E And Selenium Ingredients & Drug Interactions
What is this page for?
First and foremost: checking E And Selenium 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
E And Selenium is a dietary supplement by Innate Response Formulas with 6 active ingredients. Its ingredients are commonly taken for general antioxidant support, skin and hair care, heart health.Based on those ingredients, 1,022 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Vitamin E, Selenium. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against E And Selenium by Innate Response Formulas
Ask about any prescription or over-the-counter medication and we check it for interactions with E And Selenium by Innate Response Formulas — 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 E And Selenium by Innate Response Formulas
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
Partial disclosure
This product contains 7 ingredients, of which the active ones are vitamin E (as both tocopherols and tocotrienols — different forms of the same nutrient) and selenium. Vitamin E is a fat-soluble antioxidant that helps protect cells, while selenium is a mineral your body uses for thyroid function and immune support.
The product also includes Brown Rice, which is a carrier or blend component, and several other whole-food and enzyme-based ingredients. The inactive ingredients are vegetable cellulose (the capsule) and organic rice bran.
Does it work?
Strong evidence
For vitamin E deficiency itself — the condition where your body doesn't have enough — this product is effective. It's also effective for a rare inherited disorder called AVED (ataxia with vitamin E deficiency).
For other conditions, the evidence is less certain: vitamin E is possibly effective for Alzheimer disease, beta-thalassemia, G6PD deficiency, and intracranial hemorrhage, meaning there's some research support but it's not yet proven. For tocotrienols, the other form of vitamin E in here, the evidence shows it may help with diabetes but likely won't help with high cholesterol.
The data we hold doesn't address selenium's effectiveness for any condition.
How safe is it?
Well-documented data
Vitamin E from food and standard prenatal doses are safe, but high-dose long-term supplements carry caution — they may increase bleeding risk and other harms. Rare serious effects include bleeding, hemorrhagic stroke, and cardiovascular issues.
There's particular concern about hemorrhagic stroke in male smokers taking synthetic vitamin E over years, though shorter studies have shown mixed results. High doses can antagonize vitamin K and increase platelet problems, especially risky if you have a vitamin K deficiency or take blood thinners.
Tocotrienols appear well tolerated in studies, though long-term safety at supplement doses isn't firmly established. During pregnancy, avoid high-dose vitamin E supplements and tocotrienol supplements unless your doctor directs otherwise — food and prenatal amounts are fine.
While breastfeeding, check with your doctor before taking high-dose vitamin E or tocotrienol supplements.
Meds to double-check
Major interaction found
Before you take this, double-check if you're on blood thinners or antiplatelet drugs (like warfarin, aspirin, or clopidogrel) — vitamin E raises bleeding risk. Also flag any chemotherapy drugs (alkylating agents or antitumor antibiotics), cyclosporine, selumetinib, or niacin.
If you take CYP3A4 substrates — a broad category your pharmacist can identify — vitamin E may reduce their effectiveness. No interactions are documented for the other ingredients we could check.
The bottom line
Scorecard at a glancePartially disclosed formula with strong clinical evidence behind its ingredients' uses. Major medication interactions have been identified, and safety information is well characterized.
This product is designed for people who need vitamin E or selenium replacement. If you take any blood thinner, antiplatelet drug, chemotherapy, or medications your liver heavily processes, talk to your pharmacist before starting — the vitamin E here can interfere.
Pregnant or breastfeeding? Discuss supplement-dose vitamin E with your doctor first.
Check your exact medications with the tool on this page.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 3 of 7 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Aug 23, 2013.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about E And Selenium, straight from the product label.
| Brand | Innate Response Formulas |
|---|---|
| Barcode (UPC) | 051494420102 |
| Net contents | 90 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Aug 23, 2013 |
| DSLD ID | 24425 |
| Product type | Other Combinations |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | All Other |
| Intended target group(s) | Vegetarian, 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 E And Selenium by Innate Response Formulas, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Brown Rice | 210 mg | -- |
| Vitamin E | 50 IU | 167% |
| Selenium | 100 mcg | 143% |
| 100% Whole Food Nutrients | 0 NP | -- |
| S. cerevisiae | 100 mg | -- |
| Tocopherols | 0 Not Present | -- |
| Tocotrienols | 0 Not Present | -- |
| Bioactive Enzymes & Proteins | 174 mg | -- |
| Organic Whole Food Blend | 165 mg | -- |
| Immune Blend | 336 mg | -- |
Other ingredients: Vegetable Cellulose, organic Rice Bran
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
General Statements
Innate Response is the unwavering leader of whole food nutrition. Crafted and sourced from the freshest raw foods, then meticulously juiced. Proprietary drying technology with exacting low temperatures captures metabolically active vitamin and mineral coenzyme complexes. A thin film cellulose coating (thinner than a capsule) ensures rapid nutrient delivery.
Clinical Strength - Professional Use Only
- GMP Compliant
vis medicatrix naturae
EXCEPTIONALLY PURE 100% WHOLE FOOD NUTRIENTS
100% WHOLE FOOD Derived From Raw Foods Tested & Assayed for Potency & Purity
603-216-0899
Naturally occurring
Brand IP Statement(s)
Innate Response's extensive laboratory testing and commitment to Food Not Chemicals(TM) gives practitioners the confidence of truly potent healing solutions aligned with their highest values.
Food Not Chemicals(TM)
True Active(TM) FoodState(R) 100% Food Concentrates
Seals/Symbols
organically grown food & herbs
Broad Spectrum Multi-Component Finished Good Tested
Please Recycle
Formulation
- Nothing Artificial or Synthetic - Tested Free of Gluten, Dairy and Soy
- Suitable for Vegetarians
Free of Herbicides, Pesticides & Corn
FDA Statement of Identity
Dietary Supplement
General
Product Code #42010 F1244B-10 Rev: 7 12/09
Suggested/Recommended/Usage/Directions
Suggested Use: 1 tablet daily, or as directed by your healthcare practitioner.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
E And Selenium by Innate Response Formulas 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 E And Selenium by Innate Response Formulas
These are the 6 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container90 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.
Vitamin E
Interacts with764 drugs
Vitamin E is an essential fat-soluble vitamin and antioxidant that most people get in adequate amounts from a normal diet. Supplements can help correc...
Vitamin E monograph & interactionsSelenium
Interacts with321 drugs
Selenium is an essential trace mineral your body needs in small amounts for thyroid function, antioxidant defense, and immune health. Most people who...
Selenium monograph & interactions100% Whole Food Nutrients
Bioactive Enzymes & Proteins
Organic Whole Food Blend
Immune Blend
Other (inactive) ingredients: Vegetable Cellulose, Organic Rice Bran. These complete the product’s ingredient list but are not active constituents.
E And Selenium by Innate Response Formulas Drug Interactions
HelloPharmacist Interaction Report
E and Selenium by Innate Response Formulas contains vitamin E (as tocopherols and tocotrienols), which does interact with a number of medications.
The most serious concern is with blood thinners and antiplatelet drugs — vitamin E can increase bleeding risk by interfering with how your blood clots and preventing platelets from sticking together. This risk is dose-dependent and more likely at higher doses.
Read the full breakdown — every affected drug type, severity by severity
Vitamin E may also reduce how well certain chemotherapy drugs work, including alkylating agents (like cyclophosphamide) and antitumor antibiotics (like doxorubicin), by interfering with the free radicals these drugs need to kill cancer cells. It can speed up how your liver breaks down some other medications (CYP3A4 substrates), potentially making them less effective.
If you take warfarin, selumetinib, cyclosporine, or niacin, this product warrants extra caution — we have specific interaction concerns with each. Tocotrienols in the product carry a minor bleeding risk with blood thinners as well.
We could not check several other ingredients in this product — 100% Whole Food Nutrients, S. cerevisiae, Bioactive Enzymes & Proteins, Organic Whole Food Blend, and Immune Blend — because interaction data isn't on file for them. Altogether, these interactions span 754 individual medications.
Please use the search tool below to check your exact medications before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against E And Selenium?
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 E And Selenium interact with 1,022 drugs. Click any drug to see the details.
2 of the 6 ingredients in E And Selenium interact with drugs. Each result below shows which ingredient is responsible. Vitamin E Selenium
AmphetamineAdensys XR-ODT, Adzenys ER, Dyanavel XR, Mydayis
How Amphetamine interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
S. CerevisiaeMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Read the full S. Cerevisiae + Amphetamine interactionIsocarboxazidMarplan
How Isocarboxazid interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
S. CerevisiaeMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Read the full S. Cerevisiae + Isocarboxazid interactionMoclobemideManerix, Moclobemide
How Moclobemide interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
S. CerevisiaeMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Read the full S. Cerevisiae + Moclobemide interactionOzanimod HydrochlorideZeposia
How Ozanimod Hydrochloride interacts with E And Selenium — through 2 ingredients. Tap an ingredient for the detail:
S. CerevisiaeMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Read the full S. Cerevisiae + Ozanimod Hydrochloride interactionSeleniumImmunosuppressants Moderate
Interaction Summary
Theoretically, selenium supplementation may reduce the effectiveness of immunosuppressant therapy.
Read the full Selenium + Ozanimod Hydrochloride interactionPhenelzine SulfateNardil
How Phenelzine Sulfate interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
S. CerevisiaeMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Read the full S. Cerevisiae + Phenelzine Sulfate interactionRasagilineAzilect
How Rasagiline interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
S. CerevisiaeMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Read the full S. Cerevisiae + Rasagiline interactionSafinamide MesylateXadago
How Safinamide Mesylate interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
S. CerevisiaeMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Read the full S. Cerevisiae + Safinamide Mesylate interactionSelegilineCarbex, Eldepryl, Emsam, Zelapar
How Selegiline interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
S. CerevisiaeMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Read the full S. Cerevisiae + Selegiline interactionTranylcypromineParnate
How Tranylcypromine interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
S. CerevisiaeMonoamine Oxidase Inhibitors (maois) Major
Interaction Summary
Theoretically, taking brewer's yeast with MAOIs might increase the risk of hypertension.
Read the full S. Cerevisiae + Tranylcypromine interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
SeleniumImmunosuppressants Moderate
Interaction Summary
Theoretically, selenium supplementation may reduce the effectiveness of immunosuppressant therapy.
Read the full Selenium + 6-mercaptopurine interactionAdo-trastuzumab EmtansineKadcyla
How Ado-trastuzumab Emtansine interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Ado-trastuzumab Emtansine interactionAbciximabReoPro
How Abciximab interacts with E And Selenium — through 3 ingredients. Tap an ingredient for the detail:
TocopherolsAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocopherols + Abciximab interactionSeleniumAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Selenium may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Selenium + Abciximab interactionTocotrienolsAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotrienols + Abciximab interactionAbemaciclibVerzenio
How Abemaciclib interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Abemaciclib interactionAbiraterone
How Abiraterone interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Abiraterone interactionAbiraterone AcetateYonsa, Zytiga
How Abiraterone Acetate interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Abiraterone Acetate interactionAbrocitinibCibinqo
How Abrocitinib interacts with E And Selenium — through 3 ingredients. Tap an ingredient for the detail:
SeleniumAnticoagulant/antiplatelet Drugs, Immunosuppressants Moderate
Interaction Summary
Selenium may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Selenium + Abrocitinib interactionTocopherolsAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocopherols + Abrocitinib interactionTocotrienolsAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotrienols + Abrocitinib interactionAcalabrutinibCalquence
How Acalabrutinib interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Acalabrutinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
S. CerevisiaeAntidiabetes Drugs Moderate
Interaction Summary
Taking brewer's yeast with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full S. Cerevisiae + Acarbose interactionAcenocoumarolSintrom
How Acenocoumarol interacts with E And Selenium — through 3 ingredients. Tap an ingredient for the detail:
SeleniumAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Selenium may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Selenium + Acenocoumarol interactionTocopherolsAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocopherols + Acenocoumarol interactionTocotrienolsAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotrienols + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with E And Selenium — through 3 ingredients. Tap an ingredient for the detail:
TocopherolsAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocopherols + Acetaminophen, Aspirin interactionSeleniumAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Selenium may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Selenium + Acetaminophen, Aspirin interactionTocotrienolsAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotrienols + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with E And Selenium — through 3 ingredients. Tap an ingredient for the detail:
SeleniumAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Selenium may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Selenium + Acetaminophen, Aspirin, Caffeine interactionTocopherolsCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Acetaminophen, Aspirin, Caffeine interactionTocotrienolsAnticoagulant/antiplatelet Drugs Minor
Interaction Summary
Concomitant use of tocotrienols with anticoagulant or antiplatelet agents might increase the risk of bleeding.
Read the full Tocotrienols + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
SeleniumBarbiturates Moderate
Interaction Summary
Theoretically, selenium might prolong the sedating effects of barbiturates.
Read the full Selenium + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with E And Selenium — through 2 ingredients. Tap an ingredient for the detail:
SeleniumBarbiturates Moderate
Interaction Summary
Theoretically, selenium might prolong the sedating effects of barbiturates.
Read the full Selenium + Acetaminophen, Butalbital, Caffeine interactionTocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with E And Selenium — through 2 ingredients. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Acetaminophen, Butalbital, Caffeine, Codeine interactionSeleniumBarbiturates Moderate
Interaction Summary
Theoretically, selenium might prolong the sedating effects of barbiturates.
Read the full Selenium + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + 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 E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with E And Selenium — through 1 ingredient. Tap an ingredient for the detail:
TocopherolsCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Read the full Tocopherols + Acetaminophen, Caffeine, Pyrilamine interactionEach ingredient & the kinds of drugs it affects
For each ingredient in E And Selenium 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.
Vitamin E
Alkylating Agents
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of alkylating agents.
There's concern that antioxidants could reduce the activity of chemotherapy drugs which generate free radicals, such as cyclophosphamide, chlorambucil, carmustine, busulfan, and thiotepa. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin E have on chemotherapy. Advise patients to consult their oncologist before using vitamin E supplements, especially in high doses.
Anticoagulant/Antiplatelet Drugs
Concomitant use of vitamin E and anticoagulant or antiplatelet agents might increase the risk of bleeding.
Vitamin E seems to inhibit of platelet aggregation and antagonize the effects of vitamin K-dependent clotting factors. These effects appear to be dose-dependent, and are probably only likely to be clinically significant with doses of at least 800 units daily. Mixed tocopherols, such as those found in food, might have a greater antiplatelet effect than alpha-tocopherol. RRR alpha-tocopherol (natural vitamin E) 1000 IU daily antagonizes vitamin K-dependent clotting factors. Advise patients to avoid high doses of vitamin E, especially in people with low vitamin K intake or other risk factors for bleeding.
Antitumor Antibiotics
Theoretically, antioxidant effects of vitamin E might reduce the effectiveness of antitumor antibiotics.
There's concern that antioxidants could reduce the activity of antitumor antibiotic drugs such as doxorubicin, which generate free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as vitamin E have on chemotherapy involving antitumor antibiotics. Advise patients to consult their oncologist before using vitamin E supplements, especially in high doses.
Cyclosporine (Neoral, Sandimmune)
A specific form of vitamin E might increase absorption and levels of cyclosporine.
There is some evidence that one specific formulation of vitamin E (D-alpha-tocopheryl-polyethylene glycol-1000 succinate, TPGS, tocophersolan, Liqui-E) might increase absorption of cyclosporine. This vitamin E formulation forms micelles which seems to increase absorption of cyclosporine by 40% to 72% in some patients. However, this interaction is unlikely to occur with the usual forms of vitamin E.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, vitamin E might induce metabolism of CYP3A4, possibly reducing the levels CYP3A4 substrates.
Vitamin E appears to bind with the nuclear receptor, pregnane X receptor (PXR), which results in increased expression of CYP3A4. Although the clinical significance of this is not known, use caution when considering concomitant use of vitamin E and other drugs affected by these enzymes.
Selumetinib (Koselugo)
Taking selumetinib with vitamin E can result in a total daily dose of vitamin E that exceeds safe limits and therefore might increase the risk of bleeding.
Selumetinib contains 48-54 IU vitamin E per capsule. The increased risk of bleeding with vitamin E appears to be dose-dependent. Be cautious when using selumetinib in combination with supplemental vitamin E, especially in patients at higher risk of bleed, such as those with chronic conditions and those taking antiplatelet drugs.
Warfarin (Coumadin)
Using vitamin E with warfarin might increase the risk of bleeding.
Due to interference with production of vitamin K-dependent clotting factors, use of more than 400 IU of vitamin E daily with warfarin might increase prothrombin time (PT), INR, and the risk of bleeding,. At a dose of 1000 IU per day, vitamin E can antagonize vitamin K-dependent clotting factors even in people not taking warfarin. Limited clinical evidence suggests that doses up to 1200 IU daily may be used safely by patients taking warfarin, but this may not be applicable in all patient populations.
Niacin
Vitamin E might decrease the beneficial effects of niacin on high-density lipoprotein (HDL) cholesterol levels.
A combination of niacin and simvastatin (Zocor) effectively raises high-density lipoprotein (HDL) cholesterol levels in people with coronary disease and low HDL levels. Clinical research shows that taking a combination of antioxidants (vitamin C, vitamin E, beta-carotene, and selenium) along with niacin and simvastatin (Zocor) attenuates this rise in HDL, specifically the HDL-2 and apolipoprotein A1 fractions, by more than 50%. Vitamin E alone combined with a statin does not seem to decrease HDL levels. It is not known whether the adverse effect on HDL is due to one of the other antioxidants or to the combination. It also is not known whether it will occur in other patient populations.
Selenium
Anticoagulant/Antiplatelet Drugs
Selenium may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Clinical research suggests that taking selenium 10 mcg/kg/day can increase bleeding times by increasing prostacyclin production, which inhibits platelet activity. Other clinical research suggests that taking selenium 75 mcg daily, in combination with ascorbic acid 600 mg, alpha-tocopherol 300 mg, and beta-carotene 27 mg, reduces platelet aggregation.
Barbiturates
Theoretically, selenium might prolong the sedating effects of barbiturates.
Laboratory research suggests that selenium can inhibit the hepatic metabolism of barbiturates. Selenium seems to prolong the sedative effect of pentobarbital in animal models.
Immunosuppressants
Theoretically, selenium supplementation may reduce the effectiveness of immunosuppressant therapy.
In vitro research and preliminary clinical evidence suggests that selenium may stimulate the immune system.
Warfarin (Coumadin)
Theoretically, selenium might interfere with warfarin activity.
Animal research suggests that selenium can increase warfarin activity. Selenium might interact with warfarin by displacing it from albumin binding sites, reducing its metabolism in the liver, or by decreasing production of vitamin K-dependent clotting factors. Selenium can also prolong bleeding times in humans by increasing prostacyclin production, which inhibits platelet activity.
Contraceptive Drugs
Contraceptive drugs might increase levels of selenium, although the clinical significance of this effect is unclear.
Some research suggests that oral contraceptives increase serum selenium levels in women taking oral contraceptives; however, other research shows no change in selenium levels. It is suggested that an increase could be due to increased carrier proteins, indicating a redistribution of selenium rather than a change in total body selenium.
Niacin
Selenium might reduce the beneficial effects of niacin on high-density lipoprotein (HDL) levels.
A combination of niacin and simvastatin (Zocor) effectively raises HDL cholesterol levels in patients with coronary disease and low HDL levels. Clinical research shows that taking a combination of antioxidants (vitamin C, vitamin E, beta-carotene, and selenium) along with niacin and simvastatin (Zocor) attenuates this rise in HDL, specifically the HDL-2 and apolipoprotein A1 fractions, by more than 50% in patients with coronary disease. It is not known whether this adverse effect is due to a single antioxidant such as selenium, or to the combination. It also is not known whether it will occur in other patient populations.
Brand information
Manufacturer and brand details for E And Selenium, from the product label.
Innate Response Formulas
See all Innate Response Formulas products- Name
- BioSan Laboratories, Inc.
- Street Address
- 8 Bowers Road
- City
- Derry
- State
- NH
- ZipCode
- 03038
- Phone Number
- 800-634-6342
- Web Address
- www.innateresponse.com
E And Selenium by Innate Response Formulas: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind E And Selenium’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Vitamin E
Interacts with 764 drugsVitamin E is an essential fat-soluble vitamin and antioxidant that most people get in adequate amounts from a normal diet. Supplements can help correct a true deficiency, but high-dose vitam...
Read the full Vitamin E monograph → Herb & supplement monographBrown Rice
Brown rice is a whole grain that keeps its fiber-rich bran and nutrient-packed germ, making it more nutritious than white rice. As part of a balanced diet, it may support heart health, diges...
Read the full Brown Rice monograph → Herb & supplement monographSelenium
Interacts with 321 drugsSelenium is an essential trace mineral your body needs in small amounts for thyroid function, antioxidant defense, and immune health. Most people who eat a varied diet get enough, and supple...
Read the full Selenium monograph → Herb & supplement monographBrewer's Yeast
Interacts with 136 drugsBrewer's yeast is a nutrient-rich fungus that provides B vitamins, protein, and minerals, and a related yeast product (S. boulardii) is used for some types of diarrhea. Most other health cla...
Read the full Brewer's Yeast monograph →Sources & How We Checked
E And Selenium'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 111 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.
Brown Rice 1 reference
- FDA, Center for Food Safety and Applied Nutrition, Office of Premarket Approval, EAFUS: A food additive database. Website: vm.cfsan.fda.gov/~dms/eafus.html (Accessed 23 February 2006).
Vitamin E 64 references
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- Barak, Y., Swartz, M., Shamir, E., Stein, D., and Weizman, A. Vitamin E (alpha-tocopherol) in the treatment of tardive dyskinesia: a statistical meta-analysis. Ann.Clin.Psychiatry 1998;10(3):101-105.
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Selenium 36 references
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Brewer's Yeast 6 references
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Tocotrienols 4 references
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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.
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