Cohealon Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Cohealon 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
Cohealon is a dietary supplement by Cardiovascular Research with 1 active ingredient. Its ingredients are commonly taken for peripheral artery disease and leg pain, heart and circulation support, energy and exercise performance.Based on those ingredients, 19 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Propionyl-L-Carnitine Hydrochloride. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Cohealon by Cardiovascular Research
Ask about any prescription or over-the-counter medication and we check it for interactions with Cohealon by Cardiovascular Research — 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 Cohealon by Cardiovascular Research
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
Cohealon contains one active ingredient: propionyl-L-carnitine hydrochloride, a form of carnitine that your body uses to help cells produce energy. The tablet also includes inactive ingredients—microcrystalline cellulose, dicalcium phosphate, stearic acid, and L-leucine—which are fillers and binders.
Does it work?
Moderate evidence
Propionyl-L-carnitine is possibly effective for several heart and digestive conditions. The evidence supports its use for congestive heart failure (weakened heart), angina (chest pain from reduced blood flow), ulcerative colitis (inflammatory bowel disease), and cardiovascular disease more broadly.
That said, 'possibly effective' means the studies are promising but not definitive — talk to your doctor about whether it's right for your specific situation.
How safe is it?
Well-documented data
Orally, propionyl-L-carnitine is generally well tolerated for short-term use, but check with your healthcare provider before starting. The most common side effects are diarrhea, stomach pain, nausea, and vomiting.
Some people report a fishy odor in their urine, breath, or sweat. In clinical trials, bronchitis and back pain were reported more often than with placebo.
Safety hasn't been established in pregnancy, so it should be avoided then. There isn't enough data on breastfeeding safety, so avoid it while nursing.
Meds to double-check
Moderate interaction found
Before you start Cohealon, double-check if you take any blood thinners (warfarin, acenocoumarol, or similar drugs) — propionyl-L-carnitine may strengthen their effect, raising bleeding risk. Also check if you're on thyroid hormone replacement therapy — this ingredient may weaken how well it works.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Cohealon may help if you have heart failure, angina, or cardiovascular disease, but it's not for everyone. If you take blood thinners or thyroid medication, you need to check with your pharmacist before adding this supplement — the interactions are real.
Talk to your doctor about whether the benefits fit your situation.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Mar 22, 2024.
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 Cohealon, straight from the product label.
| Brand | Cardiovascular Research |
|---|---|
| Barcode (UPC) | 696859131752 |
| Net contents | 90 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Mar 22, 2024 |
| DSLD ID | 304359 |
| Product type | Non-nutrient/non-botanical |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), 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 Cohealon by Cardiovascular Research, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Propionyl-L-Carnitine Hydrochloride | 333 mg | -- |
Other ingredients: Microcrystalline Cellulose, Dicalcium Phosphate, Stearic Acid, L-Leucine
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
A Dietary Supplement
Dietary Supplement
Formula
Cohealon is a scientifically designed dietary supplement which contains Propionyl L-Carnitine, the physiologic active form of L-Carnitine.
Propionyl-L-Carnitine HCl 333 mg
Formulation
This product is specially formulated to provide targeted delivery of PLC to receptors in the gastrointestinal tract.
Free of corn, yeast, wheat and gluten.
Gluten free, casein free
Suggested/Recommended/Usage/Directions
Directions Take one or two tablets per day, or as directed by a physician.
FDA Disclaimer Statement
This product has not been evaluated by the FDA. This product is not intended to diagnose, cure, treat or prevent any disease.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Cohealon by Cardiovascular Research 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 Cohealon by Cardiovascular Research
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container90 Amounts shown are per serving.
Propionyl-L-Carnitine Hydrochloride
Interacts with19 drugs
Propionyl-l-carnitine is a form of the amino acid derivative carnitine that the body uses to help turn fat into energy, and it is studied mostly for c...
Propionyl-L-Carnitine Hydrochloride monograph & interactionsOther (inactive) ingredients: Microcrystalline Cellulose, Dicalcium Phosphate, Stearic Acid, L-Leucine. These complete the product’s ingredient list but are not active constituents.
Cohealon by Cardiovascular Research Drug Interactions
HelloPharmacist Interaction Report
Cohealon by Cardiovascular Research contains propionyl-L-carnitine, which interacts with blood thinners (anticoagulants).
The most serious concern is warfarin (Coumadin) — propionyl-L-carnitine may increase its blood-thinning effects, raising your bleeding risk. The same Moderate-severity interaction applies to acenocoumarol (Sintrom), another oral blood thinner.
Read the full breakdown — every affected drug type, severity by severity
This ingredient also interacts with thyroid hormone replacement therapy. Propionyl-L-carnitine may decrease how well your thyroid medication works by blocking thyroid hormone from entering cells, potentially worsening symptoms of low thyroid function.
Altogether, these interactions span 19 individual medications. If you take any blood thinner or thyroid hormone, check your exact drugs with the search tool below before starting Cohealon.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Cohealon?
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 Cohealon interact with 19 drugs. Click any drug to see the details.
1 of the 1 ingredient in Cohealon interact with drugs. Each result below shows which ingredient is responsible. Propionyl-L-Carnitine Hydrochloride
AcenocoumarolSintrom
How Acenocoumarol interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideAcenocoumarol (sintrom) Moderate
Interaction Summary
Theoretically, propionyl-L-carnitine might increase the anticoagulant effects of acenocoumarol.
Read the full Propionyl-l-carnitine Hydrochloride + Acenocoumarol interactionConjugated EstrogensCenestin, Enjuvia, Premarin, Premarin Vaginal Cream
How Conjugated Estrogens interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Conjugated Estrogens interactionDesiccated Thyroid ExtractWesthroid, WP Thyroid
How Desiccated Thyroid Extract interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Desiccated Thyroid Extract interactionDesiccated Thyroid Extract (prescription Drug)Nature-Throid, Thyrar
How Desiccated Thyroid Extract (prescription Drug) interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Desiccated Thyroid Extract (prescription Drug) interactionDextrothyroxineCholoxin
How Dextrothyroxine interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Dextrothyroxine interactionHuman Chorionic Gonadotropin (hcg)Pregnyl
How Human Chorionic Gonadotropin (hcg) interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Human Chorionic Gonadotropin (hcg) interactionLevothyroxineEltroxin, Estre, Euthyrox, Levo-T, Levolet, Levothroid +5 more
How Levothyroxine interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Levothyroxine interactionLevothyroxine SodiumErmez, Thyquidity, Tirosint-Sol
How Levothyroxine Sodium interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Levothyroxine Sodium interactionLevothyroxine, LiothyronineArmour Thyroid
How Levothyroxine, Liothyronine interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Levothyroxine, Liothyronine interactionLiothyronineCytomel
How Liothyronine interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Liothyronine interactionLiotrixEuthroid 1, Euthroid 1/2, Euthroid 3
How Liotrix interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Liotrix interactionLiotrix, T4/t3Euthroid 2
How Liotrix, T4/t3 interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Liotrix, T4/t3 interactionMenotropinsMenopur, Repronex
How Menotropins interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Menotropins interactionOspemifeneOsphena
How Ospemifene interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Ospemifene interactionTestosterone UndecanoateAndriol, Aveed, Jatenzo, Kyzatrex
How Testosterone Undecanoate interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Testosterone Undecanoate interactionThyroglobulinProloid
How Thyroglobulin interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Thyroglobulin interactionThyroid HormoneEtwon
How Thyroid Hormone interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideThyroid Hormone Moderate
Interaction Summary
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
Read the full Propionyl-l-carnitine Hydrochloride + Thyroid Hormone interactionWarfarinWarfarin
How Warfarin interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideWarfarin (coumadin) Moderate
Interaction Summary
Theoretically, propionyl-L-carnitine might increase the anticoagulant effects of warfarin.
Read the full Propionyl-l-carnitine Hydrochloride + Warfarin interactionWarfarin SodiumCoumadin, Panwarfin, Sofarin
How Warfarin Sodium interacts with Cohealon — through 1 ingredient. Tap an ingredient for the detail:
Propionyl-l-carnitine HydrochlorideWarfarin (coumadin) Moderate
Interaction Summary
Theoretically, propionyl-L-carnitine might increase the anticoagulant effects of warfarin.
Read the full Propionyl-l-carnitine Hydrochloride + Warfarin Sodium interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Cohealon with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Propionyl-L-Carnitine Hydrochloride
Acenocoumarol (Sintrom)
Theoretically, propionyl-L-carnitine might increase the anticoagulant effects of acenocoumarol.
L-carnitine, the parent compound of propionyl-L-carnitine, might enhance the anticoagulant effects of acenocoumarol, an oral anticoagulant similar to warfarin, but shorter-acting. There are at least two case reports of INR elevation when L-carnitine was taken with acenocoumarol. In one case, a 33-year-old male with a previously stable INR had an elevated INR of 4.65 after L-carnitine was started and continued for 10 weeks. INR normalized after discontinuation of the L-carnitine-containing product. It is unclear if such an interaction would also occur with propionyl-L-carnitine.
Thyroid Hormone
Theoretically, acetyl-L-carnitine might decrease the effectiveness of thyroid hormone replacement.
L-carnitine appears to act as a peripheral thyroid hormone antagonist by inhibiting entry of thyroid hormone into the nucleus of cells. Taking L-carnitine also seems to diminish some of the symptoms of hyperthyroidism. It is unclear if such an interaction would occur with propionyl-L-carnitine.
Warfarin (Coumadin)
Theoretically, propionyl-L-carnitine might increase the anticoagulant effects of warfarin.
L-carnitine, the parent compound of propionyl-L-carnitine, might increase the anticoagulant effects of acenocoumarol, a shorter-acting oral anticoagulant similar to warfarin. There is not enough information to know whether this interaction occurs with propionyl-L-carnitine and warfarin.
Brand information
Manufacturer and brand details for Cohealon, from the product label.
Cardiovascular Research
See all Cardiovascular Research products- Name
- Cardiovascular Research, LTD.
- Street Address
- 1061-B Shary Circle
- City
- Concord
- State
- CA
- ZipCode
- 94518
Cohealon by Cardiovascular Research: Common Questions
Does Cohealon by Cardiovascular Research interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What is propionyl-L-carnitine and what does it do?
What side effects should I expect?
Can I take Cohealon if I'm pregnant or breastfeeding?
Does propionyl-L-carnitine really work for heart problems?
Is there a fishy smell side effect permanent?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Cohealon 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 Cohealon’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Cohealon'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 12 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.
Propionyl-l-carnitine 12 references
- Cherchi A, Lai C, Onnis E, et al. Propionyl carnitine in stable effort angina. Cardiovasc Drugs Ther 1990;4:481-6. PubMed
- Bartels GL, Remme WJ, den Hartog FR, et al. Additional anti-ischemic effects of long-term L-propionylcarnitine in anginal patients treated with conventional antianginal therapy. Cardiovasc Drugs Ther 1995;9:749-53.
- Caponnetto S, Canale C, Masperone MA, et al. Efficacy of L-propionylcarnitine treatment in patients with left ventricular dysfunction. Eur Heart J 1994;15:1267-73. PubMed
- Benvenga S, Ruggeri RM, Russo A, et al. Usefulness of L-carnitine, a naturally occurring peripheral antagonist of thyroid hormone action, in iatrogenic hyperthyroidism: a randomized, double-blind, placebo-controlled clinical trial. J Clin Endocrinol Meta
- Martinez E, Domingo P, Roca-Cusachs A. Potentiation of acenocoumarol action by L-carnitine. J Intern Med 1993;233:94.
- Bachmann HU, Hoffmann A. Interaction of food supplement L-carnitine with oral anticoagulant acenocoumarol. Swiss Med Wkly 2004;134:385. PubMed
- Gentile V, Vicini P, Prigiotti G, et al. Preliminary observations on the use of propionyl-L-carnitine in combination with sildenafil in patients with erectile dysfunction and diabetes. Curr Med Res Opin 2004;20:1377-84. PubMed
- 12761 Benvenga S, Amato A, Calvani M, Trimarchi F. Effects of carnitine on thyroid hormone action. Ann N Y Acad Sci 2004;1033:158-67. PubMed
- Brass EP, Koster D, Hiatt WR, Amato A. A systematic review and meta-analysis of propionyl-L-carnitine effects on exercise performance in patients with claudication. Vasc Med 2013;18:3-12.
- Hiatt WR, Creager MA, Amato A, Brass EP. Effect of propionyl-L-carnitine on a background of monitored exercise in patients with claudication secondary to peripheral artery disease. J Cardiopulm Rehabil Prev 2011;31:125-32. PubMed
- Jacobs PL, Goldstein ER, Blackburn W, et al. Glycine propionyl-L-carnitine produces enhanced anaerobic work capacity with reduced lactate accumulation in resistance trained males. J Int Soc Sports Nutr 2009;6:9. PubMed
- Jacobs PL, Goldstein ER. Long-term glycine propionyl-l-carnitine supplementation and paradoxical effects on repeated anaerobic sprint performance. J Int Soc Sports Nutr 2010;7:35.
See these in context on the Propionyl-l-carnitine monograph →
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