Chain Blue Raspberry Ingredients & Drug Interactions
by EXT
What is this page for?
First and foremost: checking Chain Blue Raspberry 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
Chain Blue Raspberry is a dietary supplement by EXT with 8 active ingredients. Its ingredients are commonly taken for sleep quality and insomnia, relaxation, cognitive function.Based on those ingredients, 684 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Caffeine, Glutamine, L-Threonine. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Chain Blue Raspberry by EXT
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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 Chain Blue Raspberry by EXT
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Low disclosure
EXT Chain Blue Raspberry is a powder containing 8 active ingredients. The main components are amino acids — glycine, L-alanine, L-valine, L-threonine, L-serine, and glutamine — along with beta-alanine (branded as CarnoSyn) and caffeine.
These amino acids support muscle function and recovery, while caffeine provides a mental and physical energy boost. The product also contains inactive ingredients like citric acid, taurine, silica, natural and artificial flavors, sucralose, acesulfame-K, and FD&C Blue No.
1 for texture and taste.
Does it work?
Strong evidence
The evidence for effectiveness varies by ingredient. Glycine and L-serine both show possibly effective ratings for schizophrenia.
Caffeine is rated likely effective for mental alertness and athletic performance, and effective for neonatal apnea. Beta-alanine is possibly effective for athletic and physical performance.
For most other uses — like cognitive function, fatigue, diabetes, and various neurological conditions — the evidence is insufficient to rate these ingredients reliably. Your results will depend on what you're using this product for.
How safe is it?
Well-documented data
Most ingredients are generally well tolerated at typical doses, though long-term safety data are limited for several. Glycine rarely causes mild sedation, irritability, insomnia, or gastrointestinal upset.
L-serine can cause dose-dependent gastrointestinal distress including nausea and bloating, and seizures have occurred at very high doses. Beta-alanine commonly causes harmless skin tingling (paresthesia) and flushing, especially on the scalp.
Glutamine may cause belching, bloating, constipation, diarrhea, and headache. Caffeine in moderate amounts is generally safe for healthy adults, but high doses can cause anxiety, insomnia, tremors, and rarely stroke; it passes into breast milk in small amounts.
Pregnancy and breastfeeding safety data are limited for most ingredients — talk with your doctor before use if you're pregnant or nursing.
Meds to double-check
Major interaction found
Check your medications if you take clozapine (Clozaril), NMDA antagonists, pentobarbital (Nembutal), carbamazepine (Tegretol), phenobarbital (Luminal), dipyridamole (Persantine), anticonvulsants, ephedrine, cimetidine (Tagamet), or quinolone antibiotics (like ciprofloxacin). These are the drug types where documented interactions exist with ingredients in this product.
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.
This is an amino acid and energy blend aimed at athletic performance and recovery. If you take clozapine, NMDA antagonists, anticonvulsants, pentobarbital, or other sedatives, check your medications below before adding this product — several ingredients interact with these drugs.
If you're pregnant, breastfeeding, or have kidney or liver disease, talk with your pharmacist first.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 7 of 8 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Mar 25, 2013.
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 Chain Blue Raspberry, straight from the product label.
| Brand | EXT |
|---|---|
| Barcode (UPC) | 851780004531 |
| Net contents | 5.29 oz.; 150 g; 30 Serving(s) |
| Market status | On market |
| Date entered into DSLD | Mar 25, 2013 |
| DSLD ID | 19239 |
| Product type | Other Combinations |
| Supplement form | Powder |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Chain Blue Raspberry by EXT, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Glycine | 0 NP | -- |
| L-Alanine | 0 NP | -- |
| L-Valine | 0 NP | -- |
| L-Threonine | 0 NP | -- |
| L-Serine | 0 NP | -- |
| CarnoSyn | 0 NP | -- |
| Caffeine | 0 NP | -- |
| Glutamine | 0 NP | -- |
| BREAKTHROUGH AMINO & ENERGY BLEND (Proprietary) | 4010 mg | -- |
Other ingredients: Citric Acid, Taurine, Silica, Natural and Artificial flavors, Sucralose, Acesulfame-K, FD&C Blue No. 1
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.
General Statements
• RECOVERY*^ • ENERGY*^ • PERFORMANCE*^ • STAMINA*^ • MUSCLE*^
{chart} RECOMMENDED USAGE # OF SCOOPS TRAINING DAYS Pre-Workout {1 scoop} Intra-Workout {1 scoop} Post-Workout {1 scoop} NON-TRAINING DAYS Morning, Noon or Night {1 scoop}
It is the ultimate evolution of the function of aminos. This unbelievable muscle building, strength conditioning, recovery formula serves as a standard for the ultimate athlete. Experience This Exact Sequenced Composition and Precise Ratio for optimal pro-anabolic results!
^When combined with a proper exercise and nutrition regimen. Statements based on early-stage independent 3rd party in vivo and / or in vitro model scientific research data findings.
To report an adverse event or for more information call: 954.284.3387 (tel)
Magnesium Glycyl Glutamine • SILK AMINO ACIDS
Natural & Artificial Flavors
AMINO ACIDS - PERFORMANCE*^, ENERGY*^, MUSCLE*^, STAMINA*^, RECOVERY*^.
5 GRAMS Per Scoop
Rev. 01-001-CHA002 07/12
Brand IP Statement(s)
CHAIN(TM) is a remarkable blend of the breakthrough blend of SILK AMINO ACIDS (SAAs), CarnoSyn(R) (Beta-Alanine), Magnesium Glycyl Glutamine, and ENERGY!
CHAIN(TM) is a remarkable blend of the breakthrough blend of SILK AMINO ACIDS (SAAs).*^
Licensed under one or more of U.S. Pat. Nos. 5,965,596, 6,426,361, 7,504,376 and 8,067,381, each of which is owned by Natural Alternatives International, Inc. (NAI). NAI is also the owner of the registered trademark CarnoSyn(R)
Suggested/Recommended/Usage/Directions
Please read entire label before use. Suggested Use: Take one (1) serving (1 scoop) blended into 8oz of ice cold water, either before, during, or after workout, or as directed by a qualified healthcare practitioner. On non-training days, take one (1) serving (1 scoop) first thing in the morning, on an empty stomach, or as directed by a qualified healthcare practitioner.
Precautions
Warnings: Not intended for use by persons under age 18.
Do not exceed recommended dose.
Get the consent of a licensed physician before using this product, especially if you are taking medication, have a medical condition, you are pregnant, nursing or thinking about becoming pregnant.
KEEP THIS PRODUCT AND ALL SUPPLEMENTS OUT OF THE REACH OF CHILDREN.
Caffeine Warning: The recommended serving of this product contains approximately as much caffeine as three cups of coffee. Do not consume caffeine, or combine with synephrine from other sources, including but not limited to coffee, tea, soda and other dietary supplements or medications containing phenylephrine or caffeine. Too much caffeine may cause nervousness, irritability, sleeplessness, and occasionally rapid heartbeat. Discontinue use if you experience dizziness, severe headache, rapid heartbeat or shortness of breath.
Please read the warning on the back of this label carefully before consumption.
FDA Statement of Identity
DIETARY SUPPLEMENT
Seals/Symbols
CarnoSyn(R) Carnosine Synthesizer
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.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Chain Blue Raspberry by EXT 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 Chain Blue Raspberry by EXT
These are the 8 active ingredients this product is made of. Select any to open its full monograph.
Serving size5 Gram(s) Dosage formPowder 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.
Other (inactive) ingredients: Citric Acid, Taurine, Silica, Natural and Artificial flavors, Sucralose, Acesulfame-K, FD&C Blue No. 1. These complete the product’s ingredient list but are not active constituents.
Chain Blue Raspberry by EXT Drug Interactions
HelloPharmacist Interaction Report
EXT Chain Blue Raspberry contains several amino acids and caffeine, some of which interact with medications.
The most serious interaction is between L-Threonine and NMDA antagonists (Major severity) — threonine raises brain glycine levels, which can reduce how these drugs work.
Read the full breakdown — every affected drug type, severity by severity
Caffeine poses multiple Moderate interactions: it may increase clozapine levels and worsen psychotic symptoms, reduce the effects of pentobarbital and carbamazepine (raising seizure risk), interfere with dipyridamole's vasodilation, and increase adverse effects from ephedrine. Quinolone antibiotics and cimetidine may raise caffeine levels in your body.
Glycine interacts with clozapine (Moderate) — one small study found it worsened schizophrenia symptoms. Glutamine may theoretically reduce anticonvulsant effectiveness (Moderate), though this hasn't been reported in humans yet.
L-Alanine, L-Serine, beta-alanine (CarnoSyn), and L-Valine have no known interactions documented in our data. Use the medication checker below to confirm your specific drugs against all eight ingredients.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Chain Blue Raspberry?
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 Chain Blue Raspberry interact with 684 drugs. Click any drug to see the details.
4 of the 8 ingredients in Chain Blue Raspberry interact with drugs. Each result below shows which ingredient is responsible. Caffeine Glutamine L-Threonine Glycine
Diclofenac PotassiumCambia, Cataflam, Cataflam IR, Voltaren Rapide, Voltarol Rapid
How Diclofenac Potassium interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Diclofenac Potassium interactionDiclofenac SodiumAcoflam, Acoflam 75 SR, Acoflam Retard, Defenac, Defenac Retard, Defenac SR +40 more
How Diclofenac Sodium interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Diclofenac Sodium interactionDiclofenac Sodium, MisoprostolArthrotec 50, Arthrotec 75
How Diclofenac Sodium, Misoprostol interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Diclofenac Sodium, Misoprostol interactionDiclofenac EpolamineFlector, Licart
How Diclofenac Epolamine interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Diclofenac Epolamine interactionDicumarolDicumarol
How Dicumarol interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Dicumarol interactionDicyclomine, PhenobarbitalBentyl w/ Pb
How Dicyclomine, Phenobarbital interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeinePhenobarbital (luminal) Moderate
Interaction Summary
Theoretically, caffeine might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Caffeine + Dicyclomine, Phenobarbital interactionDiethylpropionDurad, Radtue, Tenuate, Tenuate Dosepan
How Diethylpropion interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineStimulant Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine + Diethylpropion interactionDiphenhydramine Hydrochloride, Naproxen SodiumAleve PM
How Diphenhydramine Hydrochloride, Naproxen Sodium interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Diphenhydramine Hydrochloride, Naproxen Sodium interactionDiphenhydramine, PseudoephedrineActifed Allergy
How Diphenhydramine, Pseudoephedrine interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineStimulant Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine + Diphenhydramine, Pseudoephedrine interactionDipyridamoleDipyridamole, Persantin, Persantin Injection, Persantin Retard, Persantine
How Dipyridamole interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineDipyridamole (persantine), Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine might decrease the vasodilatory effects of dipyridamole and interfere with its use prior to stress testing.
Read the full Caffeine + Dipyridamole interactionDisulfiramAntabuse
How Disulfiram interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineDisulfiram (antabuse) Moderate
Interaction Summary
Theoretically, disulfiram use might increase the levels and adverse effects of caffeine.
Read the full Caffeine + Disulfiram interactionDivalproex SodiumDepakote
How Divalproex Sodium interacts with Chain Blue Raspberry — through 2 ingredients. Tap an ingredient for the detail:
CaffeineValproate Moderate
Interaction Summary
Theoretically, caffeine might reduce the effects of valproate and increase the risk for convulsions.
Read the full Caffeine + Divalproex Sodium interactionGlutamineAnticonvulsants Moderate
Interaction Summary
Theoretically, glutamine might antagonize the effects of anticonvulsant medications.
Read the full Glutamine + Divalproex Sodium interactionDoripenemDoribax
How Doripenem interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, quinolone antibiotics might increase the levels and adverse effects of caffeine.
Read the full Caffeine + Doripenem interactionDrospirenone, EstetrolNextstellis
How Drospirenone, Estetrol interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineCytochrome P450 1a2 (cyp1a2) Inhibitors, Estrogens +1 Moderate
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Caffeine + Drospirenone, Estetrol interactionDrospirenone, Ethinyl EstradiolAngeliq, Gianvi, Yasmin
How Drospirenone, Ethinyl Estradiol interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineCytochrome P450 1a2 (cyp1a2) Inhibitors, Estrogens +1 Moderate
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Caffeine + Drospirenone, Ethinyl Estradiol interactionEcstasyMDMA
How Ecstasy interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineStimulant Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine + Ecstasy interactionEdoxabanSavaysa
How Edoxaban interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Edoxaban interactionEffientPrasugrel
How Effient interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Effient interactionEnalapril Maleate, HydrochlorothiazideVaseretic
How Enalapril Maleate, Hydrochlorothiazide interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineDiuretic Drugs Moderate
Interaction Summary
Theoretically, using caffeine with diuretic drugs might increase the risk of hypokalemia.
Read the full Caffeine + Enalapril Maleate, Hydrochlorothiazide interactionEnoxacinPenetrex
How Enoxacin interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineCytochrome P450 1a2 (cyp1a2) Inhibitors, Quinolone Antibiotics Moderate
Interaction Summary
Theoretically, concomitant use might increase the levels and adverse effects of caffeine.
Read the full Caffeine + Enoxacin interactionEnoxaparinLovenox
How Enoxaparin interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Enoxaparin interactionEphedrine Hydrochloride (prescription Drug)Rezipres
How Ephedrine Hydrochloride (prescription Drug) interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineStimulant Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine + Ephedrine Hydrochloride (prescription Drug) interactionEphedrine SulfateAkovaz, Emerphed
How Ephedrine Sulfate interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineBeta-adrenergic Agonists, Stimulant Drugs Moderate
Interaction Summary
Theoretically, large amounts of caffeine might increase the cardiac inotropic effects of beta-agonists.
Read the full Caffeine + Ephedrine Sulfate interactionEphedrine Sulfate (prescription Drug)Corphedra
How Ephedrine Sulfate (prescription Drug) interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineStimulant Drugs, Beta-adrenergic Agonists Moderate
Interaction Summary
Theoretically, concomitant use might increase stimulant adverse effects.
Read the full Caffeine + Ephedrine Sulfate (prescription Drug) interactionEphedrine Sulfate, Hydroxyzine, TheophyllineHydroxy Compound
How Ephedrine Sulfate, Hydroxyzine, Theophylline interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineTheophylline, Stimulant Drugs Moderate
Interaction Summary
Theoretically, caffeine might increase the levels and adverse effects of theophylline.
Read the full Caffeine + Ephedrine Sulfate, Hydroxyzine, Theophylline interactionEptifibatideIntegrilin
How Eptifibatide interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Eptifibatide interactionErgotamine, Belladonna, PhenobarbitalBellamine, Bellaspas, Eperbel-S
How Ergotamine, Belladonna, Phenobarbital interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeinePhenobarbital (luminal) Moderate
Interaction Summary
Theoretically, caffeine might reduce the effects of phenobarbital and increase the risk for convulsions.
Read the full Caffeine + Ergotamine, Belladonna, Phenobarbital interactionEsomeprazole, NaproxenVimovo
How Esomeprazole, Naproxen interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Caffeine + Esomeprazole, Naproxen interactionEsterified EstrogensEstratab, Menest
How Esterified Estrogens interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineEstrogens Moderate
Interaction Summary
Theoretically, estrogens might increase the levels and adverse effects of caffeine.
Read the full Caffeine + Esterified Estrogens interactionEsterified Estrogens, MethyltestosteroneEstratest
How Esterified Estrogens, Methyltestosterone interacts with Chain Blue Raspberry — through 1 ingredient. Tap an ingredient for the detail:
CaffeineEstrogens Moderate
Interaction Summary
Theoretically, estrogens might increase the levels and adverse effects of caffeine.
Read the full Caffeine + Esterified Estrogens, Methyltestosterone interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Chain Blue Raspberry 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.
Caffeine
Ephedrine
Theoretically, concomitant use might increase the risk for stimulant adverse effects.
Use of ephedrine with caffeine can increase the risk of stimulatory adverse effects. There is evidence that using ephedrine with caffeine might increase the risk of serious life-threatening or debilitating adverse effects such as hypertension, myocardial infarction, stroke, seizures, and death.
Adenosine (Adenocard)
Theoretically, caffeine might decrease the vasodilatory effects of adenosine and interfere with its use prior to stress testing.
Some evidence shows that caffeine is a competitive inhibitor of adenosine and can reduce the vasodilatory effects of adenosine in humans. However, other research shows that caffeine does not seem to affect supplemental adenosine because high interstitial levels of adenosine overcome the antagonistic effects of caffeine. It is recommended that methylxanthines and methylxanthine-containing products be stopped 24 hours prior to pharmacological stress tests. However, methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Anticoagulant/Antiplatelet Drugs
Theoretically, caffeine may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Caffeine is reported to have antiplatelet activity. Theoretically, it might increase the risk of bleeding when used concomitantly with these agents; however, this interaction has not been reported in humans.
Beta-Adrenergic Agonists
Theoretically, large amounts of caffeine might increase the cardiac inotropic effects of beta-agonists.
Carbamazepine (Tegretol)
Theoretically, caffeine might reduce the effects of carbamazepine and increase the risk for convulsions.
Animal research suggests that taking caffeine can lower the anticonvulsant effects of carbamazepine and can induce seizures when taken in doses above 400 mg/kg. Human research has shown that taking caffeine 300 mg in three divided doses along with carbamazepine 200 mg reduces the bioavailability of carbamazepine by 32% and prolongs the plasma half-life of carbamazepine 2-fold in healthy individuals.
Cimetidine (Tagamet)
Theoretically, cimetidine might increase the levels and adverse effects of caffeine.
Cimetidine decreases the rate of caffeine clearance by 31% to 42%.
Clozapine (Clozaril)
Caffeine might increase the levels and adverse effects of clozapine and acutely exacerbate psychotic symptoms.
Caffeine might increase the effects and toxicity of clozapine. Caffeine doses of 400-1000 mg per day inhibit clozapine metabolism. Clozapine is metabolized by cytochrome P450 1A2 (CYP1A2). Although researchers speculate that caffeine might inhibit CYP1A2, there is no reliable evidence that caffeine affects CYP1A2. There is also speculation that genetic factors might make some patients more sensitive to an interaction between clozapine and caffeine. In one case report, severe, life-threatening clozapine toxicity and multiorgan system failure occurred in a patient with schizophrenia stabilized on clozapine who consumed caffeine 600 mg daily.
Dipyridamole (Persantine)
Theoretically, caffeine might decrease the vasodilatory effects of dipyridamole and interfere with its use prior to stress testing.
Caffeine inhibits dipyridamole-induced vasodilation. It is recommended that methylxanthines and methylxanthine-containing products be stopped 24 hours prior to pharmacological stress tests. Methylxanthines appear more likely to interfere with dipyridamole (Persantine) than adenosine-induced stress testing.
Disulfiram (Antabuse)
Theoretically, disulfiram use might increase the levels and adverse effects of caffeine.
Disulfiram decreases the rate of caffeine clearance.
Diuretic Drugs
Theoretically, using caffeine with diuretic drugs might increase the risk of hypokalemia.
Caffeine, especially in excessive amounts, can reduce potassium levels due to stimulation of the sodium-potassium pump. Diuretics can also cause lower potassium levels.
Estrogens
Theoretically, estrogens might increase the levels and adverse effects of caffeine.
Estrogen inhibits caffeine metabolism.
Ethosuximide (Zarontin)
Theoretically, caffeine might reduce the effects of ethosuximide and increase the risk for convulsions.
Animal research suggests that caffeine 92.4 mg/kg can decrease the anticonvulsant activity of ethosuximide. However, this effect has not been reported in humans.
Felbamate (Felbatol)
Theoretically, caffeine might reduce the effects of felbamate and increase the risk for convulsions.
Animal research suggests that a high dose of caffeine 161.7 mg/kg can decreases the anticonvulsant activity of felbamate. However, this effect has not been reported in humans.
Flutamide (Eulexin)
Theoretically, caffeine might increase the levels and adverse effects of flutamide.
In vitro evidence suggests that caffeine can inhibit the metabolism of flutamide. However, this effect has not been reported in humans.
Fluvoxamine (Luvox)
Theoretically, fluvoxamine might increase the levels and adverse effects of caffeine.
Fluvoxamine reduces caffeine metabolism.
Lithium
Abrupt caffeine withdrawal might increase the levels and adverse effects of lithium.
Caffeine has diuretic activity. When abruptly discontinued, caffeine may alter the clearance of lithium. There are two case reports of lithium tremor that worsened upon abrupt coffee withdrawal and 6 case reports of elevated serum lithium levels after reducing or eliminating caffeine intake. In one case, a male with schizoaffective disorder stabilized on lithium had an elevated lithium level after reducing his caffeine intake by 87%. At a later date, he increased his caffeine intake by 6-fold, resulting in a subtherapeutic lithium level and a recurrence of psychiatric symptoms.
Monoamine Oxidase Inhibitors (Maois)
Theoretically, concomitant use might increase the risk of a hypertensive crisis.
Caffeine has been shown to inhibit monoamine oxidase (MAO) A and B in laboratory studies. Concomitant intake of large amounts of caffeine with MAOIs might precipitate a hypertensive crisis. In a case report, a patient that consumed 10-12 cups of caffeinated coffee and took the MAOI tranylcypromine presented with severe hypertension. Hypertension was resolved after the patient switched to drinking decaffeinated coffee.
Nicotine
Theoretically, concomitant use might increase the risk of hypertension.
Concomitant use of caffeine and nicotine has been shown to have additive cardiovascular effects, including increased heart rate and blood pressure. Blood pressure was increased by 10.8/12.4 mmHg when the agents were used concomitantly.
Pentobarbital (Nembutal)
Theoretically, caffeine might decrease the effects of pentobarbital.
Caffeine might negate the hypnotic effects of pentobarbital.
Phenobarbital (Luminal)
Theoretically, caffeine might reduce the effects of phenobarbital and increase the risk for convulsions.
Animal research suggests that caffeine can decrease the anticonvulsant activity of phenobarbital. However, the exact mechanism of this interaction is unclear.
Phenylpropanolamine
Theoretically, phenylpropanolamine might increase the risk of hypertension, as well as the levels and adverse effects of caffeine.
Concomitant use of phenylpropanolamine and caffeine might cause an additive increase in blood pressure. Phenylpropanolamine also seems to increase caffeine serum levels.
Phenytoin (Dilantin)
Theoretically, caffeine might reduce the effects of phenytoin and increase the risk for convulsions.
Animal research suggests that caffeine can decrease the anticonvulsant activity of phenytoin. The effect does not seem to be related to the seizure threshold-lowering effects of caffeine. However, the exact mechanism of this interaction is unclear.
Pioglitazone (Actos)
Theoretically, caffeine might increase the levels and clinical effects of pioglitazone.
Animal research suggests that caffeine can modestly increase the maximum concentration, area under the curve, and half-life of pioglitazone, and also reduce its clearance. This increased the antidiabetic effects of pioglitazone. However, the exact mechanism of this interaction is unclear.
Quinolone Antibiotics
Theoretically, quinolone antibiotics might increase the levels and adverse effects of caffeine.
Quinolones (also called fluoroquinolones) can decrease caffeine clearance by inhibiting cytochrome P450 1A2 (CYP1A2) enzyme.
Riluzole (Rilutek)
Theoretically, concomitant use might increase the levels and adverse effects of both caffeine and riluzole.
Caffeine and riluzole are both metabolized by cytochrome P450 1A2 (CYP1A2), and concomitant use might reduce the metabolism of one or both agents.
Glutamine
Anticonvulsants
Theoretically, glutamine might antagonize the effects of anticonvulsant medications.
Glutamine is metabolized to the excitatory neurotransmitter glutamate. Glutamate might have antagonistic effects with anticonvulsant drugs. However, this interaction has not yet been reported in humans.
L-Threonine
Nmda Antagonists
Theoretically, threonine might decrease the effects of NMDA antagonists.
Threonine increases central nervous system (CNS) glycine levels. Glycine seems to bind a site on NMDA receptors and enhance the activity of the receptors.
Glycine
Clozapine (Clozaril)
Theoretically, glycine might decrease the effectiveness of clozapine.
One small clinical study in patients with schizophrenia shows that adding glycine to clozapine therapy worsens symptoms of schizophrenia when compared with clozapine alone. The mechanism of this interaction is unclear.
Brand information
Manufacturer and brand details for Chain Blue Raspberry, from the product label.
Chain Blue Raspberry by EXT: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Chain Blue Raspberry’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Glycine
Interacts with 1 drugGlycine is a non-essential amino acid your body makes on its own and that also appears in protein-rich foods. It is most studied for improving sleep quality, where early research is promisin...
Read the full Glycine monograph → Herb & supplement monographAlpha-alanine
Alpha-alanine (usually called alanine) is a non-essential amino acid your body can make on its own and that you also get from protein foods. Most people do not need a supplement, and strong...
Read the full Alpha-alanine monograph → Herb & supplement monographThreonine
Interacts with 3 drugsThreonine is an essential amino acid your body needs but cannot make, so you must get it from food or supplements. Most people get plenty from a normal diet, and high-quality evidence for ta...
Read the full Threonine monograph → Herb & supplement monographSerine
Serine is an amino acid your body can make on its own and also gets from protein-rich foods, so most people do not need a supplement. L-serine has been studied for certain neurological condi...
Read the full Serine monograph → Herb & supplement monographBeta-alanine
Beta-alanine is an amino acid taken mostly by athletes to raise muscle carnosine, which may help buffer acid and reduce fatigue during short, high-intensity exercise. The evidence is moderat...
Read the full Beta-alanine monograph → Herb & supplement monographCaffeine
Interacts with 655 drugsCaffeine is a natural stimulant found in coffee, tea, and many other plants and products. In moderate amounts it can boost alertness and reduce tiredness for most healthy adults, but too muc...
Read the full Caffeine monograph → Herb & supplement monographGlutamine
Interacts with 50 drugsGlutamine is the most abundant amino acid in the body and is usually made in your muscles. A prescription form is FDA-approved to help reduce sickle cell disease complications, but for most...
Read the full Glutamine monograph →Sources & How We Checked
Chain Blue Raspberry'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 274 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.
Glycine 5 references
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- Inagawa K, Kawai N, Ono K, Sukegawa E, Tsubuku S, Takahashi M. Assessment of acute adverse effects of glycine ingestion at a high dose in human volunteers. Seikatsu Eisei. 2006; 50:27-32.
- Woods SW, Walsh BC, Hawkins KA, Miller TJ, Saksa JR, D'Souza DC, Pearlson GD, Javitt DC, McGlashan TH, Krystal JH. Glycine treatment of the risk syndrome for psychosis: report of two pilot studies. Eur Neuropsychopharmacol. 2013 Aug;23(8):931-40. PubMed
Alpha-alanine 2 references
Threonine 4 references
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Serine 3 references
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- Levine TD, Miller RG, Bradley WG, et al. Phase I clinical trial of safety of L-serine for ALS patients. Amyotroph Lateral Scler Frontotemporal Degener. 2017;18(1-2):107-111. PubMed
Beta-alanine 13 references
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- Perim P, Gobbi N, Duarte B, et al. Beta-alanine did not improve high-intensity performance throughout simulated road cycling. Eur J Sport Sci 2021. PubMed
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