Chondro-Plus Ingredients & Drug Interactions
by Biotics Research Corporation
What is this page for?
First and foremost: checking Chondro-Plus 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
Chondro-Plus is a dietary supplement by Biotics Research Corporation with 5 active ingredients. Its ingredients are commonly taken for bone health support, antioxidant and enzyme support, filling dietary gaps.Based on those ingredients, 105 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Manganese, Vitamin B12, Purified Chondroitin Sulfate. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Chondro-Plus by Biotics Research Corporation
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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 Chondro-Plus by Biotics Research Corporation
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
Chondro-Plus contains five active ingredients. Manganese is a mineral involved in bone formation and antioxidant function.
Superoxide Dismutase and Catalase are enzymes that help protect cells from oxidative stress. Vitamin B12 is an essential nutrient needed for nerve function and red blood cell formation.
Purified Chondroitin Sulfate is a compound derived from cartilage that may support joint structure and comfort. The tablet also contains inactive ingredients — stearic acid, modified cellulose gum, magnesium stearate, and food glaze — which serve as binders and coatings.
Does it work?
Strong evidence
The evidence for Chondro-Plus's ingredients varies. Manganese is effective for treating manganese deficiency; for other conditions like hay fever, osteoporosis, COPD, obesity, and osteoarthritis, the evidence is insufficient.
Vitamin B12 is effective for vitamin B12 deficiency and Imerslund-Grasbeck disease (a rare absorption disorder), and likely effective for cyanide poisoning; it's possibly effective for canker sores and postherpetic neuralgia (nerve pain after shingles). Chondroitin sulfate is possibly effective for osteoarthritis and cataracts; for aging skin, osteoporosis, high cholesterol, and colorectal adenoma, evidence is insufficient.
For Superoxide Dismutase and Catalase, we hold no effectiveness data.
How safe is it?
Well-documented data
Manganese is generally well tolerated in normal dietary amounts, but high-dose supplements can be harmful — there's a risk of neurotoxicity, including Parkinson-like symptoms, with prolonged high-dose use. Vitamin B12 is very safe; your body removes excess in urine, and it's needed and considered safe during pregnancy and breastfeeding at recommended amounts.
Chondroitin sulfate is generally well tolerated for short-term use, though quality varies. The most common side effects from chondroitin are digestive — abdominal pain, bloating, constipation, diarrhea, heartburn, and nausea.
Rare serious effects include liver damage and asthma flares, and skin reactions (rash, swelling, hair loss) have occasionally been reported.
Meds to double-check
Moderate interaction found
Before taking Chondro-Plus, double-check if you use antipsychotic drugs, warfarin (a blood thinner), metformin (for diabetes), quinolone antibiotics (like ciprofloxacin), or tetracycline antibiotics (like doxycycline). All carry documented interactions with ingredients in this product.
The bottom line
Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Chondro-Plus may help with joint health, but its manganese content and chondroitin require caution if you take antipsychotics, antibiotics, blood thinners, or metformin. Anyone with liver disease or concerns about manganese levels should talk with their pharmacist before starting.
Check your exact medications on this page first.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated May 24, 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 Chondro-Plus, straight from the product label.
| Brand | Biotics Research Corporation |
|---|---|
| Net contents | 120 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | May 24, 2013 |
| DSLD ID | 21573 |
| Product type | Other Combinations |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other |
| 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 Chondro-Plus by Biotics Research Corporation, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Manganese | 10 mg | 500% |
| Superoxide Dismutase | 15 mcg | -- |
| Catalase | 15 mcg | -- |
| Vitamin B12 | 18 mcg | 300% |
| Purified Chondroitin Sulfate | 200 mg | -- |
Other ingredients: Stearic Acid, modified Cellulose Gum, Magnesium Stearate, Food Glaze
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.
FDA Statement of Identity
Dietary Supplement
General Statements
Specially grown, biologically active vegetable culture containing naturally associated and/or organically bound phytochemicals including polyphenolic compounds with SOD and catalase, dehydrated at low temperature to preserve associated enzyme factors.
Lot Number: Exp. Date:
Sealed with an imprinted safety seal for your protection.
Brand IP Statement(s)
(C) Copyright 2008
Suggested/Recommended/Usage/Directions
RECOMMENDATION: One (1) tablet per day as a dietary supplement or as otherwise directed by a healthcare professional.
Precautions
Caution: Not recommended for pregnant women.
KEEP OUT OF REACH OF CHILDREN
Storage
Store in a cool, dry area.
General
Rev. 6/08
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Chondro-Plus by Biotics Research Corporation 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 Chondro-Plus by Biotics Research Corporation
These are the 5 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill 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.
Manganese
Interacts with83 drugs
Manganese is an essential trace mineral your body needs in small amounts for bone formation, metabolism, and antioxidant defense, and most people get...
Manganese monograph & interactionsSuperoxide Dismutase
Catalase
Vitamin B12
Interacts with20 drugs
Vitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very h...
Vitamin B12 monograph & interactionsPurified Chondroitin Sulfate
Interacts with2 drugs
Chondroitin sulfate is a naturally occurring building block of cartilage that is widely taken, often with glucosamine, for osteoarthritis joint pain....
Purified Chondroitin Sulfate monograph & interactionsOther (inactive) ingredients: Stearic Acid, Modified Cellulose Gum, Magnesium Stearate, Food Glaze. These complete the product’s ingredient list but are not active constituents.
Chondro-Plus by Biotics Research Corporation Drug Interactions
HelloPharmacist Interaction Report
Chondro-Plus by Biotics Research Corporation contains ingredients with documented interactions affecting a range of medications.
Manganese, one of its five active ingredients, carries the most serious concern: it may increase the risk of neurotoxicity when combined with antipsychotic drugs (a Moderate severity interaction). This is particularly important because hallucinations and behavioral changes have been reported in patients with liver disease taking both manganese and haloperidol.
Read the full breakdown — every affected drug type, severity by severity
Manganese also moderately interacts with two antibiotic classes. It may reduce how your body absorbs quinolone antibiotics and tetracycline antibiotics — both work by chelating (binding to) mineral cations like manganese, which can lower the antibiotic's effectiveness.
Chondroitin sulfate, another active ingredient, carries a Moderate interaction with warfarin (a blood thinner used to prevent clots): when combined, it may strengthen warfarin's anticoagulant effect, raising your bleeding risk. Vitamin B12 in this product has a Minor interaction with metformin (a diabetes medication), which can lower B12 levels with long-term use.
Additionally, Superoxide Dismutase and Catalase could not be checked — we hold no data for them. Altogether, these interactions span 105 individual medications.
Use the medication checker on this page to look up your exact prescriptions before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Chondro-Plus?
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 Chondro-Plus interact with 105 drugs. Click any drug to see the details.
3 of the 5 ingredients in Chondro-Plus interact with drugs. Each result below shows which ingredient is responsible. Manganese Vitamin B12 Purified Chondroitin Sulfate
AcepromazineAtravet
How Acepromazine interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Acepromazine interactionAcetophenazineTindal
How Acetophenazine interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Acetophenazine interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Amitriptyline, Perphenazine interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese + Amphotericin, Tetracycline interactionAripiprazoleAbilify, Abilify Maintena, Abilify Mycite
How Aripiprazole interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Aripiprazole interactionAripiprazole LauroxilAristada, Aristada Initio Kit
How Aripiprazole Lauroxil interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Aripiprazole Lauroxil interactionAsenapineSaphris, Secuado
How Asenapine interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Asenapine interactionBismuth Subsalicylate, Metronidazole, TetracyclineHelidac
How Bismuth Subsalicylate, Metronidazole, Tetracycline interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese + Bismuth Subsalicylate, Metronidazole, Tetracycline interactionBrexpiprazoleRexulti
How Brexpiprazole interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Brexpiprazole interactionButaperazineRepoise
How Butaperazine interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Butaperazine interactionCariprazine HydrochlorideVraylar
How Cariprazine Hydrochloride interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Cariprazine Hydrochloride interactionCarphenazineProketazin
How Carphenazine interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Carphenazine interactionChlorpromazineThorazine, Thorazine Spansules
How Chlorpromazine interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Chlorpromazine interactionChlorprothixeneTaractan
How Chlorprothixene interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Chlorprothixene interactionChlortetracyclineAureomycin
How Chlortetracycline interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese + Chlortetracycline interactionCinoxacinCinobac
How Cinoxacin interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese + Ciprofloxacin interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese + Clinafloxacin interactionClozapineClozaril, Versacloz
How Clozapine interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Clozapine interactionCyamemazineTercian
How Cyamemazine interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Cyamemazine interactionDemeclocyclineDeclomycin
How Demeclocycline interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese + Demeclocycline interactionDoripenemDoribax
How Doripenem interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseQuinolone Antibiotics, Tetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese + Doripenem interactionDoxycyclineDoryx, Doxy, Doxy-D, Doxycin, Doxycycline Injection, Doxylin +6 more
How Doxycycline interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese + Doxycycline interactionDoxycycline HyclateActiclate, Acticlate Cap, Lymepak
How Doxycycline Hyclate interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese + Doxycycline Hyclate interactionDoxycycline MonohydrateErfacea
How Doxycycline Monohydrate interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese + Doxycycline Monohydrate interactionDoxycylineDoxychel
How Doxycyline interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese + Doxycyline interactionEnoxacinPenetrex
How Enoxacin interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese + Enoxacin interactionEravacyclineXerava
How Eravacycline interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseTetracycline Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Read the full Manganese + Eravacycline interactionFinafloxacinXtoro
How Finafloxacin interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseQuinolone Antibiotics Moderate
Interaction Summary
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Read the full Manganese + Finafloxacin interactionFlupenthixolFluanxol
How Flupenthixol interacts with Chondro-Plus — through 1 ingredient. Tap an ingredient for the detail:
ManganeseAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Read the full Manganese + Flupenthixol interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Chondro-Plus 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.
Manganese
Antipsychotic Drugs
Theoretically, the risk for manganese toxicity might increase when taken with antipsychotic drugs.
Hallucinations and behavioral changes have been reported in a patient with liver disease who was taking haloperidol and manganese. Researchers speculate that taking manganese along with haloperidol, phenothiazine-derivatives, or other antipsychotic medications might increase the risk of manganese toxicity in some patients.
Quinolone Antibiotics
Theoretically, manganese might reduce the absorption of quinolone antibiotics.
Manganese is a multivalent cation. Interactions resulting in reduced quinolone absorption have been reported between quinolones and other multivalent cations, such as calcium and iron.
Tetracycline Antibiotics
Theoretically, manganese might reduce the absorption of tetracycline antibiotics.
Manganese is a multivalent cation. Interactions resulting in reduced tetracycline absorption have been reported between tetracyclines and other multivalent cations, such as calcium and iron.
Vitamin B12
Metformin (Glucophage)
Metformin, a common medication used to manage type 2 diabetes, has been associated with lower vitamin B12 levels in some individuals. Prolonged use of metformin can interfere with the absorption of B12 in the digestive system, potentially leading to a deficiency in this essential vitamin.
Purified Chondroitin Sulfate
Warfarin (Coumadin)
Taking chondroitin in combination with glucosamine might increase the anticoagulant effects of warfarin. However, the effect of chondroitin alone is unclear.
There have been multiple reports of increased international normalized ratio (INR) in patients taking warfarin with glucosamine, with or without chondroitin. The lack of reports with chondroitin alone seem to suggest that the interactions occurring in these reports may have been due to glucosamine. In two individual case reports, glucosamine/chondroitin combinations were associated with a significant increase in INR in patients previously stabilized on warfarin. Additionally, 20 voluntary case reports to the US Food & Drug Administration (FDA) have linked glucosamine plus chondroitin with increased INR, bruising, and bleeding in patients who were also taking warfarin. There have also been 20 additional case reports to the World Health Organization (WHO) that link glucosamine alone, without chondroitin, to increased INR in patients taking warfarin.
Brand information
Manufacturer and brand details for Chondro-Plus, from the product label.
Biotics Research Corporation
See all Biotics Research Corporation products- Name
- BIOTICS RESEARCH CORP.
- City
- Rosenberg
- State
- Texas
- Phone Number
- (281) 344-0909
Chondro-Plus by Biotics Research Corporation: Common Questions
Does Chondro-Plus by Biotics Research Corporation interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is this safe to take while pregnant or breastfeeding?
What is chondroitin sulfate, and why is it in this product?
Can I take this with my blood thinner?
What are the most common side effects of Chondro-Plus?
Is the vitamin B12 in this product safe if I take metformin?
Why should I be careful about the manganese in this product?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Chondro-Plus is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Chondro-Plus’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Manganese
Interacts with 83 drugsManganese is an essential trace mineral your body needs in small amounts for bone formation, metabolism, and antioxidant defense, and most people get enough from a normal diet. Supplements m...
Read the full Manganese monograph → Herb & supplement monographVitamin B12
Interacts with 20 drugsVitamin B12 (cobalamin) is an essential nutrient your body needs to make red blood cells, keep nerves healthy, and support DNA. Supplements are very helpful for people who are deficient — su...
Read the full Vitamin B12 monograph → Herb & supplement monographChondroitin Sulfate
Interacts with 2 drugsChondroitin sulfate is a naturally occurring building block of cartilage that is widely taken, often with glucosamine, for osteoarthritis joint pain. The evidence is mixed—some people report...
Read the full Chondroitin Sulfate monograph →Sources & How We Checked
Chondro-Plus'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 73 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.
Manganese 21 references
- Hansten PD, Horn JR. Hansten and Horn's Drug Interactions Analysis and Management. Vancouver, CAN:Appl Therapeut, 1999.
- Barrington WW, Angle CR, Willcockson NK, et al. Autonomic function in manganese alloy workers. Environ Res 1998;78:50-8. PubMed
- Hauser RA, Zesiewicz TA, Martinez C, et al. Blood manganese correlates with brain magnetic resonance imaging changes in patients with liver disease. Can J Neurol Sci 1996;23:95-8. PubMed
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
- Lee JW. Manganese intoxication. Arch Neurol 2000;57:597-9.. PubMed
- Powers KM, Smith-Weller T, Franklin GM, et al. Parkinson's disease risks associated with dietary iron, manganese, and other nutrient intakes. Neurology 2003;60:1761-6.. PubMed
- McMillan, D. E. A brief history of the neurobehavioral toxicity of manganese: some unanswered questions. Neurotoxicology 1999;20(2-3):499-507.
- Gerber, G. B., Leonard, A., and Hantson, P. Carcinogenicity, mutagenicity and teratogenicity of manganese compounds. Crit Rev Oncol Hematol. 2002;42(1):25-34. PubMed
- Jiang, Y. and Zheng, W. Cardiovascular toxicities upon manganese exposure. Cardiovasc.Toxicol 2005;5(4):345-354. PubMed
- Mehta, R. and Reilly, J. J. Manganese levels in a jaundiced long-term total parenteral nutrition patient: potentiation of haloperidol toxicity? Case report and literature review. JPEN J Parenter.Enteral Nutr 1990;14(4):428-430. PubMed
- Nemery, B. Metal toxicity and the respiratory tract. Eur Respir.J 1990;3(2):202-219. DOI
- Vanek VW, Borum P, Buchman A, et al. A.S.P.E.N. position paper: recommendations for changes in commercially available parenteral multivitamin and multi-trace element products. Nutr Clin Pract. 2012;27:440-491.doi: 10.1177/0884533612446706 PubMed
- Schuh MJ. Possible Parkinson's disease induced by chronic manganese supplement ingestion. Consult Pharm. 2016;31(12):698-703. doi: 10.4140/TCP.n.2016.698. PubMed
- Baker B, Ali A, Isenring L. Recommendations for manganese supplementation to adult patients receiving long-term home parenteral nutrition: an analysis of the supporting evidence. Nutr Clin Pract 2016;31(2):180-5. doi: 10.1177/0884533615591600. PubMed
- Ho CSH, Ho RCM, Quek AML. Chronic manganese toxicity associated with voltage-gated potassium channel complex antibodies in a relapsing neuropsychiatric disorder. Int J Environ Res Public Health 2018;15(4). pii: E783. doi: 10.3390/ijerph15040783. PubMed
- Yamamoto M, Sakurai K, Eguchi A, et al.; Japan Environment and Children's Study Group: Association between blood manganese level during pregnancy and birth size: the Japan environment and children's study (JECS). Environ Res 2019;172:117-26. PubMed
- Li D, Ge X, Liu Z, et al. Association between long-term occupational manganese exposure and bone quality among retired workers. Environ Sci Pollut Res Int 2020;27(1):482-9. PubMed
- Martin KV, Sucharew H, Dietrich KN, et al. Co-exposure to manganese and lead and pediatric neurocognition in East Liverpool, Ohio. Environ Res 2021;202:111644. PubMed
- Racette BA, Nelson G, Dlamini WW, et al. Depression and anxiety in a manganese-exposed community. Neurotoxicology 2021;85:222-33. PubMed
- Ruiz-Azcona L, Fernández-Olmo I, Expósito A, et al. Impact of environmental airborne manganese exposure on cognitive and motor functions in adults: a systematic review and meta-analysis. Int J Environ Res Public Health 2021;18(8):4075. PubMed
- Uyar E, Gurkas E, Aksu AU, et al. Can therapeutic plasma exchange be life-saving in life-threatening manganese intoxication?. Transfus Apher Sci 2022;61(4):103417. PubMed
Vitamin B12 30 references
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (2000). Washington, DC: National Academy Press, 2000. Available at: http://b
- Hartman TJ, Woodson K, Stolzenberg-Solomon R, et al. Association of the B-vitamins pyridoxal 5'-phosphate (B6), B12, and folate with lung cancer risk in older men. Am J Epidemiol 2001;153:688-94.. DOI
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