summary
Theoretically, jiaogulan might decrease the effectiveness of immunosuppressive therapy.
Read the full Gynostemma Pentaphyllum + 6-mercaptopurine interactionAdo-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with Berberine VasoQX — through 2 ingredients. Tap an ingredient for the detail:
Gynostemma PentaphyllumAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, jiaogulan might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Gynostemma Pentaphyllum + Abciximab interactionBerberine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Hydrochloride + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Abemaciclib interactionAbiraterone
How Abiraterone interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with Berberine VasoQX — through 2 ingredients. Tap an ingredient for the detail:
Berberine HydrochlorideAnticoagulant/antiplatelet Drugs, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Hydrochloride + Abrocitinib interactionGynostemma PentaphyllumAnticoagulant/antiplatelet Drugs, Immunosuppressants Moderate
Interaction Summary
Theoretically, jiaogulan might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Gynostemma Pentaphyllum + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Berberine VasoQX — through 2 ingredients. Tap an ingredient for the detail:
Berberine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, berberine may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Berberine Hydrochloride + Acarbose interactionGynostemma PentaphyllumAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, jiaogulan might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Gynostemma Pentaphyllum + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Berberine VasoQX — through 2 ingredients. Tap an ingredient for the detail:
Berberine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, berberine might have additive effects with antihypertensive drugs.
Read the full Berberine Hydrochloride + Acebutolol interactionCoenzyme Q-10Antihypertensive Drugs Minor
Interaction Summary
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Read the full Coenzyme Q-10 + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Berberine VasoQX — through 2 ingredients. Tap an ingredient for the detail:
Berberine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Hydrochloride + Acenocoumarol interactionGynostemma PentaphyllumAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, jiaogulan might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Gynostemma Pentaphyllum + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase the sedative effects of CNS depressants.
Read the full Berberine Hydrochloride + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Berberine VasoQX — through 2 ingredients. Tap an ingredient for the detail:
Gynostemma PentaphyllumAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, jiaogulan might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Gynostemma Pentaphyllum + Acetaminophen, Aspirin interactionBerberine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Hydrochloride + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Berberine VasoQX — through 2 ingredients. Tap an ingredient for the detail:
Berberine HydrochlorideAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Hydrochloride + Acetaminophen, Aspirin, Caffeine interactionGynostemma PentaphyllumAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, jiaogulan might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
Read the full Gynostemma Pentaphyllum + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCns Depressants, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase the sedative effects of CNS depressants.
Read the full Berberine Hydrochloride + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Hydrochloride + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCns Depressants, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, berberine might increase the sedative effects of CNS depressants.
Read the full Berberine Hydrochloride + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Hydrochloride + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Hydrochloride + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants +1 Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates, Dextromethorphan (robitussin Dm, Others) +1 Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Hydrochloride + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Hydrochloride + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideDextromethorphan (robitussin Dm, Others), Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, berberine may increase serum levels of dextromethorphan.
Read the full Berberine Hydrochloride + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Berberine VasoQX — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideDextromethorphan (robitussin Dm, Others), Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, berberine may increase serum levels of dextromethorphan.
Read the full Berberine Hydrochloride + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Berberine VasoQX 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.
Berberine Hydrochloride
Cyclosporine (Neoral, Sandimmune)
Berberine can increase serum levels of cyclosporine.
Berberine can reduce metabolism and increase serum levels of cyclosporine. Berberine might inhibit cytochrome P450 3A4 (CYP3A4), which metabolizes cyclosporine.
Anticoagulant/Antiplatelet Drugs
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
In vitro and in vivo research suggest that berberine can inhibit platelet aggregation. Theoretically, berberine might have additive effects when used with anticoagulant and antiplatelet drugs and increase the risk of bleeding.
Antidiabetes Drugs
Theoretically, berberine may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Clinical research shows that berberine may lower blood glucose levels. Theoretically, berberine might have additive effects with antidiabetes drugs and increase the risk of hypoglycemia.
Antihypertensive Drugs
Theoretically, berberine might have additive effects with antihypertensive drugs.
Animal research suggests that berberine can have hypotensive effects. Also, a clinical study suggests that taking berberine in combination with amlodipine can lower systolic and diastolic blood pressure when compared with amlodipine alone.
Cns Depressants
Theoretically, berberine might increase the sedative effects of CNS depressants.
Animal research suggests that berberine may have sedative effects. Theoretically, use of berberine along with CNS depressants might produce additive therapeutic and adverse effects.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2C9.
Preliminary clinical research shows that berberine can inhibit CYP2C9. Theoretically, taking berberine with drugs metabolized by CYP2C9 might increase drug levels and increase the risk of adverse effects.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
In vitro research and preliminary clinical evidence show that berberine can inhibit CYP2D6. Theoretically, use of berberine with drugs metabolized by CYP2D6 might increase drug levels and increase the risk of adverse effects.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
In vitro research and preliminary clinical research show that berberine moderately inhibits CYP3A4. Theoretically, use of berberine with drugs metabolized by CYP3A4 might increase drug levels and increase the risk of adverse effects.
Dextromethorphan (Robitussin Dm, Others)
Theoretically, berberine may increase serum levels of dextromethorphan.
Preliminary clinical research shows that berberine can inhibit cytochrome P450 2D6 (CYP2D6) activity and reduce the metabolism of dextromethorphan. This may increase the effects and side effects of dextromethorphan.
Losartan (Cozaar)
Berberine might reduce the therapeutic effects of losartan by decreasing its conversion to its active form.
Preliminary clinical research suggests that berberine can inhibit cytochrome P450 2C9 (CYP2C9) activity and reduce metabolism of losartan.
Metformin (Glucophage)
Theoretically, berberine might increase the therapeutic and adverse effects of metformin.
In vitro and animal studies show that berberine can increase the systemic exposure and half-life of metformin, potentially increasing metformin's effects and side effects. This interaction seems to be most apparent when berberine is administered 2 hours prior to metformin. Taking berberine and metformin at the same time does not appear to increase systemic exposure to metformin.
Midazolam (Versed)
Berberine can reduce metabolism of midazolam, which might increase the risk of severe adverse effects.
Preliminary clinical research shows that berberine can inhibit cytochrome P450 3A4 (CYP3A4) activity and reduce metabolism of midazolam.
Pentobarbital (Nembutal)
Berberine might increase the sedative effect of pentobarbital.
Evidence from animal research shows that berberine can prolong pentobarbital-induced sleeping time. Theoretically, combining berberine and pentobarbital might increase the sedative effects of pentobarbital.
Tacrolimus (Prograf)
Berberine has been associated with increased blood levels of tacrolimus.
In a 16-year-old patient with idiopathic nephrotic syndrome who was being treated with tacrolimus 6.5 mg twice daily, intake of berberine 200 mg three times daily increased the blood concentration of tacrolimus from 8 to 22 ng/mL. Following a reduction of the tacrolimus dose to 3 mg daily, blood levels of tacrolimus decreased to 12 ng/mL.
Acetazolamide
Laboratory studies and initial clinical findings suggest that berberine has the potential to increase acetazolamide concentrations in the body. More research is needed to confirm this interaction.
Gynostemma pentaphyllum
Anticoagulant/Antiplatelet Drugs
Theoretically, jiaogulan might increase the risk of bleeding when taken with anticoagulant or antiplatelet drugs.
In vitro research suggests that jiaogulan has antiplatelet effects.
Antidiabetes Drugs
Theoretically, jiaogulan might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Clinical research shows that jiaogulan can lower blood glucose levels.
Immunosuppressants
Theoretically, jiaogulan might decrease the effectiveness of immunosuppressive therapy.
Clinical and animal studies suggest that jiaogulan can stimulate the immune system.
Coenzyme Q-10
Alkylating Agents
Coenzyme Q10 has antioxidant effects. Theoretically, this may reduce the activity of chemotherapy drugs that generate free radicals.
Theoretically, antioxidants such as coenzyme Q10 might protect tumor cells from chemotherapeutic agents that work by inducing oxidative stress, such as alkylating agents (e.g., cyclophosphamide) and radiation therapy. The clinical importance of this interaction is unknown.
Warfarin (Coumadin)
Coenzyme Q10 is chemically similar to menaquinone and might have vitamin K-like procoagulant effects, which could decrease the effects of warfarin.
Concomitant use of coenzyme Q10 and warfarin might reduce the anticoagulant effects of warfarin. Four cases of decreased warfarin efficacy thought to be due to coenzyme Q10 have been reported. However, there is some preliminary clinical research that suggests coenzyme Q10 might not significantly decrease the effects of warfarin in patients who have a stable INR.
Antihypertensive Drugs
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Some clinical research shows that coenzyme Q10 can significantly lower blood pressure, although other studies have shown conflicting results.
Brand information
Manufacturer and brand details for Berberine VasoQX, from the product label.
NuMedica
See all NuMedica products- Name
- NuMedica LLC
- Street Address
- 9503 E. 55th Place
- City
- Tulsa
- State
- OK
- ZipCode
- 74145
- Phone Number
- 800.869.8100
- Web Address
- www.numedica.com
Berberine VasoQX by NuMedica: Common Questions
Does Berberine VasoQX by NuMedica interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
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What are the most common side effects?
Does CoQ10 really help with heart health?
Is berberine proven to lower blood sugar?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Berberine VasoQX’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Coenzyme Q10
Interacts with 198 drugsCoQ10 is a vitamin-like substance your body makes naturally that helps cells produce energy and acts as an antioxidant. It is generally well tolerated and is most studied for heart condition...
Read the full Coenzyme Q10 monograph → Herb & supplement monographBerberine
Interacts with 1,160 drugsBerberine is a yellow plant compound that has shown promise for lowering blood sugar and cholesterol in some studies, but the quality of research varies and it is not a replacement for presc...
Read the full Berberine monograph → Herb & supplement monographJiaogulan
Interacts with 327 drugsJiaogulan is a climbing vine used in traditional Chinese medicine as an adaptogen and for heart, blood sugar, and cholesterol support. Early human and animal studies are promising for some u...
Read the full Jiaogulan monograph →Sources & How We Checked
Berberine VasoQX'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 89 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.
Coenzyme Q10 40 references
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- Gane, E. J., Weilert, F., Orr, D. W., Keogh, G. F., Gibson, M., Lockhart, M. M., Frampton, C. M., Taylor, K. M., Smith, R. A., and Murphy, M. P. The mitochondria-targeted anti-oxidant mitoquinone decreases liver damage in a phase II study of hepatitis C
- Lynch, D. R., Perlman, S. L., and Meier, T. A phase 3, double-blind, placebo-controlled trial of idebenone in friedreich ataxia. Arch Neurol. 2010;67(8):941-947. PubMed
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- Malm, C., Svensson, M., Sjoberg, B., Ekblom, B., and Sjodin, B. Supplementation with ubiquinone-10 causes cellular damage during intense exercise. Acta Physiol Scand. 1996;157(4):511-512. PubMed
- Singh, R. B., Wander, G. S., Rastogi, A., Shukla, P. K., Mittal, A., Sharma, J. P., Mehrotra, S. K., Kapoor, R., and Chopra, R. K. Randomized, double-blind placebo-controlled trial of coenzyme Q10 in patients with acute myocardial infarction. Cardiovasc. PubMed
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- Parkinson Study Group QE3 Investigators, Beal MF, Oakes D, et al. A randomized clinical trial of high-dosage coenzyme Q10 in early Parkinson disease: no evidence of benefit. JAMA Neurol. 2014;71(5):543-52.
- Alehagen U, Johansson P, Bjornstedt M, et al. Cardiovascular mortality and N-terminal-proBNP reduced after combined selenium and coenzyme Q10 supplementation: A 5-year prospective randomized double-blind placebo-controlled trial among elderly Swedish citi
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- Hansen KS, Mogensen TH, Agergaard J, et al. High-dose coenzyme Q10 therapy versus placebo in patients with post COVID-19 condition: A randomized, phase 2, crossover trial. Lancet Reg Health Eur 2022. PubMed
Berberine 41 references
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Jiaogulan 8 references
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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