Cholesterol Health Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Cholesterol Health 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
Cholesterol Health is a dietary supplement by Wonder Laboratories with 2 active ingredients. Its ingredients are commonly taken for high cholesterol, heart health, metabolic syndrome.Based on those ingredients, 926 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Soy Germ Concentrate, Red Yeast Rice Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Cholesterol Health by Wonder Laboratories
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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 Cholesterol Health by Wonder Laboratories
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
Cholesterol Health contains two active ingredients. Red yeast rice extract is a fermented rice product that contains lovastatin, a naturally occurring statin compound.
Soy germ concentrate is a concentrated form of soy plant material. The product also contains inactive ingredients—gelatin, vegetable magnesium stearate, and silica—which serve as the capsule and binding materials.
Does it work?
Moderate evidence
Red yeast rice extract is rated possibly effective for heart attack (myocardial infarction) prevention and for abnormal cholesterol and triglyceride levels related to HIV/AIDS. Soy germ concentrate is rated possibly effective for high cholesterol (hyperlipidemia), high blood pressure (hypertension), high blood sugar (diabetes), weak bones (osteoporosis), and diarrhea.
Keep in mind that these ratings reflect what the evidence currently shows; they aren't guarantees of how much benefit you'll see individually.
How safe is it?
Well-documented data
Red yeast rice is generally well tolerated, though it works like a statin drug and carries similar risks. Most common side effects are abdominal discomfort, diarrhea, dizziness, flatulence, headache, heartburn, muscle pain (myopathy), and nausea.
Rare but serious side effects include liver damage (hepatotoxicity) and severe muscle breakdown (rhabdomyolysis), likely tied to its lovastatin content. The safety data advises against using red yeast rice during pregnancy because of its statin-like effects.
Avoid it while breastfeeding as well because of insufficient safety data. Soy is generally well tolerated.
Common side effects are bloating, constipation, diarrhea, nausea, and allergic reactions (skin rash, itching). Although soy foods eaten in normal dietary amounts appear safe during pregnancy and breastfeeding, there isn't enough data on concentrated soy supplements like this one to know either way.
Talk with your doctor or pharmacist for personalized advice.
Meds to double-check
Major interaction found
Before taking Cholesterol Health, double-check any monoamine oxidase inhibitors (MAOIs) for depression—this is a Major severity interaction. Also check with your pharmacist if you take statins, cyclosporine, gemfibrozil, high-dose niacin, blood pressure medications, diabetes drugs, blood thinners like warfarin, thyroid hormone replacement (levothyroxine), liver-damaging drugs, CYP3A4 inhibitors, diuretics, or consume significant caffeine.
Hormone replacement therapy and antidiabetes medications also deserve review.
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.
This product is aimed at people looking for natural support for cholesterol and heart health, but its two active ingredients interact with many medications—especially blood pressure drugs, diabetes medications, antidepressants, and blood thinners. If you take any prescription medication or are pregnant or breastfeeding, check with your pharmacist before starting.
Red yeast rice in particular works like a prescription statin, so it deserves the same caution.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Dec 18, 2021.
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 Cholesterol Health, straight from the product label.
| Brand | Wonder Laboratories |
|---|---|
| Net contents | 250 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Dec 18, 2021 |
| DSLD ID | 262285 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other |
| 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 Cholesterol Health by Wonder Laboratories, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Red Yeast Rice Extract | 1200 mg | -- |
| Soy Germ Concentrate | 330 mg | -- |
Other ingredients: Gelatin, Vegetable Magnesium Stearate, Silica
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.
Suggested/Recommended/Usage/Directions
Directions: As a dietary supplement, take 2 capsules two times daily with meals.
Do not exceed 4 capsules in any 24-hour period.
Precautions
Tamper Evident: Do not use this product if imprinted foil seal under cap is broken or missing.
Keep out of reach of children.
Warning: Do not use this product if you are pregnant, can become pregnant, or are nursing a baby.
Not to be used by anyone under 20 years of age.
Consult your doctor if you are taking prescription drugs.
Rare but serious side effects may include: liver disease and skeletal muscle disease. Do not take if you have liver disease or a risk or history of liver disease; with or in conjunction with excessive alcohol consumption (over 2 drinks per day); you have a serious infectious disease; you are an organ transplant recipient; you have a serious disease, disorder, or have recently had major surgery. Discontinue use if you have any of the following symptoms: unexplained rash, muscle pain, tenderness or weakness, especially if accompanied by flu symptoms. Do not exceed 4 capsules in any 24-hour period.
Formulation
Mfg. in an FDA Registered Facility using Good Manufacturing Practices (GMPs)
Gluten free
Conforms to USP <2091> for weight. Meets USP <2040> disintegration for maximum bioavailability. Made in USA
Storage
Keep tightly closed. Store at room temperature: 59 degrees-86 degrees F (15 degrees-30 degrees C).
General Statements
Formula 409
Formula
Red yeast Rice extract
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Cholesterol Health by Wonder Laboratories 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 Cholesterol Health by Wonder Laboratories
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule Servings per container125 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.
Red Yeast Rice Extract
Interacts with477 drugs
Red yeast rice contains monacolin K, which is chemically identical to the prescription statin lovastatin, and it can lower LDL ('bad') cholesterol. Be...
Red Yeast Rice Extract monograph & interactionsSoy Germ Concentrate
Interacts with611 drugs
Soy is a nutritious bean that is a staple food and a popular source of plant protein and isoflavones. Eating soy foods as part of a balanced diet is g...
Soy Germ Concentrate monograph & interactionsOther (inactive) ingredients: Gelatin, Vegetable Magnesium Stearate, Silica. These complete the product’s ingredient list but are not active constituents.
Cholesterol Health by Wonder Laboratories Drug Interactions
HelloPharmacist Interaction Report
Wonder Laboratories' Cholesterol Health contains red yeast rice extract and soy germ concentrate, two ingredients with documented interactions affecting a substantial number of medications.
The most serious interaction we have on file is between soy and monoamine oxidase inhibitors (MAOIs)—drugs used for depression and certain other conditions. Taking soy with an MAOI can cause a dangerous spike in blood pressure (hypertensive crisis).
Read the full breakdown — every affected drug type, severity by severity
Red yeast rice contains lovastatin, a statin drug, and interacts with several medication types. Combining it with other statins may increase the risk of adverse effects; with cyclosporine (an immunosuppressant), it may raise the risk of muscle breakdown (myopathy); with gemfibrozil (a cholesterol drug), it may increase the risk of severe muscle damage (rhabdomyolysis); and with high-dose niacin, it may also raise rhabdomyolysis risk.
Red yeast rice also interacts with drugs that inhibit the liver enzyme CYP3A4, which could raise lovastatin levels, and theoretically with hepatotoxic drugs, increasing the risk of liver damage.
Soy germ concentrate interacts with blood pressure medications (potentially lowering blood pressure further), diabetes drugs (potentially lowering blood sugar further), blood thinners like warfarin, thyroid hormone replacement (levothyroxine), diuretics, and caffeine. It may also interfere with hormone replacement therapy containing estrogen.
Altogether, these interactions span 907 individual medications. Before you start this product, run your exact prescriptions and over-the-counter drugs through the medication checker on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Cholesterol Health?
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 Cholesterol Health interact with 926 drugs. Click any drug to see the details.
2 of the 2 ingredients in Cholesterol Health interact with drugs. Each result below shows which ingredient is responsible. Soy Germ Concentrate Red Yeast Rice Extract
AmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis
How Amphetamine interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Soy Germ ConcentrateMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Germ Concentrate + Amphetamine interactionIsocarboxazidMarplan
How Isocarboxazid interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Soy Germ ConcentrateMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Germ Concentrate + Isocarboxazid interactionMoclobemideManerix, Moclobemide
How Moclobemide interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Soy Germ ConcentrateMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Germ Concentrate + Moclobemide interactionOzanimod HydrochlorideZeposia
How Ozanimod Hydrochloride interacts with Cholesterol Health — through 2 ingredients. Tap an ingredient for the detail:
Soy Germ ConcentrateMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Germ Concentrate + Ozanimod Hydrochloride interactionRed Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Ozanimod Hydrochloride interactionPhenelzine SulfateNardil
How Phenelzine Sulfate interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Soy Germ ConcentrateMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Germ Concentrate + Phenelzine Sulfate interactionRasagilineAzilect
How Rasagiline interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Soy Germ ConcentrateMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Germ Concentrate + Rasagiline interactionSafinamide MesylateXadago
How Safinamide Mesylate interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Soy Germ ConcentrateMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Germ Concentrate + Safinamide Mesylate interactionSelegilineCarbex, Eldepryl, Emsam, Zelapar
How Selegiline interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Soy Germ ConcentrateMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Germ Concentrate + Selegiline interactionTranylcypromineParnate
How Tranylcypromine interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Soy Germ ConcentrateMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Read the full Soy Germ Concentrate + Tranylcypromine interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + 6-mercaptopurine interactionAbacavir Sulfate, Dolutegravir, LamivudineTriumeq
How Abacavir Sulfate, Dolutegravir, Lamivudine interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Abacavir Sulfate, Dolutegravir, Lamivudine interactionAbacavir, LamivudineEpzicom
How Abacavir, Lamivudine interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Abacavir, Lamivudine interactionAbametapirXeglyze
How Abametapir interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractCytochrome P450 3a4 (cyp3a4) Inhibitors Moderate
Interaction Summary
Theoretically, drugs that inhibit the CYP3A4 enzymes might increase levels of lovastatin from red yeast rice.
Read the full Red Yeast Rice Extract + Abametapir interactionAbiraterone
How Abiraterone interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractCytochrome P450 3a4 (cyp3a4) Inhibitors, Hepatotoxic Drugs Moderate
Interaction Summary
Theoretically, drugs that inhibit the CYP3A4 enzymes might increase levels of lovastatin from red yeast rice.
Read the full Red Yeast Rice Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Abiraterone Acetate interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Cholesterol Health — through 2 ingredients. Tap an ingredient for the detail:
Soy Germ ConcentrateAntidiabetes Drugs Moderate
Interaction Summary
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Read the full Soy Germ Concentrate + Acarbose interactionRed Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Cholesterol Health — through 2 ingredients. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acebutolol interactionSoy Germ ConcentrateAntihypertensive Drugs Moderate
Interaction Summary
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Read the full Soy Germ Concentrate + Acebutolol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Cholesterol Health — through 2 ingredients. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Aspirin, Caffeine interactionSoy Germ ConcentrateCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Germ Concentrate + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Cholesterol Health — through 2 ingredients. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Butalbital, Caffeine interactionSoy Germ ConcentrateCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Germ Concentrate + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Cholesterol Health — through 2 ingredients. Tap an ingredient for the detail:
Soy Germ ConcentrateCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Germ Concentrate + Acetaminophen, Butalbital, Caffeine, Codeine interactionRed Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Cholesterol Health — through 1 ingredient. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Cholesterol Health — through 2 ingredients. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionSoy Germ ConcentrateCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Germ Concentrate + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Cholesterol Health — through 2 ingredients. Tap an ingredient for the detail:
Soy Germ ConcentrateCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Germ Concentrate + Acetaminophen, Caffeine, Codeine interactionRed Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Cholesterol Health — through 2 ingredients. Tap an ingredient for the detail:
Red Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionSoy Germ ConcentrateCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Germ Concentrate + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Cholesterol Health — through 2 ingredients. Tap an ingredient for the detail:
Soy Germ ConcentrateCaffeine Moderate
Interaction Summary
Theoretically, soy might reduce the clearance of caffeine.
Read the full Soy Germ Concentrate + Acetaminophen, Caffeine, Dihydrocodeine interactionRed Yeast Rice ExtractHepatotoxic Drugs Moderate
Interaction Summary
Theoretically, concomitant use might increase the risk of liver damage.
Read the full Red Yeast Rice Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Cholesterol Health 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.
Soy Germ Concentrate
Monoamine Oxidase Inhibitors (Maois)
Taking soy products containing high amounts of tyramine along with MAOIs can increase the risk of hypertensive crisis.
Fermented soy products such as tofu and soy sauce contain tyramine, a naturally occurring chemical that affects blood pressure regulation. The metabolism of tyramine is decreased by MAOIs. Consuming more than 6 mg of tyramine while taking an MAOI can increase the risk of hypertensive crisis. The amount of tyramine in fermented soy products is usually less than 0.6 mg per serving; however, there can be significant variation depending on the specific product used, storage conditions, and length of storage. Storing one brand of tofu for a week can increase tyramine content from 0.23 mg to 4.8 mg per serving. Advise patients taking MAOIs to avoid fermented soy products that contain high amounts of tyramine.
Antidiabetes Drugs
Soy can lower blood glucose and have additive effects with antidiabetes drugs.
Clinical research shows that whole soy diets and soy-based meals reduce fasting glucose levels in diabetic and non-diabetic individuals. Also, individuals following a soy-based meal replacement plan seem to require lower doses of sulfonylureas and metformin to manage blood glucose levels when compared with individuals following a diet plan recommended by the American Diabetes Association.
Antihypertensive Drugs
Theoretically soy protein may have additive effects with antihypertensive drugs and increase the risk of hypotension.
Although some contradictory research exists, most clinical evidence suggests that consuming soy protein modestly reduces systolic and diastolic blood pressure in individuals with prehypertension or hypertension.
Caffeine
Theoretically, soy might reduce the clearance of caffeine.
Soy contains genistein. Taking genistein 1 gram daily for 14 days seems to inhibit caffeine clearance and metabolism in healthy females. This effect has been attributed to inhibition of the cytochrome P450 1A2 (CYP1A2) enzyme, which is involved in caffeine metabolism. It is unclear if this effect occurs with the lower amounts of genistein found in soy.
Diuretic Drugs
Theoretically, soy might have additive effects when used with diuretic drugs.
Animal research suggests that genistein, a soy isoflavone, increases diuresis within 6 hours of subcutaneous administration in rats. The effects seem to be similar to those of furosemide. This effect has not been reported in humans.
Estrogens
Theoretically, soy might competitively inhibit the effects of estrogen replacement therapy.
Soy contains phytoestrogens and has been shown to have estrogenic activity in some patients. Although this has not been demonstrated in humans, theoretically, concomitant use of soy with estrogen replacement therapy might reduce the effects of the estrogen replacement therapy.
Levothyroxine (Synthroid, Others)
Soy products might reduce the absorption of levothyroxine in some patients.
Preliminary clinical research and a case report suggest that soy-based formulas inhibit the absorption of levothyroxine in infants with congenital hypothyroidism. A levothyroxine dosage increase may be needed for infants with congenital hypothyroidism while using soy-based formulas, and the dose may need to be reduced when soy-based formulas are no longer administered. However, in postmenopausal adults, clinical research shows that taking a single dose of soy extract containing isoflavones 60 mg along with levothyroxine does not affect the oral bioavailability of levothyroxine.
Progesterone
Theoretically, combining soy isoflavones with transdermal progesterone may worsen bone density.
Clinical research suggests that significant bone loss may occur in females with osteoporosis who receive a combination of transdermal progesterone with soy milk containing isoflavones when compared with placebo, soy milk alone, or progesterone alone.
Tamoxifen (Nolvadex)
Theoretically, estrogenic soy isoflavones might alter the effects of tamoxifen.
Laboratory research suggests that genistein and daidzen, isoflavones from soy, can antagonize the antitumor effects of tamoxifen under some circumstances; however, soy isoflavones might have different effects when used at different doses. A relatively low in vitro concentration of soy isoflavones such as 1 microM/L seems to interfere with tamoxifen, whereas high in vitro concentrations such as those >10 microM/L might actually enhance tamoxifen effects. People on a high-soy diet have soy isoflavones levels ranging from 0.1-6 microM/L. Until more is known, advise patients taking tamoxifen to avoid therapeutic use of soy products.
Warfarin (Coumadin)
Theoretically, soy might interfere with the effects of warfarin.
Soy milk has been reported to decrease the international normalized ratio (INR) in a patient taking warfarin. The mechanism of this interaction is not known. However, animal and in vitro research suggests that soy may also inhibit platelet aggregation. Dosing adjustments for warfarin may be necessary.
Antibiotic Drugs
Theoretically, antibiotics may decrease the activity of soy isoflavones.
Intestinal bacteria are responsible in part for converting soy isoflavones into their active forms. Antibiotics may decrease the amount of intestinal bacteria and decrease its ability to convert isoflavones.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Soy might modestly induce CYP2C9 enzymes. However, this effect does not seem to be clinically significant.
In vitro research suggests that an unhydrolyzed soy extract might induce CYP2C9. However, the significance of this interaction is likely minimal. In healthy females taking a specific extract of soy (Genistein Soy Complex, Source Naturals), blood levels of losartan, a CYP2C9 substrate, were not significantly affected.
Red Yeast Rice Extract
Cyclosporine (Neoral, Sandimmune)
Theoretically, taking red yeast rice in combination with cyclosporine might increase the risk of myopathy.
Red yeast rice contains varying levels of the statin drug lovastatin. Cyclosporine has been reported to increase plasma levels of lovastatin by 5- to 20-fold, resulting in reports of myopathy and rhabdomyolysis.
Cytochrome P450 3A4 (Cyp3A4) Inhibitors
Theoretically, drugs that inhibit the CYP3A4 enzymes might increase levels of lovastatin from red yeast rice.
Red yeast rice contains varying levels of the statin drug lovastatin, which is metabolized by CYP3A4. Combining red yeast rice with CYP3A4 inhibitors might increase serum levels of lovastatin from red yeast rice.
Gemfibrozil (Lopid)
Theoretically, taking red yeast rice in combination with gemfibrozil might increase the risk of rhabdomyolysis.
Red yeast rice contains varying levels of the statin drug lovastatin. Gemfibrozil has been reported to increase the risk of rhabdomyolysis when used in combination with lovastatin.
Hepatotoxic Drugs
Theoretically, concomitant use might increase the risk of liver damage.
Red yeast rice contains varying levels of the drug lovastatin. Lovastatin can cause liver damage in some people. Some clinical research suggests that supplements containing red yeast rice might increase liver enzyme levels in some, but not all, participants. Cases of acute hepatitis have been associated with red yeast rice. Combining it with hepatotoxic drugs might further increase this risk.
Hmg-Coa Reductase Inhibitors ("Statins")
Theoretically, taking red yeast rice with other statins might increase the risk of potential adverse effects.
Red yeast rice contains varying levels of the statin drug lovastatin and might result in supratherapeutic levels when used with other statins. Based on evaluation of data from the US Food and Drug Administration's adverse event reporting system (FAERS), it is recommended that red yeast rice products be avoided in people taking prescription statins.
Niacin
Theoretically, taking red yeast rice in combination with high-dose niacin might increase the risk of rhabdomyolysis.
Red yeast rice contains varying levels of the statin drug lovastatin and has been linked to reports of myopathy. Niacin has been reported to increase the risk of rhabdomyolysis when used in combination with lovastatin.
Brand information
Manufacturer and brand details for Cholesterol Health, from the product label.
Wonder Laboratories
See all Wonder Laboratories products- Name
- Wonder Laboratories
- Street Address
- 115 S.C.T. Ct.
- City
- White House
- State
- TN
- ZipCode
- 37188
Cholesterol Health by Wonder Laboratories: Common Questions
Does Cholesterol Health by Wonder Laboratories interact with any medications?
How can one product interact with so many drugs?
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What does the red yeast rice in this product actually do?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Cholesterol Health’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Red Yeast Rice
Interacts with 477 drugsRed yeast rice contains monacolin K, which is chemically identical to the prescription statin lovastatin, and it can lower LDL ('bad') cholesterol. Because of this, it carries the same risks...
Read the full Red Yeast Rice monograph → Herb & supplement monographSoy
Interacts with 611 drugsSoy is a nutritious bean that is a staple food and a popular source of plant protein and isoflavones. Eating soy foods as part of a balanced diet is generally considered safe for most people...
Read the full Soy monograph →Sources & How We Checked
Cholesterol Health'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 138 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.
Red Yeast Rice 50 references
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