Digestabs Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Digestabs 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
Digestabs is a dietary supplement by Puritan's Pride with 7 active ingredients. Its ingredients are commonly taken for low stomach acid (hypochlorhydria), bloating and gas, indigestion.Based on those ingredients, 38 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Betaine Hydrochloride, Papain. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Digestabs by Puritan's Pride
Ask about any prescription or over-the-counter medication and we check it for interactions with Digestabs by Puritan's Pride — 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 Digestabs by Puritan's Pride
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
Digestabs contains 7 active ingredients—enzymes and extracts meant to support digestion. Betaine hydrochloride boosts stomach acid; pepsin, amylase, and papain are digestive enzymes that break down protein and carbohydrates; pancreatin and its 4X form are enzyme blends from the pancreas; ox bile extract aids fat digestion; and duodenal substance is a tissue extract.
The tablet also includes several inactive ingredients: dicalcium phosphate, cellulose, silica, magnesium stearate, and stearic acid.
Does it work?
Not established
The evidence we hold for this product's active ingredients doesn't establish that they work for the conditions they're marketed for. Betaine hydrochloride is rated insufficient evidence for dyspepsia (indigestion), hypothyroidism, diarrhea, rheumatoid arthritis, food allergies, and hay fever.
Papain is rated insufficient evidence for cancer, dental cavities, radiation burns, muscle soreness, shingles, and parasite infection. Pepsin's effectiveness ratings aren't on file.
If you're considering this for a specific digestive complaint, the science we have doesn't yet back the claim.
How safe is it?
Well-documented data
Betaine hydrochloride may irritate your stomach and is not safe if you have ulcers, gastritis, or true acid reflux—it actually increases stomach acid, which can worsen those conditions. Papain is generally well tolerated as a food but supplements may irritate your digestive tract and cause allergic reactions in sensitive people.
High doses of papain are unsafe and can rarely cause severe gastritis or esophageal perforation. Both ingredients should be avoided in pregnancy.
For breastfeeding, betaine hydrochloride safety is not established, so it's best avoided; papain also lacks reliable safety data, so medical advice is needed before use.
Meds to double-check
Moderate interaction found
Check with your doctor before taking this product if you're on warfarin (a blood thinner)—papain in this formula may increase its effects and raise your bleeding risk. Also double-check if you take H2-blockers, antacids, or proton pump inhibitors (PPIs) for heartburn or reflux; betaine hydrochloride may reduce how well they work.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
Digestabs is a digestive enzyme blend, but the evidence we hold doesn't establish it works for any particular condition. More importantly, if you take warfarin, H2-blockers, antacids, or PPIs, this product could interfere with your medications—especially warfarin, which carries serious risk.
Talk with your doctor or pharmacist about whether this is right for you and your current medications before you start.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 7 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 22, 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
General information
Key facts about Digestabs, straight from the product label.
| Brand | Puritan's Pride |
|---|---|
| Barcode (UPC) | 025077120406 |
| Net contents | 60 Easy To Swallow Coated Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Jun 22, 2023 |
| DSLD ID | 286306 |
| 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, Dairy Free, Sugar 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 Digestabs by Puritan's Pride, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Betaine Hydrochloride | 130 mg | -- |
| Amylase | 8.6 mg | -- |
| Pepsin | 8.6 mg | -- |
| Pancreatin | 600 mg | -- |
| Ox Bile extract | 130 mg | -- |
| Pancreatin 4X | 150 mg | -- |
| Duodenal Substance | 60 mg | -- |
| Papain | 130 mg | -- |
Other ingredients: Dicalcium Phosphate, Cellulose, Silica, Magnesium Stearate, Stearic Acid
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.
Precautions
Warning: If you are pregnant, nursing, taking any medications or have any medical condition, consult your doctor before use.
Discontinue use and consult your doctor if any adverse reactions occur.
Keep out of reach of children.
Do not use if seal under cap is broken or missing.
Storage
Store at room temperature.
Formulation
No artificial color, flavor or sweetener, no preservatives, no sugar, no milk, no lactose, no soy, no gluten, no wheat, no yeast, no fish. Sodium free.
Digestive aid
Comprehensive digestive enzyme formula
FDA Disclaimer Statement
This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
General Statements
To reorder item # 12040 www.puritan.com 1-800-645-1030
Brand IP Statement(s)
Copyright 2019 Puritan's Pride, Inc.
Seals/Symbols
QA Quality Assured
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Directions: For occasional use as a digestive aid, adults, take two (2) tablets before meals. Swallow whole. Do not crush or chew.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Digestabs by Puritan's Pride 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 Digestabs by Puritan's Pride
These are the 7 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 Tablet(s) Dosage formTablet Or Pill 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.
Betaine Hydrochloride
Interacts with36 drugs
Betaine hydrochloride is a supplement used to temporarily increase stomach acid in people who may have low acid levels. Evidence for its benefits is l...
Betaine Hydrochloride monograph & interactionsAmylase
Pepsin
No knowninteractions
Proteolytic enzymes are proteins that help break down other proteins, and common examples include bromelain (from pineapple), papain (from papaya), tr...
Pepsin monograph & interactionsPancreatin
- › Pancreatin 4X
Ox Bile extract
Duodenal Substance
Papain
Interacts with2 drugs
Papain is a protein-digesting enzyme from the papaya plant that is used in digestive supplements and some topical products. While it has clear food an...
Papain monograph & interactionsOther (inactive) ingredients: Dicalcium Phosphate, Cellulose, Silica, Magnesium Stearate, Stearic Acid. These complete the product’s ingredient list but are not active constituents.
Digestabs by Puritan's Pride Drug Interactions
HelloPharmacist Interaction Report
Digestabs by Puritan's Pride has documented interactions through two of its active ingredients.
Betaine hydrochloride and papain are the ones to watch.
Read the full breakdown — every affected drug type, severity by severity
Betaine hydrochloride increases stomach acid, which can work against three classes of acid-reducing medications. It may lower the effectiveness of H2-blockers (like famotidine), antacids, and proton pump inhibitors (PPIs like omeprazole)—all rated Minor interactions.
If you take any of these for heartburn or reflux, the two drugs could be working at cross-purposes.
Papain carries a Moderate interaction with warfarin (Coumadin), a blood thinner. There's a case report of a patient's blood-thinning level spiking dangerously after taking a papain supplement.
This is serious: if you're on warfarin, do not start this product without checking with your doctor first.
We could not check amylase, ox bile extract, pancreatin 4X, or duodenal substance—we hold no data for these. Pepsin (a proteolytic enzyme) was checked and showed no interactions documented in our data, though that's not a guarantee none exist.
Altogether, these interactions span 38 individual medications. Use the search tool below to verify your exact prescriptions before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Digestabs?
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 Digestabs interact with 38 drugs. Click any drug to see the details.
2 of the 7 ingredients in Digestabs interact with drugs. Each result below shows which ingredient is responsible. Betaine Hydrochloride Papain
OmeprazoleLosec, Prilosec, Zegerid
How Omeprazole interacts with Digestabs — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Omeprazole interactionOmeprazole, Sodium BicarbonateKonvomep
How Omeprazole, Sodium Bicarbonate interacts with Digestabs — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Omeprazole, Sodium Bicarbonate interactionPantoprazolePantoloc, Protonix, Protonix IV
How Pantoprazole interacts with Digestabs — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Pantoprazole interactionRabeprazolePariet
How Rabeprazole interacts with Digestabs — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Rabeprazole interactionRabeprazole SodiumAciphex, Aciphex Sprinkle
How Rabeprazole Sodium interacts with Digestabs — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideProton Pump Inhibitors (ppis) Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
Read the full Betaine Hydrochloride + Rabeprazole Sodium interactionRanitidineRanit, Ranitidine injection, Zantac, Zantac 150, Zantac 150 EFFER, Zantac 150 GEL +4 more
How Ranitidine interacts with Digestabs — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideH2-blockers Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of H2-blockers.
Read the full Betaine Hydrochloride + Ranitidine interactionRanitidine Bismuth CitrateTritec
How Ranitidine Bismuth Citrate interacts with Digestabs — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideH2-blockers Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of H2-blockers.
Read the full Betaine Hydrochloride + Ranitidine Bismuth Citrate interactionSodium Bicarbonate (otc Drug)Sodium Bicarbonate
How Sodium Bicarbonate (otc Drug) interacts with Digestabs — through 1 ingredient. Tap an ingredient for the detail:
Betaine HydrochlorideAntacids Minor
Interaction Summary
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
Read the full Betaine Hydrochloride + Sodium Bicarbonate (otc Drug) interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Digestabs 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.
Betaine Hydrochloride
Antacids
Betaine hydrochloride increases stomach acidity and could decrease the effects of antacids.
In human research, betaine hydrochloride increases stomach acidity. Antacids are taken to decrease stomach acidity. Theoretically, taking betaine hydrochloride along with antacids might decrease the effects of the antacids.
H2-Blockers
Betaine hydrochloride increases stomach acidity and could decrease the effects of H2-blockers.
In human research, betaine hydrochloride increases stomach acidity. H2-blockers are used to decrease stomach acidity. Theoretically, taking betaine hydrochloride along with H2-blockers might decrease the effects of H2-blockers.
Proton Pump Inhibitors (Ppis)
Betaine hydrochloride increases stomach acidity and could decrease the effects of PPIs.
In human research, betaine hydrochloride increases stomach acidity. PPIs are used to decrease stomach acidity. Theoretically, taking betaine hydrochloride along with PPIs might decrease the effects of PPIs
Papain
Warfarin (Coumadin)
Theoretically, papain might increase the effects and side effects of warfarin.
In one case report, a patient previously stable on warfarin was found to have an international normalization ratio (INR) of 7.4, which was attributed to ingestion of a supplement containing papain from papaya extract.
Brand information
Manufacturer and brand details for Digestabs, from the product label.
Puritan's Pride
See all Puritan's Pride products- Name
- Puritan's Pride, Inc.
- City
- Ronkonkoma
- State
- NY
- ZipCode
- 11779
- Phone Number
- 1-800-645-1030
- Web Address
- www.puritan.com
Digestabs by Puritan's Pride: Common Questions
Does Digestabs by Puritan's Pride interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take Digestabs if I have acid reflux or GERD?
Is it safe to take Digestabs while I'm pregnant?
What does the betaine hydrochloride in this product do?
Can I take this while breastfeeding?
What are the digestive enzymes in Digestabs supposed to do?
Can papain cause allergic reactions?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Digestabs 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 Digestabs’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Betaine Hydrochloride
Interacts with 36 drugsBetaine hydrochloride is a supplement used to temporarily increase stomach acid in people who may have low acid levels. Evidence for its benefits is limited and mostly based on tradition rat...
Read the full Betaine Hydrochloride monograph → Herb & supplement monographProteolytic Enzymes (proteases)
Proteolytic enzymes are proteins that help break down other proteins, and common examples include bromelain (from pineapple), papain (from papaya), trypsin, chymotrypsin, and pancreatin. Peo...
Read the full Proteolytic Enzymes (proteases) monograph → Herb & supplement monographPapain
Interacts with 2 drugsPapain is a protein-digesting enzyme from the papaya plant that is used in digestive supplements and some topical products. While it has clear food and laboratory uses, strong human evidence...
Read the full Papain monograph →Sources & How We Checked
Digestabs'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 16 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.
Betaine Hydrochloride 2 references
- Yago MR, Frymoyer A, Benet LZ, Smelick GS, Frassetto LA, Ding X, Dean B, Salphati L, Budha N, Jin JY, Dresser MJ, Ware JA. The use of betaine HCl to enhance dasatinib absorption in healthy volunteers with rabeprazole-induced hypochlorhydria. AAPS J. 2014 PubMed
- Yago MR, Frymoyer AR, Smelick GS, Frassetto LA, Budha NR, Dresser MJ, Ware JA, Benet LZ. Gastric reacidification with betaine HCl in healthy volunteers with rabeprazole-induced hypochlorhydria. Mol Pharm. 2013 Nov 4;10(11):4032-7. PubMed
See these in context on the Betaine Hydrochloride monograph →
Proteolytic Enzymes (proteases) 3 references
- Weeks JA, Harper RA, Simon RA, Burdick JD. Assessment of sensitization risk of a laundry pre-spotter containing protease. Cutan Ocul Toxicol. 2011;30(4):272-9. PubMed
- Marquès LI, Lara S, Abós T, Bartolomé B. Occupational rhinitis due to pepsin. J Investig Allergol Clin Immunol. 2006;16(2):136-7. DOI
- Cartier A, Malo JL, Pineau L, Dolovich J. Occupational asthma due to pepsin. J Allergy Clin Immunol. 1984;73(5 Pt 1):574-7. PubMed
See these in context on the Proteolytic Enzymes (proteases) monograph →
Papain 11 references
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Shaw D, Leon C, Kolev S, Murray V. Traditional remedies and food supplements: a 5-year toxicological study (1991-1995). Drug Saf 1997;17:342-56.
- Shuttleworth D, Hill S, Marks R, Connelly DM. Relief of experimentally induced pruritus with a novel eutectic mixture of local anaesthetic agents. Br J Dermatol 1988;119:535-40.
- Mansfield LE, Ting S, Haverly RW, Yoo TJ. The incidence and clinical implications of hypersensitivity to papain in an allergic population, confirmed by blinded oral challenge. Ann Allergy 1985;55:541-3.
- Martin, T., Uhder, K., Kurek, R., Roeddiger, S., Schneider, L., Vogt, H. G., Heyd, R., and Zamboglou, N. Does prophylactic treatment with proteolytic enzymes reduce acute toxicity of adjuvant pelvic irradiation? Results of a double-blind randomized trial PubMed
- Walker-Renard, P. Update on the medicinal management of phytobezoars. Am J Gastroenterol. 1993;88(10):1663-1666.
- Tymoszuk D, Wiszniewska M, Walusiak-Skorupa J. Papain-induced occupational rhinoconjunctivitis and asthma - A case report. Med Pr 2016;67(1):109-12. PubMed
- Soto-Mera MT, López-Rico MR, Filgueira JF, et al. Occupational allergy to papain. Allergy 2000;55(10):983-4. PubMed
- Tarlo SM, Shaikh W, Bell B, et al. Papain-induced allergic reactions. Clin Allergy 1978;8(3):207-15. PubMed
- Baur X, König G, Bencze K, Fruhmann G. Clinical symptoms and results of skin test, RAST and bronchial provocation test in thirty-three papain workers: Evidence for strong immunogenic potency and clinically relevant proteolytic e?ects of airborne papain. C
- Novey HS, Keenan WJ, Fairshter RD, Wells ID, Wilson AF, Culver BD. Pulmonary disease in workers exposed to papain: clinico-physiological and immunological studies. Clin Allergy 1980;10(6):721-31. 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