Major interaction on record — check this product against your medications before combining. Based on 5 of 19 ingredients. Check your meds →
Dietary supplement

Cardio Cuts Razz Lemonade Ingredients & Drug Interactions

by NDS

Powder Category: Other Combinations
Most serious interaction: Major
The interaction bottom line Most serious interaction: Major

Cardio Cuts Razz Lemonade is a dietary supplement by NDS with 19 active ingredients. Its ingredients are commonly taken for morning sickness in pregnancy, premenstrual syndrome (pms), preventing or treating b6 deficiency.Based on those ingredients, 1,678 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Vitamin D, Magnesium, Vitamin B6. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Cardio Cuts Razz Lemonade by NDS

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

What’s inside

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 12 of its 49 active ingredients.
  • “Tone Tight Blend” is a proprietary blend — the label gives one combined amount (2,220 mg) without saying how much of each component you get.
  • “Carnitine Complex” is a proprietary blend — the label doesn't break down how much of each component you get.
  • “Thyro-Support Blend” is a proprietary blend — the label gives one combined amount (650 mg) without saying how much of each component you get.

Cardio Cuts Razz Lemonade has 49 active ingredients, a blend designed to support energy and cardiovascular function. The amino acids include L-glutamine, L-leucine, L-isoleucine, L-valine, L-arginine, L-tyrosine, and L-histidine; these are building blocks your body uses for muscle and cellular function.

You'll also find taurine and L-carnitine, which play roles in energy production and heart health. The product contains several B vitamins (B6, B12, folic acid) for energy metabolism, vitamin D for bone and immune support, and alpha-lipoic acid, an antioxidant.

Bioenergy Ribose supports ATP (cellular energy), while CoQ10 aids heart function. Raspberry ketones, kelp, and vinpocetine round out the formula.

Beta-alanine (CarnoSyn) may support physical performance. Glycerol and tartaric acid are included as well.

The inactive ingredients — malic acid, waxy maize, maltodextrin, calcium silicate, sucralose, acesulfame potassium, FD&C Red 40, and natural/artificial flavors — are excipients that help with texture, taste, and shelf life.

Does it work?

Strong evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Strong

Clinical evidence supports at least one of this product's ingredients for its stated purpose.

Why this rating?
  • The label markets this product for: Pre-workout energy and cardio support.
  • We looked for evidence on: Athletic performance, Cardiovascular endurance, Exercise capacity.
  • The strongest evidence on file: Caffeine is rated "Likely Effective" for Athletic performance (Natural Medicines).
  • Also on file: Glycerol is rated "Possibly Effective" for Athletic performance.
  • Also on file: Beta-alanine is rated "Possibly Effective" for Athletic performance.

Evidence for this product's ingredients is mixed. Vitamin B6, B12, and folic acid are all effective for their respective deficiencies and certain conditions.

Vitamin D is effective for bone health when deficient. Coenzyme Q10 shows possibly effective evidence for heart health and migraine prevention.

Taurine is possibly effective for heart failure and liver health. L-carnitine is possibly effective for cholesterol and heart function.

Alpha-lipoic acid is possibly effective for nerve pain related to diabetes and weight management. Ribose, raspberry ketone, vinpocetine, and beta-alanine (CarnoSyn) have insufficient or possibly ineffective evidence for most claimed uses.

L-arginine, L-tyrosine, and several amino acids lack established effectiveness ratings in our data. Kelp is rated insufficient evidence for all listed uses.

Most other ingredients do not have effectiveness data on file.

The evidence, ingredient by ingredient Vitamin B6 Vitamin D Vitamin B12 Magnesium Calcium

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 29 of the 32 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 32 of 32.
  • General safety write-ups exist for 32 of 32.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Most ingredients are generally well tolerated at typical doses. Vitamin B6 and vitamin D are safe at recommended levels but can cause harm at very high doses — B6 can damage nerves, and excess D can cause toxicity with symptoms like high blood calcium.

Folic acid is safe at normal prenatal doses but can mask pernicious anemia if used for undiagnosed anemia. L-glutamine is well tolerated but caution is advised for people with kidney or liver disease.

Alpha-lipoic acid may lower blood sugar; avoid it in pregnancy and breastfeeding. Ribose and L-arginine can lower blood sugar and blood pressure, respectively; both lack sufficient safety data in pregnancy.

Taurine is likely safe and well tolerated but long-term safety is less certain. L-tyrosine, glycerol, histidine, and tartaric acid all show caution during pregnancy or breastfeeding due to insufficient data.

Raspberry ketone and kelp should be avoided in pregnancy and breastfeeding. Vinpocetine is possibly unsafe in pregnancy.

Coenzyme Q10 and L-carnitine lack pregnancy safety data. Beta-alanine commonly causes harmless skin tingling but should be avoided in pregnancy.

Side effects, ingredient by ingredient Vitamin B6 Vitamin D Vitamin B12 Magnesium Calcium

Meds to double-check

Major interaction found
Known Interaction Concern · database check
Major identified

At least one ingredient has a documented Major-severity interaction. Check your medications for a personalized result.

Why this rating?
  • 28 of the 32 matched ingredients can interact with medications — Vinpocetine, Grape, Guggul, Fucus Vesiculosus, Alpha-lipoic Acid, among others.
  • The most serious interaction on file is rated Major.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; seizure medications; immunosuppressants / transplant drugs; cancer treatments; diabetes medications; heart-rhythm medications; lithium; Parkinson's medications.
  • For scale: 1,679 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Check your medications if you take blood thinners or antiplatelet drugs (warfarin, aspirin, etc.), blood pressure medications, seizure drugs, diabetes or insulin medications, thyroid hormones, lithium, cardiac drugs like digoxin or verapamil, or amiodarone. These are the medication types with Moderate-severity interactions documented in this product's ingredients.

If you're unsure whether your medications fall into these categories, use the interaction checker below.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with clinical evidence supporting its stated purpose. Major medication interactions have been identified, and safety information is well characterized.

Cardio Cuts Razz Lemonade is a multi-ingredient energy and cardiovascular support powder with well-tolerated amino acids, vitamins, and antioxidants. If you take any blood thinners, antihypertensives, diabetes drugs, seizure medications, thyroid hormones, or lithium, you need to check your exact medications on this page before using it — several ingredients interact with these drug classes.

Pregnant and breastfeeding individuals should talk with their doctor first. Speak with your pharmacist about any concerns before you start.

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

Assessment coverage: 39 of 49 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Aug 26, 2014.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about Cardio Cuts Razz Lemonade, straight from the product label.

Brand NDS
Barcode (UPC) 811020901686
Net contents 8.5 oz.; 242 Gram(s)
Market status On market
Date entered into DSLD Aug 26, 2014
DSLD ID 36115
Product type Other Combinations
Supplement form Powder
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years), Gluten Free
From the label
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.

Supplement Facts

The label details for Cardio Cuts Razz Lemonade by NDS, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
6 Gram(s)
Maximum serving Sizes:
12 Gram(s)
Servings per container
20
UPC/BARCODE
811020901686
IngredientAmount% DV
Calories20 {Calories}--
Total Carbohydrates2 Gram(s)1%
L-Glutamine0 NP--
Sugar1 Gram(s)--
Vitamin B610 mg500%
Folic Acid0 NP--
Alpha Lipoic Acid100 mg--
L-Leucine0 NP--
Bioenergy Ribose0 NP--
L-Arginine0 NP--
L-Isoleucine0 NP--
Taurine0 NP--
Total Fat1.5 Gram(s)2%
L-Tyrosine0 NP--
L-Valine0 NP--
Glycerol0 NP--
L-Histidine Hydrochloride0 NP--
Tartaric Acid0 NP--
Vitamin D800 IU200%
Raspberry Ketones100 mg--
Kelp0 NP--
Vitamin D0 NP--
Vitamin B1260 mcg1000%
Folate400 mcg100%
CarnoSyn1000 mg--
L-Carnitine0 NP--
Vinpocetine0 NP--
Coenzyme Q100 NP--
Pyridoxine Hydrochloride0 NP--
Phosphatidyl Serine0 NP--
N-Acetyl Cysteine0 NP--
N-Acetyl-L-Carnitine HCl0 NP--
Calcium Citrate0 NP--
Methylcobalamin0 NP--
Magnesium Aspartate0 NP--
Magnesium50 mg13%
Medium Chain Triglyceride powder1000 mg--
L-Glutamine AKG0 NP--
Norvaline0 NP--
Calcium200 mg20%
Tone Tight Blend2220 mg--
Conjugated Linoleic Acid, Powder1000 mg--
Carnitine Complex0 NP--
Thyro-Support Blend650 mg--
Gum Guggul0 NP--
Endu-Recover Blend2423 mg--
Bis Picolinato Oxo Vanadium0 NP--
Vaso-Lean Blend1000 mg--
L-Arginine AKG 2:10 NP--
L-Arginine Ethyl Ester0 NP--
Rejuvenation Blend670 mg--
Grape seed ext0 NP--
Pine bark ext0 NP--
Thermo-Cardio Blend438 mg--
Caffeine0 NP--
Amla (Phyllanthus emblica) (fruit) ext.0 NP--
Citrus aurantium (fruit) ext0 NP--
Guarana ext0 NP--
Cardio Cuts(R) Cross/Over Blend8061 mg--
Thyro-Lean Complex2870 mg--
Lean-Pump Recovery Complex3423 mg--
Thermo-Output Complex1108 mg--
Polygonum cuspidatum0 NP--
Natural Health Blend660 mg--

Other ingredients: Malic Acid, Natural and Artificial flavors, Waxy Maize, Maltodextrin, Calcium Silicate, Sucralose, Acesulfame Potassium, FD&C Red 40

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions

SUGGESTED USE: (Individual stimulant tolerance may vary). For Pre-Cardio/Workout: With 8-12 oz. of cold water (adjust to taste) per scoop or 16-24 oz. of cold water per 2 scoops, mix 1-2 scoops 30 minutes before your workout. For Weight Loss and Pre-Cardio/Workout: Mix 1 scoop with 8-12 oz. of cold water (adjust to taste) 30 minutes before your workout, then a 2nd scoop 4 hours later. For Weight Loss: Mix 1 scoop with 8-12 oz. of cold water (adjust to taste) with breakfast, then a 2nd scoop with lunch.

Mix well and drink shortly thereafter. Consume a minimum 125 fl. oz. of water per day while taking this product. To be used as part of a physical conditioning program

Shake container prior to each use to redistribute ingredients.

Precautions

To avoid sleeplessness, do not take within 6 hours of bedtime. Do not exceed recommended dose. Do not take more than 2 scoops in a 24 hour period.

Moisture and humidity can cause clumping and discoloration. Discard after expiration date.

WARNING: KEEP OUT OF REACH OF CHILDREN.

Not for use by those under the age of 18.

Do not exceed recommended dose.

Do not use if you are pregnant, nursing, or contemplating pregnancy.

Before consuming seek advice from a health care professional if you are unaware of your current health condition.

Do not consume synephrine or caffeine from other sources, including but not limited to, coffee, tea, soda and other dietary supplements or medications containing phenylephrine or caffeine.

Do not use for more than 8 weeks.

Consult with your physician prior to use if you are taking medication, including but not limited to MAOI inhibitors, antidepressants, aspirin, nonsteroidal anti-inflammatory drugs or products containing phylephrine, ephedrin, pseudoephedrine, or other stimulants.

Consult your physician prior to use if you have a medical condition, including but not limited to, heart, liver, kidney, or thyroid disease, psychiatric or epileptic disorders, difficulty urinating, diabetes, high or low blood pressure, cardiac arrhythmia, recurrent headaches, enlarged prostate or glaucoma. Do not use if you are prone to dehydration or exposed to excessive heat. Do not use if you suffer from the rare genetic disorder, Hyper Beta-Alaninemia.

Discontinue use 2 weeks prior to surgery or if you experience rapid heart beat, dizziness, severe headache or shortness of breath. Do not use if tamper resistant seal is broken.

Brand IP Statement(s)

Due to the efficacious levels of CLA and MCT oils present in Cardio Cuts(R), separation may occur after mixing.

CarnoSyn(R) is a registered trademark of Natural Alternatives International (NAI), covered by U.S. Patents 5,965,596, 6,172,098, 6,426,361, and 8,067,381. Advantra Z(R) is a registered trademark of Nutratech, Inc./Zhishin, LLC licensor of U.S. Patents 6,224,873; 6,316,499; 6,340,481; 6,340,482, Canadian Patent 2,248,854 and E.U. Patent 0885008.

General Statements

Contents may settle after shipping.

For use by Healthy Individuals only.

First Pre-Cardio/Weight Loss Accelerant

Support for MAXIMUM ENERGY GREATER ENDURANCE QUICKER RECOVERY WEIGHT LOSS AND TONING

Storage

STORE IN A COOL, DRY PLACE. AVOID EXCESSIVE HEAT.

Formula

Contains caffeine.

This product contains beta-alanine which may cause a tingling skin senstaion in some individuals.

Seals/Symbols

AZ ADVANTRA Z(R)

CarnoSyn(R) Carnosine Synthesizer

Life us on f

Powered by BIOENERGY RIBOSE(R)(U)

General

-1

Formulation

Creatine Free

Gluten Free.

FDA Statement of Identity

Dietary Supplement

FDA Disclaimer Statement

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

See for yourself

Cardio Cuts Razz Lemonade by NDS label

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

What’s inside

The Ingredients in Cardio Cuts Razz Lemonade by NDS

These are the 19 active ingredients this product is made of. Select any to open its full monograph.

Serving size6 Gram(s) Dosage formPowder Servings per container20 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.

Sugar

1 Gram(s) per serving

Vitamin B6

Interacts with
210 drugs
10 mg per serving Form: Pyridoxine Hydrochloride

Vitamin B6 (pyridoxine) is an essential water-soluble vitamin that your body needs for metabolism, brain function, and making red blood cells. It is b...

Vitamin B6 monograph & interactions

Vitamin D

Interacts with
715 drugs
800 IU per serving Form: Cholecalciferol

Vitamin D is a fat-soluble vitamin that helps your body absorb calcium and is important for healthy bones, muscles, and immune function. Many people,...

Vitamin D monograph & interactions

Vitamin B12

Interacts with
20 drugs
60 mcg per serving Form: Methylcobalamin

Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very h...

Vitamin B12 monograph & interactions

Folate

400 mcg per serving Form: Folic Acid

Magnesium

Interacts with
295 drugs
50 mg per serving Form: Magnesium Aspartate

Magnesium is an essential mineral your body needs for muscles, nerves, blood pressure, and many other functions, and supplements are useful for preven...

Magnesium monograph & interactions

Calcium

Interacts with
168 drugs
200 mg per serving Form: Calcium Citrate, Calcium Silicate

Calcium is an essential mineral your body needs for strong bones, nerve signaling, and muscle function, and supplements can help fill gaps when diet f...

Calcium monograph & interactions

Cardio Cuts(R) Cross/Over Blend

8061 mg per serving

Thyro-Lean Complex

2870 mg per serving
  • › Tone Tight Blend
  • › Thyro-Support Blend

Lean-Pump Recovery Complex

3423 mg per serving
  • › Endu-Recover Blend
  • › Vaso-Lean Blend

Thermo-Output Complex

1108 mg per serving
  • › Rejuvenation Blend
  • › Thermo-Cardio Blend

Natural Health Blend

660 mg per serving

Other (inactive) ingredients: Malic Acid, Natural and Artificial flavors, Waxy Maize, Maltodextrin, Calcium Silicate, Sucralose, Acesulfame Potassium, FD&C Red 40. These complete the product’s ingredient list but are not active constituents.

Interaction report

Cardio Cuts Razz Lemonade by NDS Drug Interactions

Want to check YOUR meds against Cardio Cuts Razz Lemonade?

Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.

Go to the checker
1,678Drugs
32 Major 1,619 Moderate 27 Minor

Ingredients driving the most interactions

Vitamin D 715
Magnesium 295
Calcium 168

Each ingredient & the kinds of drugs it affects

For each ingredient in Cardio Cuts Razz Lemonade 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.

Vitamin D8 drug types · 715 drugs

Aluminum

Vitamin D might increase aluminum absorption and toxicity, but this has only been reported in people with renal failure.
The protein that transports calcium across the intestinal wall can also bind and transport aluminum. This protein is stimulated by vitamin D, which may therefore increase aluminum absorption. This mechanism may contribute to increased aluminum levels and toxicity in people with renal failure, when they take vitamin D and aluminum-containing phosphate binders chronically.

Likelihood Probable Evidence B
Atorvastatin (Lipitor)

Vitamin D might reduce absorption of atorvastatin.
A small, low-quality clinical study shows that taking vitamin D reduces levels of atorvastatin and its active metabolites by up to 55%. However, while atorvastatin levels decreased, total cholesterol, low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol levels did not substantially change. Atorvastatin is metabolized in the gut by CYP3A4 enzymes, and researchers theorized that vitamin D might induce CYP3A4, causing reduced levels of atorvastatin. However, this proposed mechanism was not specifically studied.

Likelihood Probable Evidence B
Calcipotriene (Dovonex)

Taking calcipotriene with vitamin D increases the risk for hypercalcemia.
Calcipotriene is a vitamin D analog used topically for psoriasis. It can be absorbed in sufficient amounts to cause systemic effects, including hypercalcemia. Theoretically, combining calcipotriene with vitamin D supplements might increase the risk of hypercalcemia.

Likelihood Probable Evidence D
Digoxin (Lanoxin)

Theoretically, hypercalcemia induced by high-dose vitamin D can increase the risk of arrhythmia from digoxin.
High doses of vitamin D can cause hypercalcemia. Hypercalcemia increases the risk of fatal cardiac arrhythmias with digoxin. Avoid vitamin D doses above the tolerable upper intake level (4000 IU daily for adults) and monitor serum calcium levels in people taking vitamin D and digoxin concurrently.

Likelihood Possible Evidence D
Diltiazem (Cardizem, Others)

Theoretically, hypercalcemia induced by high-dose vitamin D can reduce the therapeutic effects of diltiazem for arrhythmia.
High doses of vitamin D can cause hypercalcemia. Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically this could also occur with diltiazem. Avoid vitamin D doses above the tolerable upper intake level (4000 IU daily for adults) and monitor serum calcium levels in people taking vitamin D and diltiazem concurrently.

Likelihood Probable Evidence B
Thiazide Diuretics

Theoretically, taking thiazide diuretics and high-dose vitamin D can increase the risk of hypercalcemia.
Thiazide diuretics decrease urinary calcium excretion, which could lead to hypercalcemia if vitamin D supplements are taken concurrently. This has been reported in people being treated with vitamin D for hypoparathyroidism, and also in elderly people with normal parathyroid function who were taking a thiazide, vitamin D, and calcium-containing antacids daily.

Likelihood Probable Evidence D
Verapamil (Calan, Others)

Hypercalcemia induced by high-dose vitamin D can reduce the therapeutic effects of verapamil for arrhythmia.
Hypercalcemia due to high doses of vitamin D can reduce the effectiveness of verapamil in atrial fibrillation. Avoid vitamin D doses above the tolerable upper intake level (4000 IU daily for adults) and monitor serum calcium levels in people taking vitamin D and verapamil concurrently.

Likelihood Probable Evidence B
Cytochrome P450 3A4 (Cyp3A4) Substrates

Vitamin D might induce CYP3A4 enzymes and reduce the bioavailability of CYP3A4 substrates.
There is some concern that vitamin D might induce CYP3A4. In vitro research suggests that vitamin D induces CYP3A4 transcription. Additionally, observational research has found that increased UV light exposure and serum vitamin D levels are associated with decreased serum levels of CYP3A4 substrates such as tacrolimus and sirolimus, while no association between UV light exposure or vitamin D levels and levels of mycophenolic acid, a non-CYP3A4 substrate, was found. A small, low-quality clinical study shows that taking vitamin D reduces levels of the CYP3A4 substrate atorvastatin and its active metabolites by up to 55%; however, the clinical effects of atorvastatin were not reduced. While researchers theorized that vitamin D might induce CYP3A4, this proposed mechanism was not specifically studied.

Likelihood Possible Evidence D

Magnesium15 drug types · 295 drugs

Levodopa/Carbidopa (Sinemet)

Magnesium can reduce the bioavailability of levodopa/carbidopa.
Clinical research in healthy volunteers shows that taking magnesium oxide 1000 mg with levodopa 100 mg/carbidopa 10 mg reduces the area under the curve (AUC) of levodopa by 35% and of carbidopa by 81%. In vitro and animal research shows that magnesium produces an alkaline environment in the digestive tract, which might lead to degradation and reduced bioavailability of levodopa/carbidopa.

Likelihood Probable Evidence B
Aminoglycoside Antibiotics

Concomitant use of aminoglycoside antibiotics and magnesium can increase the risk for neuromuscular weakness.
Both aminoglycosides and magnesium reduce presynaptic acetylcholine release, which can lead to neuromuscular blockade and possible paralysis. This is most likely to occur with high doses of magnesium given intravenously.

Likelihood Possible Evidence D
Antacids

Use of acid reducers may reduce the laxative effect of magnesium oxide.
A retrospective analysis shows that, in the presence of H2 receptor antagonists (H2RAs) or proton pump inhibitors (PPIs), a higher dose of magnesium oxide is needed for a laxative effect. This may also occur with antacids. Under acidic conditions, magnesium oxide is converted to magnesium chloride and then to magnesium bicarbonate, which has an osmotic laxative effect. By reducing acidity, antacids may reduce the conversion of magnesium oxide to the active bicarbonate salt.

Likelihood Possible Evidence D
Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)

Magnesium might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide should be taken at least 2 hours before or 6 hours after magnesium containing products.

Likelihood Probable Evidence D
Bisphosphonates

Magnesium can decrease absorption of bisphosphonates.
Cations, including magnesium, can decrease bisphosphonate absorption. Advise patients to separate doses of magnesium and these drugs by at least 2 hours.

Likelihood Probable Evidence B
Calcium Channel Blockers

Magnesium can have additive effects with calcium channel blockers, although evidence is conflicting.
Magnesium inhibits calcium entry into smooth muscle cells and may therefore have additive effects with calcium channel blockers. Severe hypotension and neuromuscular blockades may occur when nifedipine is used with intravenous magnesium, although some contradictory evidence suggests that concurrent use of magnesium with nifedipine does not increase the risk of neuromuscular weakness. High doses of magnesium could theoretically have additive effects with other calcium channel blockers.

Likelihood Possible Evidence D
Digoxin

Magnesium salts may reduce absorption of digoxin.
Clinical evidence suggests that treatment with oral magnesium hydroxide or magnesium trisilicate reduces absorption of digoxin from the intestines. This may reduce the blood levels of digoxin and decrease its therapeutic effects.

Likelihood Possible Evidence B
Potassium-Sparing Diuretics

Potassium-sparing diuretics decrease excretion of magnesium, possibly increasing magnesium levels.
Potassium-sparing diuretics also have magnesium-sparing properties, which can counteract the magnesium losses associated with loop and thiazide diuretics. Theoretically, increased magnesium levels could result from concomitant use of potassium-sparing diuretics and magnesium supplements.

Likelihood Probable Evidence D
Quinolone Antibiotics

Magnesium decreases absorption of quinolones.
Magnesium can form insoluble complexes with quinolones and decrease their absorption. Advise patients to take these drugs at least 2 hours before, or 4 to 6 hours after, magnesium supplements.

Likelihood Probable Evidence D
Skeletal Muscle Relaxants

Parenteral magnesium alters the pharmacokinetics of skeletal muscle relaxants, increasing their effects and accelerating the onset of effect.
Parenteral magnesium shortens the time to onset of skeletal muscle relaxants by about 1 minute and prolongs the duration of action by about 2 minutes. Magnesium potentiates the effects of skeletal muscle relaxants by decreasing calcium-mediated release of acetylcholine from presynaptic nerve terminals, reducing postsynaptic sensitivity to acetylcholine, and having a direct effect on the membrane potential of myocytes. Magnesium also has vasodilatory actions and increases cardiac output, allowing a greater amount of muscle relaxant to reach the motor end plate. A clinical study found that low-dose rocuronium (0.45 mg/kg), when given after administration of magnesium 30 mg/kg over 10 minutes, has an accelerated onset of effect, which matches the onset of effect seen with a full-dose rocuronium regimen (0.6 mg/kg). In another clinical study, onset times for rocuronium doses of 0.3, 0.6, and 1.2 mg/kg were 86, 76, and 50 seconds, respectively, when given alone, but were reduced to 66, 44, and 38 seconds, respectively, when the doses were given after a 15-minute infusion of magnesium sulfate 60 mg/kg. Giving intraoperative intravenous magnesium sulfate, 50 mg/kg loading dose followed by 15 mg/kg/hour, reduces the onset time of rocuronium, enhances its clinical effects, reduces the dose of intraoperative opiates, and prolongs the spontaneous recovery time. It does not affect the activity of subsequently administered neostigmine.

Likelihood Probable Evidence A
Sulfonylureas

Magnesium increases the systemic absorption of sulfonylureas, increasing their effects and side effects.
Clinical research shows that administration of magnesium hydroxide with glyburide increases glyburide absorption, increases maximal insulin response by 35-fold, and increases the risk of hypoglycemia, when compared with glyburide alone. A similar interaction occurs between magnesium hydroxide and glipizide. The mechanism of this effect appears to be related to the elevation of gastrointestinal pH by magnesium-based antacids, increasing solubility and enhancing absorption of sulfonylureas.

Likelihood Probable Evidence B
Tetracycline Antibiotics

Magnesium decreases absorption of tetracyclines.
Magnesium can form insoluble complexes with tetracyclines in the gut and decrease their absorption and antibacterial activity. Advise patients to take these drugs 1 hour before or 2 hours after magnesium supplements.

Likelihood Probable Evidence D
Anticoagulant/Antiplatelet Drugs

Theoretically, magnesium may have antiplatelet effects, but the evidence is conflicting.
In vitro evidence shows that magnesium sulfate inhibits platelet aggregation, even at low concentrations. Some preliminary clinical evidence shows that infusion of magnesium sulfate increases bleeding time by 48% and reduces platelet activity. However, other clinical research shows that magnesium does not affect platelet aggregation, although inhibition of platelet-dependent thrombosis can occur.

Likelihood Unlikely Evidence B
Gabapentin (Neurontin)

Gabapentin absorption can be decreased by magnesium.
Clinical research shows that giving magnesium oxide orally along with gabapentin decreases the maximum plasma concentration of gabapentin by 33%, time to maximum concentration by 36%, and area under the curve by 43%. Advise patients to take gabapentin at least 2 hours before, or 4 to 6 hours after, magnesium supplements.

Likelihood Unlikely Evidence B
Sevelamer (Renagel, Renvela)

Sevelamer may increase serum magnesium levels.
In patients on hemodialysis, sevelamer use was associated with a 0.28 mg/dL increase in serum magnesium. The mechanism of this interaction remains unclear.

Likelihood Possible Evidence B

Vitamin B65 drug types · 210 drugs

Amiodarone (Cordarone)

Theoretically, vitamin B6 might increase the photosensitivity caused by amiodarone.
Despite initial case reports suggesting that pyridoxine may have a protective effect against amiodarone-induced photosensitivity, preliminary clinical research suggests that pyridoxine may actually exacerbate this adverse effect.

Likelihood Possible Evidence B
Antihypertensive Drugs

Theoretically, vitamin B6 may have additive effects when used with antihypertensive drugs.
Research in hypertensive rats shows that vitamin B6 can decrease systolic blood pressure. Similarly, clinical research in patients with hypertension shows that taking high doses of vitamin B6 may reduce systolic and diastolic blood pressure, possibly by reducing plasma levels of epinephrine and norepinephrine.

Likelihood Possible Evidence B
Phenobarbital (Luminal)

High doses of vitamin B6 may reduce the levels and clinical effects of phenobarbital.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenobarbital, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenobarbital to avoid high doses of vitamin B6.

Likelihood Possible Evidence D
Phenytoin (Dilantin)

High doses of vitamin B6 may reduce the levels and clinical effects of phenytoin.
Preliminary clinical evidence suggests that vitamin B6 200 mg daily can reduce plasma levels of phenytoin, possibly by increasing metabolism. It is not known whether lower doses have any effect. Advise people taking phenytoin to avoid high doses of vitamin B6.

Likelihood Possible Evidence D
Levodopa

Vitamin B6 may increase the metabolism of levodopa when taken alone, but not when taken in conjunction with carbidopa.
Vitamin B6 (pyridoxine) enhances the metabolism of levodopa, reducing its clinical effects. However, this interaction does not occur when carbidopa is used concurrently with levodopa (Sinemet). Therefore, it is not likely to be a problem in most people.

Likelihood Unlikely Evidence D

Calcium18 drug types · 168 drugs

Ceftriaxone (Rocephin)

Co-administration of intravenous calcium and ceftriaxone can result in precipitation of a ceftriaxone-calcium salt in the lungs and kidneys.
Avoid administering intravenous calcium in any form, such as parenteral nutrition or Lactated Ringers, within 48 hours of intravenous ceftriaxone. Case reports in neonates show that administering intravenous ceftriaxone and calcium can result in precipitation of a ceftriaxone-calcium salt in the lungs and kidneys. In several cases, neonates have died as a result of this interaction. So far there are no reports in adults; however, there is still concern that this interaction might occur in adults.

Likelihood Probable Evidence D
Dolutegravir (Tivicay)

Calcium seems to reduce levels of dolutegravir.
Advise patients to take dolutegravir either 2 hours before or 6 hours after taking calcium supplements. Pharmacokinetic research suggests that taking calcium carbonate 1200 mg concomitantly with dolutegravir 50 mg reduces plasma levels of dolutegravir by almost 40%. Calcium appears to decrease levels of dolutegravir through chelation.

Likelihood Probable Evidence B
Elvitegravir (Vitekta)

Calcium seems to reduce levels of elvitegravir.
Advise patients to take elvitegravir either 2 hours before or 2 hours after taking calcium supplements. Pharmacokinetic research suggests that taking calcium along with elvitegravir can reduce blood levels of elvitegravir through chelation.

Likelihood Probable Evidence B
Aluminum

Calcium citrate might increase aluminum absorption and toxicity. Other types of calcium do not increase aluminum absorption.
Calcium citrate can increase the absorption of aluminum when taken with aluminum hydroxide. The increase in aluminum levels may become toxic, particularly in individuals with kidney disease. However, the effect of calcium citrate on aluminum absorption is due to the citrate anion rather than calcium cation. Calcium acetate does not appear to increase aluminum absorption.

Likelihood Possible Evidence B
Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)

Calcium might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption when taken in a fasting state.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide and calcium can be taken together if taken with food. However, if taken on an empty stomach, bictegravir/emtricitabine/tenofovir alafenamide should not be taken with, or 2 hours after, calcium containing products.

Likelihood Probable Evidence D
Bisphosphonates

Calcium reduces the absorption of bisphosphonates.
Advise patients to take bisphosphonates at least 30 minutes before calcium, but preferably at a different time of day. Calcium supplements decrease absorption of bisphosphonates.

Likelihood Probable Evidence C
Calcipotriene (Dovonex)

Taking calcipotriene with calcium might increase the risk for hypercalcemia.
Calcipotriene is a vitamin D analog used topically for psoriasis. It can be absorbed in sufficient amounts to cause systemic effects, including hypercalcemia. Theoretically, combining calcipotriene with calcium supplements might increase the risk of hypercalcemia.

Likelihood Possible Evidence B
Digoxin (Lanoxin)

Using intravenous calcium with digoxin might increase the risk of fatal cardiac arrhythmias.
Hypercalcemia increases the risk of fatal cardiac arrhythmias with digoxin. However, one retrospective analysis of clinical data suggests that intravenous calcium does not increase the risk of dysrhythmias or mortality in patients receiving digoxin.

Likelihood Possible Evidence B
Diltiazem (Cardizem, Others)

Theoretically, calcium may reduce the therapeutic effects of diltiazem.
Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically, calcium might increase this risk of hypercalcemia and reduce the effectiveness of diltiazem.

Likelihood Probable Evidence D
Levothyroxine (Synthroid, Others)

Calcium seems to reduce the absorption and effectiveness of levothyroxine.
Advise patients to take levothyroxine and calcium supplements at least 4 hours apart. Calcium reduces levothyroxine absorption, probably by forming insoluble complexes. Calcium carbonate supplements reduce effectiveness of levothyroxine in patients with hypothyroidism.

Likelihood Probable Evidence B
Lithium

Theoretically, concomitant use of calcium and lithium may increase this risk of hypercalcemia.
Clinical research suggests that long-term use of lithium may cause hypercalcemia in 10% to 60% of patients. Theoretically, concomitant use of lithium and calcium supplements may further increase this risk.

Likelihood Possible Evidence B
Quinolone Antibiotics

Calcium seems to reduce the absorption of quinolone antibiotics.
Advise patients to take oral quinolones at least 2 hours before or 4-6 hours after calcium supplements or calcium-fortified foods. Taking calcium at the same time as oral quinolones can reduce quinolone absorption. Calcium binds to quinolones in the gut.

Likelihood Probable Evidence B
Raltegravir (Isentress)

Calcium may reduce levels of raltegravir.
Pharmacokinetic research shows that taking a single dose of calcium carbonate 3000 mg along with raltegravir 400 mg twice daily modestly decreases the mean area under the curve of raltegravir, but the decrease does not necessitate a dose adjustment of raltegravir. However, a case of elevated HIV-1 RNA levels and documented resistance to raltegravir has been reported for a patient taking calcium carbonate 1 gram three times daily plus vitamin D3 (cholecalciferol) 400 IU three times daily in combination with raltegravir 400 mg twice daily for 11 months. It is thought that calcium reduced raltegravir levels by chelation, leading to treatment failure.

Likelihood Possible Evidence B
Sotalol (Betapace)

Calcium seems to reduce the absorption of sotalol.
Advise patients to separate doses by at least 2 hours before or 4-6 hours after calcium. Calcium appears to reduce the absorption of sotalol, probably by forming insoluble complexes.

Likelihood Possible Evidence B
Tetracycline Antibiotics

Calcium seems to reduce the absorption of tetracycline antibiotics.
Advise patients to take oral tetracyclines at least 2 hours before, or 4-6 hours after calcium supplements. Taking calcium at the same time as oral tetracyclines can reduce tetracycline absorption. Calcium binds to tetracyclines in the gut.

Likelihood Probable Evidence C
Thiazide Diuretics

Taking calcium along with thiazides might increase the risk of hypercalcemia and renal failure.
Thiazides reduce calcium excretion by the kidneys. Using thiazides along with moderately large amounts of calcium carbonate increases the risk of milk-alkali syndrome (hypercalcemia, metabolic alkalosis, renal failure). Patients may need to have their serum calcium levels and/or parathyroid function monitored regularly.

Likelihood Probable Evidence C
Verapamil (Calan, Others)

Theoretically, calcium may reduce the therapeutic effects of verapamil.
Hypercalcemia can reduce the effectiveness of verapamil in atrial fibrillation. Theoretically, use of calcium supplements may increase this risk of hypercalcemia and reduce the effectiveness of verapamil.

Likelihood Probable Evidence D
Calcium Channel Blockers

Intravenous calcium may decrease the effects of calcium channel blockers; oral calcium is unlikely to have this effect.
Intravenous calcium is used to decrease the effects of calcium channel blockers in the management of overdose. Intravenous calcium gluconate has been used before intravenous verapamil (Isoptin) to prevent or reduce the hypotensive effects without affecting the antiarrhythmic effects. But there is no evidence that dietary or supplemental calcium when taken orally interacts with calcium channel blockers.

Likelihood Unlikely Evidence D

Vitamin B121 drug type · 20 drugs

Metformin (Glucophage)

Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals. Prolonged use of metformin can interfere with the absorption of B12 in the digestive system, potentially leading to a deficiency in this essential vitamin.

Likelihood Possible Evidence A
The maker

Brand information

Manufacturer and brand details for Cardio Cuts Razz Lemonade, from the product label.

NDS

See all NDS products
Name
FitLife Brands, Inc.
Street Address
4509 South 143rd Street, Suite 1
City
Omaha
State
NE
ZipCode
68137
Pharmacist Counseling Corner

Cardio Cuts Razz Lemonade by NDS: Common Questions

Does Cardio Cuts Razz Lemonade by NDS interact with any medications?
Yes. Based on its ingredients, Cardio Cuts Razz Lemonade has a known interaction with 1,678 medications, including 32 rated major. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Cardio Cuts Razz Lemonade contains 19 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Does this product have caffeine?
The product facts provided don't list caffeine as an ingredient, so it doesn't appear to contain it. But check the label or contact the manufacturer if you need to be sure, especially if you're sensitive to stimulants.
Can I take this if I'm pregnant?
Several ingredients lack adequate safety data in pregnancy — alpha-lipoic acid, ribose, L-arginine, raspberry ketone, vinpocetine, kelp, and beta-alanine should all be avoided unless your doctor advises. Other ingredients like B vitamins and taurine are likely safe at recommended amounts, but you should talk to your obstetrician or midwife before starting any supplement.
Will this help me build muscle or improve athletic performance?
The product contains amino acids (glutamine, leucine, arginine, etc.) that support muscle, and beta-alanine is possibly effective for athletic performance. However, most ingredients here lack strong evidence for muscle gain or exercise benefit — the effectiveness data is mixed or insufficient for many of them.
What are the most common side effects?
Glutamine, vitamin B6, folic acid, and L-arginine can all cause gastrointestinal upset (nausea, bloating, diarrhea, constipation). Beta-alanine commonly causes harmless tingling sensations on the skin. Ribose may lower blood sugar. Most other ingredients are well tolerated at typical doses.
Is this safe for long-term use?
Most ingredients are safe short-term, but long-term safety is not well studied for many of them — especially taurine, ribose, raspberry ketone, and beta-alanine. Vitamin D and B6 can accumulate and cause harm at very high doses over time. Talk to your pharmacist about how long you plan to use it.
Does this interact with caffeine or energy drinks?
The product facts don't list interactions between these ingredients and caffeine specifically. However, because L-arginine and some other ingredients can lower blood pressure and several affect heart function, combining this product with high-caffeine drinks could theoretically increase cardiovascular stress — so caution is wise.

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.

Cardio Cuts Razz Lemonade label
Go deeper

The Full Monographs Behind Cardio Cuts Razz Lemonade’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Sources

Sources & How We Checked

Cardio Cuts Razz Lemonade's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

The 1,208 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.

Glutamine 11 references
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See these in context on the Glutamine monograph →

Vitamin B6 32 references
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See these in context on the Vitamin B6 monograph →

Folic Acid 56 references
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Taurine 21 references
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Tyrosine 4 references
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Glycerol 8 references
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Histidine 3 references
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Tartaric Acid 3 references
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Vitamin D 26 references
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Raspberry Ketone 4 references
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Fucus Vesiculosus 15 references
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Vitamin B12 30 references
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Beta-alanine 13 references
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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.

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