Interactions on record — worth a quick check against your medications. Based on 5 of 8 ingredients. Check your meds →
Dietary supplement

Demo Day Big Melons Ingredients & Drug Interactions

by Axe & Sledge Supplements

Powder Category: Other Combinations
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

Demo Day Big Melons is a dietary supplement by Axe & Sledge Supplements with 8 active ingredients. Its ingredients are commonly taken for constipation, diarrhea, high cholesterol.Based on those ingredients, 2,095 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Dietary Fiber, Alpha Lipoic Acid, Cinnamon Bark. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of Demo Day Big Melons by Axe & Sledge Supplements

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

Partial disclosure
Ingredient Transparency · database check
Partial

Most active ingredients list an amount, but at least one is hidden in a blend or missing.

Why this rating?
  • The label discloses an exact amount for 7 of its 8 active ingredients.

Demo Day Big Melons contains 7 ingredients, of which the active ones are alpha-lipoic acid (an antioxidant), L-taurine (an amino acid), cinnamon bark, glycerol powder, Cluster Dextrin (a carbohydrate), Palatinose (a sugar), and Legume-Base Starch. The inactive ingredients—natural and artificial flavors, malic acid, citric acid, silicon dioxide, sucralose, and beet—serve as sweeteners, thickeners, and color.

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: carbohydrate formula for workout performance.
  • We looked for evidence on: Athletic performance, Exercise-induced muscle soreness, muscle endurance, training recovery, workout energy.
  • The strongest evidence on file: Glycerol is rated "Possibly Effective" for Athletic performance (Natural Medicines).
  • Also on file: Taurine is rated "Insufficient Reliable Evidence To Rate" for Athletic performance, Exercise-induced muscle soreness.

Alpha-lipoic acid is rated possibly effective for diabetic neuropathy and cholesterol management, and possibly effective for weight management. L-taurine is rated possibly effective for certain liver and heart conditions but possibly ineffective for weight loss.

Cinnamon bark is rated possibly ineffective for weight loss and blood sugar control; there isn't enough evidence to rate its effects on allergies, COPD, or cold symptoms. Glycerol is rated likely effective for constipation relief and athletic performance, though it's likely ineffective for stroke and prematurity.

The evidence for how well this product works as a whole isn't established in the data we hold.

The evidence, ingredient by ingredient Black Psyllium Alpha-lipoic Acid Taurine Glycerol Ceylon Cinnamon

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 5 of the 5 matched ingredients.
  • Pregnancy & breastfeeding safety ratings cover 5 of 5.
  • General safety write-ups exist for 5 of 5.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Alpha-lipoic acid is generally well tolerated but can lower blood sugar and should be used under medical guidance; avoid it during pregnancy and breastfeeding due to insufficient safety data. Most common side effects are headache, heartburn, nausea, and vomiting when taken orally.

L-taurine is well tolerated in the short term in healthy adults, though long-term safety is less certain; it's rated likely safe in pregnancy and lactation, but supplement doses are less studied. Common side effects include constipation, diarrhea, and indigestion.

Cinnamon bark is generally safe as a food spice but less studied at supplement doses; it's likely safe in pregnancy but should be avoided at medicinal doses during breastfeeding. Glycerol is well tolerated in normal amounts but large oral doses can cause stomach upset and may cause bloating, diarrhea, nausea, or dizziness.

Talk with your doctor before using medicinal amounts, especially in pregnancy.

Side effects, ingredient by ingredient Black Psyllium Alpha-lipoic Acid Taurine Glycerol Ceylon Cinnamon

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?
  • 4 of the 5 matched ingredients can interact with medications — Black Psyllium, Ceylon Cinnamon, Alpha-lipoic Acid, Taurine.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; cancer treatments; diabetes medications; heart-rhythm medications; lithium.
  • For scale: 2,096 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 Demo Day Big Melons, double-check with your doctor or pharmacist if you take blood thinners or antiplatelet drugs (alpha-lipoic acid increases bleeding risk), blood pressure medications (taurine and cinnamon bark may lower pressure further), lithium for bipolar disorder (taurine may increase levels), diabetes medications (alpha-lipoic acid and cinnamon bark may lower blood sugar further), thyroid hormone replacement (alpha-lipoic acid may reduce effectiveness), or chemotherapy drugs including alkylating agents and antitumor antibiotics (alpha-lipoic acid's antioxidant effects could interfere).

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glancePartially disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

This product combines several ingredients with interactions to monitor. If you take blood thinners, blood pressure medication, lithium, diabetes drugs, thyroid replacement, or chemotherapy, check your specific medications with your doctor or pharmacist before starting.

Even if you're healthy, alpha-lipoic acid can lower blood sugar and L-taurine's long-term safety isn't fully established, so a conversation with your healthcare provider is worth having.

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

Assessment coverage: 5 of 8 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Sep 24, 2021.

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

At a glance

General information

Key facts about Demo Day Big Melons, straight from the product label.

Brand Axe & Sledge Supplements
Barcode (UPC) 753577016218
Net contents 1020 Gram(s); 35.98 Ounce(s)
Market status On market
Date entered into DSLD Sep 24, 2021
DSLD ID 254859
Product type Other Combinations
Supplement form Powder
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years), Women (not pregnant or lactating)
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 Demo Day Big Melons by Axe & Sledge Supplements, 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:
33 Gram(s)
Maximum serving Sizes:
33 Gram(s)
Servings per container
30
UPC/BARCODE
753577016218
IngredientAmount% DV
Calories90 Calorie(s)--
Total Carbohydrates25 Gram(s)9%
Dietary Fiber0 Gram(s)--
Alpha Lipoic Acid50 mg--
Cluster Dextrin11000 mg--
Added Sugars2 Gram(s)4%
Total Sugars2 Gram(s)--
L-Taurine2000 mg--
Palatinose2000 mg--
Glycerol powder2000 mg--
Legume-Base Starch15000 mg--
Cinnamon Bark50 mg--

Other ingredients: Natural & Artificial flavors, Malic Acid, Citric Acid, Silicon Dioxide, Sucralose, Beet

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

For the hardest workers in the gym

For the hardest workers in the gym

Formulation

About Demo Day Time to work! DEMO DAY is our carbohydrate formula. It is designed to add the competitive edge to your training program. We used patented ingredients to push the carbohydrates into your muscles during your workout, leaving you with a skin stretching pump, and energy (glycogen) to work harder, longer! DEMO DAY is for anyone that is looking for more sustained energy levels, or have a rounder & fuller look to your muscles by maintaining the pump throughout your workout. DEMO DAY can be used pre, intra, or post workout depending on your goals and needs.

Precautions

Warning: Consult with a physician prior to use if you have a medical condition.

Don't use if pregnant or lactating.

Keep out of reach of children.

Allergen warning: This product was produced in a facility that may also process ingredients containing milk, egg, soybeans, shellfish, tree nuts, wheat and peanuts.

Storage

Keep container tightly closed in a cool, dry and dark place.

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.

Formula

Carbohydrate powder

Cluster dextrin 11,000 mg Carb 10 15,000 mg HydroMax 2,000 mg Palatinose 2,000 mg Big Melons naturally and artificially flavored

FDA Statement of Identity

Dietary Supplement

Suggested/Recommended/Usage/Directions

Suggested Use As a dietary supplement, mix 1 scoop in a shaker cup with 12 oz of water and drink 30 minutes before exercise. You can take this product multiple ways: 1 Before training - drink 1/2-1 serving 30 minutes before training. 2 During training - sip on 1/2-1 serving during training. 3 After training - drink 1/2-1 serving after training.

See for yourself

Demo Day Big Melons by Axe & Sledge Supplements label

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

What’s inside

The Ingredients in Demo Day Big Melons by Axe & Sledge Supplements

These are the 8 active ingredients this product is made of. Select any to open its full monograph.

Serving size33 Gram(s) Dosage formPowder Servings per container30 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.

Dietary Fiber

Interacts with
2,025 drugs
0 Gram(s) per serving

Black psyllium is a soluble-fiber supplement made from the seeds of a Plantago plant, used mostly to ease constipation and support digestive health. I...

Dietary Fiber monograph & interactions

Alpha Lipoic Acid

Interacts with
263 drugs
50 mg per serving

Alpha-lipoic acid (ALA) is an antioxidant made naturally by the body and found in small amounts in foods. It is most studied for diabetic nerve pain,...

Alpha Lipoic Acid monograph & interactions

Cluster Dextrin

11000 mg per serving Form: Highly Branched Cyclic Dextrin

L-Taurine

Interacts with
173 drugs
2000 mg per serving

Taurine is an amino acid your body makes naturally and that you also get from animal foods. It is widely used in energy drinks and sports supplements,...

L-Taurine monograph & interactions

Palatinose

2000 mg per serving Form: Isomaltulose, Powder

Glycerol powder

No known
interactions
2000 mg per serving

Glycerol (glycerin) is a sweet, syrupy compound made naturally in the body and widely used in foods, skin products, and medicines. It is well establis...

Glycerol powder monograph & interactions

Legume-Base Starch

15000 mg per serving Form: Carb10, Pisum sativum

Cinnamon Bark

Interacts with
258 drugs
50 mg per serving

Ceylon cinnamon is the so-called 'true' cinnamon, valued as a spice and used in traditional medicine for blood sugar, cholesterol, and digestion. Evid...

Cinnamon Bark monograph & interactions

Other (inactive) ingredients: Natural & Artificial flavors, Malic Acid, Citric Acid, Silicon Dioxide, Sucralose, Beet. These complete the product’s ingredient list but are not active constituents.

Interaction report

Demo Day Big Melons by Axe & Sledge Supplements Drug Interactions

Want to check YOUR meds against Demo Day Big Melons?

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
2,095Drugs
433 Moderate 1,662 Minor

Ingredients driving the most interactions

L-Taurine 173

Each ingredient & the kinds of drugs it affects

For each ingredient in Demo Day Big Melons 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.

Dietary Fiber7 drug types · 2,025 drugs

Carbamazepine (Tegretol)

Theoretically, black psyllium might reduce the effects of carbamazepine and increase the risk for convulsions.
Theoretically, black psyllium might reduce carbamazepine absorption. A preliminary study using blond psyllium reported decreased carbamazepine bioavailability due to binding of the drug to psyllium, as well as reduction of available fluid in the gut for dissolution of the drug. This interaction may also occur with black psyllium.

Likelihood Probable Evidence D
Lithium

Theoretically, taking black psyllium at the same time as lithium might reduce lithium absorption.
The fiber in black psyllium might reduce lithium absorption and plasma levels. Some case reports describe a reduction in plasma lithium levels with concomitant administration of blond psyllium. This was reversed when psyllium was stopped. This interaction may also occur with black psyllium.

Likelihood Probable Evidence D
Metformin (Glucophage)

Theoretically, black psyllium might increase the therapeutic and adverse effects of metformin.
Animal research shows that concurrent consumption of blond psyllium with metformin slows and increases the absorption of metformin. This interaction may also occur with black psyllium. To avoid changes in absorption, take psyllium 30-60 minutes after metformin.

Likelihood Possible Evidence D
Olanzapine (Zyprexa)

Theoretically, taking black psyllium at the same time as olanzapine might reduce olanzapine absorption.
The fiber in black psyllium might decrease the absorption of olanzapine. A single case report describes a reduction in the effectiveness of olanzapine when it was concomitantly administered with an unspecified type of psyllium 3 grams orally twice daily. This effect was reversed when psyllium was stopped.

Likelihood Possible Evidence D
Digoxin (Lanoxin)

Theoretically, taking black psyllium at the same time as digoxin might reduce digoxin absorption and decrease digoxin levels.
Psyllium might bind digoxin in the gut. However, some clinical evidence suggests that psyllium does not impact digoxin absorption.

Likelihood Unlikely Evidence B
Ethinyl Estradiol

Theoretically, taking black psyllium at the same time as ethinyl estradiol might alter levels of estradiol.
Concurrent use of blond psyllium with ethinyl estradiol results in a slight increase in the extent of ethinyl estradiol absorption and a slower rate of absorption. This is unlikely to be clinically significant.

Likelihood Unlikely Evidence D
Oral Drugs

Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Psyllium seems to have variable effects on drug absorption. To avoid changes in absorption, take psyllium 30-60 minutes after oral medications. Animal research shows that blond psyllium delays and increases the absorption of metformin and ethinyl estradiol. Case reports and animal research suggest that blond psyllium might reduce absorption of lithium, digoxin, olanzapine, and carbamazepine. Finally, some pharmacokinetic studies show that psyllium does not affect the absorption of levothyroxine or warfarin. Although many of these studies evaluated blond psyllium, the fiber content in black psyllium may have similar effects.

Likelihood Possible Evidence B

Alpha Lipoic Acid5 drug types · 263 drugs

Alkylating Agents

Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of alkylating agents.
The use of antioxidants like alpha-lipoic acid during chemotherapy is controversial. There are concerns that antioxidants could reduce the activity of chemotherapy drugs that generate free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as alpha-lipoic acid have on chemotherapy. Advise patients to consult their oncologist before using alpha-lipoic acid.

Likelihood Possible Evidence D
Anticoagulant/Antiplatelet Drugs

Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro, alpha-lipoic acid inhibits platelet aggregation.

Likelihood Possible Evidence D
Antitumor Antibiotics

Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
The use of antioxidants like alpha-lipoic acid during chemotherapy is controversial. There are concerns that antioxidants could reduce the activity of antitumor antibiotic drugs, which work by generating free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as alpha-lipoic acid have on chemotherapy involving antitumor antibiotics. Advise patients to consult their oncologist before using alpha-lipoic acid.

Likelihood Possible Evidence D
Thyroid Hormone

Theoretically, alpha-lipoic acid might decrease the effects of thyroid hormone drugs.
Animal research suggests that co-administration of thyroxine with alpha-lipoic acid reduces conversion into the active T3 form.

Likelihood Possible Evidence D
Antidiabetes Drugs

Theoretically, taking alpha-lipoic acid with antidiabetes drugs might increase the risk of hypoglycemia.
Although some small clinical studies have suggested that alpha-lipoic acid can lower blood glucose levels, larger clinical studies in patients with diabetes have shown no clinically meaningful effect. Additionally, co-administration of single doses of alpha-lipoic acid and glyburide or acarbose did not cause detectable drug interactions in healthy volunteers.

Likelihood Unlikely Evidence B

Cinnamon Bark2 drug types · 258 drugs

Antidiabetes Drugs

Theoretically, Ceylon cinnamon may have additive effects with antidiabetes drugs.
Ceylon cinnamon may lower blood glucose levels. Dose adjustments might be necessary.

Likelihood Possible Evidence D
Antihypertensive Drugs

Theoretically, Ceylon cinnamon might have additive effects with antihypertensive drugs and increase the risk of hypotension.
Animal research shows that Ceylon cinnamon extract has vasorelaxant properties and reduces blood pressure in rat models of hypertension, possibly via inhibition of calcium influx through L-type voltage-sensitive channels.

Likelihood Possible Evidence D

L-Taurine2 drug types · 173 drugs

Antihypertensive Drugs

Theoretically, taurine might increase the risk of hypotension when taken with antihypertensive drugs.
Some clinical evidence suggests that taurine can reduce both systolic and diastolic blood pressure.

Likelihood Probable Evidence D
Lithium

Theoretically, taurine might reduce excretion and increase plasma levels of lithium.
Taurine is thought to have diuretic properties, which might reduce the excretion of lithium.

Likelihood Probable Evidence D
The maker

Brand information

Manufacturer and brand details for Demo Day Big Melons, from the product label.

Axe & Sledge Supplements

See all Axe & Sledge Supplements products
Name
Axe & Sledge Supplements
Street Address
1909 New Texas Road
City
Pittsburgh
State
PA
ZipCode
15239
Phone Number
(888) 944-6612
Web Address
www.axeandsledge.com
Pharmacist Counseling Corner

Demo Day Big Melons by Axe & Sledge Supplements: Common Questions

Does Demo Day Big Melons by Axe & Sledge Supplements interact with any medications?
Yes. Based on its ingredients, Demo Day Big Melons has a known interaction with 2,095 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Demo Day Big Melons contains 8 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 while I'm pregnant?
Alpha-lipoic acid should be avoided during pregnancy due to insufficient safety data. L-taurine is rated likely safe, cinnamon bark is likely safe, and glycerol data is limited. Talk with your doctor or midwife before taking any supplement during pregnancy—they know your individual situation best.
Is this safe to use while breastfeeding?
Alpha-lipoic acid should be avoided while breastfeeding. L-taurine is rated likely safe (it occurs naturally in breast milk), though supplement doses are less studied. Cinnamon bark safety at supplement doses is unknown during breastfeeding. Check with your doctor or pharmacist before using, especially at medicinal doses.
What are the most common side effects?
The main active ingredients carry similar mild side effects: headache, nausea, dizziness, and indigestion are most often reported. Alpha-lipoic acid users occasionally report heartburn or rash. Glycerol may cause bloating or diarrhea at higher doses. Most people tolerate these ingredients well at typical supplement amounts.
Will this help me lose weight?
Alpha-lipoic acid is rated possibly effective for weight management, but L-taurine and cinnamon bark are both rated possibly ineffective for weight loss. The overall evidence for this product's effect on weight isn't established in our data.
What is L-taurine and what does it do in this product?
Taurine is an amino acid that your body naturally produces and uses in muscles and the brain. In this product it's likely included for its possible benefits to heart and liver health, though it's rated possibly ineffective for weight loss. It's generally well tolerated in the short term.
Can this lower my blood sugar or blood pressure?
Yes—theoretically. Alpha-lipoic acid may increase the risk of low blood sugar if you take diabetes medication, and both L-taurine and cinnamon bark may lower blood pressure, especially if you're already on blood pressure drugs. This is why checking with your doctor first is important if you have diabetes or take blood pressure medication.

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

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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.

Demo Day Big Melons label
Go deeper

The Full Monographs Behind Demo Day Big Melons’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Sources

Sources & How We Checked

Demo Day Big Melons'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 117 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.

Black Psyllium 18 references
  1. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Covington TR, et al. Handbook of Nonprescription Drugs. 11th ed. Washington, DC: American Pharmaceutical Association, 1996.
  4. Etman M. Effect of a bulk forming laxative on the bioavailablility of carbamazepine in man. Drug Dev Ind Pharm 1995;21:1901-6.
  5. Perlman BB. Interaction between lithium salts and ispaghula husk. Lancet 1990;335:416.
  6. Vaswani SK, Hamilton RG, Valentine MD, Adkinson NF. Psyllium laxative-induced anaphylaxis, asthma, and rhinitis. Allergy 1996;51:266-8. PubMed
  7. Lantner RR, Espiritu BR, Zumerchik P, Tobin MC. Anaphylaxis following ingestion of a psyllium-containing cereal. JAMA 1990;264:2534-6. DOI
  8. Kaplan MJ. Anaphylactic reaction to "Heartwise." N Engl J Med 1990;323:1072-3. DOI
  9. Nordstrom M, Melander A, Robertsson E, Steen B. Influence of wheat bran and of a bulk-forming ispaghula cathartic on the bioavailability of digoxin in geriatric in-patients. Drug Nutr Interact 1987;5:67-9..
  10. Robinson DS, Benjamin DM, McCormack JJ. Interaction of warfarin and nonsystemic gastrointestinal drugs. Clin Pharmacol Ther 1971;12:491-5. PubMed
  11. Garcia JJ, Fernandez N, Diez MJ, et al. Influence of two dietary fibers in the oral bioavailability and other pharmacokinetic parameters of ethinyloestradiol. Contraception 2000;62:253-7. PubMed
  12. Fernandez N, Lopez C, Díez R, et al. Drug interactions with the dietary fiber Plantago ovata husk. Expert Opin Drug Metab Toxicol 2012;8(11):1377-86.
  13. Semen plantaginis in: WHO Monographs on Selected Medicinal Plants, volume 1. World Health Organization, Geneva, 1999. Available at http://apps.who.int/medicinedocs/en/d/Js2200e/. Accessed November 26, 1026.
  14. Code of Federal Regulations, Title 21 (21CFR 101.17). Food labeling warning, notice, and safe handling statements. Available at www.ecfr.gov/cgi-bin/text-idx?SID=20f647d3b74161501f46564b915b4048&mc=true&node=se21.2.101_117&rgn=div8. Accessed December 3, 2
  15. Code of Federal Regulations, Title 21 (21CFR 201.319). Specific labeling requirements - water-soluble gums, hydrophilic gums, and hydrophilic mucilloids. Available at www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=201.319. Accessed Dece
  16. Diez R, Garcia JJ, Diez MJ, Sierra M, Sahagun AM, Fernandez N. Influence of Plantago ovata husk (dietary fiber) on the bioavailability and other pharmacokinetic parameters of metformin in diabetic rabbits. BMC Complement Altern Med. 2017 Jun 7;17(1):298. PubMed
  17. Chiu AC, Sherman SI. Effects of pharmacological fiber supplements on levothyroxine absorption. Thyroid. 1998;8(8):667-71. PubMed
  18. Merrick C, Madden CA, Capurso NA. A Case of Blunted Orally Disintegrating Olanzapine Effect Due to Coadministered Psyllium. J Clin Psychiatry 2021;82(2):20cr13633. PubMed

See these in context on the Black Psyllium monograph →

Alpha-lipoic Acid 48 references
  1. Labriola D, Livingston R. Possible interactions between dietary antioxidants and chemotherapy. Oncology 1999;13:1003-8.
  2. Anon. Alpha-lipoic acid. Altern Med Rev 1998;3:308-10.
  3. Konrad T, Vicini P, Kusterer K, et al. Alpha-lipoic acid treatment decreases serum lactate and pyruvate concentrations and improves glucose effectiveness in lean and obese patients with Type 2 diabetes. Diabetes Care 1999;22:280-7. PubMed
  4. Ziegler D, Hanefeld M, Ruhnau KJ, et al. Treatment of symptomatic diabetic peripheral neuropathy with the antioxidant alpha-lipoic acid: A 3-week, multicentre randomized controlled trial (ALADIN Study). Diabetologia 1995;38:1425-33.
  5. Gleiter CH, Schreeb KH, Freudenthaler S, et al. Lack of interaction between thioctic acid, glibenclamide and acarbose. Br J Clin Pharmacol 1999;48:819-25. PubMed
  6. Jacob S, Henriksen EJ, Tritschler HJ, et al. Improvement of insulin-stimulated glucose-disposal in type 2 diabetes after repeated parenteral administration of thioctic acid. Exp Clin Endocrinol Diabet 1996;104:284-8. PubMed
  7. Jacob S, Henriksen EJ, Schiemann AL, et al. Enhancement of glucose disposal in patients with type 2 diabetes by alpha-lipoic acid. Arzneimittelforschung 1995;45:872-4.
  8. Jacob S, Ruus P, Hermann R, et al. Oral administration of RAC-alpha-lipoic acid modulates insulin sensitivity in patients with type-2 diabetes mellitus: a placebo-controlled, pilot trial. Free Rad Biol Med 1999;27:309-14.
  9. Segermann J, Hotze A, Ulrich H, Rao GS. Effect of alpha-lipoic acid on the peripheral conversion of thyroxine to triiodothyronine and on serum lipid-, protein- and glucose levels. Arzneimittelforschung 1991;41:1294-8.
  10. Beitner H. Randomized, placebo controlled, double-blind study on the clinical efficacy of a cream containing 5% alpha-lipoic acid related to photoaging of facial skin. Br J Dermatol 2003;149:841-9.
  11. Ziegler D, Nowak H, Kempler P, et al. Treatment of symptomatic diabetic polyneuropathy with the antioxidant alpha-lipoic acid: A meta-analysis. Diabet Med 2004;21:114-21.
  12. Prasad KN. Rationale for using high-dose multiple dietary antioxidants as an adjunct to radiation therapy and chemotherapy. J Nutr 2004;134:3182S-3S. PubMed
  13. Conklin KA. Cancer chemotherapy and antioxidants. J Nutr 2004;134:3201S-3204S. PubMed
  14. Vincent HK, Bourguignon CM, Vincent KR, Taylor AG. Effects of alpha-lipoic acid supplementation in peripheral arterial disease: a pilot study. J Alt Complement Med 2007;13:577-84. PubMed
  15. Furukawa N, Miyamura N, Nishida K, et al. Possible relevance of alpha lipoic acid contained in a health supplement in a case of insulin autoimmune syndrome. Diabetes Res Clin Pract 2007;75:366-7. PubMed
  16. Ziegler D., Ametov A., Barinov A., Dyck P. J., Gurieva I., Low P. A., Munzel U., Yakhno N., Raz I., Novosadova M., Maus J., Samigullin, R. Oral treatment with alpha-lipoic acid improves symptomatic diabetic polyneuropathy: the SYDNEY 2 trial. Diabetes Car
  17. Gu X. M., Zhang S. S., Wu J. C., Tang Z. Y., Lu Z. Q., Li H., Liu C., Chen L., Ning, G. [Efficacy and safety of high-dose a-lipoic acid in the treatment of diabetic polyneuropathy]. Zhonghua Yi Xue Za Zhi 2010;90(35):2473-2476.
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Taurine 21 references
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Glycerol 8 references
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Ceylon Cinnamon 22 references
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  21. Zobeiri M, Parvizi F, Shahpiri Z, et al. Evaluation of the effectiveness of cinnamon oil soft capsule in patients with functional dyspepsia: A randomized double-blind placebo-controlled clinical trial. Evid Based Complement Alternat Med 2021;2021:6634115. PubMed
  22. Chase C, Doyle A, John SS, Laurent T, Griffith S. Post-operative haemorrhage secondary to cinnamon use. A case report. Int J Surg Case Rep 2022;95:107179. PubMed

See these in context on the Ceylon Cinnamon monograph →

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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.

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