D-Ribose Ingredients & Drug Interactions
What is this page for?
First and foremost: checking D-Ribose 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
D-Ribose is a dietary supplement by Designs for Health with 1 active ingredient. Its ingredients are commonly taken for energy and fatigue, athletic performance and recovery, fibromyalgia symptoms.Based on those ingredients, 86 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are D-Ribose. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against D-Ribose by Designs for Health
Ask about any prescription or over-the-counter medication and we check it for interactions with D-Ribose by Designs for Health — 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 D-Ribose by Designs for Health
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
This liquid contains one active ingredient: D-Ribose, a five-carbon sugar your body makes naturally and uses in cells to produce energy. It's marketed for athletic performance, muscle recovery, and heart health, though the evidence supporting those claims is limited or inconclusive.
The product contains no other inactive ingredients listed.
Does it work?
Couldn't assess
The evidence for D-Ribose is mixed and often limited. For athletic performance and McArdle disease, it's rated possibly ineffective.
For restless legs syndrome, muscle soreness, congestive heart failure, and recovery after heart bypass surgery, the reliable evidence isn't established in the data we hold — meaning we don't yet know if it works for those uses. If you're considering it for a specific condition, talk it over with your doctor to see whether the current evidence supports a trial.
How safe is it?
Well-documented data
D-Ribose is generally well tolerated in the short term — up to about a month — but long-term safety hasn't been well studied. The most common side effects are diarrhea, gastrointestinal discomfort, headache, nausea, and low blood sugar (hypoglycemia).
Some people report anxiety, lightheadedness, or increased appetite, though lowering the dose has resolved these in some cases. Because there isn't enough safety information available, D-Ribose is best avoided during pregnancy and while breastfeeding — talk with your doctor or pharmacist if you're considering it during either time.
Meds to double-check
Moderate interaction found
Moderate-severity interactions are documented with insulin and antidiabetes drugs — both can raise the risk of low blood sugar (hypoglycemia) when combined with D-Ribose. Check your exact medications with the search tool on this page, and talk with your doctor or pharmacist before you begin.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
D-Ribose is a single-ingredient supplement that's generally well tolerated short-term but can lower blood sugar and may cause digestive upset or headache. If you take insulin or any blood-sugar medication, check your specific drugs with the tool on this page before starting, and confirm the plan with your doctor or pharmacist.
For other uses, the evidence is either limited or not yet established.
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 Jun 25, 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 D-Ribose, straight from the product label.
| Brand | Designs for Health |
|---|---|
| Barcode (UPC) | 879452000896 |
| Net contents | 150 Gram(s) |
| Market status | On market |
| Date entered into DSLD | Jun 25, 2013 |
| DSLD ID | 22799 |
| Product type | Fiber And Other Nutrients |
| Supplement form | Liquid |
| Dietary claims / uses | All Other |
| 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 D-Ribose by Designs for Health, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| D-Ribose | 5 Gram(s) | -- |
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.
General Statements
Notice: This is a natural product that may exhibit color, taste and density variations from lot to lot.
For Professional Use Only
Manufactured in an NSF GMP Registered Facility
Formulation
Does not contain gluten.
General
RIB150-1
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Recommended Use: As a dietary supplement, take 5 grams (approx. one heaping teaspoon) per day, or as directed by your health care practitioner.
Seals/Symbols
Guaranteed GMP COMPLIANT Products
Storage
STORE IN A COOL, DRY PLACE.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
D-Ribose by Designs for Health 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 D-Ribose by Designs for Health
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size5 Gram(s) Dosage formLiquid Servings per container30 Amounts shown are per serving.
D-Ribose
Interacts with86 drugs
Ribose (D-ribose) is a simple sugar your body makes naturally and uses to build energy molecules like ATP. Some people take it for fatigue, fibromyalg...
D-Ribose monograph & interactionsD-Ribose by Designs for Health Drug Interactions
HelloPharmacist Interaction Report
Designs for Health D-Ribose can interact with medications that manage blood sugar.
Its one active ingredient, D-Ribose, has documented interactions with insulin and antidiabetes drugs — the most serious concern is a Moderate-severity risk of low blood sugar (hypoglycemia) when combined with either class.
Read the full breakdown — every affected drug type, severity by severity
Ribose lowers blood sugar levels in a dose-dependent way, and when you pair it with insulin or antidiabetes medications, that effect can add up. In clinical studies, ribose modestly raised insulin levels, which compounds the risk.
Both insulin and antidiabetes drugs carry a Moderate severity rating for this interaction.
Altogether, these interactions span 86 individual medications. Before you start D-Ribose, especially if you take insulin or any drug to manage blood sugar, run your exact medications through the checker on this page and confirm the plan with your doctor or pharmacist.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against D-Ribose?
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 D-Ribose interact with 86 drugs. Click any drug to see the details.
1 of the 1 ingredient in D-Ribose interact with drugs. Each result below shows which ingredient is responsible. D-Ribose
AcarboseGlucobay, Prandase, Precose
How Acarbose interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Acarbose interactionAcetohexamideDymelor
How Acetohexamide interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Acetohexamide interactionAlbiglutideTanzeum
How Albiglutide interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Albiglutide interactionAlogliptinNesina
How Alogliptin interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Alogliptin, Pioglitazone interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionCanagliflozinInvokana
How Canagliflozin interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Canagliflozin interactionCanagliflozin, MetforminInvokamet
How Canagliflozin, Metformin interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Canagliflozin, Metformin interactionCanagliflozin, Metformin HydrochlorideInvokamet XR
How Canagliflozin, Metformin Hydrochloride interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Canagliflozin, Metformin Hydrochloride interactionChlorpropamideChlorpropam, Diabinese
How Chlorpropamide interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Chlorpropamide interactionDapagliflozinFarxiga
How Dapagliflozin interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Dapagliflozin interactionDapagliflozin Propanediol, MetforminXigduo XR
How Dapagliflozin Propanediol, Metformin interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Dapagliflozin Propanediol, Metformin interactionDapagliflozin Propanediol, Saxagliptin HydrochlorideQtern
How Dapagliflozin Propanediol, Saxagliptin Hydrochloride interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Dapagliflozin Propanediol, Saxagliptin Hydrochloride interactionDapagliflozin, Metformin Hydrochloride, Saxagliptin HydrochlorideQternmet XR
How Dapagliflozin, Metformin Hydrochloride, Saxagliptin Hydrochloride interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Dapagliflozin, Metformin Hydrochloride, Saxagliptin Hydrochloride interactionDasiglucagon HydrochlorideZegalogue
How Dasiglucagon Hydrochloride interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Dasiglucagon Hydrochloride interactionDulaglutideTrulicity
How Dulaglutide interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Dulaglutide interactionEmpagliflozinJardiance
How Empagliflozin interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Empagliflozin interactionEmpagliflozin, Linagliptin, Metformin HydrochlorideTrijardy XR
How Empagliflozin, Linagliptin, Metformin Hydrochloride interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Empagliflozin, Linagliptin, Metformin Hydrochloride interactionEmpagliflozin, MetforminSynjardy
How Empagliflozin, Metformin interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Empagliflozin, Metformin interactionEmpagliflozin, Metformin HydrochlorideSynjardy XR
How Empagliflozin, Metformin Hydrochloride interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Empagliflozin, Metformin Hydrochloride interactionErtugliflozinSteglatro
How Ertugliflozin interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Ertugliflozin interactionErtugliflozin, Metformin HydrochlorideSegluromet
How Ertugliflozin, Metformin Hydrochloride interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Ertugliflozin, Metformin Hydrochloride interactionExenatideBydureon, Byetta
How Exenatide interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Exenatide interactionExenatide SyntheticBydureon BCISE
How Exenatide Synthetic interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Exenatide Synthetic interactionGliclazideDiamicron
How Gliclazide interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Gliclazide interactionGlimepirideAmaryl
How Glimepiride interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Glimepiride interactionGlipizideGlucotrol, Glucotrol XL
How Glipizide interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Glipizide interactionGlipizide, MetforminMetaglip
How Glipizide, Metformin interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Glipizide, Metformin interactionGlucagonBaqsimi, Glucagon
How Glucagon interacts with D-Ribose — through 1 ingredient. Tap an ingredient for the detail:
D-riboseAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full D-ribose + Glucagon interactionEach ingredient & the kinds of drugs it affects
For each ingredient in D-Ribose 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.
D-Ribose
Antidiabetes Drugs
Theoretically, taking ribose in combination with antidiabetes drugs might increase the risk of hypoglycemia.
In clinical research, ribose decreases serum glucose levels in a dose-dependent manner.
Insulin
Theoretically, taking ribose with insulin could increase the hypoglycemic effect of insulin.
In clinical pharmacokinetic studies, oral administration of ribose modestly increased serum insulin levels.
Brand information
Manufacturer and brand details for D-Ribose, from the product label.
Designs for Health
See all Designs for Health products- Name
- Designs for Health, Inc.
- Street Address
- 980 South Street
- City
- Suffield
- State
- CT
- ZipCode
- 06078
- Web Address
- www.designsforhealth.com
D-Ribose by Designs for Health: Common Questions
Does D-Ribose by Designs for Health interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take D-Ribose if I'm pregnant or breastfeeding?
What are the most common side effects?
How long is it safe to take D-Ribose?
Does D-Ribose actually help athletic performance?
What is D-Ribose and what does it do in the body?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if D-Ribose 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 D-Ribose’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
D-Ribose'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 8 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.
Ribose 8 references
- Segal S, Foley J. The metabolism of D-ribose in man. J Clin Invest 1958;37:719-35. PubMed
- Perlmutter NS, Wilson RA, Angello DA, et al. Ribose facilitates thallium-201 redistribution in patients with coronary artery disease. J Nucl Med 1991;32:193-200.
- Hegewald MG, Palac RT, Angello DA, et al. Ribose infusion accelerates thallium redistribution with early imaging compared with late 24-hour imaging without ribose. J Am Coll Cardiol 1991;18:1671-81. PubMed
- Pliml W, von Arnim T, Stalein A, et al. Effects of ribose on excercise-induced ischaemia in stable coronary artery disease. Lancet 1992;340:507-10.
- Burke ER. D-Ribose What You Need To Know. Garden City Park, NY: Avery Publishing Group 1999;1-43.
- Gross M, Reiter S, Zollner N. Metabolism of D-ribose administered continuously to healthy persons and to patients with myoadenylate deaminase deficiency. Klin Wochenschr 1989;67:1205-13. PubMed
- Teitelbaum JE, Johnson C, St Cyr J. The use of D-ribose in chronic fatigue syndrome and fibromyalgia: a pilot study. J Altern Complement Med 2006;12:857-62. PubMed
- Thompson J, Neutel J, Homer K, Tempero K, Shah A, Khankari R. Evaluation of D-ribose pharmacokinetics, dose proportionality, food effect, and pharmacodynamics after oral solution administration in healthy male and female subjects. J Clin Pharmacol 2014;54 PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC