DIM SGS+ Ingredients & Drug Interactions
by BioTe Medical
What is this page for?
First and foremost: checking DIM SGS+ 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
DIM SGS+ is a dietary supplement by BioTe Medical with 3 active ingredients. Its ingredients are commonly taken for antioxidant support, general cellular health, detoxification support.Based on those ingredients, 980 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are POM Pomegranate extract, Sulforaphane Glucosinolate, Diindolylmethane. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against DIM SGS+ by BioTe Medical
Ask about any prescription or over-the-counter medication and we check it for interactions with DIM SGS+ by BioTe Medical — 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 DIM SGS+ by BioTe Medical
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
DIM SGS+ contains three active ingredients. Sulforaphane glucosinolate is a compound from cruciferous vegetables like broccoli that your body converts into sulforaphane.
Diindolylmethane (DIM) is a breakdown product of indole-3-carbinol, another cruciferous vegetable compound. The third active is POM pomegranate extract, a concentrated form of pomegranate fruit.
The capsules also contain two inactive ingredients—hypromellose and calcium laurate—which are a plant-based capsule material and a binding agent.
Does it work?
Moderate evidence
The evidence for DIM SGS+ is mixed and incomplete. Sulforaphane is possibly effective for prostate cancer but possibly ineffective for Helicobacter pylori (a stomach bacterium), and the data doesn't establish whether it helps with hay fever, asthma, or other cancers.
Diindolylmethane lacks sufficient evidence to rate it for benign prostate enlargement, breast cancer, colorectal cancer, cervical abnormalities, or breast tenderness. Pomegranate extract is possibly effective for high blood pressure but possibly ineffective for high cholesterol and diabetes.
Overall, the claims that might bring you to this product aren't well supported in the data we hold.
How safe is it?
Well-documented data
Sulforaphane from food is considered safe, but concentrated supplements haven't been studied long-term—bowel upset, heartburn, and stomach discomfort are the most common side effects. Headache, insomnia, and irritability have been reported in clinical trials, and there are rare cases of seizure in males with autism; weight gain (averaging 4 pounds over 18 weeks in one study) has also been noted.
Diindolylmethane is generally well tolerated short-term, with common side effects including diarrhea, gas, headache, nausea, rash, and vomiting; a rare serious skin reaction (DRESS) and one case of stroke have been reported, though the stroke case involved multiple supplements and other risk factors. Pomegranate fruit and juice are generally safe in food amounts, but concentrated extracts are less studied—diarrhea and flatulence occur in 2–10% of people depending on dose, and mild gastrointestinal upset may occur in a small number of users.
For pregnancy, sulforaphane concentrated supplements are not proven safe and should be avoided in favor of normal dietary amounts; diindolylmethane is possibly safe but hormone effects raise concern—ask your doctor or pharmacist. For breastfeeding, there isn't enough data on sulforaphane or diindolylmethane supplements, so discuss supplement-level doses with your healthcare provider; pomegranate in food amounts is likely fine.
Meds to double-check
Moderate interaction found
Before taking DIM SGS+, double-check with your doctor or pharmacist if you take blood thinners like warfarin, blood pressure medications (especially ACE inhibitors), estrogen-based drugs (including birth control or hormone therapy), water pills (diuretics), cholesterol drugs like rosuvastatin, drugs processed by your liver's CYP2D6, CYP3A4, or CYP1A2 enzymes, or antiepileptic medications like carbamazepine. The most serious documented risk is with warfarin, where pomegranate could unexpectedly change your bleeding risk.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
DIM SGS+ might appeal to someone looking to support prostate or general health, but the evidence for most of its claimed uses isn't established yet. If you take blood thinners, blood pressure meds, hormone therapy, water pills, or seizure medications, you should check your specific drugs before starting this product.
Talk with your doctor or pharmacist about whether this supplement fits your situation and whether any of your current medications could interact with it.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Apr 22, 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
General information
Key facts about DIM SGS+, straight from the product label.
| Brand | BioTe Medical |
|---|---|
| Barcode (UPC) | 693749008637 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Apr 22, 2021 |
| DSLD ID | 245175 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy 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 DIM SGS+ by BioTe Medical, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Sulforaphane Glucosinolate | 25 mg | -- |
| Diindolylmethane | 150 mg | -- |
| POM Pomegranate extract | 100 mg | -- |
Other ingredients: Hypromellose, Calcium Laurate
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.
Formula
Men's health Women's health
Formulation
Liver/Detox
Soy free Dairy free Gluten free
Suggested/Recommended/Usage/Directions
Suggested use: Take 1 capsule one to two times daily or as recommended by your health-care practitioner.
Precautions
Tamper evident: Use only if bottle is sealed.
If pregnant, consult your health-care practitioner before using this product.
Storage
Store tightly sealed in a cool, dry place.
FDA Statement of Identity
Dietary Supplement
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.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
DIM SGS+ by BioTe Medical 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 DIM SGS+ by BioTe Medical
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule 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.
Sulforaphane Glucosinolate
Interacts with722 drugs
Sulforaphane is a natural compound found in broccoli and other cruciferous vegetables that has shown promising antioxidant and anti-inflammatory effec...
Sulforaphane Glucosinolate monograph & interactionsDiindolylmethane
Interacts with269 drugs
Diindolylmethane (DIM) is a compound made when your body digests cruciferous vegetables, and it is sold as a supplement mainly for hormone balance and...
Diindolylmethane monograph & interactionsPOM Pomegranate extract
Interacts with922 drugs
Pomegranate is a nutrient-rich fruit that is high in antioxidants and is widely enjoyed as food and juice. Early research suggests it may support hear...
POM Pomegranate extract monograph & interactionsOther (inactive) ingredients: Hypromellose, Calcium Laurate. These complete the product’s ingredient list but are not active constituents.
DIM SGS+ by BioTe Medical Drug Interactions
HelloPharmacist Interaction Report
DIM SGS+ by BioTe Medical contains three active ingredients—sulforaphane glucosinolate, diindolylmethane, and pomegranate extract—that together interact with a significant number of medications.
The most serious documented interaction is a Moderate risk between pomegranate and warfarin (a blood thinner), where pomegranate may raise warfarin levels and increase bleeding risk; stopping regular pomegranate use might also lower warfarin levels unexpectedly.
Read the full breakdown — every affected drug type, severity by severity
Sulforaphane can theoretically alter how your body processes drugs metabolized by three major liver enzymes (CYP1A2, CYP3A4, and CYP2E1), potentially changing their effectiveness—though these interactions haven't been confirmed in humans. Diindolylmethane may interfere with estrogen-based medications (including hormonal birth control and hormone therapy), lower the effectiveness of certain CYP1A2 drugs, and raise the risk of dangerously low sodium if you take water pills (diuretics).
Pomegranate carries Moderate risks with blood pressure medications, ACE inhibitors, certain cholesterol drugs like rosuvastatin, and drugs metabolized by CYP2D6, plus Minor risks with a few others including the seizure medication carbamazepine.
Additionally, none of the three active ingredients have been checked against every medication on the market. Altogether, these interactions span 981 individual medications.
Before you start this product, run your exact medications through the search tool on this page, and talk with your doctor or pharmacist about anything that shows up—especially if you take blood thinners, blood pressure drugs, hormone therapy, or antiepileptic medications.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against DIM SGS+?
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 DIM SGS+ interact with 980 drugs. Click any drug to see the details.
3 of the 3 ingredients in DIM SGS+ interact with drugs. Each result below shows which ingredient is responsible. POM Pomegranate extract Sulforaphane Glucosinolate Diindolylmethane
Ado-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with DIM SGS+ — through 2 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane Glucosinolate + Ado-trastuzumab Emtansine interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Ado-trastuzumab Emtansine interactionAbemaciclibVerzenio
How Abemaciclib interacts with DIM SGS+ — through 2 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane Glucosinolate + Abemaciclib interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Abemaciclib interactionAbiraterone
How Abiraterone interacts with DIM SGS+ — through 2 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane Glucosinolate + Abiraterone interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with DIM SGS+ — through 2 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane Glucosinolate + Abiraterone Acetate interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Abiraterone Acetate interactionAcalabrutinibCalquence
How Acalabrutinib interacts with DIM SGS+ — through 2 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane Glucosinolate + Acalabrutinib interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acalabrutinib interactionAcebutololRhotral, Sectral
How Acebutolol interacts with DIM SGS+ — through 1 ingredient. Tap an ingredient for the detail:
Pom Pomegranate ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Read the full Pom Pomegranate Extract + Acebutolol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with DIM SGS+ — through 2 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with DIM SGS+ — through 2 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Aspirin interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Aspirin, Caffeine interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Aspirin, Caffeine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with DIM SGS+ — through 2 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with DIM SGS+ — through 2 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Butalbital interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Butalbital, Caffeine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Butalbital, Caffeine interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Pom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionSulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Butalbital, Caffeine, Codeine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Pom Pomegranate ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pom Pomegranate Extract + Acetaminophen, Butalbital, Codeine interactionSulforaphane GlucosinolateCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Butalbital, Codeine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Butalbital, Codeine Phosphate interactionPom Pomegranate ExtractCytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pom Pomegranate Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Caffeine, Codeine interactionPom Pomegranate ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pom Pomegranate Extract + Acetaminophen, Caffeine, Codeine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Caffeine, Codeine, Salicylamide interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Caffeine, Dihydrocodeine interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Caffeine, Isometheptene interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Caffeine, Isometheptene interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Caffeine, Pyrilamine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates, Diuretic Drugs Moderate
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Caffeine, Pyrilamine interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Pom Pomegranate ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pom Pomegranate Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionSulforaphane GlucosinolateCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionPom Pomegranate ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pom Pomegranate Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionPom Pomegranate ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pom Pomegranate Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2d6 (cyp2d6) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionPom Pomegranate ExtractCytochrome P450 2d6 (cyp2d6) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
Read the full Pom Pomegranate Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2e1 (cyp2e1) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionAcetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid
How Acetaminophen, Chlorpheniramine, Phenylephrine interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Chlorpheniramine, Phenylephrine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Chlorpheniramine, Phenylephrine interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Chlorpheniramine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR
How Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interacts with DIM SGS+ — through 3 ingredients. Tap an ingredient for the detail:
Sulforaphane GlucosinolateCytochrome P450 2e1 (cyp2e1) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
Read the full Sulforaphane Glucosinolate + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionPom Pomegranate ExtractCytochrome P450 3a4 (cyp3a4) Substrates Minor
Interaction Summary
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Read the full Pom Pomegranate Extract + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Chlorpheniramine, Phenylephrine, Salicylamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in DIM SGS+ 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.
POM Pomegranate extract
Ace Inhibitors (Aceis)
Theoretically, taking pomegranate with ACEIs might increase the risk of adverse effects.
Pomegranate juice is thought to have ACE inhibitor-like effects.
Antihypertensive Drugs
Theoretically, taking pomegranate with antihypertensive drugs might increase the risk of hypotension.
Consuming pomegranate juice can modestly lower blood pressure.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2D6.
In vitro, pomegranate juice inhibits CYP2D6. However, the clinical significance of this potential interaction in humans is not known.
Rosuvastatin (Crestor)
Theoretically, taking pomegranate with rosuvastatin might increase the risk of adverse effects.
In one case, a patient taking rosuvastatin 5 mg every other day in combination with ezetimibe 10 mg daily developed rhabdomyolysis after drinking pomegranate juice 200 mL twice weekly for 3 weeks. This patient had a history of elevated creatine kinase levels while not receiving any statin treatment. This suggests a possible underlying myopathy and predisposition to rhabdomyolysis.
Warfarin (Coumadin)
Theoretically, pomegranate might increase warfarin levels and increase the risk of bleeding. Also, discontinuing regular consumption of pomegranate juice might decrease warfarin levels.
In one case report, a patient had a stable, therapeutic bleeding time, as measured by international normalized ratio (INR), while taking warfarin in combination with pomegranate juice 2-3 times per week. The patient became subtherapeutic within about 10 days after discontinuing pomegranate juice, which required a warfarin dose increase. In another case report, a patient with a stable INR for over one year presented with an INR of 14. The patient noted no changes to medications or diet but did report consuming around 3 liters of pomegranate juice over the previous week. The patient's INR stabilized upon moderation of pomegranate juice consumption. The mechanism of this potential interaction is unclear.
Carbamazepine (Tegretol)
Theoretically, taking pomegranate with carbamazepine might increase the risk of adverse effects, although research suggests this interaction is unlikely to be clinically significant.
Animal research shows that pomegranate juice may inhibit cytochrome P450 3A4 (CYP3A4) metabolism of carbamazepine and increase levels of carbamazepine by 1.5 times without prolonging the elimination half-life. This suggests that pomegranate juice inhibits intestinal CYP3A4, but might not inhibit hepatic CYP3A4. However, some human research suggests that pomegranate does not significantly inhibit CYP3A4 drug metabolism in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, pomegranate might increase levels of drugs metabolized by CYP2C9.
Some animal and in vitro research shows that pomegranate juice inhibits intestinal, but not hepatic, CYP2C9 isoenzyme activity. However, clinical research shows that neither pomegranate juice nor pomegranate extract have a significant effect on CYP2C9 activity in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, pomegranate might increase levels of drugs metabolized by CYP3A4, but most research suggests this interaction is unlikely to be clinically significant.
Pomegranate contains several polyphenols that have individually been shown to inhibit CYP3A4. However, there is contradictory evidence about the effect of whole pomegranate juice on CYP3A4 activity. In vitro, pomegranate juice significantly inhibits the CYP3A4 enzyme, with comparable inhibition to grapefruit juice. In an animal model, pomegranate juice inhibits CYP3A4 metabolism of carbamazepine and increases levels of carbamazepine by 1.5 times; however, in human volunteers, drinking a single glass of pomegranate juice 240 mL or taking 200 mL daily for 2 weeks does not significantly affect levels of the CYP3A4 substrate midazolam after oral or intravenous administration. Another study in healthy volunteers shows that consuming pomegranate juice 300 mL three times daily for three days also does not significantly affect levels of simvastatin, a CYP3A4 substrate This suggests that pomegranate is unlikely to significantly affect levels of CYP3A4 substrates in humans.
Tolbutamide (Orinase)
Theoretically, pomegranate might increase levels of tolbutamide, although research suggests this interaction is unlikely to be clinically significant.
Animal research shows that pomegranate juice inhibits the cytochrome P450 2C9 (CYP2C9) metabolism of tolbutamide. Pomegranate juice increased tolbutamide levels by 1.2 times without prolonging the elimination half-life. This suggests that pomegranate juice inhibits intestinal CYP2C9, but might not inhibit hepatic CYP2C9. Despite this evidence, clinical research shows that neither pomegranate juice nor pomegranate extract have a significant effect on CYP2C9 activity in humans. This interaction does not appear to be clinically significant in humans.
Sulforaphane Glucosinolate
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Animal and in vitro research shows that sulforaphane inhibits CYP1A2 enzyme activity. However, its precursor glucoraphanin also appears to increase the expression of the CYP1A2 enzyme, which could lead to increased metabolism of CYP1A2 substrates. These effects have not been reported in humans.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Theoretically, sulforaphane might increase the levels and effects of CYP2E1 substrates.
In vitro evidence shows that sulforaphane inhibits CYP2E1 enzymes. This interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Animal and in vitro research shows that sulforaphane inhibits CYP3A4 enzyme activity and downregulates its expression. This interaction has not been reported in humans.
Diindolylmethane
Diuretic Drugs
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Large doses of diindolylmethane (600 mg daily) have been associated with two cases of asymptomatic hyponatremia in clinical research.
Estrogens
Theoretically, diindolylmethane might increase or decrease the effects of estrogens.
Diindolylmethane might have mild estrogenic or antiestrogenic effects. Theoretically, large amounts of diindolylmethane might interfere with hormone replacement therapy.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
In vitro evidence suggests that diindolylmethane can induce CYP1A2. Theoretically, it might increase metabolism of CYP1A2 substrates and lower serum concentrations. This interaction has not been reported in humans.
Brand information
Manufacturer and brand details for DIM SGS+, from the product label.
BioTe Medical
- Name
- Thorne Research, Inc.
- Phone Number
- 1-800-228-1966
DIM SGS+ by BioTe Medical: Common Questions
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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.
The Full Monographs Behind DIM SGS+’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sulforaphane
Interacts with 722 drugsSulforaphane is a natural compound found in broccoli and other cruciferous vegetables that has shown promising antioxidant and anti-inflammatory effects in lab studies, but strong human evid...
Read the full Sulforaphane monograph → Herb & supplement monographDiindolylmethane
Interacts with 269 drugsDiindolylmethane (DIM) is a compound made when your body digests cruciferous vegetables, and it is sold as a supplement mainly for hormone balance and cancer prevention. Although early lab s...
Read the full Diindolylmethane monograph → Herb & supplement monographPomegranate
Interacts with 922 drugsPomegranate is a nutrient-rich fruit that is high in antioxidants and is widely enjoyed as food and juice. Early research suggests it may support heart health and blood pressure, but the evi...
Read the full Pomegranate monograph →Sources & How We Checked
DIM SGS+'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 57 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.
Sulforaphane 16 references
- Park EJ, Pezzuto JM. Botanicals in cancer chemoprevention. Cancer Metastasis Rev 2002;21:231-55. PubMed
- Barcelo S, Mace K, Pfeifer AM, Chipman JK. Production of DNA strand breaks by N-nitrosodimethylamine and 2-amino-3-methylimidazo[4,5-f]quinoline in THLE cells expressing human CYP isoenzymes and inhibition by sulforaphane. Mutat Res 1998;402:111-20. PubMed
- Cipolla BG, Mandron E, Lefort JM, et al. Effect of sulforaphane in men with biochemical recurrence after radical prostatectomy. Cancer Prev Res (Phila). 2015;8(8):712-9. PubMed
- Fahey JW, Wade KL, Wehage SL, et al. Stabilized sulforaphane for clinical use: Phytochemical delivery efficiency. Mol Nutr Food Res. 2017 Apr;61(4). PubMed
- Alumkal JJ, Slottke R, Schwartzman J, et al. A phase II study of sulforaphane-rich broccoli sprout extracts in men with recurrent prostate cancer. Invest New Drugs. 2015;33(2):480-9. PubMed
- Heber D, Li Z, Garcia-Lloret M, et al. Sulforaphane-rich broccoli sprout extract attenuates nasal allergic response to diesel exhaust particles. Food Funct. 2014;5(1):35-41. PubMed
- Singh K, Connors SL, Macklin EA, et al. Sulforaphane treatment of autism spectrum disorder (ASD). Proc Natl Acad Sci U S A. 2014;111(43):15550-5. PubMed
- Wise RA, Holbrook JT, Criner G, et al. Lack of effect of oral sulforaphane administration on Nrf2 expression in COPD: A randomized, double-blind, placebo controlled trial. PLoS One. 2016;11(11):e0163716. PubMed
- Bent S, Lawton B, Warren T, et al. Identification of urinary metabolites that correlate with clinical improvements in children with autism treated with sulforaphane from broccoli. Mol Autism. 2018;9:35. PubMed
- Momtazmanesh S, Amirimoghaddam-Yazdi Z, Moghaddam HS, Mohammadi MR, Akhondzadeh S. Sulforaphane as an adjunctive treatment for irritability in children with autism spectrum disorder: A randomized, double-blind, placebo-controlled clinical trial. Psychiatr PubMed
- Fimognari C, Lenzi M, Hrelia P. Interaction of the isothiocyanate sulforaphane with drug disposition and metabolism: pharmacological and toxicological implications. Curr Drug Metab. 2008;9(7):668-78. PubMed
- Chinnappan SM, George A, Evans M, Anthony J. Efficacy of Labisia pumila and Eurycoma longifolia standardised extracts on hot flushes, quality of life, hormone and lipid profile of peri-menopausal and menopausal women: a randomised, placebo-controlled stud
- Mahéo K, Morel F, Langouët S, et al. Inhibition of cytochromes P-450 and induction of glutathione S-transferases by sulforaphane in primary human and rat hepatocytes. Cancer Res. 1997;57(17):3649-52.
- Yoxall V, Kentish P, Coldham N, Kuhnert N, Sauer MJ, Ioannides C. Modulation of hepatic cytochromes P450 and phase II enzymes by dietary doses of sulforaphane in rats: Implications for its chemopreventive activity. Int J Cancer. 2005;117(3):356-62. PubMed
- Zimmerman AW, Singh K, Connors SL, et al. Randomized controlled trial of sulforaphane and metabolite discovery in children with Autism Spectrum Disorder. Mol Autism 2021;12(1):38.
- Yusin J, Wang V, Henning SM, et al. The effect of broccoli sprout extract on seasonal grass pollen-induced allergic rhinitis. Nutrients 2021;13(4):1337. PubMed
Diindolylmethane 14 references
- Natl Inst Health, Natl Inst Environmental Health Sci. Indole-3-carbinol. Available at: http://ntp-server.niehs.nih.gov.
- Balk JL. Indole-3-carbinol for cancer prevention. Altern Med Alert 2000; 3:105-7.
- Riby JE, Chang GHF, Firestone GL, Bjeldanes LF. Ligand-independent activation of estrogen receptor function by 3,3'-diindolylmethane in human breast cancer cells. Biochem Pharmacol 2000;60:167-77. PubMed
- Lake BG, Tredger JM, Renwick AB, et al. 3'3-diindolylmethane induces CYP1A2 in cultured precision-cut human liver slices. Xenobiotica 1998;28:803-11. PubMed
- Dalessandri, K. M., Firestone, G. L., Fitch, M. D., Bradlow, H. L., and Bjeldanes, L. F. Pilot study: effect of 3,3'-diindolylmethane supplements on urinary hormone metabolites in postmenopausal women with a history of early-stage breast cancer. Nutr Canc PubMed
- Reed, G. A., Arneson, D. W., Putnam, W. C., Smith, H. J., Gray, J. C., Sullivan, D. K., Mayo, M. S., Crowell, J. A., and Hurwitz, A. Single-dose and multiple-dose administration of indole-3-carbinol to women: pharmacokinetics based on 3,3'-diindolylmetha
- Reed, G. A., Sunega, J. M., Sullivan, D. K., Gray, J. C., Mayo, M. S., Crowell, J. A., and Hurwitz, A. Single-dose pharmacokinetics and tolerability of absorption-enhanced 3,3'-diindolylmethane in healthy subjects. Cancer Epidemiol.Biomarkers Prev. 2008; PubMed
- Del Priore G., Gudipudi, D. K., Montemarano, N., Restivo, A. M., Malanowska-Stega, J., and Arslan, A. A. Oral diindolylmethane (DIM): pilot evaluation of a nonsurgical treatment for cervical dysplasia. Gynecol.Oncol. 2010;116(3):464-467. PubMed
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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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