BioDIM Ingredients & Drug Interactions
by Klaire Labs
What is this page for?
First and foremost: checking BioDIM 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
BioDIM is a dietary supplement by Klaire Labs with 5 active ingredients. Its ingredients are commonly taken for hair, skin, and nail health, bone health and osteoporosis, joint and connective tissue support.Based on those ingredients, 904 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Tocophersolan, Diindolylmethane. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against BioDIM by Klaire Labs
Ask about any prescription or over-the-counter medication and we check it for interactions with BioDIM by Klaire Labs — 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 BioDIM by Klaire Labs
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
Low disclosure
BioDIM contains five ingredients: silica, diindolylmethane, starch, phosphatidylcholine, and vitamin E (tocophersolan). Diindolylmethane is the active ingredient — it's a compound from cruciferous vegetables that may help balance estrogen metabolism.
Silica supports bone and connective tissue health. Phosphatidylcholine is a phospholipid that supports cell membranes and liver function.
Vitamin E is an antioxidant. The remaining ingredients — microcrystalline cellulose, hydroxypropylmethylcellulose, water, silicon dioxide, and magnesium stearate — are inactive excipients that form and stabilize the capsule.
Does it work?
Strong evidence
Evidence for most uses of BioDIM is not yet established. Diindolylmethane has insufficient evidence to rate for benign prostatic hyperplasia, breast cancer, colorectal cancer, cervical dysplasia, and breast pain (mastalgia).
Silica shows possibly effective evidence for osteoporosis, but insufficient evidence for hair loss. Phosphatidylcholine shows possibly effective evidence for ulcerative colitis, but insufficient evidence for fatty liver disease, alcohol-related liver damage, Alzheimer disease, and anxiety.
Vitamin E is effective for vitamin E deficiency and ataxia related to vitamin E deficiency, and possibly effective for Alzheimer disease, beta-thalassemia, G6PD deficiency, and intracranial hemorrhage.
How safe is it?
Well-documented data
Diindolylmethane is generally well tolerated in short-term studies, though long-term safety isn't established; common side effects include diarrhea, gas, headache, nausea, rash, and vomiting. A rare serious side effect is DRESS (drug rash with eosinophilia and systemic symptoms).
Silica from food and typical supplements is generally well tolerated, but high-dose or long-term safety hasn't been well studied. Phosphatidylcholine is generally well tolerated orally; common side effects include altered taste, bloating, diarrhea, nausea, and vomiting — large doses (30 grams daily) can cause gastrointestinal upset.
Vitamin E is generally well tolerated at dietary amounts, but high-dose long-term supplements may increase bleeding risk; rare serious effects include bleeding and hemorrhagic stroke. For pregnancy, silica safety data advises against use; diindolylmethane and phosphatidylcholine are rated likely safe; vitamin E is possibly safe but avoid high-dose supplements unless directed by your doctor.
For breastfeeding, silica should be avoided; diindolylmethane should be avoided; phosphatidylcholine and vitamin E have insufficient data — speak with your healthcare provider first.
Meds to double-check
Moderate interaction found
Double-check with your pharmacist before taking BioDIM if you're on blood thinners or antiplatelet drugs (warfarin, aspirin, clopidogrel), hormonal birth control or estrogen replacement, diuretics, cyclosporine, chemotherapy drugs, niacin supplements, or any medication metabolized by the liver enzyme CYP1A2. Moderate-severity interactions exist with the first five categories; Minor interactions with the last.
If you're unsure whether your medications fall into these groups, use the checker on this page with your exact drugs.
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.
BioDIM may be worth considering if you're interested in supporting estrogen metabolism, but the evidence for most marketed uses is still being studied. If you take blood thinners, hormone therapy, diuretics, or chemotherapy, talk with your pharmacist before starting — the ingredient interactions are real and need a personalized check.
Silica is safe in pregnancy, but the other active ingredients have either no safety data or cautions in pregnancy or breastfeeding, so discuss with your doctor or pharmacist if you're pregnant, planning to become pregnant, or nursing.
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 Jan 23, 2023.
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 BioDIM, straight from the product label.
| Brand | Klaire Labs |
|---|---|
| Barcode (UPC) | 817234010930 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jan 23, 2023 |
| DSLD ID | 280439 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other |
| Intended target group(s) | 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 BioDIM by Klaire Labs, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Silica | 0 NP | -- |
| Diindolylmethane | 0 NP | -- |
| Starch | 0 NP | -- |
| Phosphatidylcholine | 0 NP | -- |
| Tocophersolan | 0 NP | -- |
| BioDIM Proprietary Blend | 150 mg | -- |
Other ingredients: Microcrystalline Cellulose, Hydroxypropylmethylcellulose, Water, Silicon Dioxide, Magnesium Stearate
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.
Formulation
Free of the following common allergens: Milk/casein, eggs, fish, shellfish, tree nuts, peanuts, wheat and gluten. Contains no artificial colors, flavors, or preservatives.
Produced under a strict quality management system in compliance with Good Manufacturing Practices (GMPs) and third-party quality certifications.
Suggested/Recommended/Usage/Directions
Suggested Use: 1 capsule, 1 to 2 times daily with food or as directed by a healthcare professional.
Brand IP Statement(s)
BIODIM is a registered trademark of and is licensed from BioResponse, LLC, Boulder, Colorado. It is a proprietary, enhanced-bioavailability complex containing diindolylmethane (DIM).
SFI
Formula
It is a proprietary, enhanced-bioavailability complex containing diindolylmethane (DIM).
Precautions
Do not use if shrinkwrap is broken or missing.
Contains: Soy.
Caution: If you are pregnant, nursing, have a medical condition, or taking prescription drugs, consult your healthcare professional before using this product.
Keep out of reach of children.
Storage
Store in a cool, dry place (59 degrees F - 85 degrees F) away from direct light.
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
BioDIM by Klaire Labs 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 BioDIM by Klaire Labs
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 container60 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
BioDIM Proprietary Blend
- › Silica
- › Diindolylmethane
- › Starch
- › Phosphatidylcholine
- › Tocophersolan
Other (inactive) ingredients: Microcrystalline Cellulose, Hydroxypropylmethylcellulose, Water, Silicon Dioxide, Magnesium Stearate. These complete the product’s ingredient list but are not active constituents.
BioDIM by Klaire Labs Drug Interactions
HelloPharmacist Interaction Report
BioDIM by Klaire Labs contains two ingredients with documented drug interactions: diindolylmethane and vitamin E (tocophersolan).
The most serious concern is vitamin E's Moderate-severity interaction with blood thinners (anticoagulants) and antiplatelet drugs — doses above 400 IU daily may increase bleeding risk, especially if you're on warfarin or similar medications.
Read the full breakdown — every affected drug type, severity by severity
Diindolylmethane has Moderate interactions with hormonal birth control and estrogen replacement (it may interfere with how your body uses these), and with certain diuretics (water pills), where large doses could theoretically raise the risk of low sodium levels. It also has a Minor interaction with drugs metabolized by a liver enzyme called CYP1A2 — diindolylmethane may speed up how your liver clears these medications, potentially lowering their levels.
Vitamin E carries additional Moderate interactions with chemotherapy drugs (alkylating agents and antitumor antibiotics), where its antioxidant action might reduce how well they work, and with cyclosporine, where this specific form of vitamin E may increase its absorption. It also has a Minor interaction with niacin, potentially reducing niacin's beneficial effect on cholesterol.
We could not check starch for interactions. Silica and phosphatidylcholine show no known interactions in our data.
Altogether, these interactions span 894 individual medications. Use the medication checker below with your exact prescriptions and supplements before starting BioDIM.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against BioDIM?
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 BioDIM interact with 904 drugs. Click any drug to see the details.
2 of the 5 ingredients in BioDIM interact with drugs. Each result below shows which ingredient is responsible. Tocophersolan Diindolylmethane
AtorvastatinAtorvaliq
How Atorvastatin interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Atorvastatin Calcium interactionAtropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, ScopolamineAtrohist Plus, Pro Tuss, Ru-tuss, Stahist
How Atropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, Scopolamine interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Atropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, Scopolamine interactionAvacopanTavneos
How Avacopan interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Avacopan interactionAvanafilStendra
How Avanafil interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Avanafil interactionAvapritinibAyvakit
How Avapritinib interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Avapritinib interactionAxitinibInlyta
How Axitinib interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Axitinib interactionAzelastine Hydrochloride, Fluticasone PropionateDymista
How Azelastine Hydrochloride, Fluticasone Propionate interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Azelastine Hydrochloride, Fluticasone Propionate interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
DiindolylmethaneDiuretic Drugs Moderate
Interaction Summary
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Read the full Diindolylmethane + Azilsartan, Chlorthalidone interactionBazedoxifene Acetate, Conjugated EstrogensDuavee
How Bazedoxifene Acetate, Conjugated Estrogens interacts with BioDIM — through 2 ingredients. Tap an ingredient for the detail:
DiindolylmethaneEstrogens Moderate
Interaction Summary
Theoretically, diindolylmethane might increase or decrease the effects of estrogens.
Read the full Diindolylmethane + Bazedoxifene Acetate, Conjugated Estrogens interactionTocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Bazedoxifene Acetate, Conjugated Estrogens interactionBeclometasone DipropionateBecotide
How Beclometasone Dipropionate interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Beclometasone Dipropionate interactionBeclomethasoneBeclovent, Vanceril
How Beclomethasone interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Beclomethasone interactionBeclomethasone DipropionateQNASL, Qvar
How Beclomethasone Dipropionate interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Beclomethasone Dipropionate interactionBedaquilineSirturo
How Bedaquiline interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Bedaquiline interactionBelladonna Alkaloids, Chlorpheniramine, Phenylephrine, PhenylpropanolamineRespa ARM
How Belladonna Alkaloids, Chlorpheniramine, Phenylephrine, Phenylpropanolamine interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Belladonna Alkaloids, Chlorpheniramine, Phenylephrine, Phenylpropanolamine interactionBelladonna Alkaloids, Ergotamine Tartrate, PhenobarbitalBel Tabs, Bellamine-S, Bellaphen-S, Duragal S, Phenarbal S, Spastrin
How Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Caffeine, Ergotamine, PentobarbitalMicomp PB
How Belladonna, Caffeine, Ergotamine, Pentobarbital interacts with BioDIM — through 2 ingredients. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Belladonna, Caffeine, Ergotamine, Pentobarbital interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Belladonna, Caffeine, Ergotamine, Pentobarbital interactionBelladonna, Ergotamine Tartrate, Phenobarbital
How Belladonna, Ergotamine Tartrate, Phenobarbital interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Belladonna, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Ergotamine, PhenobarbitalBellergal-S
How Belladonna, Ergotamine, Phenobarbital interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Belladonna, Ergotamine, Phenobarbital interactionBellafoline, Caffeine, Ergotamine Tartrate, PentobarbitalCafergot PB
How Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital interacts with BioDIM — through 2 ingredients. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Bellafoline, Caffeine, Ergotamine Tartrate, Pentobarbital interactionBelumosudil MesylateRezurock
How Belumosudil Mesylate interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Belumosudil Mesylate interactionBenazepril, HydrochlorothiazideLotensin HCT
How Benazepril, Hydrochlorothiazide interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
DiindolylmethaneDiuretic Drugs Moderate
Interaction Summary
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Read the full Diindolylmethane + Benazepril, Hydrochlorothiazide interactionBendamustineBelrapzo, Treanda, Vivimusta
How Bendamustine interacts with BioDIM — through 2 ingredients. Tap an ingredient for the detail:
TocophersolanAlkylating Agents Moderate
Interaction Summary
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of alkylating agents.
Read the full Tocophersolan + Bendamustine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Bendamustine interactionBendamustine HydrochlorideBendeka
How Bendamustine Hydrochloride interacts with BioDIM — through 2 ingredients. Tap an ingredient for the detail:
TocophersolanAlkylating Agents Moderate
Interaction Summary
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of alkylating agents.
Read the full Tocophersolan + Bendamustine Hydrochloride interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Bendamustine Hydrochloride interactionBendroflumethiazideAprinox, Naturetin, Neo-NaClex
How Bendroflumethiazide interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
DiindolylmethaneDiuretic Drugs Moderate
Interaction Summary
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Read the full Diindolylmethane + Bendroflumethiazide interactionBendroflumethiazide, NadololCorzide
How Bendroflumethiazide, Nadolol interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
DiindolylmethaneDiuretic Drugs Moderate
Interaction Summary
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Read the full Diindolylmethane + Bendroflumethiazide, Nadolol interactionBendroflumethiazide, PotassiumCentyl K, Neo-NaClex-K
How Bendroflumethiazide, Potassium interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
DiindolylmethaneDiuretic Drugs Moderate
Interaction Summary
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Read the full Diindolylmethane + Bendroflumethiazide, Potassium interactionBendroflumethiazide, Rauwolfia SerpentinaRauzide
How Bendroflumethiazide, Rauwolfia Serpentina interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
DiindolylmethaneDiuretic Drugs Moderate
Interaction Summary
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Read the full Diindolylmethane + Bendroflumethiazide, Rauwolfia Serpentina interactionBenzhydrocodone, AcetaminophenApadaz
How Benzhydrocodone, Acetaminophen interacts with BioDIM — through 2 ingredients. Tap an ingredient for the detail:
TocophersolanCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocophersolan + Benzhydrocodone, Acetaminophen interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Benzhydrocodone, Acetaminophen interactionBenzthiazideExna
How Benzthiazide interacts with BioDIM — through 1 ingredient. Tap an ingredient for the detail:
DiindolylmethaneDiuretic Drugs Moderate
Interaction Summary
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Read the full Diindolylmethane + Benzthiazide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in BioDIM 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.
Tocophersolan
Alkylating Agents
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of alkylating agents.
There's concern that antioxidants could reduce the activity of chemotherapy drugs which generate free radicals, such as cyclophosphamide, chlorambucil, carmustine, busulfan, and thiotepa. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin E have on chemotherapy. Advise patients to consult their oncologist before using vitamin E supplements, especially in high doses.
Anticoagulant/Antiplatelet Drugs
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Vitamin E seems to inhibit of platelet aggregation and antagonize the effects of vitamin K-dependent clotting factors. These effects appear to be dose-dependent, and are probably only likely to be clinically significant with doses of at least 800 units daily. Mixed tocopherols, such as those found in food, might have a greater antiplatelet effect than alpha-tocopherol. RRR alpha-tocopherol (natural vitamin E) 1000 IU daily antagonizes vitamin K-dependent clotting factors. Advise patients to avoid high doses of vitamin E, especially in people with low vitamin K intake or other risk factors for bleeding.
Antitumor Antibiotics
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of antitumor antibiotics.
There's concern that antioxidants could reduce the activity of antitumor antibiotic drugs such as doxorubicin, which generate free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin E have on chemotherapy involving antitumor antibiotics. Advise patients to consult their oncologist before using vitamin E supplements, especially in high doses.
Cyclosporine (Neoral, Sandimmune)
A specific form of vitamin E might increase absorption and levels of cyclosporine.
There is some evidence that one specific formulation of vitamin E (D-alpha-tocopheryl-polyethylene glycol-1000 succinate, TPGS, tocophersolan, Liqui-E) might increase absorption of cyclosporine. This vitamin E formulation forms micelles which seems to increase absorption of cyclosporine by 40% to 72% in some patients. However, this interaction is unlikely to occur with the usual forms of vitamin E.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Vitamin E appears to bind with the nuclear receptor, pregnane X receptor (PXR), which results in increased expression of CYP3A4. Although the clinical significance of this is not known, use caution when considering concomitant use of vitamin E and other drugs affected by these enzymes.
Selumetinib (Koselugo)
Taking selumetinib with vitamin E can result in a total daily dose of vitamin E that exceeds safe limits and therefore might increase the risk of bleeding.
Selumetinib contains 48-54 IU vitamin E per capsule. The increased risk of bleeding with vitamin E appears to be dose-dependent. Be cautious when using selumetinib in combination with supplemental vitamin E, especially in patients at higher risk of bleed, such as those with chronic conditions and those taking antiplatelet drugs.
Warfarin (Coumadin)
Using vitamin E with warfarin might increase the risk of bleeding.
Due to interference with production of vitamin K-dependent clotting factors, use of more than 400 IU of vitamin E daily with warfarin might increase prothrombin time (PT), INR, and the risk of bleeding,. At a dose of 1000 IU per day, vitamin E can antagonize vitamin K-dependent clotting factors even in people not taking warfarin. Limited clinical evidence suggests that doses up to 1200 IU daily may be used safely by patients taking warfarin, but this may not be applicable in all patient populations.
Niacin
Vitamin E might decrease the beneficial effects of niacin on high-density lipoprotein (HDL) cholesterol levels.
A combination of niacin and simvastatin (Zocor) effectively raises high-density lipoprotein (HDL) cholesterol levels in people with coronary disease and low HDL levels. Clinical research shows that taking a combination of antioxidants (vitamin C, vitamin E, beta-carotene, and selenium) along with niacin and simvastatin (Zocor) attenuates this rise in HDL, specifically the HDL-2 and apolipoprotein A1 fractions, by more than 50%. Vitamin E alone combined with a statin does not seem to decrease HDL levels. It is not known whether the adverse effect on HDL is due to one of the other antioxidants or to the combination. It also is not known whether it will occur in other patient populations.
Diindolylmethane
Diuretic Drugs
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Large doses of diindolylmethane (600 mg daily) have been associated with two cases of asymptomatic hyponatremia in clinical research.
Estrogens
Theoretically, diindolylmethane might increase or decrease the effects of estrogens.
Diindolylmethane might have mild estrogenic or antiestrogenic effects. Theoretically, large amounts of diindolylmethane might interfere with hormone replacement therapy.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
In vitro evidence suggests that diindolylmethane can induce CYP1A2. Theoretically, it might increase metabolism of CYP1A2 substrates and lower serum concentrations. This interaction has not been reported in humans.
Brand information
Manufacturer and brand details for BioDIM, from the product label.
Klaire Labs
See all Klaire Labs products- Name
- SFI USA
- City
- Reno
- State
- NV
- ZipCode
- 89521
- Web Address
- Klaire.com
BioDIM by Klaire Labs: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind BioDIM’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Silicon
Silicon is a trace mineral found in the body and in foods like oats, barley, and certain fruits and vegetables, and it is popular in supplements for hair, skin, nail, and bone health. Some s...
Read the full Silicon monograph → Herb & supplement monographDiindolylmethane
Interacts with 269 drugsDiindolylmethane (DIM) is a compound made when your body digests cruciferous vegetables, and it is sold as a supplement mainly for hormone balance and cancer prevention. Although early lab s...
Read the full Diindolylmethane monograph → Herb & supplement monographPhosphatidylcholine
Phosphatidylcholine is a phospholipid that is part of every cell membrane and a source of choline. People take it for liver, brain, and gut health, but solid human evidence is limited for mo...
Read the full Phosphatidylcholine monograph → Herb & supplement monographVitamin E
Interacts with 764 drugsVitamin E is an essential fat-soluble vitamin and antioxidant that most people get in adequate amounts from a normal diet. Supplements can help correct a true deficiency, but high-dose vitam...
Read the full Vitamin E monograph →Sources & How We Checked
BioDIM'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 112 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.
Silicon 19 references
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- Jugdaohsingh R, Anderson SH, Tucker KL, et al. Dietary silicon intake and absorption. Am J Clin Nutr 2002;75:887-93. PubMed
- Ichiyanagi O, Sasagawa I, Adachi Y, et al. Silica urolithiasis without magnesium trisilicate intake. Urol Int 1998;61:39-42. PubMed
- Levison DA, Crocker PR, Banim S, Wallace DM. Silica stones in the urinary bladder. Lancet 1982;1:704-5. PubMed
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- Merget, R., Bauer, T., Kupper, H. U., Philippou, S., Bauer, H. D., Breitstadt, R., and Bruening, T. Health hazards due to the inhalation of amorphous silica. Arch Toxicol. 2002;75(11-12):625-634. PubMed
- Khuder, S. A., Peshimam, A. Z., and Agraharam, S. Environmental risk factors for rheumatoid arthritis. Rev Environ Health 2002;17(4):307-315. PubMed
- McLaughlin, J. K., Chow, W. H., and Levy, L. S. Amorphous silica: a review of health effects from inhalation exposure with particular reference to cancer. J Toxicol.Environ Health 4-25-1997;50(6):553-566. DOI
- Pelucchi, C., Pira, E., Piolatto, G., Coggiola, M., Carta, P., and La, Vecchia C. Occupational silica exposure and lung cancer risk: a review of epidemiological studies 1996-2005. Ann.Oncol. 2006;17(7):1039-1050. PubMed
- Gillissen, A., Gessner, C., Hammerschmidt, S., Hoheisel, G., and Wirtz, H. [Health significance of inhaled particles]. Dtsch.Med Wochenschr. 3-24-2006;131(12):639-644.
- Hu, J. F., Qu, H., and Wang, J. Z. [Meta analysis for relationship between exposure of free silicon dioxide and lung tumor]. Zhonghua Lao.Dong.Wei Sheng Zhi.Ye.Bing.Za Zhi. 2006;24(7):415-417.
- Jugdaohsingh, R. Silicon and bone health. J Nutr Health Aging 2007;11(2):99-110.
- Lacasse, Y., Martin, S., Gagne, D., and Lakhal, L. Dose-response meta-analysis of silica and lung cancer. Cancer Causes Control 2009;20(6):925-933. PubMed
- McCormic, Z. D., Khuder, S. S., Aryal, B. K., Ames, A. L., and Khuder, S. A. Occupational silica exposure as a risk factor for scleroderma: a meta-analysis. Int Arch Occup.Environ Health 2010;83(7):763-769. PubMed
- Haddad, F. S. and Kouyoumdjian, A. Silica stones in humans. Urol.Int 1986;41(1):70-76. PubMed
- Tervaert, J. W., Stegeman, C. A., and Kallenberg, C. G. Silicon exposure and vasculitis. Curr Opin.Rheumatol 1998;10(1):12-17. PubMed
- Steenland, K. and Stayner, L. Silica, asbestos, man-made mineral fibers, and cancer. Cancer Causes Control 1997;8(3):491-503. PubMed
- Boqué N, Valls RM, Pedret A, Puiggrós F, Arola L, Solà R. Relative absorption of silicon from different formulations of dietary supplements: a pilot randomized, double-blind, crossover post-prandial study. Sci Rep 2021;11(1):16479. PubMed
Diindolylmethane 14 references
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- Riby JE, Chang GHF, Firestone GL, Bjeldanes LF. Ligand-independent activation of estrogen receptor function by 3,3'-diindolylmethane in human breast cancer cells. Biochem Pharmacol 2000;60:167-77. PubMed
- Lake BG, Tredger JM, Renwick AB, et al. 3'3-diindolylmethane induces CYP1A2 in cultured precision-cut human liver slices. Xenobiotica 1998;28:803-11. PubMed
- Dalessandri, K. M., Firestone, G. L., Fitch, M. D., Bradlow, H. L., and Bjeldanes, L. F. Pilot study: effect of 3,3'-diindolylmethane supplements on urinary hormone metabolites in postmenopausal women with a history of early-stage breast cancer. Nutr Canc PubMed
- Reed, G. A., Arneson, D. W., Putnam, W. C., Smith, H. J., Gray, J. C., Sullivan, D. K., Mayo, M. S., Crowell, J. A., and Hurwitz, A. Single-dose and multiple-dose administration of indole-3-carbinol to women: pharmacokinetics based on 3,3'-diindolylmetha
- Reed, G. A., Sunega, J. M., Sullivan, D. K., Gray, J. C., Mayo, M. S., Crowell, J. A., and Hurwitz, A. Single-dose pharmacokinetics and tolerability of absorption-enhanced 3,3'-diindolylmethane in healthy subjects. Cancer Epidemiol.Biomarkers Prev. 2008; PubMed
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- Jellinck, P. H., Forkert, P. G., Riddick, D. S., Okey, A. B., Michnovicz, J. J., and Bradlow, H. L. Ah receptor binding properties of indole carbinols and induction of hepatic estradiol hydroxylation. Biochem.Pharmacol. 3-9-1993;45(5):1129-1136. PubMed
- Bui PV, Moualla M, Upson DJ. A Possible Association of Diindolylmethane with Pulmonary Embolism and Deep Venous Thrombosis. Case Rep Med. 2016;2016:7527098. PubMed
- Castañon A, Tristram A, Mesher D, Powell N, Beer H, Ashman S, Rieck G, Fielder H, Fiander A, Sasieni P. Effect of diindolylmethane supplementation on low-grade cervical cytological abnormalities: double-blind, randomised, controlled trial. Br J Cancer. 20 PubMed
- Le TM, Sanders CJ, van de Corput L, van Erpecum KJ, Röckmann H. Drug rash with eosinophilia and systemic symptoms caused by the dietary supplement diindolylmethane. J Allergy Clin Immunol Pract. 2016 Jan-Feb;4(1):175-6. PubMed
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Phosphatidylcholine 15 references
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- Stremmel W, Braun A, Hanemann A, Ehehalt R, Autschbach F, Karner M. Delayed release phosphatidylcholine in chronic-active ulcerative colitis: a randomized, double-blinded, dose finding study. J Clin Gastroenterol 2010;44(5):e101-7. PubMed
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Vitamin E 64 references
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- Anon. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial. Gruppo Italiano per lo Studio della Soprawivenza nell'Infarto miocardico. Lancet 1999;354:447-55. DOI
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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