Interactions on record — worth a quick check against your medications. Based on 2 of 5 ingredients. Check your meds →
Dietary supplement

Curamin Extra Strength Ingredients & Drug Interactions

by Terry Naturally

Tablet Or Pill Category: Other Combinations
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

Curamin Extra Strength is a dietary supplement by Terry Naturally with 5 active ingredients. Its ingredients are commonly taken for heart and circulatory health, blood clot prevention, high blood pressure.Based on those ingredients, 1,126 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Boswellia (Boswellia serrata) gum resin extract, Nattokinase. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Curamin Extra Strength by Terry Naturally

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.

From our pharmacy team — supplement deep dive

What’s inside

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 0 of its 4 active ingredients.
  • “Proprietary Complex” is a proprietary blend — the label gives one combined amount (2,706 mg) without saying how much of each component you get.

Curamin Extra Strength has 4 active ingredients. Nattokinase is an enzyme derived from fermented soy (natto) that works on blood clotting.

Boswellia serrata gum resin extract comes from a tree traditionally used in Ayurvedic medicine, and it contains compounds called boswellic acids. DL-phenylalanine is an amino acid, and BCM-95 Curcugreen is a curcumin formulation — curcumin is the active compound in turmeric.

The tablet also contains inactive ingredients (cellulose, stearic acid, silica, magnesium stearate, croscarmellose sodium, and ethylcellulose) that give it shape and help it break down in your digestive system.

Does it work?

Moderate evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Moderate

Some clinical evidence supports this product's ingredients for its stated purpose, but it isn't conclusive.

Why this rating?
  • The label markets this product for: pain relief and occasional muscle pain.
  • We looked for evidence on: Exercise-induced muscle soreness, Knee pain, Osteoarthritis, Rheumatoid arthritis (RA), Postoperative pain, Dysmenorrhea — and 4 related terms.
  • The strongest evidence on file: Boswellia Serrata is rated "Possibly Effective" for Osteoarthritis (Natural Medicines).
  • Also on file: Boswellia Serrata is rated "Insufficient Reliable Evidence To Rate" for Exercise-induced muscle soreness, Knee pain, Chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS), Rheumatoid arthritis (RA), and more.

For Boswellia serrata, the evidence shows it is possibly effective for osteoarthritis. The data we hold does not establish reliable evidence for the other uses listed — allergic rhinitis (hay fever), Alzheimer disease, asthma, and cluster headache.

For nattokinase and the other ingredients in this product, we hold insufficient evidence to rate their effectiveness for the conditions this supplement targets. The evidence on curcumin and DL-phenylalanine isn't established in our data.

The evidence, ingredient by ingredient Nattokinase Boswellia Serrata

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 2 of the 2 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 2 of 2.
  • General safety write-ups exist for 2 of 2.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Nattokinase is generally well tolerated over the short term, but because it thins the blood, it carries risk if you have bleeding disorders or a history of bleeding. Rare reports include allergic reactions (even anaphylaxis) in people sensitive to natto, with symptoms appearing within 2 hours of taking it.

Boswellia serrata is generally well tolerated short-term; common side effects are mild — abdominal pain, diarrhea, headache, heartburn, nausea, and dizziness. Rarely, very large amounts can form a bezoar (a mass in the stomach).

For pregnancy: nattokinase is not recommended — not enough safety data exists. Boswellia serrata carries insufficient data as well, so do not take it while pregnant or breastfeeding without talking to your doctor or pharmacist.

Safety data for DL-phenylalanine and BCM-95 Curcugreen is not on file.

Side effects, ingredient by ingredient Nattokinase Boswellia Serrata

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 2 of the 2 matched ingredients can interact with medications — Boswellia Serrata, Nattokinase.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; immunosuppressants / transplant drugs.
  • For scale: 1,127 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Before taking Curamin Extra Strength, check with your doctor or pharmacist if you take blood thinners or antiplatelet drugs (aspirin, warfarin, clopidogrel) — nattokinase raises bleeding risk at Moderate severity, and there is a documented case of brain bleeding when nattokinase was combined with aspirin. Also confirm any antihypertensive (blood pressure) medications, as nattokinase may lower blood pressure further.

If you take medications that rely on liver enzymes to be broken down (a very long list including many antidepressants, beta-blockers, and statins), Boswellia serrata may raise their levels — discuss this with your pharmacist before starting.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

This product may be worth considering if you're looking for joint support and have discussed it with your doctor — Boswellia has some evidence for osteoarthritis — but it carries real interaction risks. If you take blood thinners, blood pressure medications, or drugs your liver metabolizes heavily, you need to check with your doctor or pharmacist before starting.

Avoid it if you're pregnant or breastfeeding. Talk it over with your healthcare provider to make sure it fits your situation.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 2 of 4 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Aug 23, 2023.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about Curamin Extra Strength, straight from the product label.

Brand Terry Naturally
Barcode (UPC) 367703112066
Net contents 60 Tablet(s)
Market status On market
Date entered into DSLD Aug 23, 2023
DSLD ID 300073
Product type Other Combinations
Supplement form Tablet Or Pill
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Vegan, Vegetarian, Adult (18 - 50 Years), Kosher, Halal, Gluten Free
From the label
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 Curamin Extra Strength by Terry Naturally, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
1 Tablet(s)
Maximum serving Sizes:
1 Tablet(s)
Servings per container
20
UPC/BARCODE
367703112066
IngredientAmount% DV
Calories20 Calorie(s)--
Total Carbohydrates2 Gram(s)1%
Total Fat1 Gram(s)1%
Protein1 Gram(s)2%
Nattokinase0 NP--
DL-Phenylalanine0 NP--
Boswellia (Boswellia serrata) gum resin extract0 NP--
Proprietary Complex2706 mg--
BCM-95 Curcugreen0 NP--

Other ingredients: Cellulose, Powder, Stearic Acid, Silica, Magnesium Stearate, Croscarmellose Sodium, Ethylcellulose

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
General Statements

Money-Back Guarantee

When pain is the problem, Curamin is the answer!

Visit Curamin.com to read what others have experienced.

Formulation

Four Powerhouse Ingredients. One Award-Winning Formula

Vegan

Non-GMO

Extra Strength Pain Relief For your good health

No sugar, salt, yeast, wheat, gluten, corn, dairy products, artificial coloring, artificial flavoring, or artificial preservatives.

Color variations are normal.

Formula

Curamin Extra Strength combines clinically proven curcumin and boswellia with DLPA and nattokinase to create a product that has been recognized throughout the natural foods industry for pain relief.

cRc Kosher 328

H Halal

Clinically studied Curcumin with Turmerones

Suggested/Recommended/Usage/Directions

Recommendations: Three tablets daily. May be taken as 1 tablet, 3 times daily.

Precautions

If pregnant or nursing, consult a healthcare practitioner before use.

All ingredients established in human studies for safety and effectiveness. Does not interfere with stomach, liver or kidney function. Occasional muscle pain due to exercise or overuse

Contains soy (less than 5 parts per million)

FDA Disclaimer Statement

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

Seals/Symbols

cRc Kosher 328 H Halal

FDA Statement of Identity

Dietary Supplement

See for yourself

Curamin Extra Strength by Terry Naturally label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

What’s inside

The Ingredients in Curamin Extra Strength by Terry Naturally

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 Servings per container20 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.

Protein

1 Gram(s) per serving

Proprietary Complex

2706 mg per serving

Other (inactive) ingredients: Cellulose, Powder, Stearic Acid, Silica, Magnesium Stearate, Croscarmellose Sodium, Ethylcellulose. These complete the product’s ingredient list but are not active constituents.

Interaction report

Curamin Extra Strength by Terry Naturally Drug Interactions

Want to check YOUR meds against Curamin Extra Strength?

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 checker
1,126Drugs
1,126 Moderate

Ingredients driving the most interactions

Each ingredient & the kinds of drugs it affects

For each ingredient in Curamin Extra Strength 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.

Boswellia (Boswellia serrata) gum resin extract6 drug types · 952 drugs

Cytochrome P450 1A2 (Cyp1A2) Substrates

Theoretically, Boswellia serrata might increase the levels of CYP1A2 substrates.
In vitro research shows that Boswellia serrata gum resin inhibits CYP1A2 enzymes.

Likelihood Possible Evidence D
Cytochrome P450 2C19 (Cyp2C19) Substrates

Theoretically, Boswellia serrata might increase the levels of CYP2C19 substrates.
In vitro research shows that Boswellia serrata gum resin inhibits CYP2C19 enzymes.

Likelihood Possible Evidence D
Cytochrome P450 2C9 (Cyp2C9) Substrates

Theoretically, Boswellia serrata might increase the levels of CYP2C9 substrates.
In vitro research shows that Boswellia serrata gum resin inhibits CYP2C9 enzymes.

Likelihood Possible Evidence D
Cytochrome P450 2D6 (Cyp2D6) Substrates

Theoretically, Boswellia serrata might increase the levels of CYP2D6 substrates.
In vitro research shows that Boswellia serrata gum resin inhibits CYP2D6 enzymes.

Likelihood Possible Evidence D
Cytochrome P450 3A4 (Cyp3A4) Substrates

Theoretically, Boswellia serrata might increase or decrease the levels and clinical effects of CYP3A4 substrates.
In vitro research shows that Boswellia serrata gum resin inhibits CYP3A4 enzymes. Other in vitro research shows that Boswellia serrata extract inhibits CYP3A4 enzymes at most concentrations, although it may modestly induce enzyme activity at low concentrations.

Likelihood Possible Evidence D
Immunosuppressants

Theoretically, Boswellia serrata might alter the effects of immunosuppressive drugs.
Some in vitro research suggests that Boswellia serrata extracts might inhibit mediators of autoimmune disorders such as leukotrienes and reduce production of antibodies and cell-mediated immunity. However, other in vitro research suggests that, when coupled with calcium ions, boswellic acids containing the keto group have immunostimulant properties within specific cell signaling pathways.

Likelihood Possible Evidence D

Nattokinase2 drug types · 289 drugs

Anticoagulant/Antiplatelet Drugs

Nattokinase might increase the risk of bleeding when used with anticoagulant/antiplatelet drugs.
Nattokinase has thrombolytic and anticoagulant effects. There is a case report of intracranial hemorrhage in a patient who added nattokinase to aspirin therapy.

Likelihood Possible Evidence D
Antihypertensive Drugs

Theoretically, nattokinase might increase the risk of hypotension when used with antihypertensive drugs.
Some clinical research suggests that nattokinase may reduce systolic and diastolic blood pressure.

Likelihood Possible Evidence D
The maker

Brand information

Manufacturer and brand details for Curamin Extra Strength, from the product label.

Terry Naturally

See all Terry Naturally products
Name
EuroPharma, Inc.
City
Green Bay
State
WI
ZipCode
54311
Phone Number
(866) 807-2731
Web Address
EuroPharmaUSA.com
Pharmacist Counseling Corner

Curamin Extra Strength by Terry Naturally: Common Questions

Does Curamin Extra Strength by Terry Naturally interact with any medications?
Yes. Based on its ingredients, Curamin Extra Strength has a known interaction with 1,126 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Curamin Extra Strength contains 5 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Can I take this if I'm on aspirin or another blood thinner?
No — not without checking with your doctor first. Nattokinase in this product thins the blood too, and combined use carries a Moderate risk of bleeding. There is a documented case of someone who developed brain bleeding after adding nattokinase to low-dose aspirin, so this is a serious interaction to discuss with your doctor or pharmacist.
What's nattokinase, and why is it in here?
Nattokinase is an enzyme from fermented soy (natto) that affects blood clotting. It's included because some research suggests it may support cardiovascular health, though the evidence we hold doesn't definitively establish how well it works for specific conditions.
Does Boswellia actually work for joint pain?
For osteoarthritis, the evidence shows Boswellia serrata is possibly effective. For other conditions this product targets, we don't have reliable evidence. Boswellia is generally well tolerated, though common side effects include stomach upset, headache, and dizziness in some people.
Is it safe to take while breastfeeding?
Safety data is not available for either nattokinase or Boswellia while breastfeeding, so it's best to avoid it. Talk with your doctor or pharmacist about whether it's right for you in this situation.
What are the most common side effects?
For Boswellia serrata, the most common are mild stomach symptoms (abdominal pain, diarrhea, nausea, heartburn), headache, and dizziness. Nattokinase is generally well tolerated, though rare allergic reactions (including severe ones) can occur in people sensitive to natto.
Why does this supplement interact with so many medications?
Boswellia serrata inhibits five major enzyme systems your liver uses to break down drugs. This means it can raise levels of many medications that depend on these enzymes — potentially making them stronger than intended. That's why the interaction count is high, and why it's crucial to check any prescription drugs you take with your pharmacist before starting.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Not sure if Curamin Extra Strength is safe with your meds?

Our pharmacists answer your medication & supplement questions — free.

Ask a pharmacist

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.

Curamin Extra Strength label
Sources

Sources & How We Checked

Curamin Extra Strength'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.

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 25 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.

Nattokinase 9 references
  1. Suzuki Y, Kondo K, Matsumoto Y, et al. Dietary supplementation of fermented soybean, natto, suppresses intimal thickening and modulates the lysis of mural thrombi after endothelial injury in rat femoral artery. Life Sci 2003;73:1289-98.. PubMed
  2. Sumi H, Hamada H, Nakanishi K, Hiratani H. Enchancement of fibrinolytic activity in plasma by oral administration of nattokinase. Acta Haematol 1990;84:139-43.
  3. Chang, Y. Y., Liu, J. S., Lai, S. L., Wu, H. S., and Lan, M. Y. Cerebellar hemorrhage provoked by combined use of nattokinase and aspirin in a patient with cerebral microbleeds. Intern Med 2008;47(5):467-469. PubMed
  4. Kim, J. Y., Gum, S. N., Paik, J. K., Lim, H. H., Kim, K. C., Ogasawara, K., Inoue, K., Park, S., Jang, Y., and Lee, J. H. Effects of nattokinase on blood pressure: a randomized, controlled trial. Hypertens.Res 2008;31(8):1583-1588. PubMed
  5. <p>Maruyama M, Sumi H (eds): Effect of natto diet on blood pressure, in Basic and Clinical Aspects of Japanese Traditional Food Natto II. Japan Technology Transfer Association (JTTAS), 1998, pp 1–3.</p>
  6. Kurosawa Y, Nirengi S, Homma T, et al. A single-dose of oral nattokinase potentiates thrombolysis and anti-coagulation profiles. Sci Rep 2015;5:11601. PubMed
  7. Ramachandran L, Aqeel A, Jafri A, Sidhu Y, Mohamed Djirdeh T. Nattokinase-associated hemoperitoneum in an elderly woman. Cureus 2021;13(12):e20074. PubMed
  8. Awatani-Yoshidome K, Hashimoto T, Satoh T. Anaphylaxis from nattokinase in a patient with fermented soybean (natto) allergy. Allergol Int 2022;71(1):153-4. PubMed
  9. Suzuki K, Nakamura M, Sato N, Futamura K, Matsunaga K, Yagami A. Nattokinase, a subtilisin family serine protease, is a novel allergen contained in the traditional Japanese fermented food natto. Allergol Int 2022.

See these in context on the Nattokinase monograph →

Boswellia Serrata 16 references
  1. Gupta I, Gupta V, Parihar A, et al. Effects of Boswellia serrata gum resin in patients with bronchial asthma: results of a double-blind, placebo-controlled, 6-week clinical study. Eur J Med Res 1998;3:511-4.
  2. Electronic Code of Federal Regulations. Title 21. Part 182 -- Substances Generally Recognized As Safe. Available at: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=182
  3. Kimmatkar N, Thawani V, Hingorani L, et al. Efficacy and tolerability of Boswellia serrata extract in treatment of osteoarthritis of knee--a randomized double blind placebo controlled trial. Phytomedicine 2003;10:3-7. PubMed
  4. Liu JJ, Nilsson A, Oredsson S, et al. Boswellic acids trigger apoptosis via a pathway dependent on caspase-8 activation but independent on Fas/Fas ligand interaction in colon cancer HT-29 cells. Carcinogenesis 2002;23:2087-93. PubMed
  5. Wildfeuer A, Neu IS, Safayhi H, et al. Effects of boswellic acids extracted from a herbal medicine on the biosynthesis of leukotrienes and the course of experimental autoimmune encephalomyelitis. Arzneimittelforschung 1998;48:668-74.
  6. Gupta I, Parihar A, Malhotra P, et al. Effects of gum resin of Boswellia serrata in patients with chronic colitis. Planta Med 2001;67:391-5. PubMed
  7. Sengupta K, Alluri KV, Satish AR, et al. A double blind, randomized, placebo controlled study of the efficacy and safety of 5-Loxin. Arthritis Res Ther 2008;10:R85.
  8. Sengupta K, Krishnaraju AV, Vishal AA, et al. Comparative efficacy and tolerability of 5-Loxin and Aflapin against osteoarthritis of the knee: a double blind, randomized, placebo controlled clinical study. Int J Med Sci 2010;7:366-77.
  9. Ernst E. Frankincense: systematic review. BMJ 2008;337:a2813. PubMed
  10. Kirste S, Treier M, Wehrle SJ, et al. Boswellia serratea extract acts on cerebral edema in patients irradiated for brain tumors: a prospective, randomized, placebo-controlled, double-blind pilot trial. Cancer 2011;117:3788-95.
  11. Frank A, Unger M. Analysis of frankincense from various Boswellia species with inhibitory activity on human drug metabolising cytochrome P450 enzymes using liquid chromatography mass spectrometry after automated on-line extraction. J Chromatogr A 2006;111 PubMed
  12. Altmann A, Poeckel D, Fischer L, et al. Coupling of boswellic acid-incuded Ca2+ mobilisation and MAPK activation to lipid metabolism and peroxide formation in human leucocytes. Br J Pharmacol 2004;141:223-32.
  13. El Fortia, M., Badi, H., Elalem, Kh, Kadiki, O., and Topov, Y. Olibanum bezoar: complication of a traditional popular medicine. East Mediterr.Health J 2006;12(6):927-929.
  14. Meshkat S, Mahmoodi Baram S, Rajaei S, et al. Boswellia serrata extract shows cognitive benefits in a double-blind, randomized, placebo-controlled pilot clinical trial in individuals who suffered traumatic brain injury. Brain Inj 2022;36(4):553-559. PubMed
  15. Haron MH, Dale O, Martin K, et al. Evaluation of the Herb-Drug Interaction Potential of Commonly Used Botanicals on the US Market with Regard to PXR- and AhR-Mediated Influences on CYP3A4 and CYP1A2. J Diet Suppl 2022. PubMed
  16. Valente IVB, Garcia D, Abbott A, et al. The anti-proliferative effects of a frankincense extract in a window of opportunity phase ia clinical trial for patients with breast cancer. Breast Cancer Res Treat 2024;204(3):521-530. PubMed

See these in context on the Boswellia Serrata 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

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