Fiber Orange & Mixed Berry Ingredients & Drug Interactions
by Swanson
What is this page for?
First and foremost: checking Fiber Orange & Mixed Berry 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
Fiber Orange & Mixed Berry is a dietary supplement by Swanson with 2 active ingredients. Its ingredients are commonly taken for constipation, diarrhea, high cholesterol.Based on those ingredients, 2,053 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Dietary Fiber, Chicory. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Fiber Orange & Mixed Berry by Swanson
Ask about any prescription or over-the-counter medication and we check it for interactions with Fiber Orange & Mixed Berry by Swanson — 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
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of Fiber Orange & Mixed Berry by Swanson
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
This product contains one active ingredient: chicory, a plant used in traditional herbal medicine. The rest is the gummy base — sugar, pectin, water, and flavoring — plus carnauba wax and coconut oil to keep the pieces from sticking together.
Does it work?
Strong evidence
The product is marketed for fiber, but the evidence we hold rates chicory's effectiveness for various conditions as insufficient — we don't have enough reliable data to say whether it works for neonatal jaundice, fatty liver disease, osteoarthritis, upset stomach, or high cholesterol. That doesn't mean it doesn't work; it means the research isn't there yet to confirm it.
How safe is it?
Well-documented data
Chicory is generally well tolerated in food amounts, though it can cause gas, bloating, belching, and belly pain in some people. If you're allergic to ragweed, chrysanthemums, daisies, or other plants in that family, there's a risk of allergic reaction — watch for rash, itching, or difficulty breathing.
In medicinal amounts, chicory may stimulate the uterus, so it's best avoided during pregnancy; there also isn't enough safety data to know whether medicinal amounts are okay while breastfeeding, so talk it over with your doctor or pharmacist if that applies to you.
Meds to double-check
Moderate interaction found
If you take any antidiabetes medication — insulin, metformin, or any other blood sugar–lowering drug — check your exact medications with the tool on this page before starting, because chicory may increase the risk of low blood sugar.
The bottom line
Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This is a simple single-ingredient gummy for fiber, generally well tolerated by most people in regular food doses. The main caution is if you take diabetes medication — that's worth a conversation with your doctor or pharmacist before you start.
If you're pregnant, breastfeeding, or allergic to ragweed and related plants, check with your healthcare provider first.
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 Feb 22, 2024.
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 Fiber Orange & Mixed Berry, straight from the product label.
| Brand | Swanson |
|---|---|
| Barcode (UPC) | 087614118697 |
| Net contents | 60 Gummy(ies) |
| Market status | On market |
| Date entered into DSLD | Feb 22, 2024 |
| DSLD ID | 308530 |
| Product type | Botanical |
| Supplement form | Gummy Or Jelly |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Vegetarian, Adult (18 - 50 Years), Women (not pregnant or lactating), 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 Fiber Orange & Mixed Berry by Swanson, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 20 Calorie(s) | -- |
| Total Carbohydrates | 8 Gram(s) | 3% |
| Added Sugars | 2 Gram(s) | 4% |
| Total Sugars | 3 Gram(s) | -- |
| Dietary Fiber | 5 Gram(s) | 18% |
| Chicory | 5 Gram(s) | -- |
Other ingredients: Sugar, Water, Annatto Extract, Citric Acid, Coconut Oil, Carnauba Wax, Fruit juice, Orange, Natural, natural Mixed Berry flavor, Natural flavor, Pectin
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
Promotes bowel regularity and a healthy microbiome Supports cholesterol levels already within the normal range
Gummies may stick together, but this does not affect the potency, quality or efficacy of the product.
Digestive health
Vegetarian
Gluten free
Suggested/Recommended/Usage/Directions
Suggested use: As a dietary supplement, chew three gummies per day. Chew thoroughly before swallowing.
Precautions
Warning: For adults only. Keep out of reach of children.
Do not take if you are pregnant or nursing. Consult your healthcare provider before using this or any product if you are taking medication of have a medical condition.
Do not use if seal is broken.
Storage
Store in a cool, dry place.
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.
FDA Statement of Identity
Dietary Supplement
Formula
Provides soluble fiber to help support healthy blood sugar
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Fiber Orange & Mixed Berry by Swanson 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 Fiber Orange & Mixed Berry by Swanson
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size3 Gummy(ies) Dosage formGummy Or Jelly Servings per container20 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.
Dietary Fiber
Interacts with2,025 drugs
Black psyllium is a soluble-fiber supplement made from the seeds of a Plantago plant, used mostly to ease constipation and support digestive health. I...
Dietary Fiber monograph & interactionsChicory
Interacts with86 drugs
Chicory is best known as a caffeine-free coffee substitute and as a source of inulin, a soluble prebiotic fiber that may support digestion and regular...
Chicory monograph & interactionsOther (inactive) ingredients: Sugar, Water, Annatto Extract, Citric Acid, Coconut Oil, Carnauba Wax, Fruit juice, Orange, Natural, Natural Mixed Berry flavor, Natural flavor, Pectin. These complete the product’s ingredient list but are not active constituents.
Fiber Orange & Mixed Berry by Swanson Drug Interactions
HelloPharmacist Interaction Report
Swanson Fiber Orange & Mixed Berry contains chicory, which has documented interactions with one major medication category.
The main concern is with antidiabetes drugs — chicory may theoretically increase the risk of low blood sugar (hypoglycemia) when taken together, based on animal and lab research showing chicory has antidiabetic effects.
Read the full breakdown — every affected drug type, severity by severity
Altogether, these interactions span 86 individual medications. If you take any diabetes medication — whether insulin, metformin, sulfonylureas, or any other blood sugar–lowering drug — you'll want to check your specific medications using the tool on this page before starting this product.
Your doctor or pharmacist can help you figure out whether it's safe to use together and whether you need monitoring.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Fiber Orange & Mixed Berry?
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 Fiber Orange & Mixed Berry interact with 2,053 drugs. Click any drug to see the details.
2 of the 2 ingredients in Fiber Orange & Mixed Berry interact with drugs. Each result below shows which ingredient is responsible. Dietary Fiber Chicory
GlucagonBaqsimi, Glucagon
How Glucagon interacts with Fiber Orange & Mixed Berry — through 2 ingredients. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Glucagon interactionDietary FiberOral Drugs Minor
Interaction Summary
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Dietary Fiber + Glucagon interactionGlucoseIV Glucose
How Glucose interacts with Fiber Orange & Mixed Berry — through 2 ingredients. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Glucose interactionDietary FiberOral Drugs Minor
Interaction Summary
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Dietary Fiber + Glucose interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Fiber Orange & Mixed Berry — through 2 ingredients. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Glyburide interactionDietary FiberOral Drugs Minor
Interaction Summary
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Dietary Fiber + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Fiber Orange & Mixed Berry — through 2 ingredients. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Glyburide, Metformin interactionDietary FiberMetformin (glucophage), Oral Drugs Moderate
Interaction Summary
Theoretically, black psyllium might increase the therapeutic and adverse effects of metformin.
Read the full Dietary Fiber + Glyburide, Metformin interactionInhaled InsulinExubera
How Inhaled Insulin interacts with Fiber Orange & Mixed Berry — through 2 ingredients. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Inhaled Insulin interactionDietary FiberOral Drugs Minor
Interaction Summary
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Dietary Fiber + Inhaled Insulin interactionInsulinNovoRapid Insulin
How Insulin interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin interactionInsulin (bovine)Hypurin Bovine Neutral
How Insulin (bovine) interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin (bovine) interactionInsulin (human)Afrezza, Novolin 70/30, Novolin L, Novolin N, Novolin R
How Insulin (human) interacts with Fiber Orange & Mixed Berry — through 2 ingredients. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin (human) interactionDietary FiberOral Drugs Minor
Interaction Summary
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Dietary Fiber + Insulin (human) interactionInsulin (pork)Hypurin Porcine Neutral, Lente Iletin II, NPH Iletin, NPH Iletin II, Pork Actrapid, Regular Iletin +1 more
How Insulin (pork) interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin (pork) interactionInsulin (rdna)Actrapid, Humalog, Humalog Mix 75/25, Humulin 50/50, Humulin 70/30, Humulin L +8 more
How Insulin (rdna) interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin (rdna) interactionInsulin AspartFiasp
How Insulin Aspart interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Aspart interactionInsulin Aspart, Insulin DegludecRyzodeg 70/30
How Insulin Aspart, Insulin Degludec interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Aspart, Insulin Degludec interactionInsulin DegludecTresiba
How Insulin Degludec interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Degludec interactionInsulin Degludec, LiraglutideXultophy 100/3.6
How Insulin Degludec, Liraglutide interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Degludec, Liraglutide interactionInsulin GlargineBasaglar, Lusduna, Semglee
How Insulin Glargine interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Glargine interactionInsulin Glargine (rdna)Lantus
How Insulin Glargine (rdna) interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Glargine (rdna) interactionInsulin Glargine RecombinantToujeo Solostar
How Insulin Glargine Recombinant interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Glargine Recombinant interactionInsulin Glargine, LixisenatideSoliqua 100/33
How Insulin Glargine, Lixisenatide interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Glargine, Lixisenatide interactionInsulin Glulisine (rdna)Apidra
How Insulin Glulisine (rdna) interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Glulisine (rdna) interactionInsulin Human, Sodium ChlorideMyxredlin
How Insulin Human, Sodium Chloride interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Human, Sodium Chloride interactionInsulin LisproAdmelog, Admelog Solostar
How Insulin Lispro interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Lispro interactionInsulin Lispro RecombinantHumalog Kwikpen
How Insulin Lispro Recombinant interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Lispro Recombinant interactionInsulin Lispro-aabcLyumjev
How Insulin Lispro-aabc interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Lispro-aabc interactionInsulin DetermirLevemir
How Insulin Determir interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Insulin Determir interactionLinagliptinTradjenta
How Linagliptin interacts with Fiber Orange & Mixed Berry — through 2 ingredients. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Linagliptin interactionDietary FiberOral Drugs Minor
Interaction Summary
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Dietary Fiber + Linagliptin interactionLinagliptin, Metformin HydrochlorideJentadueto XR
How Linagliptin, Metformin Hydrochloride interacts with Fiber Orange & Mixed Berry — through 2 ingredients. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Linagliptin, Metformin Hydrochloride interactionDietary FiberOral Drugs, Metformin (glucophage) Moderate
Interaction Summary
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Dietary Fiber + Linagliptin, Metformin Hydrochloride interactionLiraglutideVictoza
How Liraglutide interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Liraglutide interactionLiraglutide RecombinantSaxenda
How Liraglutide Recombinant interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Liraglutide Recombinant interactionLithium Carbonate (prescription Drug)Eskalith, Lithium Carbonate
How Lithium Carbonate (prescription Drug) interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
Dietary FiberOral Drugs, Lithium Moderate
Interaction Summary
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Read the full Dietary Fiber + Lithium Carbonate (prescription Drug) interactionLixisenatideAdlyxin
How Lixisenatide interacts with Fiber Orange & Mixed Berry — through 1 ingredient. Tap an ingredient for the detail:
ChicoryAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Read the full Chicory + Lixisenatide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Fiber Orange & Mixed Berry 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.
Dietary Fiber
Carbamazepine (Tegretol)
Theoretically, black psyllium might reduce the effects of carbamazepine and increase the risk for convulsions.
Theoretically, black psyllium might reduce carbamazepine absorption. A preliminary study using blond psyllium reported decreased carbamazepine bioavailability due to binding of the drug to psyllium, as well as reduction of available fluid in the gut for dissolution of the drug. This interaction may also occur with black psyllium.
Lithium
Theoretically, taking black psyllium at the same time as lithium might reduce lithium absorption.
The fiber in black psyllium might reduce lithium absorption and plasma levels. Some case reports describe a reduction in plasma lithium levels with concomitant administration of blond psyllium. This was reversed when psyllium was stopped. This interaction may also occur with black psyllium.
Metformin (Glucophage)
Theoretically, black psyllium might increase the therapeutic and adverse effects of metformin.
Animal research shows that concurrent consumption of blond psyllium with metformin slows and increases the absorption of metformin. This interaction may also occur with black psyllium. To avoid changes in absorption, take psyllium 30-60 minutes after metformin.
Olanzapine (Zyprexa)
Theoretically, taking black psyllium at the same time as olanzapine might reduce olanzapine absorption.
The fiber in black psyllium might decrease the absorption of olanzapine. A single case report describes a reduction in the effectiveness of olanzapine when it was concomitantly administered with an unspecified type of psyllium 3 grams orally twice daily. This effect was reversed when psyllium was stopped.
Digoxin (Lanoxin)
Theoretically, taking black psyllium at the same time as digoxin might reduce digoxin absorption and decrease digoxin levels.
Psyllium might bind digoxin in the gut. However, some clinical evidence suggests that psyllium does not impact digoxin absorption.
Ethinyl Estradiol
Theoretically, taking black psyllium at the same time as ethinyl estradiol might alter levels of estradiol.
Concurrent use of blond psyllium with ethinyl estradiol results in a slight increase in the extent of ethinyl estradiol absorption and a slower rate of absorption. This is unlikely to be clinically significant.
Oral Drugs
Theoretically, psyllium might increase, decrease, or have no effect on the absorption of oral drugs.
Psyllium seems to have variable effects on drug absorption. To avoid changes in absorption, take psyllium 30-60 minutes after oral medications. Animal research shows that blond psyllium delays and increases the absorption of metformin and ethinyl estradiol. Case reports and animal research suggest that blond psyllium might reduce absorption of lithium, digoxin, olanzapine, and carbamazepine. Finally, some pharmacokinetic studies show that psyllium does not affect the absorption of levothyroxine or warfarin. Although many of these studies evaluated blond psyllium, the fiber content in black psyllium may have similar effects.
Chicory
Antidiabetes Drugs
Theoretically, chicory might increase the risk of hypoglycemia when taken with antidiabetes drugs.
Animal and in vitro research shows that chicory extracts have antidiabetic effects.
Brand information
Manufacturer and brand details for Fiber Orange & Mixed Berry, from the product label.
Swanson
See all Swanson products- Name
- Swanson Health Products
- City
- Fargo
- State
- ND
- ZipCode
- 58104
- Phone Number
- 1-800-437-4148
- Web Address
- swanson.com
Fiber Orange & Mixed Berry by Swanson: Common Questions
Does Fiber Orange & Mixed Berry by Swanson interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Will this help with my digestion or stomach issues?
Can I take this while I'm pregnant?
What if I'm allergic to ragweed?
What side effects should I watch for?
Is this safe if I'm breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Fiber Orange & Mixed Berry 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 Fiber Orange & Mixed Berry’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Black Psyllium
Interacts with 2,025 drugsBlack psyllium is a soluble-fiber supplement made from the seeds of a Plantago plant, used mostly to ease constipation and support digestive health. It is best known and most studied for rel...
Read the full Black Psyllium monograph → Herb & supplement monographChicory
Interacts with 86 drugsChicory is best known as a caffeine-free coffee substitute and as a source of inulin, a soluble prebiotic fiber that may support digestion and regularity. Strong human evidence for most othe...
Read the full Chicory monograph →Sources & How We Checked
Fiber Orange & Mixed Berry'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 31 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.
Black Psyllium 18 references
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Covington TR, et al. Handbook of Nonprescription Drugs. 11th ed. Washington, DC: American Pharmaceutical Association, 1996.
- Etman M. Effect of a bulk forming laxative on the bioavailablility of carbamazepine in man. Drug Dev Ind Pharm 1995;21:1901-6.
- Perlman BB. Interaction between lithium salts and ispaghula husk. Lancet 1990;335:416.
- Vaswani SK, Hamilton RG, Valentine MD, Adkinson NF. Psyllium laxative-induced anaphylaxis, asthma, and rhinitis. Allergy 1996;51:266-8. PubMed
- Lantner RR, Espiritu BR, Zumerchik P, Tobin MC. Anaphylaxis following ingestion of a psyllium-containing cereal. JAMA 1990;264:2534-6. DOI
- Kaplan MJ. Anaphylactic reaction to "Heartwise." N Engl J Med 1990;323:1072-3. DOI
- Nordstrom M, Melander A, Robertsson E, Steen B. Influence of wheat bran and of a bulk-forming ispaghula cathartic on the bioavailability of digoxin in geriatric in-patients. Drug Nutr Interact 1987;5:67-9..
- Robinson DS, Benjamin DM, McCormack JJ. Interaction of warfarin and nonsystemic gastrointestinal drugs. Clin Pharmacol Ther 1971;12:491-5. PubMed
- Garcia JJ, Fernandez N, Diez MJ, et al. Influence of two dietary fibers in the oral bioavailability and other pharmacokinetic parameters of ethinyloestradiol. Contraception 2000;62:253-7. PubMed
- Fernandez N, Lopez C, Díez R, et al. Drug interactions with the dietary fiber Plantago ovata husk. Expert Opin Drug Metab Toxicol 2012;8(11):1377-86.
- Semen plantaginis in: WHO Monographs on Selected Medicinal Plants, volume 1. World Health Organization, Geneva, 1999. Available at http://apps.who.int/medicinedocs/en/d/Js2200e/. Accessed November 26, 1026.
- Code of Federal Regulations, Title 21 (21CFR 101.17). Food labeling warning, notice, and safe handling statements. Available at www.ecfr.gov/cgi-bin/text-idx?SID=20f647d3b74161501f46564b915b4048&mc=true&node=se21.2.101_117&rgn=div8. Accessed December 3, 2
- Code of Federal Regulations, Title 21 (21CFR 201.319). Specific labeling requirements - water-soluble gums, hydrophilic gums, and hydrophilic mucilloids. Available at www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=201.319. Accessed Dece
- Diez R, Garcia JJ, Diez MJ, Sierra M, Sahagun AM, Fernandez N. Influence of Plantago ovata husk (dietary fiber) on the bioavailability and other pharmacokinetic parameters of metformin in diabetic rabbits. BMC Complement Altern Med. 2017 Jun 7;17(1):298. PubMed
- Chiu AC, Sherman SI. Effects of pharmacological fiber supplements on levothyroxine absorption. Thyroid. 1998;8(8):667-71. PubMed
- Merrick C, Madden CA, Capurso NA. A Case of Blunted Orally Disintegrating Olanzapine Effect Due to Coadministered Psyllium. J Clin Psychiatry 2021;82(2):20cr13633. PubMed
Chicory 13 references
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Stone-Dorshow T, Levitt MD. Gaseous response to ingestion of a poorly absorbed fructo-oligosaccharide sweetener. Am J Clin Nutr 1987;46:61-5. PubMed
- Briet F, et al. Symptomatic response to varying levels of fructo-oligosaccharides consumed occasionally or regularly. Eur J Clin Nutr 1995;49:501-7.
- Bouhnik Y, Vahedi K, Achour L, et al. Short-chain fructo-oligosaccharide administration dose-dependently increases fecal bifidobacteria in healthy humans. J Nutr 1999;129:113-6. PubMed
- Cummings JH, Macfarlane GT, Englyst HN. Prebiotic digestion and fermentation. Am J Clin Nutr 2001;73:415S-420S. PubMed
- Cadot, P., Kochuyt, A. M., van Ree, R., and Ceuppens, J. L. Oral allergy syndrome to chicory associated with birch pollen allergy. Int.Arch.Allergy Immunol. 2003;131(1):19-24. PubMed
- Friis, B., Hjorth, N., Vail, J. T., Jr., and Mitchell, J. C. Occupational contact dermatitis from Cichorium (chicory, endive) and Lactuca (lettuce). Contact Dermatitis 1975;1(5):311-313.
- Nemery, B. and Demedts, M. Occupational asthma in a chicory grower. Lancet 3-25-1989;1(8639):672-673. PubMed
- Pirson F, Detry B, Pilette C. Occupational rhinoconjunctivitis and asthma caused by chicory and oral allergy syndrome associated with bet v 1-related protein. J Investig Allergol Clin Immunol 2009;19(4):306-10.
- Willi R, Pfab F, Huss-Marp J, et al. Contact anaphylaxis and protein contact dermatitis in a cook handling chicory leaves. Contact Dermatitis 2009;60(4):226-7. PubMed
- Street RA, Sidana J, Prinsloo G. Cichorium intybus: traditional uses, phytochemistry, pharmacology, and toxicology. Evid Based Complement Alternat Med 2013;2013:579319.
- Bonnema AL, Kolberg LW, Thomas W, Slavin JL. Gastrointestinal tolerance of chicory inulin products. J Am Diet Assoc 2010;110(6):865-8. PubMed
- Devi Kt R, Sivalingam N. Cichorium intybus attenuates Streptozotocin-induced pancreatic ß-cell damage by inhibiting NF-?B activation and oxidative stress. J Appl Biomed 2020;18(2-3):70-9. PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC