Endo-Pan Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Endo-Pan 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
Endo-Pan is a dietary supplement by Endo-met Laboratories with 3 active ingredients. Its ingredients are commonly taken for general nutrition and energy, skin and hair health, acne (topical and oral).Based on those ingredients, 153 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are L-Cysteine Hydrochloride, Zinc. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Endo-Pan by Endo-met Laboratories
Ask about any prescription or over-the-counter medication and we check it for interactions with Endo-Pan by Endo-met Laboratories — 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 Endo-Pan by Endo-met Laboratories
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
Endo-Pan contains 3 active ingredients. Pantothenic acid, also called vitamin B5, is a water-soluble vitamin involved in energy metabolism and skin health.
L-cysteine hydrochloride is an amino acid your body uses to make proteins and glutathione, a powerful antioxidant. Zinc is a mineral essential for immune function, wound healing, and protein synthesis.
The tablet also includes inactive ingredients—microcrystalline cellulose, stearic acid, hypromellose, silicon dioxide, magnesium stearate, glycerin, and hydroxypropyl cellulose—which serve as binders, flow agents, and coating materials.
Does it work?
Moderate evidence
Pantothenic acid is effective for treating pantothenic acid deficiency. The evidence for the other uses listed—including support for hay fever, alcoholism, and alopecia areata—falls short of reliable evidence.
Zinc is effective for zinc deficiency and likely effective for Wilson disease (a copper metabolism disorder). For acne, macular degeneration, diabetes, and skin conditions like acrodermatitis enteropathica, zinc appears possibly effective, though the evidence isn't definitive.
L-cysteine's effectiveness is not established in our data; the listed uses (alopecia, leg ulcers, hangover, stroke, and gastritis) lack reliable evidence.
How safe is it?
Well-documented data
Pantothenic acid is generally well tolerated at typical supplement doses and rated likely safe in pregnancy and lactation. Normal dietary amounts and prenatal-vitamin amounts are fine; if you're considering high-dose supplements, check with your doctor first.
The most common side effect reported orally is diarrhea. L-cysteine is generally well tolerated in food amounts, but long-term safety at supplement doses isn't well studied; consult your doctor before taking it at supplement strength.
Zinc is well tolerated in doses at or below the recommended daily limit of 40 mg per day for adults. Common side effects at higher doses include nausea, vomiting, diarrhea, abdominal cramps, and a metallic taste.
High doses above 40 mg daily may carry a risk of copper deficiency over time. Zinc is rated likely safe in pregnancy and lactation, though one pregnancy rating flags "likely unsafe"—discuss high-dose zinc use in pregnancy with your doctor.
Meds to double-check
Moderate interaction found
Before taking Endo-Pan, double-check with your doctor or pharmacist if you use quinolone antibiotics (ciprofloxacin, levofloxacin), cephalexin, tetracycline antibiotics (doxycycline), penicillamine, HIV medications (ritonavir, integrase inhibitors, Biktarvy), antidiabetes drugs, cisplatin, or any other prescription medications. Zinc can reduce absorption of several of these, and spacing or timing adjustments may be needed—your pharmacist can help work that out for you.
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.
Endo-Pan makes sense if you have a documented pantothenic acid deficiency or want to explore zinc's role in immune or wound health. If you take antibiotics, HIV medications, or antidiabetes drugs, check with your pharmacist first—timing and spacing can sometimes help, but your own medications may not be compatible.
Discuss this product with your doctor or pharmacist before starting, especially if you're pregnant, taking high doses, or juggling multiple prescriptions.
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 Nov 19, 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 Endo-Pan, straight from the product label.
| Brand | Endo-met Laboratories |
|---|---|
| Net contents | 180 Tablet(s) |
| Market status | On market |
| Date entered into DSLD | Nov 19, 2021 |
| DSLD ID | 255990 |
| Product type | Other Combinations |
| Supplement form | Tablet Or Pill |
| Dietary claims / uses | Nutrient |
| Intended target group(s) | Adult (18 - 50 Years) |
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 Endo-Pan by Endo-met Laboratories, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Pantothenic Acid | 200 mg | 2000% |
| L-Cysteine Hydrochloride | 50 mg | -- |
| Zinc | 22.5 mg | 150% |
Other ingredients: Microcrystalline Cellulose, Stearic Acid, Hypromellose, Silicon Dioxide, Magnesium Stearate, Glycerin, Hydroxypropyl Cellulose
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.
Formulation
Sustained release
FDA Statement of Identity
Pantothenic acid and zinc Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Endo-Pan by Endo-met Laboratories 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 Endo-Pan by Endo-met Laboratories
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Tablet(s) Dosage formTablet Or Pill Servings per container180 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.
Pantothenic Acid
No knowninteractions
Pantothenic acid is vitamin B5, an essential nutrient your body uses to turn food into energy. True deficiency is very rare because it is found in nea...
Pantothenic Acid monograph & interactionsL-Cysteine Hydrochloride
Interacts with86 drugs
L-cysteine is a sulfur-containing amino acid your body uses to make proteins and the antioxidant glutathione. Most people get enough from food, and su...
L-Cysteine Hydrochloride monograph & interactionsZinc
Interacts with67 drugs
Zinc is an essential mineral that your body needs for immune function, wound healing, taste, and smell. Most people get enough from food, but suppleme...
Zinc monograph & interactionsOther (inactive) ingredients: Microcrystalline Cellulose, Stearic Acid, Hypromellose, Silicon Dioxide, Magnesium Stearate, Glycerin, Hydroxypropyl Cellulose. These complete the product’s ingredient list but are not active constituents.
Endo-Pan by Endo-met Laboratories Drug Interactions
HelloPharmacist Interaction Report
Endo-Pan by Endo-met Laboratories contains three active ingredients, and through its zinc and L-cysteine content, it interacts with a number of medications.
The most serious documented interaction is moderate: zinc can reduce levels of quinolone antibiotics (such as ciprofloxacin and levofloxacin), potentially lowering their effectiveness. Zinc also forms complexes with several other antibiotics—cephalexin, tetracyclines (doxycycline, tetracycline), and penicillamine—reducing absorption of both the antibiotic and the zinc if taken together.
Read the full breakdown — every affected drug type, severity by severity
Zinc may also decrease levels of HIV medications, including ritonavir, integrase inhibitors, and bictegravir/emtricitabine/tenofovir alafenamide (Biktarvy), with timing adjustments sometimes used to minimize the interaction. Additionally, zinc theoretically may interfere with cisplatin (a chemotherapy drug) and L-cysteine may increase the risk of low blood sugar (hypoglycemia) if you take antidiabetes drugs.
Pantothenic acid, the third ingredient, shows no interactions documented in our data.
Altogether, these interactions span 153 individual medications. Because timing and spacing can sometimes reduce the impact of zinc interactions with antibiotics and some other drugs, check your exact medications with our search tool below before you start Endo-Pan.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Endo-Pan?
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 Endo-Pan interact with 153 drugs. Click any drug to see the details.
2 of the 3 ingredients in Endo-Pan interact with drugs. Each result below shows which ingredient is responsible. L-Cysteine Hydrochloride Zinc
AcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Acarbose interactionAcetohexamideDymelor
How Acetohexamide interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Acetohexamide interactionAlbiglutideTanzeum
How Albiglutide interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Albiglutide interactionAlogliptinNesina
How Alogliptin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Alogliptin, Pioglitazone interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Amphotericin, Tetracycline interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionBictegravir, Emtricitabine, Tenofovir AlafenamideBiktarvy
How Bictegravir, Emtricitabine, Tenofovir Alafenamide interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Bictegravir, Emtricitabine, Tenofovir Alafenamide interactionBismuth Subsalicylate, Metronidazole, TetracyclineHelidac
How Bismuth Subsalicylate, Metronidazole, Tetracycline interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Bismuth Subsalicylate, Metronidazole, Tetracycline interactionCanagliflozinInvokana
How Canagliflozin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Canagliflozin interactionCanagliflozin, MetforminInvokamet
How Canagliflozin, Metformin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Canagliflozin, Metformin interactionCanagliflozin, Metformin HydrochlorideInvokamet XR
How Canagliflozin, Metformin Hydrochloride interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Canagliflozin, Metformin Hydrochloride interactionCephalexinCephalex, Keflex, Keftab, Lexin
How Cephalexin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincCephalexin (keflex) Moderate
Interaction Summary
Zinc might decrease cephalexin levels by chelating with cephalexin in the gut and preventing its absorption.
Read the full Zinc + Cephalexin interactionChlorpropamideChlorpropam, Diabinese
How Chlorpropamide interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Chlorpropamide interactionChlortetracyclineAureomycin
How Chlortetracycline interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Chlortetracycline interactionCinoxacinCinobac
How Cinoxacin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Ciprofloxacin interactionCisplatinPlatinol-AQ
How Cisplatin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincCisplatin (platinol-aq) Moderate
Interaction Summary
Theoretically, zinc might interfere with the therapeutic effects of cisplatin.
Read the full Zinc + Cisplatin interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincQuinolone Antibiotics Moderate
Interaction Summary
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Read the full Zinc + Clinafloxacin interactionCobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide FumarateGenvoya
How Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide Fumarate interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Alafenamide Fumarate interactionDapagliflozinFarxiga
How Dapagliflozin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Dapagliflozin interactionDapagliflozin Propanediol, MetforminXigduo XR
How Dapagliflozin Propanediol, Metformin interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Dapagliflozin Propanediol, Metformin interactionDapagliflozin Propanediol, Saxagliptin HydrochlorideQtern
How Dapagliflozin Propanediol, Saxagliptin Hydrochloride interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Dapagliflozin Propanediol, Saxagliptin Hydrochloride interactionDapagliflozin, Metformin Hydrochloride, Saxagliptin HydrochlorideQternmet XR
How Dapagliflozin, Metformin Hydrochloride, Saxagliptin Hydrochloride interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Dapagliflozin, Metformin Hydrochloride, Saxagliptin Hydrochloride interactionDarunavir, Cobicistat, Emtricitabine, Tenofovir AlafenamideSymtuza
How Darunavir, Cobicistat, Emtricitabine, Tenofovir Alafenamide interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Darunavir, Cobicistat, Emtricitabine, Tenofovir Alafenamide interactionDarunavir, RitonavirDarunavir, Ritonavir
How Darunavir, Ritonavir interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincRitonavir (norvir) Moderate
Interaction Summary
Zinc modestly reduces levels of ritonavir.
Read the full Zinc + Darunavir, Ritonavir interactionDasabuvir Sodium, Ombitasvir, Paritaprevir, RitonavirViekira XR
How Dasabuvir Sodium, Ombitasvir, Paritaprevir, Ritonavir interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincRitonavir (norvir) Moderate
Interaction Summary
Zinc modestly reduces levels of ritonavir.
Read the full Zinc + Dasabuvir Sodium, Ombitasvir, Paritaprevir, Ritonavir interactionDasiglucagon HydrochlorideZegalogue
How Dasiglucagon Hydrochloride interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
L-cysteine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Read the full L-cysteine Hydrochloride + Dasiglucagon Hydrochloride interactionDemeclocyclineDeclomycin
How Demeclocycline interacts with Endo-Pan — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Demeclocycline interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Endo-Pan 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.
L-Cysteine Hydrochloride
Antidiabetes Drugs
Theoretically, taking L-cysteine supplements with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research suggests that L-cysteine can have hypoglycemic effects.
Zinc
Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide should be taken at least 2 hours before or 6 hours after zinc containing products.
Cephalexin (Keflex)
Zinc might decrease cephalexin levels by chelating with cephalexin in the gut and preventing its absorption.
A pharmacokinetic study shows that zinc sulfate 250 mg taken concomitantly with cephalexin 500 mg decreases peak levels of cephalexin by 31% and reduces the exposure to cephalexin by 27%. Also, taking zinc sulfate 3 hours before cephalexin decreases peak levels of cephalexin by 11% and reduces the exposure to cephalexin by 18%. By decreasing cephalexin levels, zinc might increase the risk of treatment failure. This effect does not occur when zinc is taken 3 hours after the cephalexin dose. To avoid an interaction, advise patients take zinc sulfate 3 hours after taking cephalexin.
Cisplatin (Platinol-Aq)
Theoretically, zinc might interfere with the therapeutic effects of cisplatin.
Animal research suggests that zinc stimulates tumor cell production of the protein metallothionein, which binds and inactivates cisplatin. It is not known whether zinc supplements or high dietary zinc intake can cause clinically significant interference with cisplatin therapy. Cisplatin might also increase zinc excretion.
Integrase Inhibitors
Theoretically, taking zinc along with integrase inhibitors might decrease the levels and clinical effects of these drugs.
Zinc is a divalent cation. Pharmacokinetic studies have shown that other divalent cations such as calcium and iron can decrease blood levels of the integrase inhibitor dolutegravir through chelation.
Penicillamine (Cuprimine, Depen)
Zinc might reduce the levels and clinical effects of penicillamine.
By forming an insoluble complex with penicillamine, zinc interferes with penicillamine absorption and activity. Zinc supplements reduce the efficacy of low-dose penicillamine (0.5-1 gram/day), but do not seem to affect higher doses (1-2.75 gram/day), provided dosing times are separated. Advise patients to take zinc and penicillamine at least 2 hours apart.
Quinolone Antibiotics
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Quinolones form complexes with zinc in the gastrointestinal tract, reducing absorption of both the quinolone and zinc if taken at the same time. Advise patients to take these drugs at least 2 hours before, or 4-6 hours after, zinc supplements.
Ritonavir (Norvir)
Zinc modestly reduces levels of ritonavir.
Clinical research shows that zinc might reduce serum ritonavir levels by chelating with ritonavir in the gut and preventing its absorption. In patients with HIV, ritonavir is taken with atazanavir to prevent the metabolism and increase the effects of atazanavir. A pharmacokinetic study shows that, in patients being treated with atazanavir/ritonavir, co-administration of zinc sulfate (Solvazinc tablets) 125 mg as a single dose or as multiple daily doses for 2 weeks reduces plasma levels of ritonavir by about 16%. However, atazanavir levels still remains high enough to prevent HIV virus replication. Therefore, the decrease in ritonavir levels is not likely to be clinically significant.
Tetracycline Antibiotics
Zinc might reduce levels of tetracycline antibiotics.
Tetracyclines form complexes with zinc in the gastrointestinal tract, which can reduce absorption of both the tetracycline and zinc when taken at the same time. Taking zinc sulfate 200 mg with tetracycline reduces absorption of the antibiotic by 30% to 40%. Demeclocycline and minocycline cause a similar interaction. However, doxycycline does not seem to interact significantly with zinc. Advise patients to take tetracyclines at least 2 hours before, or 4-6 hours after, zinc supplements to avoid any interactions.
Amiloride (Midamor)
Amiloride can modestly reduce zinc excretion and increase zinc levels.
Clinical research shows that amiloride can reduce urinary zinc excretion, especially at doses of 10 mg per day or more. This zinc-sparing effect can help to counteract zinc losses caused by thiazide diuretics, but it is unlikely to cause zinc toxicity at usual amiloride doses. The other potassium-sparing diuretics, spironolactone (Aldactone) and triamterene (Dyrenium), do not seem to have a zinc-sparing effect.
Atazanavir (Reyataz)
Zinc modestly reduces levels of atazanavir, although this effect does not seem to be clinically significant.
Clinical research shows that zinc might decrease serum atazanavir levels by chelating with atazanavir in the gut and preventing its absorption. Although a single dose of zinc sulfate (Solvazinc tablets) 125 mg orally does not affect atazanavir concentrations in patients being treated with atazanavir/ritonavir, co-administration of zinc sulfate 125 mg daily for 2 weeks reduces plasma levels of atazanavir by about 22% in these patients. However, despite this decrease, atazanavir levels still remain at high enough concentrations for the prevention of HIV virus replication.
Brand information
Manufacturer and brand details for Endo-Pan, from the product label.
Endo-Pan by Endo-met Laboratories: Common Questions
Does Endo-Pan by Endo-met Laboratories interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Endo-Pan is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Endo-Pan’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Pantothenic Acid
Pantothenic acid is vitamin B5, an essential nutrient your body uses to turn food into energy. True deficiency is very rare because it is found in nearly all foods, and most people meet thei...
Read the full Pantothenic Acid monograph → Herb & supplement monographL-cysteine
Interacts with 86 drugsL-cysteine is a sulfur-containing amino acid your body uses to make proteins and the antioxidant glutathione. Most people get enough from food, and supplements are usually well tolerated, bu...
Read the full L-cysteine monograph → Herb & supplement monographZinc
Interacts with 67 drugsZinc is an essential mineral that your body needs for immune function, wound healing, taste, and smell. Most people get enough from food, but supplements can help correct or prevent a defici...
Read the full Zinc monograph →Sources & How We Checked
Endo-Pan'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 101 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.
Pantothenic Acid 11 references
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Yates AA, Schlicker SA, Suitor CW. Dietary reference intakes: The new basis for recommendations for calcium and related nutrients, B vitamins, and choline. J Am Diet Assoc 1998;98:699-706. PubMed
- Debourdeau PM, Djezzar S, Estival JL, et al. Life-threatening eosinophilic pleuropericardial effusion related to vitamins B5 and H. Ann Pharmacother 2001;35:424-6. DOI
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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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