Evening Primrose Oil 500 mg Ingredients & Drug Interactions
by Vitabase
What is this page for?
First and foremost: checking Evening Primrose Oil 500 mg 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
Evening Primrose Oil 500 mg is a dietary supplement by Vitabase with 5 active ingredients. Its ingredients are commonly taken for heart health, healthy cooking fat, skin moisturizing.Based on those ingredients, 308 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Evening Primrose seed Oil, Oleic Acid. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Evening Primrose Oil 500 mg by Vitabase
Ask about any prescription or over-the-counter medication and we check it for interactions with Evening Primrose Oil 500 mg by Vitabase — 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 Evening Primrose Oil 500 mg by Vitabase
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
Vitabase Evening Primrose Oil contains 5 active ingredients: gamma-linolenic acid, oleic acid, palmitic acid, linoleic acid, and evening primrose seed oil. These are fatty acids naturally present in evening primrose seeds.
The product is delivered in softgel capsules made with gelatin, glycerin, and water as inactive ingredients.
Does it work?
Not established
The evidence for evening primrose oil is mixed. For asthma, the data suggests it's likely ineffective.
For breast pain (mastalgia), it's rated likely ineffective. Several other uses—including ADHD, acne, and hysteroscopy procedures—have insufficient evidence to establish whether it works.
The oleic acid in the product is rated possibly effective for high cholesterol and coronary heart disease, though that comes from research on oleic acid from olive oil in the diet, not from this supplement form.
How safe is it?
Well-documented data
Evening primrose oil is generally well tolerated in the short term, though quality evidence and long-term safety data are limited. Most common side effects from oral use are abdominal pain, bloating, diarrhea, indigestion, gas, nausea, and vomiting.
Some people report skin rash, acne, dizziness, or headache. There is a case report of seizures in someone taking evening primrose oil during anesthesia, but other drugs were also involved, so the cause wasn't clear.
For pregnancy, evening primrose oil is rated possibly safe, and the same applies to breastfeeding. However, the facts note that concentrated supplement doses lack good safety data in pregnancy, so concentrated forms are best avoided unless your doctor directs otherwise.
Safety data for breastfeeding is also limited, and medical advice is advised.
Meds to double-check
Moderate interaction found
Before taking this product, have your doctor or pharmacist double-check if you use blood thinners or antiplatelet drugs (Moderate risk of bleeding), lithium (Moderate risk of lowered levels), antipsychotics like phenothiazines (Moderate risk of seizures), HIV medications like lopinavir/ritonavir (Moderate risk of increased drug levels), diabetes drugs (Moderate risk of stronger effects), or any CYP2C9 substrates (Minor risk of increased levels). Use the medication checker below to see your exact drugs.
The bottom line
Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.
Evening Primrose Oil 500 mg by Vitabase may help with high cholesterol or heart disease (through its oleic acid), though the evidence is preliminary. It's not effective for asthma and likely won't help breast pain.
The real concern is medication interactions—especially with blood thinners, lithium, antipsychotics, HIV drugs, and diabetes medications. If you take any prescription drugs, check them against this product's interactions before you start, and talk it over with your own doctor or pharmacist.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Mar 23, 2012.
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 Evening Primrose Oil 500 mg, straight from the product label.
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 Evening Primrose Oil 500 mg by Vitabase, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Gamma-Linolenic Acid | 45 mg | -- |
| Oleic Acid | 35 mg | -- |
| Palmitic Acid | 30 mg | -- |
| Linoleic Acid | 350 mg | -- |
| Evening Primrose seed Oil | 500 mg | -- |
Other ingredients: Gelatin, Glycerin, Water
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
Contains No Added sugar, salt, dairy, yeast, wheat, corn, soy, preservatives, artificial colors or flavors.
Our Evening Primrose Oil is Hexane Free.
Suggested/Recommended/Usage/Directions
Suggested Use: As a dietary supplement, adults take one (1) softgel capsule, three (3) times daily with meals, or as directed by a health professional.
Storage
Store in a cool, dry place and away from direct light.
Precautions
Keep out of reach of children.
General Statements
QUALITY AND POTENCY GUARANTEED.
Vitabase uses only high quality ingredients.
FDA Disclaimer Statement
These statements have not been evaluated by the FDA. Product is not intended to diagnose, treat, cure, or prevent any diseases.
Seals/Symbols
Vb
Formula
High Source of Gamma-Linolenic Acid (GLA)
It is 100% pure cold pressed Evening Primrose Oil, derived from the seeds of the Evening Primrose plant. It is a high source of Gamma-Linolenic Acid.
FDA Statement of Identity
DIETARY SUPPLEMENT
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Evening Primrose Oil 500 mg by Vitabase 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 Evening Primrose Oil 500 mg by Vitabase
These are the 5 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Softgel(s) Dosage formSoftgel Capsule 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.
Gamma-Linolenic Acid
Oleic Acid
Interacts with86 drugs
Oleic acid is a heart-healthy monounsaturated fat found mainly in olive oil, canola oil, avocados, and nuts. As part of a Mediterranean-style diet, it...
Oleic Acid monograph & interactionsPalmitic Acid
Linoleic Acid
Evening Primrose seed Oil
Interacts with233 drugs
Evening primrose oil is a seed oil rich in gamma-linolenic acid (GLA), an omega-6 fatty acid, that is popularly used for skin conditions, PMS, and bre...
Evening Primrose seed Oil monograph & interactionsOther (inactive) ingredients: Gelatin, Glycerin, Water. These complete the product’s ingredient list but are not active constituents.
Evening Primrose Oil 500 mg by Vitabase Drug Interactions
HelloPharmacist Interaction Report
Vitabase Evening Primrose Oil 500 mg interacts with medications through its evening primrose seed oil and oleic acid content.
The most serious concern is a Moderate-severity interaction with blood thinners (anticoagulant/antiplatelet drugs): evening primrose oil may increase bleeding risk by reducing platelet clumping and prolonging bleeding time.
Read the full breakdown — every affected drug type, severity by severity
Other Moderate-severity interactions affect lithium (a mood stabilizer), where the oil may lower drug levels and reduce its effects—one case report showed lithium levels drop from 0.69 to 0.37 mmol/L after two months of use. Phenothiazines (antipsychotics used for schizophrenia) carry a Moderate risk of increased seizures or lowered seizure threshold when combined with this product.
Lopinavir/ritonavir (Kaletra, an HIV medication) may reach higher blood levels and stronger effects. Oleic acid in the product may also increase the effects of diabetes drugs (antidiabetes medications).
Additionally, a Minor-severity interaction affects CYP2C9 substrates—a broad group of drugs processed by a liver enzyme that evening primrose oil may inhibit, potentially raising their levels. Altogether, these interactions span 308 individual medications.
We could not check gamma-linolenic acid, palmitic acid, or linoleic acid for interactions—no data is on file for those. Use the medication checker on this page to see if any of your exact drugs are affected before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Evening Primrose Oil 500 mg?
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 Evening Primrose Oil 500 mg interact with 308 drugs. Click any drug to see the details.
2 of the 5 ingredients in Evening Primrose Oil 500 mg interact with drugs. Each result below shows which ingredient is responsible. Evening Primrose seed Oil Oleic Acid
AbciximabReoPro
How Abciximab interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose may increase the levels and clinical effects of CYP2C9 substrates.
Read the full Evening Primrose Seed Oil + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Acarbose interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Acenocoumarol interactionAcepromazineAtravet
How Acepromazine interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilPhenothiazines Moderate
Interaction Summary
Theoretically, taking evening primrose oil with phenothiazines might increase the risk of convulsions.
Read the full Evening Primrose Seed Oil + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilCytochrome P450 2c9 (cyp2c9) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose may increase the levels and clinical effects of CYP2C9 substrates.
Read the full Evening Primrose Seed Oil + Acetaminophen, Ibuprofen interactionAcetohexamideDymelor
How Acetohexamide interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Acetohexamide interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Acetylsalicylic Acid interactionAlbiglutideTanzeum
How Albiglutide interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Albiglutide interactionAlogliptinNesina
How Alogliptin interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Alogliptin interactionAlogliptin, MetforminKazano
How Alogliptin, Metformin interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Alogliptin, Metformin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Alogliptin, Pioglitazone interactionAlteplase, TpaActilyse, Activase
How Alteplase, Tpa interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Alteplase, Tpa interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAmitriptyline, PerphenazineEtrafon, Etrafon-A, Etrafon-Forte, Triavil
How Amitriptyline, Perphenazine interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilCytochrome P450 2c9 (cyp2c9) Substrates, Phenothiazines Moderate
Interaction Summary
Theoretically, evening primrose may increase the levels and clinical effects of CYP2C9 substrates.
Read the full Evening Primrose Seed Oil + Amitriptyline, Perphenazine interactionAnacaulase-bcdbNexoBrid
How Anacaulase-bcdb interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Anacaulase-bcdb interactionAnagrelideAgrylin
How Anagrelide interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Anagrelide interactionAnisindioneMiradon
How Anisindione interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Anisindione interactionAntidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi
How Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Oleic AcidAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, oleic acid might increase the effects of antidiabetes drugs.
Read the full Oleic Acid + Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) Inhibitor interactionAntithrombin IiiThrombate III
How Antithrombin Iii interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Antithrombin Iii interactionApixabanEliquis
How Apixaban interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Apixaban interactionArgatrobanArgatroban
How Argatroban interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Argatroban interactionAspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more
How Aspirin interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Aspirin interactionAspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3
How Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium Hydroxide interactionAspirin, ButalbitalAxotal
How Aspirin, Butalbital interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Aspirin, Butalbital interactionAspirin, Butalbital, CaffeineFiorinal
How Aspirin, Butalbital, Caffeine interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Aspirin, Butalbital, Caffeine interactionAspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine
How Aspirin, Butalbital, Caffeine, Codeine Phosphate interacts with Evening Primrose Oil 500 mg — through 1 ingredient. Tap an ingredient for the detail:
Evening Primrose Seed OilAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Evening Primrose Seed Oil + Aspirin, Butalbital, Caffeine, Codeine Phosphate interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Evening Primrose Oil 500 mg 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.
Evening Primrose seed Oil
Anticoagulant/Antiplatelet Drugs
Theoretically, evening primrose oil may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Evening primrose oil contains gamma linolenic acid (GLA). There is preliminary clinical evidence that GLA can reduce platelet aggregation and prolong bleeding time.
Lithium
Theoretically, concomitant use of lithium with evening primrose oil might decrease lithium levels and effects.
In a case report, a patient on a stable dose of lithium for 10 years experienced a reduction in lithium levels after taking evening primrose oil 500 mg daily. Baseline levels were 0.69 mmol/L, which decreased to 0.37 mmol/L after 2 months and 0.23 mmol/L after 3 months of use. Lithium levels increased within 6 weeks of discontinuing evening primrose oil, to 0.73 mmol/L; no clinical effects were noted.
Lopinavir/Ritonavir (Kaletra)
Theoretically, evening primrose oil might increase the levels and effects of lopinavir.
In a case report, an HIV patient who took evening primrose oil (Efamol) along with lopinavir/ritonavir experienced an increase in serum levels of lopinavir to 15.2 mg/L. Six weeks after discontinuing evening primrose oil, levels of lopinavir returned to the normal range of 5-10 mg/L. When re-challenged with evening primrose oil for a week, the patient's lopinavir levels increased from 6.69 to 8.11 mg/L. It is suspected that evening primrose oil increases levels of lopinavir by inhibiting cytochrome P450 3A4 (CYP3A4), which metabolizes lopinavir. However, this effect has not been reported in other research.
Phenothiazines
Theoretically, taking evening primrose oil with phenothiazines might increase the risk of convulsions.
Evening primrose oil contains gamma-linolenic acid (GLA). There is some concern that taking supplements containing GLA might cause seizures, or lower the seizure threshold, when taken with phenothiazines. In one report, three patients with schizophrenia who had received phenothiazines developed EEG changes suggestive of temporal lobe epilepsy after starting treatment with GLA, although none experienced an actual seizure. In another report, two patients with schizophrenia who were stabilized on phenothiazines developed seizures when evening primrose oil 4 grams daily was added. One of these patients had a prior history of seizures. It is unclear whether evening primrose oil had any additive epileptogenic effects with the phenothiazines; there is no evidence that taking evening primrose oil alone causes seizures.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, evening primrose may increase the levels and clinical effects of CYP2C9 substrates.
In vitro research shows that linoleic acid, a constituent of evening primrose oil, inhibits CYP2C9.
Oleic Acid
Antidiabetes Drugs
Theoretically, oleic acid might increase the effects of antidiabetes drugs. Preliminary clinical research in patients with type 2 diabetes taking oral hypoglycemic drugs shows that eating a diet rich in oleic acid from olive oil decreases fasting blood glucose levels when compared to eating a diet rich in linoleic acid from sunflower oil. It is unknown if taking oleic acid supplements would have this effect or if this change is clinically significant. Until more is known, use caution. Dose adjustment may be necessary. Some antidiabetes drugs include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, metformin (Glucophage), pioglitazone (Actos), rosiglitazone (Avandia), and others.
Brand information
Manufacturer and brand details for Evening Primrose Oil 500 mg, from the product label.
Evening Primrose Oil 500 mg by Vitabase: Common Questions
Does Evening Primrose Oil 500 mg by Vitabase interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Will evening primrose oil help my arthritis or rheumatoid arthritis?
What's the most common side effect if I take this?
Can I take evening primrose oil if I'm pregnant?
Is it safe to breastfeed while taking this?
What's oleic acid and why is it in this product?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Evening Primrose Oil 500 mg 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 Evening Primrose Oil 500 mg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Oleic Acid
Interacts with 86 drugsOleic acid is a heart-healthy monounsaturated fat found mainly in olive oil, canola oil, avocados, and nuts. As part of a Mediterranean-style diet, it is widely viewed as a healthier replace...
Read the full Oleic Acid monograph → Herb & supplement monographEvening Primrose
Interacts with 233 drugsEvening primrose oil is a seed oil rich in gamma-linolenic acid (GLA), an omega-6 fatty acid, that is popularly used for skin conditions, PMS, and breast pain. The evidence behind most of th...
Read the full Evening Primrose monograph →Sources & How We Checked
Evening Primrose Oil 500 mg'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 52 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.
Oleic Acid 19 references
- Madigan C, Ryan M, Owens D, et al. Dietary unsaturated fatty acids in type 2 diabetes: higher levels of postprandial lipoprotein on a linoleic acid-rich sunflower oil diet compared with an oleic acid-rich olive oil diet. Diabetes Care 2000;23:1472-7. PubMed
- Gillingham, L. G., Gustafson, J. A., Han, S. Y., Jassal, D. S., and Jones, P. J. High-oleic rapeseed (canola) and flaxseed oils modulate serum lipids and inflammatory biomarkers in hypercholesterolaemic subjects. Br J Nutr 2011;105(3):417-427. PubMed
- Jones PJ, Senanayake VK, Pu S, Jenkins DJ, Connelly PW, Lamarche B, Couture P, Charest A, Baril-Gravel L, West SG, Liu X, Fleming JA, McCrea CE, Kris-Etherton PM. DHA-enriched high-oleic acid canola oil improves lipid profile and lowers predicted cardiova
- Cater, N. B., Heller, H. J., and Denke, M. A. Comparison of the effects of medium-chain triacylglycerols, palm oil, and high oleic acid sunflower oil on plasma triacylglycerol fatty acids and lipid and lipoprotein concentrations in humans. Am.J Clin.Nutr PubMed
- Mozaffarian D, Clarke R. Quantitative effects on cardiovascular risk factors and coronary heart disease risk of replacing partially hydrogenated vegetable oils with other fats and oils. Eur J Clin Nutr. 2009;63(Suppl 2):S22-33. PubMed
- Cao Y, Hou L, Wang W. Dietary total fat and fatty acids intake, serum fatty acids and risk of breast cancer: A meta-analysis of prospective cohort studies. Int J Cancer. 2016;138(8):1894-904. doi: 10.1002/ijc.29938. PubMed
- FDA completes review of qualified health claim petition for oleic acid and the risk of coronary heart disease. November 2018. Available at: www.fda.gov/Food/NewsEvents/ConstituentUpdates/ucm624758.htm. Accessed January 25, 2019.
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