Bromelain 500 mg Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Bromelain 500 mg 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
Bromelain 500 mg is a dietary supplement by Metabolic Maintenance with 1 active ingredient. Its ingredients are commonly taken for inflammation and swelling, sinus and nasal congestion, digestion support.Based on those ingredients, 141 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Bromelain. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Bromelain 500 mg by Metabolic Maintenance
Ask about any prescription or over-the-counter medication and we check it for interactions with Bromelain 500 mg by Metabolic Maintenance — 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
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of Bromelain 500 mg by Metabolic Maintenance
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
This product contains one active ingredient, bromelain, at 500 mg per capsule. Bromelain is the ingredient our interaction and safety data cover for this product.
The only inactive ingredient listed is cellulose. Inactive ingredients are the non-active parts of a capsule, and cellulose is listed as one of them.
Does it work?
Couldn't assess
We hold no reliable evidence rating that shows bromelain works for any of its listed uses. Each one is rated insufficient reliable evidence to rate: hay fever (allergic rhinitis), burns, cancer, nerve damage from chemotherapy (chemotherapy-induced peripheral neuropathy), poor blood flow in the leg veins (chronic venous insufficiency), and diabetes.
In plain terms, the evidence for bromelain isn't established in the data we hold, so we can't say whether it helps with any of these conditions.
How safe is it?
Well-documented data
Oral bromelain is generally well tolerated short-term, but the evidence on long-term use is limited. The most common side effects are diarrhea, gas, stomach upset, and headache, and it can also cause nausea, vomiting, and stomach pain.
Allergic reactions driven by the immune system (immunoglobulin E, or IgE, mediated reactions) can occur. Breathing it in can cause sensitization and allergic reactions such as asthma.
Our safety notes say there isn't enough safety data to know whether bromelain is safe during pregnancy, and that its safety while breastfeeding is unknown. Our pregnancy entry has no specific rating on file, so talk with your doctor or pharmacist for advice that fits you.
Meds to double-check
Moderate interaction found
Double-check these medication types first, worst severity first: anticoagulant and antiplatelet drugs (blood thinners), rated Moderate, and tetracycline antibiotics, rated Minor. Search your exact medications with the tool on this page, and confirm the result with your own doctor or pharmacist before taking this product.
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.
If you're hoping bromelain will help with one of the listed conditions, know that the evidence for those uses isn't established in our data. If you take blood thinners, antiplatelet drugs, or tetracycline antibiotics, talk to your own doctor or pharmacist before starting this product.
If you are pregnant or breastfeeding, ask your doctor or pharmacist for personalized advice first.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient 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 Bromelain 500 mg, straight from the product label.
| Brand | Metabolic Maintenance |
|---|---|
| Barcode (UPC) | 838287006879 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Feb 23, 2025 |
| DSLD ID | 321270 |
| Product type | Non-nutrient/non-botanical |
| 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 Bromelain 500 mg by Metabolic Maintenance, sourced from the NIH Dietary Supplement Label Database.
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.
Precautions
Caution: pregnant or lactating women, consult your healthcare professional before taking this product.
Use caution when combining with anticoagulants. This product is a natural blood thinner.
Keep tightly closed in a cool, dry place, out of the reach of children.
Storage
Keep tightly closed in a cool, dry place, out of the reach of children.
Formulation
Egg free Gluten free Free of nuts Dairy free
Manufactured in a GMP Compliant Facility
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Directions: One (1) capsule daily, or as directed by a healthcare professional.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Bromelain 500 mg by Metabolic Maintenance 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 Bromelain 500 mg by Metabolic Maintenance
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container60 Amounts shown are per serving.
Bromelain
Interacts with141 drugs
Bromelain is a group of protein-digesting enzymes from pineapple that people take mainly for inflammation, swelling, and sinus problems. Some early st...
Bromelain monograph & interactionsOther (inactive) ingredients: Cellulose. These complete the product’s ingredient list but are not active constituents.
Bromelain 500 mg by Metabolic Maintenance Drug Interactions
HelloPharmacist Interaction Report
Bromelain 500 mg by Metabolic Maintenance does interact with some medications, through its bromelain content alone.
The most serious interaction is with anticoagulant and antiplatelet drugs (blood thinners), rated Moderate. Bromelain may have antiplatelet effects, which can increase the risk of bleeding when combined with these drugs.
Read the full breakdown — every affected drug type, severity by severity
The only other drug type on record is tetracycline antibiotics, rated Minor. Bromelain might theoretically raise tetracycline levels, though one study in healthy adults found no difference in tetracycline levels when the two were taken together.
Altogether, these interactions span 141 individual medications.
Because the list is so broad, search your exact medications with the search tool on this page, and confirm any concerns with your own doctor or pharmacist.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Bromelain 500 mg?
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 Bromelain 500 mg interact with 141 drugs. Click any drug to see the details.
1 of the 1 ingredient in Bromelain 500 mg interact with drugs. Each result below shows which ingredient is responsible. Bromelain
DabigatranPradax, Pradaxa
How Dabigatran interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Dabigatran interactionReteplaseRetevase
How Reteplase interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Bromelain + Reteplase interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Amphotericin, Tetracycline interactionBismuth Subsalicylate, Metronidazole, TetracyclineHelidac
How Bismuth Subsalicylate, Metronidazole, Tetracycline interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Bismuth Subsalicylate, Metronidazole, Tetracycline interactionChlortetracyclineAureomycin
How Chlortetracycline interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Chlortetracycline interactionDemeclocyclineDeclomycin
How Demeclocycline interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Demeclocycline interactionDoripenemDoribax
How Doripenem interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Doripenem interactionDoxycyclineDoryx, Doxy, Doxy-D, Doxycin, Doxycycline Injection, Doxylin +6 more
How Doxycycline interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Doxycycline interactionDoxycycline HyclateActiclate, Acticlate Cap, Lymepak
How Doxycycline Hyclate interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Doxycycline Hyclate interactionDoxycycline MonohydrateErfacea
How Doxycycline Monohydrate interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Doxycycline Monohydrate interactionDoxycylineDoxychel
How Doxycyline interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Doxycyline interactionEravacyclineXerava
How Eravacycline interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Eravacycline interactionMetronidazole, Tetracyline, Bismuth Subcitrate PotassiumPylera
How Metronidazole, Tetracyline, Bismuth Subcitrate Potassium interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Metronidazole, Tetracyline, Bismuth Subcitrate Potassium interactionMinocycline HydrochlorideMinolira, Ximino
How Minocycline Hydrochloride interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Minocycline Hydrochloride interactionOmadacycline (iv)Nuzyra
How Omadacycline (iv) interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Omadacycline (iv) interactionOmadacycline (oral)Nuzyra
How Omadacycline (oral) interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Omadacycline (oral) interactionOxytetracyclineTerramycin
How Oxytetracycline interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Oxytetracycline interactionOxytetracycline, Phenazopyridine, SulfamethizoleUrobiotic
How Oxytetracycline, Phenazopyridine, Sulfamethizole interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Oxytetracycline, Phenazopyridine, Sulfamethizole interactionRetapamulinAltabax, Altargo
How Retapamulin interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Retapamulin interactionTetracyclineAchromycin, Achromycin V, Nor-Tet, Robitet, Sumycin, Sumycin 250 +6 more
How Tetracycline interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Tetracycline interactionTigecyclineTygacil
How Tigecycline interacts with Bromelain 500 mg — through 1 ingredient. Tap an ingredient for the detail:
BromelainTetracycline Antibiotics Minor
Interaction Summary
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Read the full Bromelain + Tigecycline interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Bromelain 500 mg 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.
Bromelain
Anticoagulant/Antiplatelet Drugs
Bromelain may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
There is one case report of a patient experiencing minor bruising while taking bromelain with naproxen. Bromelain is thought to have antiplatelet activity. Whether this interaction is of concern with topical bromelain is unclear. Interference with coagulation of burn wounds has been reported in a patient receiving bromelain-based enzymatic debridement. However, observational research has found that topical bromelain debridement is not associated with increases or decreases in laboratory markers of coagulation when compared with surgical debridement.
Tetracycline Antibiotics
Theoretically, bromelain might increase levels of tetracycline antibiotics.
Laboratory research suggests that bromelain might increase the absorption of tetracycline antibiotics. However, a study in healthy adults reported no difference in tetracycline plasma levels when a 500 mg dose was taken with or without bromelain 80 mg.
Brand information
Manufacturer and brand details for Bromelain 500 mg, from the product label.
Metabolic Maintenance
See all Metabolic Maintenance products- Name
- Metabolic Maintenance
- Street Address
- 601 N Larch Street
- City
- Sisters
- State
- Oregon
- ZipCode
- 97759
- Phone Number
- 800-772-7873
- Web Address
- MetabolicMaintenance.com
Bromelain 500 mg by Metabolic Maintenance: Common Questions
Does Bromelain 500 mg by Metabolic Maintenance interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is bromelain 500 mg safe during pregnancy?
Does bromelain help with hay fever?
What are the common side effects of oral bromelain?
What is cellulose in this product?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Bromelain 500 mg 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 Bromelain 500 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Bromelain 500 mg'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 19 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.
Bromelain 19 references
- Nettis E, Napoli G, Ferrannini A, Tursi A. IgE-mediated allergy to bromelain. Allergy 2001;56:257-8. PubMed
- Taussig SJ, Batkin S. Bromelain, the enzyme complex of pineapple (Ananas comosus) and its clinical application. An update. J Ethnopharmacol 1988;22:191-203.. PubMed
- Bradbrook ID, Morrison PJ, Rogers HJ. The effect of bromelain on the absorption of orally administered tetracycline. Br J Clin Pharmacol 1978;6:552-4. PubMed
- Bush TM, Rayburn KS, Holloway SW, et al. Adverse interactions between herbal and dietary substances and prescription medications: a clinical survey. Altern Ther Health Med 2007;13:30-5.
- Brien S, Lewith G, Walker AF, et al. Bromelain as an adjunctive treatment for moderate-to-severe osteoarthritis of the knee: a randomized placebo-controlled pilot study. QJM 2006;99:841-50. PubMed
- Mori S, Ojima Y, Hirose T, et al. The clinical effect of proteolytic enzyme containing bromelain and trypsin on urinary tract infection evaluated by double blind method. Acta Obstet Gynaecol Jpn 1972;19:147-53.
- Glaser D, Hilberg T. The influence of bromelain on platelet count and platelet activity in vitro. Platelets 2006;17:37-41. PubMed
- Heinicke R M, van der Wal L, Yokoyama M. Effect of bromelain (Ananase) on human platelet aggregation. Experientia 1972;28:844-5. PubMed
- Gailhofer, G., Wilders-Truschnig, M., Smolle, J., and Ludvan, M. Asthma caused by bromelain: an occupational allergy. Clin Allergy 1988;18(5):445-450. PubMed
- Mattei, O., Fabri, G., and Farina, G. [Occupational health experience regarding four cases of asthma due to bromelain (author's transl)]. Medicina del Lavoro 1979;70(5):404-409.
- Galleguillos, F. and Rodriguez, J. C. Asthma caused by bromelin inhalation. Clin Allergy 1978;8(1):21-24. PubMed
- Perez-Camo I, Quirce S, Duran MA, and et al. Latex allergy: evidence of cross-reactivity with papain and bromelain [abstract]. Allergy 1996;51(suppl 31):48.
- Martin GJ, Ehrenreich J, and Asbell N. Bromelain: pineapple proteases with anti-edema activity. Exp Med Surg 1962;20:227-247.
- Kasemsuk T, Saengpetch N, Sibmooh N, Unchern S. Improved WOMAC score following 16-week treatment with bromelain for knee osteoarthritis. Clin Rheumatol. 2016 Oct;35(10):2531-40. PubMed
- Kutlu Ö, DemirbaS A, Elmas ÖF, Güvenç U, Metin A. Fixed drug eruption: a new side effect of bromelain. Contact Dermatitis 2020. Online ahead of print. PubMed
- Shoham Y, Shapira E, Haik J, et al. Bromelain-based enzymatic debridement of chronic wounds: Results of a multicentre randomized controlled trial. Wound Repair Regen 2021;29(6):899-907. PubMed
- Pfister P, Garcia Wendel PD, Kim BS, et al. Coagulation side effects of enzymatic debridement in burned patients. Burns 2022. PubMed
- Hasham S, Riyat H, Fletcher A, O'Boyle CP, Alexander S. To bleed or not to bleed? Case series and discussion of haemorrhage risk with enzymatic debridement in burn injuries. Scars Burn Heal 2023;9:20595131231168333. PubMed
- Leelakanok N, Petchsomrit A, Janurai T, Saechan C, Sunsandee N. Efficacy and safety of bromelain: A systematic review and meta-analysis. Nutr Health 2023. 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