Borage Oil Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Borage Oil 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
Borage Oil is a dietary supplement by Vital Nutrients with 2 active ingredients. Its ingredients are commonly taken for eczema and dry skin, rheumatoid arthritis, inflammation.Based on those ingredients, 226 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Borage Seed Oil, Cold-Pressed. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Borage Oil by Vital Nutrients
Ask about any prescription or over-the-counter medication and we check it for interactions with Borage Oil by Vital Nutrients — 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 Borage Oil by Vital Nutrients
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
Borage Oil by Vital Nutrients contains two active ingredients: gamma-linolenic acid and borage seed oil, cold-pressed. Both are derived from the borage plant seed and deliver essential fatty acids your body uses for cell function and inflammation control.
The softgel capsule itself is made from gelatin, glycerin, water, and mixed tocopherols (a form of vitamin E that acts as a preservative).
Does it work?
Couldn't assess
The evidence for borage oil is mixed and limited. For atopic dermatitis (eczema), the data we have rates it as possibly ineffective — meaning current studies don't support its use for that condition.
For attention deficit-hyperactivity disorder (ADHD), acute respiratory distress syndrome (ARDS), and alcoholism, there isn't enough reliable evidence to know either way. If you're considering this product for a specific health goal, talk with your doctor about whether the current evidence supports it for your situation.
How safe is it?
Well-documented data
Borage seed oil is generally well tolerated when taken by mouth. The most common side effects are mild digestive ones: belching, bloating, diarrhea, and soft stools.
The bigger safety concern is pyrrolizidine alkaloids (PA), naturally occurring compounds in some borage plant parts — while borage seed oil contains little to none, other parts of the plant can damage your liver, especially with long-term use. Look for a product certified PA-free to lower that risk.
During pregnancy and breastfeeding, borage oil is rated as likely unsafe because of the possible liver-toxic alkaloids and theoretical risks, so avoid it during these times — talk with your doctor if you're pregnant, planning pregnancy, or nursing.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you take blood thinners or antiplatelet drugs (warfarin, aspirin, clopidogrel) — Moderate risk of increased bleeding. Also verify if you're on phenothiazines (antipsychotics like chlorpromazine) or drugs that induce the liver enzyme CYP3A4 — both carry Moderate theoretical interaction risks.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Borage oil may be worth considering if you're interested in essential fatty acids, but it's not proven effective for the conditions most people ask about (eczema, ADHD). If you take blood thinners, antipsychotics, or certain liver-enzyme-inducing drugs, you'll need to clear it with your doctor or pharmacist first.
Pregnant or breastfeeding — skip it. Make sure any product you choose is certified free of pyrrolizidine alkaloids.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jan 24, 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
General information
Key facts about Borage Oil, straight from the product label.
| Brand | Vital Nutrients |
|---|---|
| Barcode (UPC) | 693465205112 |
| Net contents | 60 Softgel Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jan 24, 2024 |
| DSLD ID | 304955 |
| Product type | Fat/fatty Acid |
| Supplement form | Softgel Capsule |
| Dietary claims / uses | All Other |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy Free, Sugar 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 Borage Oil by Vital Nutrients, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 20 Calorie(s) | -- |
| Calories from Fat | 20 Calorie(s) | -- |
| Gamma-Linolenic Acid | 400 mg | -- |
| Cholesterol | 0 NP | -- |
| Total Fat | 2 Gram(s) | 3% |
| Saturated Fat | 350 mg | 2% |
| Borage Seed Oil, Cold-Pressed | 2000 mg | -- |
Other ingredients: Gelatin, Glycerin, Water, Mixed Tocopherols
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.
Storage
Store sealed in a cool dry place
Precautions
Keep out of reach of children
Use only if safety seal is intact
Warning If pregnant, consult your physician before taking.
Suggested/Recommended/Usage/Directions
Recommendations Take 2 softgels 1 to 2 times daily with food, or as directed by your healthcare professional.
Formulation
Excludes coatings, binders, gluten (wheat, rye, barley), milk/dairy (casein, whey), soy protein, egg protein, sugar. Verified by independent testing
Raw materials and finished products are independently tested by U.S. labs. Learn more at vitalnutrients.net
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Borage Oil by Vital Nutrients 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 Borage Oil by Vital Nutrients
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Softgel(s) Dosage formSoftgel Capsule Servings per container30 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.
Gamma-Linolenic Acid
Borage Seed Oil, Cold-Pressed
Interacts with226 drugs
Borage is a Mediterranean herb whose seed oil is rich in gamma-linolenic acid (GLA), an omega-6 fatty acid studied mostly for skin conditions and arth...
Borage Seed Oil, Cold-Pressed monograph & interactionsOther (inactive) ingredients: Gelatin, Glycerin, Water, Mixed Tocopherols. These complete the product’s ingredient list but are not active constituents.
Borage Oil by Vital Nutrients Drug Interactions
HelloPharmacist Interaction Report
Borage Oil by Vital Nutrients does interact with some medications, primarily through its borage seed oil component.
The most serious concern is with blood thinners and antiplatelet drugs (medications that prevent clots) — borage seed oil may increase bleeding risk, especially since gamma-linolenic acid, one of its active ingredients, can reduce platelet clumping by up to 45%.
Read the full breakdown — every affected drug type, severity by severity
Two other drug types need attention before you start this product. Phenothiazines (antipsychotic medications) carry a Moderate interaction risk — there's a theoretical concern that borage seed oil might lower your seizure threshold when combined with these drugs, though the evidence is limited.
Additionally, drugs that induce CYP3A4 (a liver enzyme), including certain inducers like rifampin, may increase toxic metabolites of pyrrolizidine alkaloids, though borage seed oil itself contains little to none of these compounds.
We could not check gamma-linolenic acid, the other active ingredient, because we hold no interaction data for it separately. Altogether, these interactions span 227 individual medications.
Before you add this product to your routine, check your exact medications with the search tool on this page, and talk it over with your doctor or pharmacist.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Borage Oil?
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 Borage Oil interact with 226 drugs. Click any drug to see the details.
1 of the 2 ingredients in Borage Oil interact with drugs. Each result below shows which ingredient is responsible. Borage Seed Oil, Cold-Pressed
AbciximabReoPro
How Abciximab interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Abrocitinib interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedPhenothiazines Moderate
Interaction Summary
Theoretically, taking borage sed oil with phenothiazines might increase the risk of seizures.
Read the full Borage Seed Oil, Cold-pressed + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Acetaminophen, Ibuprofen interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Acetylsalicylic Acid interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAminoglutethimideCytadren
How Aminoglutethimide interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedCytochrome P450 3a4 (cyp3a4) Inducers Moderate
Interaction Summary
Theoretically, taking borage with drugs that induce CYP3A4 might increase levels of pyrrolizidine alkaloid (PA) toxic metabolites.
Read the full Borage Seed Oil, Cold-pressed + Aminoglutethimide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedPhenothiazines Moderate
Interaction Summary
Theoretically, taking borage sed oil with phenothiazines might increase the risk of seizures.
Read the full Borage Seed Oil, Cold-pressed + Amitriptyline, Perphenazine interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedCytochrome P450 3a4 (cyp3a4) Inducers Moderate
Interaction Summary
Theoretically, taking borage with drugs that induce CYP3A4 might increase levels of pyrrolizidine alkaloid (PA) toxic metabolites.
Read the full Borage Seed Oil, Cold-pressed + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Anisindione interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Antithrombin Iii interactionApalutamideErleada
How Apalutamide interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedCytochrome P450 3a4 (cyp3a4) Inducers Moderate
Interaction Summary
Theoretically, taking borage with drugs that induce CYP3A4 might increase levels of pyrrolizidine alkaloid (PA) toxic metabolites.
Read the full Borage Seed Oil, Cold-pressed + Apalutamide interactionApixabanEliquis
How Apixaban interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Apixaban interactionAprepitantCinvanti, Emend
How Aprepitant interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedCytochrome P450 3a4 (cyp3a4) Inducers Moderate
Interaction Summary
Theoretically, taking borage with drugs that induce CYP3A4 might increase levels of pyrrolizidine alkaloid (PA) toxic metabolites.
Read the full Borage Seed Oil, Cold-pressed + Aprepitant interactionAprobarbital, Butabarbital, PhenobarbitalTriple Barbital
How Aprobarbital, Butabarbital, Phenobarbital interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedCytochrome P450 3a4 (cyp3a4) Inducers Moderate
Interaction Summary
Theoretically, taking borage with drugs that induce CYP3A4 might increase levels of pyrrolizidine alkaloid (PA) toxic metabolites.
Read the full Borage Seed Oil, Cold-pressed + Aprobarbital, Butabarbital, Phenobarbital interactionAprocitentanTryvio
How Aprocitentan interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedCytochrome P450 3a4 (cyp3a4) Inducers Moderate
Interaction Summary
Theoretically, taking borage with drugs that induce CYP3A4 might increase levels of pyrrolizidine alkaloid (PA) toxic metabolites.
Read the full Borage Seed Oil, Cold-pressed + Aprocitentan interactionArgatrobanArgatroban
How Argatroban interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Argatroban interactionArmodafinilNuvigil
How Armodafinil interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedCytochrome P450 3a4 (cyp3a4) Inducers Moderate
Interaction Summary
Theoretically, taking borage with drugs that induce CYP3A4 might increase levels of pyrrolizidine alkaloid (PA) toxic metabolites.
Read the full Borage Seed Oil, Cold-pressed + Armodafinil interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Aspirin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, ButalbitalAxotal
How Aspirin, Butalbital interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Aspirin, Butalbital interactionAspirin, Butalbital, CaffeineFiorinal
How Aspirin, Butalbital, Caffeine interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Aspirin, Butalbital, Caffeine interactionAspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine
How Aspirin, Butalbital, Caffeine, Codeine Phosphate interacts with Borage Oil — through 1 ingredient. Tap an ingredient for the detail:
Borage Seed Oil, Cold-pressedAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Borage Seed Oil, Cold-pressed + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Borage Oil 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.
Borage Seed Oil, Cold-Pressed
Anticoagulant/Antiplatelet Drugs
Theoretically, borage seed oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In healthy individuals, borage seed oil supplementation does not seem to affect platelet aggregation. However, gamma-linolenic acid, a constituent of borage seed oil, seems to decrease platelet aggregation by 45% and increase the risk of bleeding by 40% in animal and clinical research.
Cytochrome P450 3A4 (Cyp3A4) Inducers
Theoretically, taking borage with drugs that induce CYP3A4 might increase levels of pyrrolizidine alkaloid (PA) toxic metabolites.
Although borage seed oil contains little to no PAs, some borage plant parts, such as the leaf, flower, and seed, can contain hepatotoxic PAs. Hepatotoxic PAs are substrates of CYP3A4, which converts these chemicals into toxic metabolites. Tell patients to avoid borage preparations that are not certified and labeled as hepatotoxic PA-free.
Phenothiazines
Theoretically, taking borage sed oil with phenothiazines might increase the risk of seizures.
Borage seed oil contains gamma-linolenic acid (GLA). There is concern that taking supplements containing GLA might cause seizures, or lower the seizure threshold, when taken with phenothiazines. This is based on limited data from two reports published in the 1980s. In one report, three patients with schizophrenia who had received phenothiazines developed EEG changes suggestive of temporal lobe epilepsy after starting treatment with evening primrose, another source of GLA. However, none experienced an actual seizure. In the other report, two patients with schizophrenia who were stabilized on phenothiazines developed seizures when evening primrose 4 grams daily was added. One of these patients had a prior history of seizures. It is unclear whether evening primrose had any additive epileptogenic effects with the phenothiazines, but there is no evidence that taking GLA-containing supplements alone can cause seizures.
Brand information
Manufacturer and brand details for Borage Oil, from the product label.
Vital Nutrients
See all Vital Nutrients products- Name
- Vital Nutrients
- Street Address
- 45 Kenneth Dooley Dr
- City
- Middletown
- State
- CT
- ZipCode
- 06457
- Web Address
- vitalnutrients.net
Borage Oil by Vital Nutrients: Common Questions
Does Borage Oil by Vital Nutrients interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What's gamma-linolenic acid, and why is it in this product?
Can I take this if I'm on a blood thinner like warfarin?
Is this product certified free of pyrrolizidine alkaloids?
What are the most common side effects?
Does borage oil really work for eczema?
Can I take this while pregnant or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Borage Oil is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
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 Borage Oil’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Borage Oil'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 11 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Borage 11 references
- Guivernau M, Meza N, Barja P, Roman O. Clinical and experimental study on the long-term effect of dietary gamma-linolenic acid on plasma lipids, platelet aggregation, thromboxane formation, and prostacyclin production. Prostaglandins Leukot Essent Fatty A PubMed
- WHO working group. Pyrrolizidine alkaloids. Environmental Health Criteria, 80. WHO: Geneva, 1988.
- Fan YY, Chapkin RS. Importance of dietary gamma-linolenic acid in human health and nutrition. J Nutr 1998;128:1411-4.
- Takwale A, Tan E, Agarwal S, et al. Efficacy and tolerability of borage oil in adults and children with atopic eczema: randomised, double blind, placebo controlled, parallel group trial. BMJ 2003;327:1385. PubMed
- Chojkier M. Hepatic sinusoidal-obstruction syndrome: toxicity of pyrrolizidine alkaloids. J Hepatol 2003;39:437-46. PubMed
- Roeder E. Medicinal plants in Europe containing pyrrolizidine alkaloids. Pharmazie 1995;50:83-98.
- Wang YP, Yan J, Fu PP, Chou MW. Human liver microsomal reduction of pyrrolizidine alkaloid N-oxides to form the corresponding carcinogenic parent alkaloid. Toxicol Lett 2005;155:411-20. PubMed
- Holman CP and Bell AF. A trial of evening primrose oil in the treatment of chronic schizophrenia. J Orhtomolecular Psych 1983;12:302-304.
- Vaddadi KS. The use of gamma-linolenic acid and linoleic acid to differentiate between temporal lobe epilepsy and schizophrenia. Prostaglandins Med 1981;6(4):375-379. PubMed
- Bard, J. M., Luc, G., Jude, B., Bordet, J. C., Lacroix, B., Bonte, J. P., Parra, H. J., and Duriez, P. A therapeutic dosage (3 g/day) of borage oil supplementation has no effect on platelet aggregation in healthy volunteers. Fundam.Clin.Pharmacol. 1997;1
- Puri BK. The safety of evening primrose oil in epilepsy. Prostaglandins Leukotrienes Essential Fatty Acids 2007;77:101-3. PubMed
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