DIM Supreme Ingredients & Drug Interactions
by Solaray
What is this page for?
First and foremost: checking DIM Supreme 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 Supreme is a dietary supplement by Solaray with 3 active ingredients. Its ingredients are commonly taken for estrogen/hormone balance, acne and hormonal skin issues, prostate health support.Based on those ingredients, 799 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Diindolylmethane, Broccoli Seed Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against DIM Supreme by Solaray
Ask about any prescription or over-the-counter medication and we check it for interactions with DIM Supreme by Solaray — 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 Supreme by Solaray
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 Supreme contains 3 active ingredients. Diindolylmethane (DIM) is a compound found in cruciferous vegetables that may support certain health areas.
Sulforaphane is another cruciferous plant compound believed to have protective properties. Broccoli seed extract serves as the source of sulforaphane.
The product also includes inactive ingredients — cellulose, magnesium stearate, and silica — which help form and stabilize the capsule.
Does it work?
Not established
The evidence for what DIM Supreme does is very limited. For diindolylmethane, we don't have reliable evidence to rate its usefulness for benign prostatic hyperplasia, breast cancer, colorectal cancer, cervical dysplasia, or breast pain.
Sulforaphane shows possibly effective evidence for prostate cancer support, but evidence is insufficient to rate it for hay fever, asthma, or general cancer prevention. If you're considering this product for a specific health goal, talk it over with your doctor or pharmacist — they can help you weigh what little evidence exists against the interaction risks.
How safe is it?
Well-documented data
Diindolylmethane is generally well tolerated in short-term studies, but long-term safety hasn't been established. Common side effects include diarrhea, gas, headache, nausea, rash, and vomiting.
A rare serious reaction (DRESS — drug rash with eosinophilia and systemic symptoms) has been reported. One case of ischemic stroke was reported in a patient taking diindolylmethane along with several other supplements, though the patient had other significant stroke risk factors, and it's unclear if diindolylmethane played a role.
Sulforaphane from food is considered safe, but concentrated supplements are less studied for long-term use. Common side effects are bowel discomfort, heartburn, stomach upset, and vomiting.
Headache, insomnia, and irritability have been reported in trials. Two rare cases of seizure occurred in males with autism taking sulforaphane.
The safety data for both ingredients during pregnancy and breastfeeding is insufficient, so check with your doctor or pharmacist before use if you're pregnant or nursing.
Meds to double-check
Moderate interaction found
Before taking DIM Supreme, double-check with your doctor or pharmacist if you take any estrogens or hormone replacement therapy (diindolylmethane may alter their effects). Also flag any sodium-depleting diuretics you're on, and any medications your liver breaks down through the CYP1A2, CYP3A4, or CYP2E1 pathways — sulforaphane and diindolylmethane may alter how your body handles them.
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.
DIM Supreme may appeal to people looking to support prostate or hormone health with plant compounds, but evidence for most uses is very limited. The biggest concern is that both active ingredients interact with estrogens and multiple drug-processing pathways in your liver, which could affect how you metabolize many common medications — and the product's long-term safety isn't well established.
If you take any prescription or over-the-counter medications, especially hormonal drugs or anything metabolized by your liver, check your specific medications with your doctor or pharmacist before starting this product.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Feb 23, 2025.
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 Supreme, straight from the product label.
| Brand | Solaray |
|---|---|
| Barcode (UPC) | 076280381696 |
| Net contents | 60 VegCap(s) |
| Market status | On market |
| Date entered into DSLD | Feb 23, 2025 |
| DSLD ID | 325967 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult Female (18 - 50 Years), Seniors/Mature (>50 Years) - Women ONLY |
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 Supreme by Solaray, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Bioflavonoids | 40 mg | -- |
| Diindolylmethane | 100 mg | -- |
| Sulforaphane | 10 mg | -- |
| Broccoli Seed Extract | 100 mg | -- |
Other ingredients: Cellulose, Magnesium Stearate, Silica
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.
Brand IP Statement(s)
Solaray Est. 1973
Formula
Diindolymethane with broccoli seed extract
+Women's Health
FDA Statement of Identity
Dietary Supplement
Seals/Symbols
Lab Verified
General Statements
A brighter way 1973 Since 1973, we've scoured the globe for the highest quality ingredients, connecting you with the most efficacious supplements that help you live brighter & embrace the moments that matter most.
100% PCR Bottle
Precautions
Warning: Do not use if safety seal is broken or missing.
Keep out of reach of children.
Keep your licensed health care practitioner informed when using this product. Do not use with hyperthyroid condition. Directions: Use only as directed.
Suggested/Recommended/Usage/Directions
Directions: Use only as directed. Take 1 vegcap daily with a meal or glass of water.
Storage
Store in a cool, dry place.
FDA Disclaimer Statement
These statements have not been evaluated by the FDA. 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 Supreme by Solaray 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 Supreme by Solaray
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 VegCap(s) Dosage formCapsule Servings per container60 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.
Bioflavonoids
Diindolylmethane
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 & interactionsBroccoli Seed Extract
Interacts with187 drugs
Broccoli is a nutritious cruciferous vegetable rich in fiber, vitamins, and plant compounds like sulforaphane that have drawn scientific interest for...
Broccoli Seed Extract monograph & interactionsOther (inactive) ingredients: Cellulose, Magnesium Stearate, Silica. These complete the product’s ingredient list but are not active constituents.
DIM Supreme by Solaray Drug Interactions
HelloPharmacist Interaction Report
Solaray DIM Supreme contains diindolylmethane and sulforaphane, both of which interact with multiple drug types.
The most serious interaction is diindolylmethane's potential to alter estrogen levels — theoretically, it might increase or decrease the effects of estrogens (including hormone replacement therapy), which is a moderate-severity concern.
Read the full breakdown — every affected drug type, severity by severity
Diindolylmethane also carries moderate-severity interactions with diuretic drugs, where large doses might increase the risk of low sodium levels (hyponatremia), and minor interactions with certain drugs your body breaks down via the CYP1A2 pathway, where it might lower their blood levels. Sulforaphane presents moderate-severity interactions with three major drug-processing pathways in your liver — CYP1A2, CYP3A4, and CYP2E1 substrates — where it might alter how your body handles these medications, though no human cases have been reported.
We could not check bioflavonoids for interactions; we hold no data for that ingredient. Altogether, these interactions span 799 individual medications.
Before you start this product, check your exact medications with the tool on this page.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against DIM Supreme?
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 Supreme interact with 799 drugs. Click any drug to see the details.
2 of the 3 ingredients in DIM Supreme interact with drugs. Each result below shows which ingredient is responsible. Diindolylmethane Broccoli Seed Extract
Acetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome 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 + Acetaminophen, Phenylephrine, Chlorpheniramine interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Acetaminophen, Phenylephrine, Chlorpheniramine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAcetaminophen, PhenylpropanolamineTetra Caps
How Acetaminophen, Phenylpropanolamine interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome 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 + Acetaminophen, Phenylpropanolamine interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Acetaminophen, Phenylpropanolamine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Phenylpropanolamine interactionAcetaminophen, Phenylpropanolamine, PhenyltoloxamineSinubid
How Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome 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 + Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Phenylpropanolamine, Phenyltoloxamine interactionAcetaminophen, PhenyltoloxaminePercogesic, Relagesic
How Acetaminophen, Phenyltoloxamine interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome 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 + Acetaminophen, Phenyltoloxamine interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Acetaminophen, Phenyltoloxamine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Phenyltoloxamine interactionAcetaminophen, Phenyltoloxamine, SalicylamideLobac
How Acetaminophen, Phenyltoloxamine, Salicylamide interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome 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 + Acetaminophen, Phenyltoloxamine, Salicylamide interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Acetaminophen, Phenyltoloxamine, Salicylamide interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Phenyltoloxamine, Salicylamide interactionAcetaminophen, PropoxypheneDarvocet-N 100, Darvocet-N 50, E-Lor, Wygesic
How Acetaminophen, Propoxyphene interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome 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 + Acetaminophen, Propoxyphene interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Acetaminophen, Propoxyphene interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Propoxyphene interactionAcetaminophen, PseudoephedrineChildren's Tylenol Sinus, Dristan N.D., Non-Aspirin Sinus, Ornex, Ornex-Max, Sinutab +5 more
How Acetaminophen, Pseudoephedrine interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome 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 + Acetaminophen, Pseudoephedrine interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Acetaminophen, Pseudoephedrine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Pseudoephedrine interactionAcetaminophen, Pseudoephedrine, TriprolidineActifed Plus ES
How Acetaminophen, Pseudoephedrine, Triprolidine interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
Broccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Acetaminophen, Pseudoephedrine, Triprolidine interactionSulforaphaneCytochrome 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 + Acetaminophen, Pseudoephedrine, Triprolidine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Acetaminophen, Pseudoephedrine, Triprolidine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
DiindolylmethaneDiuretic Drugs Moderate
Interaction Summary
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Read the full Diindolylmethane + Acetazolamide interactionAdagrasibKrazati
How Adagrasib interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Adagrasib interactionAgomelatineValdoxan
How Agomelatine interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane + Agomelatine interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Agomelatine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Agomelatine interactionAlfentanilAlfenta
How Alfentanil interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Alfentanil interactionAlfuzosinUroxatral
How Alfuzosin interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Alfuzosin interactionAliskirenTekturna
How Aliskiren interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Aliskiren interactionAlmotriptanAlmogran, Axert
How Almotriptan interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Almotriptan interactionAlogliptinNesina
How Alogliptin interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Alogliptin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Alogliptin, Pioglitazone interactionAlpelisibPiqray
How Alpelisib interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Alpelisib interactionAlprazolamNiravam, Xanax
How Alprazolam interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Alprazolam interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Ambrisentan interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
DiindolylmethaneDiuretic Drugs Moderate
Interaction Summary
Theoretically, diindolylmethane might increase the risk of hyponatremia if used with sodium-depleting diuretics.
Read the full Diindolylmethane + Amiloride, Hydrochlorothiazide interactionAmiodaroneCordarone, Pacerone
How Amiodarone interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Amiodarone interactionAmitriptylineElavil
How Amitriptyline interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Amitriptyline interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Amitriptyline interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Amitriptyline interactionAmitriptyline, ChlordiazepoxideLimbitrol DS
How Amitriptyline, Chlordiazepoxide interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Amitriptyline, Chlordiazepoxide interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Amitriptyline, Chlordiazepoxide interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Amitriptyline, Chlordiazepoxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with DIM Supreme — through 3 ingredients. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might alter the levels and clinical effects of CYP1A2 substrates.
Read the full Sulforaphane + Amitriptyline, Perphenazine interactionBroccoli Seed ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Read the full Broccoli Seed Extract + Amitriptyline, Perphenazine interactionDiindolylmethaneCytochrome P450 1a2 (cyp1a2) Substrates Minor
Interaction Summary
Theoretically, diindolylmethane might lower serum levels of CYP1A2 substrates.
Read the full Diindolylmethane + Amitriptyline, Perphenazine interactionAmlodipineNorliqva
How Amlodipine interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with DIM Supreme — through 1 ingredient. Tap an ingredient for the detail:
SulforaphaneCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, sulforaphane might increase the levels and effects of CYP3A4 substrates.
Read the full Sulforaphane + Amlodipine Besylate, Benazepril interactionEach ingredient & the kinds of drugs it affects
For each ingredient in DIM Supreme 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.
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.
Broccoli Seed Extract
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP1A2.
Pharmacokinetic research in humans shows that eating 500 grams of fresh broccoli daily for 6-12 days can increase CYP1A2 activity by 10% to 200%. Induction of CYP1A2 activity by broccoli is attributed to its glucosinolate constituents.
Cytochrome P450 2A6 (Cyp2A6) Substrates
Theoretically, broccoli might reduce the levels and effects of drugs metabolized by CYP2A6.
Pharmacokinetic research in humans shows that eating 500 grams of broccoli daily for 6 days increases CYP2A6 activity by 135% to 550%. Induction of CYP2A6 activity is attributed to its glucosinolate constituents.
Brand information
Manufacturer and brand details for DIM Supreme, from the product label.
DIM Supreme by Solaray: 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 Supreme’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Diindolylmethane
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 monographBroccoli
Interacts with 187 drugsBroccoli is a nutritious cruciferous vegetable rich in fiber, vitamins, and plant compounds like sulforaphane that have drawn scientific interest for health benefits. Eating broccoli as food...
Read the full Broccoli monograph → Herb & supplement monographSulforaphane
Interacts with 724 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 →Sources & How We Checked
DIM Supreme'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 35 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.
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
- Heath, E. I., Heilbrun, L. K., Li, J., Vaishampayan, U., Harper, F., Pemberton, P., and Sarkar, F. H. A phase I dose-escalation study of oral BR-DIM (BioResponse 3,3'- Diindolylmethane) in castrate-resistant, non-metastatic prostate cancer. Am.J.Transl.R
- Jellinck, P. H., Forkert, P. G., Riddick, D. S., Okey, A. B., Michnovicz, J. J., and Bradlow, H. L. Ah receptor binding properties of indole carbinols and induction of hepatic estradiol hydroxylation. Biochem.Pharmacol. 3-9-1993;45(5):1129-1136. PubMed
- Bui PV, Moualla M, Upson DJ. A Possible Association of Diindolylmethane with Pulmonary Embolism and Deep Venous Thrombosis. Case Rep Med. 2016;2016:7527098. PubMed
- Castañon A, Tristram A, Mesher D, Powell N, Beer H, Ashman S, Rieck G, Fielder H, Fiander A, Sasieni P. Effect of diindolylmethane supplementation on low-grade cervical cytological abnormalities: double-blind, randomised, controlled trial. Br J Cancer. 20 PubMed
- Le TM, Sanders CJ, van de Corput L, van Erpecum KJ, Röckmann H. Drug rash with eosinophilia and systemic symptoms caused by the dietary supplement diindolylmethane. J Allergy Clin Immunol Pract. 2016 Jan-Feb;4(1):175-6. PubMed
- Pence ST, Mehta K, Crum-Bailey J. The Serious Side of Supplements: An Ischemic Stroke in a Healthy 38-year-old Female. Mil Med 2022. PubMed
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
Broccoli 5 references
- Kristal AR, Lampe JW. Brassica vegetables and prostate cancer risk: a review of the epidemiological evidence. Nutr Cancer 2002;42:1-9. PubMed
- Chakrabarti A, Prais L, Foulds IS. Allergic contact dermatitis to broccoli. Br J Dermatol 2003;148:172-3. PubMed
- Hakooz, N. and Hamdan, I. Effects of dietary broccoli on human in vivo caffeine metabolism: a pilot study on a group of Jordanian volunteers. Curr Drug Metab 2007;8(1):9-15. PubMed
- Kall MA, Vang O, Clausen J. Effects of dietary broccoli on human drug metabolising activity. Cancer Lett. 1997;114(1-2):169-70. PubMed
- Bauman JE, Hsu CH, Centuori S, et al. Randomized Crossover Trial Evaluating Detoxification of Tobacco Carcinogens by Broccoli Seed and Sprout Extract in Current Smokers. Cancers (Basel). 2022;14(9):2129. Published 2022 Apr 24. 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