CholestePure Plus ll Ingredients & Drug Interactions
What is this page for?
First and foremost: checking CholestePure Plus ll 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
CholestePure Plus ll is a dietary supplement by Pure Encapsulations with 3 active ingredients. Its ingredients are commonly taken for blood sugar control, high cholesterol, heart and metabolic health.Based on those ingredients, 1,269 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Berberine Hydrochloride, Bergavit 40. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against CholestePure Plus ll by Pure Encapsulations
Ask about any prescription or over-the-counter medication and we check it for interactions with CholestePure Plus ll by Pure Encapsulations — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of CholestePure Plus ll by Pure Encapsulations
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
CholestePure Plus II contains three active ingredients. Berberine hydrochloride is an alkaloid compound from plants, used here for cholesterol and metabolic support.
Phytosterols are plant-derived compounds structurally similar to cholesterol that support heart health. Bergamot (Bergavit 40) is a citrus extract included for its lipid-regulating properties.
The capsules also contain inactive ingredients—cellulose and water—that serve as binders and fill.
Does it work?
Moderate evidence
Berberine is possibly effective for high cholesterol (hyperlipidemia), high blood pressure (hypertension), and blood sugar control in diabetes. It's also possibly effective for polycystic ovary syndrome (PCOS) and may help against H. pylori infection.
Bergamot extract is possibly effective for high cholesterol. The evidence on phytosterols is not in our data.
Neither ingredient has strong evidence for other uses; for instance, bergamot is possibly ineffective for mental alertness, and there isn't enough evidence to rate it for fatty liver disease or autism spectrum disorder.
How safe is it?
Well-documented data
Berberine is generally well tolerated in the short term but commonly causes digestive upset—abdominal pain, bloating, constipation, diarrhea, gas, nausea, and vomiting. It can also cause dizziness, drowsiness, fatigue, and headache.
Bergamot extract taken by mouth appears well tolerated short-term, though one case of heartburn was reported. The safety data advises against berberine in pregnancy and while breastfeeding, as it may cross the placenta and pass into milk and has been linked to harm in newborns.
Bergamot also lacks enough safety data in pregnancy and breastfeeding, so avoidance is the safer choice. Note that bergamot's essential oil is toxic if swallowed and can cause sun-related skin reactions; the extract in this product is different, but sun exposure should still be limited.
Meds to double-check
Major interaction found
Before taking this product, check with your pharmacist if you take cyclosporine (an immunosuppressant)—berberine can raise its levels dangerously. Also check if you take blood pressure medications, blood thinners or antiplatelet drugs, diabetes medications, sedating drugs, or any medication metabolized by your liver's CYP3A4, CYP2D6, or CYP2C9 enzymes—berberine can increase levels and side effects of many of these.
If you take a photosensitizing drug, bergamot may worsen sun sensitivity.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
CholestePure Plus II may help with cholesterol and blood sugar, but it interacts with many medications—especially immunosuppressants, blood pressure drugs, blood thinners, diabetes medications, and sedatives. If you take any prescription or over-the-counter drugs, check them against this product before you start.
Avoid it in pregnancy and while breastfeeding. Talk to your pharmacist about whether it's right for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jul 18, 2023.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about CholestePure Plus ll, straight from the product label.
| Brand | Pure Encapsulations |
|---|---|
| Barcode (UPC) | 766298023663 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jul 18, 2023 |
| DSLD ID | 293932 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Women (not pregnant or lactating), Gluten 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 CholestePure Plus ll by Pure Encapsulations, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Berberine Hydrochloride | 400 mg | -- |
| Phytosterols | 500 mg | -- |
| Bergavit 40 | 160 mg | -- |
Other ingredients: Cellulose, Water
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Storage
Store in a cool, dry place.
Suggested/Recommended/Usage/Directions
Recommendations: As a dietary supplement, take 2 capsules, 1-2 times daily, with meals.
Precautions
Warning: Not to be taken by pregnant or lactating women. If you have any health condition or are taking any medication, consult your health professional before use.
Keep out of the reach of children.
Use only if safety seal is intact.
General Statements
Contents may not fill package in order to accommodate required labeling. Please rely on stated quantity. Scan to learn about our hypoallergenic supplements
Seals/Symbols
GFCO.org (Gluten-Free Certification Organization)
Formulation
Certified gluten-free by the Gluten-Free Certification Organization, www.gluten.org
Supports healthy lipid metabolism and cardiometabolic health
Gluten-free, soy-free, Non-GMO & hypoallergenic
Gluten-free, soy-free, Non-GMO & hypoallergenic
FDA Statement of Identity
Dietary Supplement
Brand IP Statement(s)
Bergavit 40 is a registered trademark of Bionap S.r.I Phytopin is a registered trademark DRT and licensed to Pure Encapsulations
FDA Disclaimer Statement
This statement has 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.
CholestePure Plus ll by Pure Encapsulations 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 CholestePure Plus ll by Pure Encapsulations
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule 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.
Berberine Hydrochloride
Interacts with1,160 drugs
Berberine is a yellow plant compound that has shown promise for lowering blood sugar and cholesterol in some studies, but the quality of research vari...
Berberine Hydrochloride monograph & interactionsPhytosterols
Bergavit 40
Interacts with410 drugs
Bergamot is a Mediterranean citrus fruit, and its standardized extract is most often used to support cholesterol and heart health, with some early but...
Bergavit 40 monograph & interactionsOther (inactive) ingredients: Cellulose, Water. These complete the product’s ingredient list but are not active constituents.
CholestePure Plus ll by Pure Encapsulations Drug Interactions
HelloPharmacist Interaction Report
CholestePure Plus II by Pure Encapsulations contains berberine and bergamot extract, both of which interact with medications.
The most serious interaction is berberine with cyclosporine (an immunosuppressant): berberine can slow your liver's breakdown of cyclosporine and raise its levels in your blood, which is a Major severity concern.
Read the full breakdown — every affected drug type, severity by severity
Berberine also has Moderate interactions with several drug types. It can add to the blood-pressure-lowering effects of antihypertensive medications, increase the sedative effects of CNS depressants (sedatives, sleep aids, pain relievers that cause drowsiness), and raise blood sugar-lowering effects of antidiabetes drugs—risking low blood sugar (hypoglycemia).
Because berberine inhibits three liver enzymes that break down many medications, it can increase levels of drugs processed by CYP3A4, CYP2D6, and CYP2C9. It may also raise the bleeding risk when combined with blood thinners and antiplatelet drugs (like aspirin).
Bergamot extract carries a Moderate interaction with antidiabetes drugs—it may increase hypoglycemia risk—and a Moderate interaction with photosensitizing drugs (medications that make your skin more sun-sensitive), which could worsen sun-related skin reactions.
We could not check phytosterols for interactions. Altogether, these interactions span 1,270 individual medications.
Use the medication checker below to search your exact drugs before starting this supplement.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against CholestePure Plus ll?
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 CholestePure Plus ll interact with 1,269 drugs. Click any drug to see the details.
2 of the 3 ingredients in CholestePure Plus ll interact with drugs. Each result below shows which ingredient is responsible. Berberine Hydrochloride Bergavit 40
Acetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with CholestePure Plus ll — through 2 ingredients. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Acetaminophen, Phenylephrine, Chlorpheniramine interactionBergavit 40Photosensitizing Drugs Moderate
Interaction Summary
Theoretically, topical bergamot essential oil might increase the risk of side effects when used along with photosensitizing drugs.
Read the full Bergavit 40 + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAcetaminophen, PropoxypheneDarvocet-N 100, Darvocet-N 50, E-Lor, Wygesic
How Acetaminophen, Propoxyphene interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 2d6 (cyp2d6) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Hydrochloride + Acetaminophen, Propoxyphene interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with CholestePure Plus ll — through 2 ingredients. Tap an ingredient for the detail:
Berberine HydrochlorideCns Depressants, Antihypertensive Drugs +1 Moderate
Interaction Summary
Theoretically, berberine might increase the sedative effects of CNS depressants.
Read the full Berberine Hydrochloride + Acetazolamide interactionBergavit 40Photosensitizing Drugs Moderate
Interaction Summary
Theoretically, topical bergamot essential oil might increase the risk of side effects when used along with photosensitizing drugs.
Read the full Bergavit 40 + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with CholestePure Plus ll — through 2 ingredients. Tap an ingredient for the detail:
Bergavit 40Photosensitizing Drugs, Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, topical bergamot essential oil might increase the risk of side effects when used along with photosensitizing drugs.
Read the full Bergavit 40 + Acetohexamide interactionBerberine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, berberine may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Berberine Hydrochloride + Acetohexamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Hydrochloride + Acetylsalicylic Acid interactionAcitretinSoriatane
How Acitretin interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Bergavit 40Photosensitizing Drugs Moderate
Interaction Summary
Theoretically, topical bergamot essential oil might increase the risk of side effects when used along with photosensitizing drugs.
Read the full Bergavit 40 + Acitretin interactionAdagrasibKrazati
How Adagrasib interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Adagrasib interactionAerosphere Budesonide, Formoterol Fumarate, GlycopyrrolateBreztri
How Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
Read the full Berberine Hydrochloride + Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interactionAgomelatineValdoxan
How Agomelatine interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2C9.
Read the full Berberine Hydrochloride + Agomelatine interactionAlbiglutideTanzeum
How Albiglutide interacts with CholestePure Plus ll — through 2 ingredients. Tap an ingredient for the detail:
Bergavit 40Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking bergamot with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Bergavit 40 + Albiglutide interactionBerberine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, berberine may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Berberine Hydrochloride + Albiglutide interactionAlectinib HydrochlorideAlecensa
How Alectinib Hydrochloride interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Bergavit 40Photosensitizing Drugs Moderate
Interaction Summary
Theoretically, topical bergamot essential oil might increase the risk of side effects when used along with photosensitizing drugs.
Read the full Bergavit 40 + Alectinib Hydrochloride interactionAlfentanilAlfenta
How Alfentanil interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Alfentanil interactionAlfuzosinUroxatral
How Alfuzosin interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Alfuzosin interactionAliskirenTekturna
How Aliskiren interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Aliskiren interactionAlitretinoinPanretin
How Alitretinoin interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Bergavit 40Photosensitizing Drugs Moderate
Interaction Summary
Theoretically, topical bergamot essential oil might increase the risk of side effects when used along with photosensitizing drugs.
Read the full Bergavit 40 + Alitretinoin interactionAlmotriptanAlmogran, Axert
How Almotriptan interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Almotriptan interactionAlogliptinNesina
How Alogliptin interacts with CholestePure Plus ll — through 2 ingredients. Tap an ingredient for the detail:
Bergavit 40Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking bergamot with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Bergavit 40 + Alogliptin interactionBerberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates, Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with CholestePure Plus ll — through 2 ingredients. Tap an ingredient for the detail:
Berberine HydrochlorideAntidiabetes Drugs, Metformin (glucophage) Moderate
Interaction Summary
Theoretically, berberine may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Berberine Hydrochloride + Alogliptin, Metformin interactionBergavit 40Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking bergamot with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Bergavit 40 + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with CholestePure Plus ll — through 2 ingredients. Tap an ingredient for the detail:
Bergavit 40Antidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking bergamot with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full Bergavit 40 + Alogliptin, Pioglitazone interactionBerberine HydrochlorideAntidiabetes Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Berberine Hydrochloride + Alogliptin, Pioglitazone interactionAlpelisibPiqray
How Alpelisib interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Alpelisib interactionAlprazolamNiravam, Xanax
How Alprazolam interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Alprazolam interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Hydrochloride + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideAnticoagulant/antiplatelet Drugs, Cytochrome P450 2d6 (cyp2d6) Substrates +1 Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Hydrochloride + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Read the full Berberine Hydrochloride + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCytochrome P450 3a4 (cyp3a4) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
Read the full Berberine Hydrochloride + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, berberine might have additive effects with antihypertensive drugs.
Read the full Berberine Hydrochloride + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with CholestePure Plus ll — through 2 ingredients. Tap an ingredient for the detail:
Berberine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, berberine might have additive effects with antihypertensive drugs.
Read the full Berberine Hydrochloride + Amiloride, Hydrochlorothiazide interactionBergavit 40Photosensitizing Drugs Moderate
Interaction Summary
Theoretically, topical bergamot essential oil might increase the risk of side effects when used along with photosensitizing drugs.
Read the full Bergavit 40 + Amiloride, Hydrochlorothiazide interactionAminoglutethimideCytadren
How Aminoglutethimide interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase the sedative effects of CNS depressants.
Read the full Berberine Hydrochloride + Aminoglutethimide interactionAminolevulinic Acid HydrochlorideAmeluz, Gleolan
How Aminolevulinic Acid Hydrochloride interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Bergavit 40Photosensitizing Drugs Moderate
Interaction Summary
Theoretically, topical bergamot essential oil might increase the risk of side effects when used along with photosensitizing drugs.
Read the full Bergavit 40 + Aminolevulinic Acid Hydrochloride interactionAminophylline, Amobarbital, EphedrineAmesec
How Aminophylline, Amobarbital, Ephedrine interacts with CholestePure Plus ll — through 1 ingredient. Tap an ingredient for the detail:
Berberine HydrochlorideCns Depressants Moderate
Interaction Summary
Theoretically, berberine might increase the sedative effects of CNS depressants.
Read the full Berberine Hydrochloride + Aminophylline, Amobarbital, Ephedrine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in CholestePure Plus ll 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.
Berberine Hydrochloride
Cyclosporine (Neoral, Sandimmune)
Berberine can increase serum levels of cyclosporine.
Berberine can reduce metabolism and increase serum levels of cyclosporine. Berberine might inhibit cytochrome P450 3A4 (CYP3A4), which metabolizes cyclosporine.
Anticoagulant/Antiplatelet Drugs
Theoretically, berberine might increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
In vitro and in vivo research suggest that berberine can inhibit platelet aggregation. Theoretically, berberine might have additive effects when used with anticoagulant and antiplatelet drugs and increase the risk of bleeding.
Antidiabetes Drugs
Theoretically, berberine may increase the risk of hypoglycemia when taken with antidiabetes drugs.
Clinical research shows that berberine may lower blood glucose levels. Theoretically, berberine might have additive effects with antidiabetes drugs and increase the risk of hypoglycemia.
Antihypertensive Drugs
Theoretically, berberine might have additive effects with antihypertensive drugs.
Animal research suggests that berberine can have hypotensive effects. Also, a clinical study suggests that taking berberine in combination with amlodipine can lower systolic and diastolic blood pressure when compared with amlodipine alone.
Cns Depressants
Theoretically, berberine might increase the sedative effects of CNS depressants.
Animal research suggests that berberine may have sedative effects. Theoretically, use of berberine along with CNS depressants might produce additive therapeutic and adverse effects.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2C9.
Preliminary clinical research shows that berberine can inhibit CYP2C9. Theoretically, taking berberine with drugs metabolized by CYP2C9 might increase drug levels and increase the risk of adverse effects.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, berberine might increase serum levels of drugs metabolized by CYP2D6.
In vitro research and preliminary clinical evidence show that berberine can inhibit CYP2D6. Theoretically, use of berberine with drugs metabolized by CYP2D6 might increase drug levels and increase the risk of adverse effects.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, berberine might increase serum levels of drugs metabolized by CYP3A4.
In vitro research and preliminary clinical research show that berberine moderately inhibits CYP3A4. Theoretically, use of berberine with drugs metabolized by CYP3A4 might increase drug levels and increase the risk of adverse effects.
Dextromethorphan (Robitussin Dm, Others)
Theoretically, berberine may increase serum levels of dextromethorphan.
Preliminary clinical research shows that berberine can inhibit cytochrome P450 2D6 (CYP2D6) activity and reduce the metabolism of dextromethorphan. This may increase the effects and side effects of dextromethorphan.
Losartan (Cozaar)
Berberine might reduce the therapeutic effects of losartan by decreasing its conversion to its active form.
Preliminary clinical research suggests that berberine can inhibit cytochrome P450 2C9 (CYP2C9) activity and reduce metabolism of losartan.
Metformin (Glucophage)
Theoretically, berberine might increase the therapeutic and adverse effects of metformin.
In vitro and animal studies show that berberine can increase the systemic exposure and half-life of metformin, potentially increasing metformin's effects and side effects. This interaction seems to be most apparent when berberine is administered 2 hours prior to metformin. Taking berberine and metformin at the same time does not appear to increase systemic exposure to metformin.
Midazolam (Versed)
Berberine can reduce metabolism of midazolam, which might increase the risk of severe adverse effects.
Preliminary clinical research shows that berberine can inhibit cytochrome P450 3A4 (CYP3A4) activity and reduce metabolism of midazolam.
Pentobarbital (Nembutal)
Berberine might increase the sedative effect of pentobarbital.
Evidence from animal research shows that berberine can prolong pentobarbital-induced sleeping time. Theoretically, combining berberine and pentobarbital might increase the sedative effects of pentobarbital.
Tacrolimus (Prograf)
Berberine has been associated with increased blood levels of tacrolimus.
In a 16-year-old patient with idiopathic nephrotic syndrome who was being treated with tacrolimus 6.5 mg twice daily, intake of berberine 200 mg three times daily increased the blood concentration of tacrolimus from 8 to 22 ng/mL. Following a reduction of the tacrolimus dose to 3 mg daily, blood levels of tacrolimus decreased to 12 ng/mL.
Acetazolamide
Laboratory studies and initial clinical findings suggest that berberine has the potential to increase acetazolamide concentrations in the body. More research is needed to confirm this interaction.
Bergavit 40
Antidiabetes Drugs
Theoretically, taking bergamot with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research suggests that bergamot juice has hypoglycemic effects.
Photosensitizing Drugs
Theoretically, topical bergamot essential oil might increase the risk of side effects when used along with photosensitizing drugs.
Bergamot contains bergapten, which has photosensitizing effects.
Brand information
Manufacturer and brand details for CholestePure Plus ll, from the product label.
Pure Encapsulations
See all Pure Encapsulations products- Name
- Pure Encapsulations
- Street Address
- 490 Boston Post Road
- City
- Sudbury
- State
- MA
- Phone Number
- 1-800-753-2277
- Web Address
- www.PureEncapsulations.com
CholestePure Plus ll by Pure Encapsulations: 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 CholestePure Plus ll’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Berberine
Interacts with 1,160 drugsBerberine is a yellow plant compound that has shown promise for lowering blood sugar and cholesterol in some studies, but the quality of research varies and it is not a replacement for presc...
Read the full Berberine monograph → Herb & supplement monographBergamot
Interacts with 410 drugsBergamot is a Mediterranean citrus fruit, and its standardized extract is most often used to support cholesterol and heart health, with some early but promising research. The essential oil i...
Read the full Bergamot monograph →Sources & How We Checked
CholestePure Plus ll'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 58 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.
Berberine 41 references
- Chan E. Displacement of bilirubin from albumin by berberine. Biol Neonate 1993;63:201-8. PubMed
- Janbaz KH, Gilani AH. Studies on preventive and curative effects of berberine on chemical-induced hepatotoxicity in rodents. Fitoterapia 2000;71:25-33.. PubMed
- Wu X, Li Q, Xin H, Yu A, Zhong M. Effects of berberine on the blood concentration of cyclosporin A in renal transplanted recipients: clinical and pharmacokinetic study. Eur J Clin Pharmacol 2005;61:567-72. PubMed
- Zhang Y, Li X, Zou D, et al. Treatment of type 2 diabetes and dyslipidemia with the natural plant alkaloid berberine. J Clin Endocrinol Metab 2008;93:2559-65. PubMed
- Huang XS, Yang GF, Pan YC. Effect of berberin hydrochloride on blood concentration of cyclosporine A in cardiac transplanted patients. Zhongguo Zhong Xi Yi Jie He Za Zhi 2008;28:702-4.
- Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine 2000;7:273-82. PubMed
- Chatterjee P, Franklin MR. Human cytochrome p450 inhibition and metabolic-intermediate complex formation by goldenseal extract and its methylenedioxyphenyl components. Drug Metab Dispos 2003;31:1391-7. PubMed
- Marin-Neto, J. A., Maciel, B. C., Secches, A. L., and Gallo, Junior L. Cardiovascular effects of berberine in patients with severe congestive heart failure. Clin.Cardiol. 1988;11(4):253-260. PubMed
- Choudhry, V. P., Sabir, M., and Bhide, V. N. Berberine in giardiasis. Indian Pediatr. 1972;9(3):143-146.
- Shanbhag, S. M., Kulkarni, H. J., and Gaitonde, B. B. Pharmacological actions of berberine on the central nervous system. Jpn.J Pharmacol 1970;20(4):482-487. PubMed
- Wu, J. F. and Liu, T. P. [Effects of berberine on platelet aggregation and plasma levels of TXB2 and 6-keto-PGF1 alpha in rats with reversible middle cerebral artery occlusion]. Yao Xue.Xue.Bao. 1995;30(2):98-102.
- Peng, W. H., Hsieh, M. T., and Wu, C. R. Effect of long-term administration of berberine on scopolamine-induced amnesia in rats. Jpn J Pharmacol 1997;74(3):261-266. DOI
- Sharda DC. Berberine in the treatment of diarrhoea of infancy and childhood. J Indian M A 1970;54(1):22-24.
- Sabir M and Bhide NK. Study of some pharmacological actions of berberine. Ind J Physiol & Pharmac 1971;15(3):111-132.
- Tripathi YB and Shukla SD. Berberis artistata inhibits PAF induced aggregation of rabbit platelets. Phytotherapy Research 1996;10:628-630.
- Seery TM and Bieter RN. A contribution to the pharmacology of berberine. J Pharmacol Exp Ther 1940;69:64-67. DOI
- Xin, H. W., Wu, X. C., Li, Q., Yu, A. R., Zhong, M. Y., and Liu, Y. Y. The effects of berberine on the pharmacokinetics of cyclosporin A in healthy volunteers. Methods Find.Exp.Clin Pharmacol 2006;28(1):25-29.
- Zhang, Y., Li, X., Zou, D., Liu, W., Yang, J., Zhu, N., Huo, L., Wang, M., Hong, J., Wu, P., Ren, G., and Ning, G. Treatment of type 2 diabetes and dyslipidemia with the natural plant alkaloid berberine. J Clin Endocrinol.Metab 2008;93(7):2559-2565. PubMed
- Yin, J., Xing, H., and Ye, J. Efficacy of berberine in patients with type 2 diabetes mellitus. Metabolism 2008;57(5):712-717. PubMed
- Zhang, H., Wei, J., Xue, R., Wu, J. D., Zhao, W., Wang, Z. Z., Wang, S. K., Zhou, Z. X., Song, D. Q., Wang, Y. M., Pan, H. N., Kong, W. J., and Jiang, J. D. Berberine lowers blood glucose in type 2 diabetes mellitus patients through increasing insulin re
- Guo, Y., Chen, Y., Tan, Z. R., Klaassen, C. D., and Zhou, H. H. Repeated administration of berberine inhibits cytochromes P450 in humans. Eur J Clin Pharmacol 2012;68(2):213-217. PubMed
- Wei, W., Zhao, H., Wang, A., Sui, M., Liang, K., Deng, H., Ma, Y., Zhang, Y., Zhang, H., and Guan, Y. A clinical study on the short-term effect of berberine in comparison to metformin on the metabolic characteristics of women with polycystic ovary syndro
- Marazzi, G., Cacciotti, L., Pelliccia, F., Iaia, L., Volterrani, M., Caminiti, G., Sposato, B., Massaro, R., Grieco, F., and Rosano, G. Long-term effects of nutraceuticals (berberine, red yeast rice, policosanol) in elderly hypercholesterolemic patients. PubMed
- Meng, S., Wang, L. S., Huang, Z. Q., Zhou, Q., Sun, Y. G., Cao, J. T., Li, Y. G., and Wang, C. Q. Berberine ameliorates inflammation in patients with acute coronary syndrome following percutaneous coronary intervention. Clin Exp.Pharmacol Physiol 2012;39 PubMed
- Hermann, R. and von, Richter O. Clinical evidence of herbal drugs as perpetrators of pharmacokinetic drug interactions. Planta Med 2012;78(13):1458-1477. PubMed
- Chun YT, Yip TT, Lau KL, and et al. A biochemical study on the hypotensive effect of berberine in rats. Gen Pharmac 1979;10:177-182. PubMed
- Saksena HC, Tomar VN, and Soangra MR. Efficacy of a new salt of Berberine Uni-Berberine in oriental sore. Current Medical Practice 1970;14:247-252.
- Abascal K, Yarnell E. Recent clinical advances with berberine. Altern Complement Ther 2010;16(5):281-7. DOI
- Dong H, Zhao Y, Zhao L, Lu F. The effects of berberine on blood lipids: a systemic review and meta-analysis of randomized controlled trials. Planta Med 2013;79(6):437-46. PubMed
- Hou Q, Han W, Fu X. Pharmacokinetic interaction between tacrolimus and berberine in a child with idiopathic nephrotic syndrome. Eur J Clin Pharmacol 2013;69(10):1861-2. PubMed
- Lan J, Zhao Y, Dong F, et al. Meta-analysis of the effect and safety of berberine in the treatment of type 2 diabetes mellitus, hyperlipemia and hypertension. J Ethnopharmacol. 2015;161:69-81. PubMed
- Li G, Zhao M, Qiu F, Sun Y, Zhao L. Pharmacokinetic interactions and tolerability of berberine chloride with simvastatin and fenofibrate: an open-label, randomized, parallel study in healthy Chinese subjects. Drug Des Devel Ther. 2018;13:129-139. PubMed
- Ju J, Li J, Lin Q, Xu H. Efficacy and safety of berberine for dyslipidaemias: A systematic review and meta-analysis of randomized clinical trials. Phytomedicine. 2018;50:25-34. PubMed
- Xu L, Zhang Y, Xue X, et al. A phase I trial of berberine in Chinese with ulcerative colitis. Cancer Prev Res (Phila). 2020;13(1):117-26. PubMed
- Lyu Y, Zhang Y, Yang M, et al. Pharmacokinetic interactions between metformin and berberine in rats: Role of oral administration sequences and microbiota. Life Sci. 2019;235:116818. PubMed
- Chen YX, Gao QY, Zou TH, et al. Berberine versus placebo for the prevention of recurrence of colorectal adenoma: a multicentre, double-blinded, randomised controlled study. Lancet Gastroenterol Hepatol. 2020;5(3):267-75. PubMed
- Zhang J, Wang Y, Jiang H, et al. Preventive effect of berberine on postoperative atrial fibrillation. Circ Arrhythm Electrophysiol 2022;15(10):e011160. PubMed
- Blais JE, Huang X, Zhao JV. Overall and Sex-Specific Effect of Berberine for the Treatment of Dyslipidemia in Adults: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials. Drugs 2023;83(5):403-427. PubMed
- Panigrahi A, Mohanty S. Efficacy and safety of HIMABERB® Berberine on glycemic control in patients with prediabetes: double-blind, placebo-controlled, and randomized pilot trial. BMC Endocr Disord 2023;23(1):190. PubMed
- Nie Q, Li M, Huang C, et al. The clinical efficacy and safety of berberine in the treatment of non-alcoholic fatty liver disease: a meta-analysis and systematic review. J Transl Med 2024;22(1):225. PubMed
- Koperska A, Moszak M, Seraszek-Jaros A, Bogdanski P, Szulinska M. Does berberine impact anthropometric, hepatic, and metabolic parameters in patients with metabolic dysfunction-associated fatty liver disease? Randomized, double-blind placebo-controlled tr
Bergamot 17 references
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Naganuma M, Hirose S, Nakayama Y, et al. A study of the phototoxicity of lemon oil. Arch Dermatol Res 1985;278:31-6. . PubMed
- Kaddu, S., Kerl, H., and Wolf, P. Accidental bullous phototoxic reactions to bergamot aromatherapy oil. J.Am.Acad.Dermatol. 2001;45(3):458-461. PubMed
- Finsterer, J. Earl Grey tea intoxication. Lancet 4-27-2002;359(9316):1484. PubMed
- Gruson, L. M. and Chang, M. W. Berloque dermatitis mimicking child abuse. Arch.Pediatr.Adolesc.Med. 2002;156(11):1091-1093. PubMed
- Weisenseel, P. and Woitalla, S. [Toxic mustard plaster dematitis and phototoxic dematitis after application of bergamot oil]. MMW.Fortschr.Med. 12-15-2005;147(51-52):53, 55.
- Placzek, M., Fromel, W., Eberlein, B., Gilbertz, K. P., and Przybilla, B. Evaluation of phototoxic properties of fragrances. Acta Derm.Venereol. 2007;87(4):312-316. PubMed
- Mollace, V., Sacco, I., Janda, E., Malara, C., Ventrice, D., Colica, C., Visalli, V., Muscoli, S., Ragusa, S., Muscoli, C., Rotiroti, D., and Romeo, F. Hypolipemic and hypoglycaemic activity of bergamot polyphenols: from animal models to human studies. F PubMed
- Morliere, P., Huppe, G., Averbeck, D., Young, A. R., Santus, R., and Dubertret, L. In vitro photostability and photosensitizing properties of bergamot oil. Effects of a cinnamate sunscreen. J.Photochem.Photobiol.B 1990;7(2-4):199-208. PubMed
- Young, A. R., Walker, S. L., Kinley, J. S., Plastow, S. R., Averbeck, D., Morliere, P., and Dubertret, L. Phototumorigenesis studies of 5-methoxypsoralen in bergamot oil: evaluation and modification of risk of human use in an albino mouse skin model. J.P PubMed
- Girard, J., Unkovic, J., Delahayes, J., and Lafille, C. [Phototoxicity of Bergamot oil. Comparison between humans and guinea pigs]. Dermatologica 1979;158(4):229-243.
- Zaynoun, S. T., Johnson, B. E., and Frain-Bell, W. A study of oil of bergamot and its importance as a phototoxic agent. II. Factors which affect the phototoxic reaction induced by bergamot oil and psoralen derivatives. Contact Dermatitis 1977;3(5):225-23 PubMed
- Zacher, K. D. and Ippen, H. [Contact dermatitis caused by bergamot oil]. Derm.Beruf.Umwelt. 1984;32(3):95-97.
- Yasui, Y. and Hirone, T. Action spectrum for bergamot-oil phototoxicity measured by sunburn cell counting. J.Dermatol. 1994;21(5):319-322. PubMed
- Zaynoun, S. T., Johnson, B. E., and Frain-Bell, W. A study of oil of bergamot and its importance as a phototoxic agent. I. Characterization and quantification of the photoactive component. Br.J.Dermatol. 1977;96(5):475-482. PubMed
- Bruno A, Pandolfo G, Crucitti M, Cedro C, Zoccali RA, Muscatello MRA. Bergamot Polyphenolic Fraction Supplementation Improves Cognitive Functioning in Schizophrenia: Data From an 8-Week, Open-Label Pilot Study. J Clin Psychopharmacol 2017;37(4):468-71. 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