ESR Ingredients & Drug Interactions
What is this page for?
First and foremost: checking ESR 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
ESR is a dietary supplement by Olympian Labs with 2 active ingredients. Its ingredients are commonly taken for high blood pressure, erectile dysfunction, athletic performance.Based on those ingredients, 403 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are L-Arginine Hydrochloride. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against ESR by Olympian Labs
Ask about any prescription or over-the-counter medication and we check it for interactions with ESR by Olympian Labs — 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 ESR by Olympian Labs
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
ESR by Olympian Labs contains 2 active ingredients: L-arginine hydrochloride and L-ornithine monohydrochloride. L-arginine is an amino acid that your body uses to make nitric oxide, a compound that relaxes blood vessels; it's been studied for blood pressure and workout performance.
L-ornithine is another amino acid involved in cellular metabolism and muscle function. The capsule also contains inactive ingredients: a vegetarian capsule shell, rice flour, microcrystalline cellulose, silicon dioxide, and ascorbyl palmitate.
Does it work?
Moderate evidence
L-ornithine has possibly effective evidence for athletic performance, but the data we hold does not establish reliable effectiveness for dry skin, insomnia, or periodontitis. L-arginine's effectiveness ratings are not included in the information we have on file.
If you're considering this product for a specific goal, talk with your doctor or pharmacist about whether the evidence supports it for your situation.
How safe is it?
Well-documented data
L-arginine is often well tolerated in the short term, but it can lower blood pressure and may not be safe for everyone; it should only be used under medical supervision, as safety for self-treatment is not well established. Common side effects from oral L-arginine include abdominal pain, bloating, nausea, diarrhea, headache, insomnia, and flushing.
Pregnancy: L-arginine is rated possibly safe. Lactation: safety data for L-arginine while breastfeeding is not on file.
For L-ornithine, safety data is limited for both pregnancy and lactation—the facts advise against use in both situations. Talk with your doctor or pharmacist before using this product if you're pregnant or breastfeeding.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you take antihypertensive drugs (blood pressure medication), ACE inhibitors, ARBs, blood thinners or antiplatelet drugs, potassium-sparing diuretics, diabetes medications, isoproterenol, or sildenafil. All are documented to interact with L-arginine at moderate severity.
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.
ESR is aimed at people interested in amino acid supplementation, but it's not a casual over-the-counter choice because L-arginine interacts with common blood pressure, heart, and diabetes medications and can affect potassium and bleeding risk. If you take any prescription drugs—especially for high blood pressure, heart disease, diabetes, or blood clotting—check your exact medications with your doctor or pharmacist before you start.
Long-term safety of L-ornithine is also not well studied.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 24, 2015.
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 ESR, straight from the product label.
| Brand | Olympian Labs |
|---|---|
| Barcode (UPC) | 710013001184 |
| Net contents | 100 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Nov 24, 2015 |
| DSLD ID | 53139 |
| Product type | Amino Acid/protein |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), No Allergies, Gluten 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 ESR by Olympian Labs, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| L-Arginine Hydrochloride | 500 mg | -- |
| L-Ornithine Monohydrochloride | 250 mg | -- |
Other ingredients: Vegetarian Capsule, Rice Flour, Microcrystalline Cellulose, Silicon Dioxide, Ascorbyl Palmitate
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)
Performance Sports Nutrition
Formula
ESR pairs two amino acids together, Arginine & Ornithine, in a specific ratio that may increase the release of the human growth hormone (HGH) in your body.
Allergen Free
General Statements
HGH is required for optimum muscle growth and repair. This pairing also helps increase Nitric Oxide (NO) production which causes blood vessels to expand, allowing greater blood flow to working muscles. This delivers more oxygen, blood, and nutrients to working and/or recovering muscles.^
Olympian Labs, Inc. products are made with the highest quality ingredients and manufactured according to current Good Manufacturing Practices (cGMP).
Endurance - Strength - Recovery
Supports Muscle Growth & Repair* Promotes Human Growth Hormones (HGH)* Aids Fat & Protein Metabolism*
Muscle Growth Recovery
100 Servings
MADE IN USA
Precautions
Caution: If you are pregnant or nursing, have a medical condition, or are taking medication consult your healthcare professional before using this or any other nutritional supplement.
Discontinue use if allergic reaction occurs.
Keep out of reach of children.
FDA Disclaimer Statement
* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
General
REV 03-09-15
Storage
Store in a cool, dry place.
Seals/Symbols
OL
Formulation
Gluten Free
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Daily
Suggested Use: As a dietary supplement, take one (1) capsule one to three times per day, or as directed by a healthcare professional.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
ESR by Olympian Labs 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 ESR by Olympian Labs
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container100 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.
L-Arginine Hydrochloride
Interacts with403 drugs
L-arginine is an amino acid that the body uses to make nitric oxide, a substance that helps blood vessels relax and widen. It is popularly used for bl...
L-Arginine Hydrochloride monograph & interactionsL-Ornithine Monohydrochloride
No knowninteractions
Ornithine is a non-essential amino acid your body makes naturally as part of the urea cycle, which helps remove ammonia. It is sold as a supplement fo...
L-Ornithine Monohydrochloride monograph & interactionsOther (inactive) ingredients: Vegetarian Capsule, Rice Flour, Microcrystalline Cellulose, Silicon Dioxide, Ascorbyl Palmitate. These complete the product’s ingredient list but are not active constituents.
ESR by Olympian Labs Drug Interactions
HelloPharmacist Interaction Report
Olympian Labs ESR contains L-arginine hydrochloride, which interacts with a range of blood pressure and heart medications.
The most serious concern is a moderate risk of dangerously low blood pressure (hypotension) when combined with antihypertensive drugs, ACE inhibitors, ARBs, isoproterenol, or sildenafil—all of which work through similar blood vessel-relaxing pathways that L-arginine also activates.
Read the full breakdown — every affected drug type, severity by severity
L-arginine also poses moderate risks with potassium-sparing diuretics and ACE inhibitors or ARBs, because it can raise potassium levels in your blood (hyperkalemia), and these drugs do the same. Separately, it may have additive bleeding effects with blood thinners and antiplatelet drugs (anticoagulants), and it may lower blood sugar alongside diabetes medications.
The second ingredient, L-ornithine monohydrochloride, has no interactions documented in our data.
Altogether, these interactions span 403 individual medications. Use the medication checker on this page to confirm whether your specific prescriptions are affected before you start this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against ESR?
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 ESR interact with 403 drugs. Click any drug to see the details.
1 of the 2 ingredients in ESR interact with drugs. Each result below shows which ingredient is responsible. L-Arginine Hydrochloride
AbciximabReoPro
How Abciximab interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine might have additive effects with antidiabetes drugs.
Read the full L-arginine Hydrochloride + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Acenocoumarol interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Acetaminophen, Ibuprofen interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Acetazolamide interactionAcetohexamideDymelor
How Acetohexamide interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine might have additive effects with antidiabetes drugs.
Read the full L-arginine Hydrochloride + Acetohexamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Acetylsalicylic Acid interactionAlbiglutideTanzeum
How Albiglutide interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine might have additive effects with antidiabetes drugs.
Read the full L-arginine Hydrochloride + Albiglutide interactionAliskirenTekturna
How Aliskiren interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Aliskiren interactionAlogliptinNesina
How Alogliptin interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine might have additive effects with antidiabetes drugs.
Read the full L-arginine Hydrochloride + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine might have additive effects with antidiabetes drugs.
Read the full L-arginine Hydrochloride + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine might have additive effects with antidiabetes drugs.
Read the full L-arginine Hydrochloride + Alogliptin, Pioglitazone interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs, Potassium-sparing Diuretics Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs, Potassium-sparing Diuretics Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Amiloride, Hydrochlorothiazide interactionAmlodipineNorliqva
How Amlodipine interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs, Ace Inhibitors (aceis) Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Amlodipine, Celecoxib interactionAmmonium ChlorideAmmonium Chloride
How Ammonium Chloride interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
Read the full L-arginine Hydrochloride + Ammonium Chloride interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with ESR — through 1 ingredient. Tap an ingredient for the detail:
L-arginine HydrochlorideAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Read the full L-arginine Hydrochloride + Anacaulase-bcdb interactionEach ingredient & the kinds of drugs it affects
For each ingredient in ESR with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
L-Arginine Hydrochloride
Ace Inhibitors (Aceis)
Theoretically, concomitant use of L-arginine and ACE inhibitors may increase the risk for hypotension and hyperkalemia.
Combining L-arginine with some antihypertensive drugs, especially ACE inhibitors, seems to have additive vasodilating and blood pressure-lowering effects. Furthermore, ACE inhibitors can increase potassium levels. Use of L-arginine has been associated with hyperkalemia in some patients. Theoretically, concomitant use of ACE inhibitors with L-arginine may increases the risk of hyperkalemia.
Angiotensin Receptor Blockers (Arbs)
Theoretically, concomitant use of L-arginine and ARBs may increase the risk of hypotension and hyperkalemia.
L-arginine increases nitric oxide, which causes vasodilation. Combining L-arginine with ARBs seems to increase L-arginine-induced vasodilation. Furthermore, ARBs can increase potassium levels. Use of L-arginine has been associated with hyperkalemia in some patients. Theoretically, concomitant use of ARBs with L-arginine may increases the risk of hyperkalemia.
Anticoagulant/Antiplatelet Drugs
Theoretically, concomitant use of L-arginine with anticoagulant and antiplatelet drugs might have additive effects and increase the risk of bleeding.
Preliminary research suggests that L-arginine infusions reduce platelet aggregation in humans. The clinical significance of this effect is unclear.
Antidiabetes Drugs
Theoretically, concomitant use of L-arginine might have additive effects with antidiabetes drugs.
Preliminary clinical research shows that L-arginine decreases blood glucose levels in patients with type 2 diabetes.
Antihypertensive Drugs
Theoretically, concomitant use of L-arginine and antihypertensive drugs may increase the risk of hypotension.
L-arginine increases nitric oxide, which causes vasodilation. Clinical evidence shows that L-arginine can reduce blood pressure in some individuals with hypertension. Furthermore, combining L-arginine with some antihypertensive drugs seems to have additive vasodilating and blood pressure-lowering effects.
Isoproterenol (Isuprel)
Theoretically, concurrent use of isoproterenol and L-arginine might result in additive effects and hypotension.
Preliminary clinical evidence suggests that L-arginine enhances isoproterenol-induced vasodilation in patients with essential hypertension or a family history of essential hypertension.
Potassium-Sparing Diuretics
Theoretically concomitant use of potassium-sparing diuretics with L-arginine may increases the risk of hyperkalemia.
Potassium-sparing diuretics can increase potassium levels. Use of L-arginine has been associated with hyperkalemia in some patients.
Sildenafil (Viagra)
Theoretically, concurrent use of sildenafil and L-arginine might increase the risk for hypotension.
In vivo, concurrent use of L-arginine and sildenafil has resulted in increased vasodilation. Theoretically, concurrent use might have additive vasodilatory and hypotensive effects. However, in studies evaluating the combined use of L-arginine and sildenafil for erectile dysfunction, hypotension was not reported.
Testosterone
Theoretically, concomitant use of L-arginine and testosterone might have additive effects.
In clinical research, L-arginine increases the level of testosterone in male patients with erectile dysfunction. The clinical significance of this finding is unclear.
Brand information
Manufacturer and brand details for ESR, from the product label.
Olympian Labs
See all Olympian Labs products- Name
- Olympian Labs, Inc.
- City
- Phoenix
- State
- AZ
- ZipCode
- 85027
- Phone Number
- 1-800-473-5883
- Web Address
- www.olympianlabs.com
ESR by Olympian Labs: Common Questions
Does ESR by Olympian Labs interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take ESR if I'm pregnant or breastfeeding?
What are the common side effects?
Is this safe to use long-term?
What is L-ornithine supposed to do?
Can I take this if I'm on blood pressure medication?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if ESR 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 ESR’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
L-arginine
Interacts with 403 drugsL-arginine is an amino acid that the body uses to make nitric oxide, a substance that helps blood vessels relax and widen. It is popularly used for blood pressure, erectile dysfunction, and...
Read the full L-arginine monograph → Herb & supplement monographOrnithine
Ornithine is a non-essential amino acid your body makes naturally as part of the urea cycle, which helps remove ammonia. It is sold as a supplement for fatigue, exercise recovery, and sleep,...
Read the full Ornithine monograph →Sources & How We Checked
ESR'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 67 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.
L-arginine 66 references
- Sapienza MA, Kharitonov SA, Horvath I, et al. Effect of inhaled L-arginine on exhaled nitric oxide in normal and asthmatic subjects. Thorax 1998;53:172-5.
- Clarkson P, Adams MR, Powe AJ, et al. Oral L-arginine improves endothelium-dependent dilation in hypercholesterolemic young adults. J Clin Invest 1996;97:1989-94. PubMed
- Tenenbaum A, Fisman EZ, Motro M. L-arginine: Rediscovery in progress. Cardiology 1998;90:153-9.
- Brittenden J, Park KGM, Heys SD, et al. L-Arginine stimulates host defenses in patients with breast cancer. Surgery 1994;115:205-12.
- Korting GE, Smith SD, Wheeler MA, et al. A randomized double-blind trial of oral L-arginine for treatment of interstitial cystitis. J Urol 1999;161:558-65. DOI
- Rector TS, Bank AJ, Mullen KA, et al. Randomized, double-blind, placebo-controlled study of supplemental oral L-arginine in patients with heart failure. Circulation 1996;93:2135-41.
- Siani A, Pagano E, Iacone R, et al. Blood pressure and metabolic changes during dietary L-arginine supplementation in humans. Am J Hypertens 2000;13:547-51. PubMed
- Cheng JW, Balwin SN. L-arginine in the management of cardiovascular diseases. Ann Pharmacother 2001;35:755-64. PubMed
- Wallace AW, Tom WL. Interaction of L-arginine and phosphodiesterase inhibitors in vasodilation of the porcine internal mammary artery. Anesth Analg 2000;90:840-6. DOI
- Huynh NT, Tayek JA. Oral arginine reduces systemic blood pressure in type 2 diabetes: its potential role in nitric oxide generation. J Am Coll Nutr 2002;21:422-7.. PubMed
- Staff AC, Berge L, Haugen G, et al. Dietary supplementation with L-arginine or placebo in women with pre-eclampsia. Acta Obstet Gynecol Scand 2004;83:103-7.
- Resnick DJ, Softness B, Murphy AR, et al. Case report of an anaphylactoid reaction to arginine. Ann Allergy Asthma Immunol 2002;88:67-8. PubMed
- Anon. Arginine hydrochloride injection (marketed as R-Gene 10). FDA Drug Safety Newsletter 2009;2(2):16-18. Available at: www.fda.gov/Drugs/DrugSafety/DrugSafetyNewsletter/default.htm.
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Ornithine 1 reference
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