Flex-Able Advanced Ingredients & Drug Interactions
by Country Life
What is this page for?
First and foremost: checking Flex-Able Advanced 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
Flex-Able Advanced is a dietary supplement by Country Life with 7 active ingredients. Its ingredients are commonly taken for preventing or treating low potassium (hypokalemia), supporting healthy blood pressure, muscle cramps.Based on those ingredients, 1,060 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Chinese Skullcap extract, Black Catechu extract, Glucosamine Sulfate 2KCl. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Flex-Able Advanced by Country Life
Ask about any prescription or over-the-counter medication and we check it for interactions with Flex-Able Advanced by Country Life — 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 Flex-Able Advanced by Country Life
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Partial disclosure
Flex-Able Advanced contains seven active ingredients. Potassium supports heart rhythm and nerve function.
Glucosamine sulfate is included for joint structure and comfort. Chinese skullcap extract and black catechu extract are herbal ingredients used traditionally in Asian medicine.
Total Collagen and UC-II Standardized Chicken Cartilage supply collagen and cartilage-derived compounds for connective tissue support. The product also contains several inactive ingredients—cellulose, rice bran extract, vegetable glaze, sunflower oil, and silica—which are fillers and binders that help form the capsule.
Does it work?
Strong evidence
For glucosamine sulfate, the evidence shows it is likely effective for osteoarthritis. The evidence isn't established in our data for the other active ingredients in this product.
Chinese skullcap extract has been studied for hay fever, anxiety, atherosclerosis, ADHD, prostate cancer, and headache, but the data we hold rates the evidence as insufficient. Black catechu extract has been studied for exercise-induced muscle soreness and osteoarthritis, but again the evidence is insufficient to rate.
If you're considering this product for a specific condition, talk with your pharmacist about what the current research actually supports.
How safe is it?
Well-documented data
Potassium from food is fine, but supplements can raise blood potassium to dangerous levels in some people—especially those with kidney disease. The facts note that potassium is generally well tolerated, though common oral side effects include abdominal pain, belching, diarrhea, flatulence, nausea, and vomiting.
Rare serious effects include irregular heartbeat, heart block, low blood pressure, and confusion. Chinese skullcap extract and black catechu extract have limited human safety data.
Orally, Chinese skullcap is generally well tolerated, though abdominal pain, constipation, diarrhea, nausea, and vomiting have been reported. A specific combination product (Limbrel) containing flavonoids from both extracts was linked to rare reports of severe lung and liver injury, which led to an FDA recall in 2017.
Glucosamine is generally well tolerated; common side effects are bloating, constipation, cramps, diarrhea, heartburn, and nausea. Rare allergic reactions and asthma exacerbations have been reported.
Meds to double-check
Major interaction found
Stop and check with your pharmacist if you take warfarin (blood thinner) — glucosamine may increase its effect and bleeding risk. Also double-check before starting if you take potassium-sparing diuretics, ACE inhibitors, or ARBs (blood pressure/heart drugs); potassium in this product could raise your blood potassium dangerously.
If you take any medication metabolized by liver enzymes (CYP2C19 or CYP1A2 substrates), blood thinners, diabetes drugs, estrogens, lithium, theophylline, antithyroid drugs, antihypertensive drugs, or immunosuppressants, run it through the checker on this page before adding this supplement.
The bottom line
Scorecard at a glancePartially disclosed formula with clinical evidence supporting its stated purpose. Major medication interactions have been identified, and safety information is well characterized.
This product is aimed at joint and connective tissue support through glucosamine and collagen, with herbal and mineral additions. If you take warfarin, potassium-sparing diuretics, ACE inhibitors, ARBs, blood thinners, diabetes drugs, or lithium, talk with your pharmacist before starting—the interactions here are real and potentially serious.
Pregnant and breastfeeding people should check with their doctor or pharmacist before use, since safety data for most of these ingredients during pregnancy or lactation are limited or advise against it.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 4 of 7 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated May 22, 2020.
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 Flex-Able Advanced, straight from the product label.
| Brand | Country Life |
|---|---|
| Barcode (UPC) | 015794050407 |
| Net contents | 90 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | May 22, 2020 |
| DSLD ID | 221173 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | Nutrient, All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Women (not pregnant or lactating), Gluten Free, Dairy Free, Sugar 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 Flex-Able Advanced by Country Life, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 5 Calorie(s) | -- |
| Total Carbohydrates | 2 Gram(s) | 1% |
| Potassium | 230 mg | 5% |
| Maltodextrin | 0 NP | -- |
| Chloride | 237 mg | 10% |
| Univestin | 250 mg | -- |
| Chinese Skullcap extract | 0 NP | -- |
| Black Catechu extract | 0 NP | -- |
| Total Collagen | 10 mg | -- |
| UC-II Standardized Chicken Cartilage | 40 mg | -- |
| Glucosamine Sulfate 2KCl | 2000 mg | -- |
Other ingredients: Cellulose, Cellulose, Rice Bran extract, Vegetable Glaze, Sunflower Oil, Silica
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.
Formula
Flex Able Advanced is a specialized complex that contains three clinically studied ingredients to support overall joint health with UC-II brand collagen for increased joint mobility, comfort, and flexibility.
Based on human clinical studies with UC-II collagen.
Three-in-one complex Includes Glucosamine Bioactive undenatured type II collagen
Did you know? Country Life's Flex-Able Advanced contains three clinically studied ingredients! Univestin Patented combination of extracts from two herbal plants that is clinically studied to support joint comfort, as well as neutralize free radicals to support joint health. UC-II Undenatured bioactive type II collagen that is manufactured using a low heat process to preserve the structure. UC-II brand collagen is supported by multiple human clinical trials and numerous patents to support joint comfort, flexibility, and mobility. Glucosamine Glucosamine is a naturally occurring structural component present in connective tissue, synovial fluid, and joints. It is well-known to support healthy joints.
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.
Brand IP Statement(s)
Univestin is a registered US trademark owned by Unigen, Inc. Univestin joint care ingredient is covered by US Patent number US#7674830 and multiple others, all owned by Unigen. UC-II and logo are trademarks of Lonza or its affiliates.
Formulation
Yes Certified gluten-free by gfco.org
No Yeast, wheat or soy No Milk, sugar or preservatives No Artificial colors, flavors or sweeteners No Magnesium stearate No GMOs
This product has been manufactured at a GMP Registered facility.
The ingredients in this specialized complex provides the following benefits: Increased joint mobility Supports overall joint health Increased joint flexibility Increased joint comfort
Increases joint mobility, comfort, and flexibility Supports overall joint health
General Statements
Yes Recyclable packaging Yes Manufacturing supports wind power
Our pledge of integrity Authenticity Cleanliness Freshness Consistency Accuracy
Joint function is an important part of overall health for those that are aging, lead an active lifestyle, and for the joint conscious individual.
10G19NDN
FSC www.fsc.org Mix Paper from responsible sources FSC C101987
Please help us in our mission; recycle this box & bottle after use.
Like/Follow us on our social platforms for new product news, recipes, giveaways and more! Tag us for a chance to be featured. @CountryLifeVitamins
Precautions
Do not accept if seal is broken.
Keep out of the reach of children.
Contains crustacean shellfish (shrimp, crab).
Caution: Not for use by pregnant or nursing women. If you are taking medication, have a medical condition or planning surgery, consult a doctor before using this product.
Do not consume this product if you are allergic to shellfish.
Stop using and consult a doctor if any adverse reactions occur.
Storage
Store in a dry place between 59 degrees-86 degrees F.
Seals/Symbols
Certified B Corporation GF Certified Gluten-free
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Directions: Adults take three (3) capsules daily or as directed by a health care professional. For best utilization, take between meals. As a reminder, discuss the supplements and medications that you take with your health care providers.
Looking for mineral support?, also try.... Chelated Magensium 250 mg, it helps: Relax muscles Keep bones strong Support a healthy immune system
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Flex-Able Advanced by Country Life 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 Flex-Able Advanced by Country Life
These are the 7 active ingredients this product is made of. Select any to open its full monograph.
Serving size3 Capsule(s) Dosage formCapsule Servings per container30 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.
Potassium
Interacts with62 drugs
Potassium is an essential mineral your body needs for nerve signals, muscle function, and a steady heartbeat, and most people get enough from a balanc...
Potassium monograph & interactionsChloride
Univestin
- › Maltodextrin
- › Chinese Skullcap extract
- › Black Catechu extract
UC-II Standardized Chicken Cartilage
- › Total Collagen
Glucosamine Sulfate 2KCl
Interacts with170 drugs
Glucosamine is a natural compound found in cartilage and joint fluid, and it is one of the most popular supplements for osteoarthritis, especially of...
Glucosamine Sulfate 2KCl monograph & interactionsOther (inactive) ingredients: Cellulose, Cellulose, Rice Bran extract, Vegetable Glaze, Sunflower Oil, Silica. These complete the product’s ingredient list but are not active constituents.
Flex-Able Advanced by Country Life Drug Interactions
HelloPharmacist Interaction Report
Flex-Able Advanced by Country Life contains several ingredients with documented medication interactions.
The most serious is glucosamine sulfate, which carries a Major-severity interaction with warfarin (a blood thinner). Glucosamine may increase warfarin's blood-thinning effects and raise the risk of bruising and bleeding.
Read the full breakdown — every affected drug type, severity by severity
Potassium in this product poses Moderate-severity interactions with three blood pressure and heart drug types: potassium-sparing diuretics, ACE inhibitors, and ARBs. All three can reduce how your kidneys clear potassium, and combining them with a potassium supplement raises the risk of dangerously high blood potassium levels (hyperkalemia).
Chinese skullcap extract has Moderate-severity interactions with eight medication types: antihypertensive drugs, two classes of drugs metabolized by liver enzymes (CYP2C19 and CYP1A2 substrates), estrogens, blood thinners (anticoagulants and antiplatelet drugs), diabetes medications, lithium, and antithyroid drugs. Black catechu extract similarly interacts with antihypertensive drugs, CYP1A2 substrates, theophylline, and immunosuppressants at Moderate severity.
Glucosamine also has Minor interactions with diabetes drugs and acetaminophen.
Altogether, these interactions span 1,047 individual medications. We could not check Maltodextrin, Chloride, Total Collagen, or the ingredients within Univestin and UC-II Standardized Chicken Cartilage.
Use the medication checker on this page to look up your exact prescriptions before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Flex-Able Advanced?
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 Flex-Able Advanced interact with 1,060 drugs. Click any drug to see the details.
4 of the 7 ingredients in Flex-Able Advanced interact with drugs. Each result below shows which ingredient is responsible. Chinese Skullcap extract Black Catechu extract Glucosamine Sulfate 2KCl Potassium
WarfarinWarfarin
How Warfarin interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Glucosamine Sulfate 2kclWarfarin (coumadin) Major
Interaction Summary
Glucosamine might increase the anticoagulant effects of warfarin and increase the risk of bruising and bleeding.
Read the full Glucosamine Sulfate 2kcl + Warfarin interactionChinese Skullcap ExtractCytochrome P450 2c19 (cyp2c19) Substrates, Anticoagulant/antiplatelet Drugs +1 Moderate
Interaction Summary
Theoretically, Baikal skullcap might increase levels of drugs metabolized by CYP2C19 enzymes.
Read the full Chinese Skullcap Extract + Warfarin interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Warfarin interactionWarfarin SodiumCoumadin, Panwarfin, Sofarin
How Warfarin Sodium interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Glucosamine Sulfate 2kclWarfarin (coumadin) Major
Interaction Summary
Glucosamine might increase the anticoagulant effects of warfarin and increase the risk of bruising and bleeding.
Read the full Glucosamine Sulfate 2kcl + Warfarin Sodium interactionChinese Skullcap ExtractCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates +1 Moderate
Interaction Summary
Theoretically, Baikal skullcap might increase levels of drugs metabolized by CYP2C19 enzymes.
Read the full Chinese Skullcap Extract + Warfarin Sodium interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Warfarin Sodium interaction6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Flex-Able Advanced — through 1 ingredient. Tap an ingredient for the detail:
Black Catechu ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, catechu might interfere with immunosuppressant therapy.
Read the full Black Catechu Extract + 6-mercaptopurine interactionAbciximabReoPro
How Abciximab interacts with Flex-Able Advanced — through 1 ingredient. Tap an ingredient for the detail:
Chinese Skullcap ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Baikal skullcap might increase the risk of bleeding when used concomitantly with anticoagulant and antiplatelet drugs.
Read the full Chinese Skullcap Extract + Abciximab interactionAbrocitinibCibinqo
How Abrocitinib interacts with Flex-Able Advanced — through 2 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractAnticoagulant/antiplatelet Drugs, Cytochrome P450 2c19 (cyp2c19) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap might increase the risk of bleeding when used concomitantly with anticoagulant and antiplatelet drugs.
Read the full Chinese Skullcap Extract + Abrocitinib interactionBlack Catechu ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, catechu might interfere with immunosuppressant therapy.
Read the full Black Catechu Extract + Abrocitinib interactionAcarboseGlucobay, Prandase, Precose
How Acarbose interacts with Flex-Able Advanced — through 2 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractAntidiabetes Drugs Moderate
Interaction Summary
Theoretically, concomitant use of Baikal skullcap with antidiabetes drugs might enhance blood glucose lowering effects.
Read the full Chinese Skullcap Extract + Acarbose interactionGlucosamine Sulfate 2kclAntidiabetes Drugs Minor
Interaction Summary
Despite initial concerns, it is unlikely that glucosamine will interfere with the effects of antidiabetes drugs.
Read the full Glucosamine Sulfate 2kcl + Acarbose interactionAcebutololRhotral, Sectral
How Acebutolol interacts with Flex-Able Advanced — through 2 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of Baikal skullcap with antihypertensive drugs might have additive effects and increase the risk of hypotension.
Read the full Chinese Skullcap Extract + Acebutolol interactionBlack Catechu ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use with antihypertensive drugs might increase the risk of hypotension.
Read the full Black Catechu Extract + Acebutolol interactionAcenocoumarolSintrom
How Acenocoumarol interacts with Flex-Able Advanced — through 1 ingredient. Tap an ingredient for the detail:
Chinese Skullcap ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Baikal skullcap might increase the risk of bleeding when used concomitantly with anticoagulant and antiplatelet drugs.
Read the full Chinese Skullcap Extract + Acenocoumarol interactionAcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength
How Acetaminophen interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Black Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen interactionChinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Aspirin interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Aspirin interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Aspirin, Caffeine interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Aspirin, Caffeine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu
How Acetaminophen, Brompheniramine, Phenylpropanolamine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Black Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionChinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Brompheniramine, Phenylpropanolamine interactionAcetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more
How Acetaminophen, Butalbital interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Butalbital interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Butalbital interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Butalbital interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Butalbital, Caffeine interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Butalbital, Caffeine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap might cause additive therapeutic and adverse effects when used concomitantly with drugs with sedative properties.
Read the full Chinese Skullcap Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Butalbital, Caffeine, Codeine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Butalbital, CodeineBancap w/ Codeine
How Acetaminophen, Butalbital, Codeine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Butalbital, Codeine interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Butalbital, Codeine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Butalbital, Codeine interactionAcetaminophen, Butalbital, Codeine PhosphatePhrenilin #3
How Acetaminophen, Butalbital, Codeine Phosphate interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Butalbital, Codeine Phosphate interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Butalbital, Codeine Phosphate interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap might cause additive therapeutic and adverse effects when used concomitantly with drugs with sedative properties.
Read the full Chinese Skullcap Extract + Acetaminophen, Caffeine, Codeine interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Caffeine, Codeine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Black Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionChinese Skullcap ExtractCns Depressants, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap might cause additive therapeutic and adverse effects when used concomitantly with drugs with sedative properties.
Read the full Chinese Skullcap Extract + Acetaminophen, Caffeine, Codeine, Salicylamide interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Caffeine, Dihydrocodeine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Black Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Caffeine, Isometheptene interactionChinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Caffeine, Isometheptene interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual
How Acetaminophen, Caffeine, Pyrilamine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Black Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Caffeine, Pyrilamine interactionChinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Caffeine, Pyrilamine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Caffeine, Pyrilamine interactionAcetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief
How Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Black Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionChinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr interactionAcetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex
How Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cns Depressants Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Chlorpheniramine, Codeine, Phenylephrine interactionAcetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Chlorpheniramine, Dextromethorphan interactionAcetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu
How Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Black Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionChinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Chlorpheniramine, Dextromethorphan Hydrobromide interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Chlorpheniramine, Dextromethorphan, Phenylpropanolamine interactionAcetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength
How Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Black Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionChinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Chlorpheniramine, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG
How Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interacts with Flex-Able Advanced — through 3 ingredients. Tap an ingredient for the detail:
Chinese Skullcap ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
Read the full Chinese Skullcap Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionBlack Catechu ExtractCytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Read the full Black Catechu Extract + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionGlucosamine Sulfate 2kclAcetaminophen (tylenol, Others) Minor
Interaction Summary
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Read the full Glucosamine Sulfate 2kcl + Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, Salicylamide interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Flex-Able Advanced 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.
Chinese Skullcap extract
Anticoagulant/Antiplatelet Drugs
Theoretically, Baikal skullcap might increase the risk of bleeding when used concomitantly with anticoagulant and antiplatelet drugs.
Preliminary clinical research suggests that taking capsules containing a combination of astragalus, goldthread, and Baikal skullcap daily for 4 weeks inhibits platelet aggregation; the effect seems to be similar to that of aspirin 50 mg daily. It is unclear if this effect is due to Baikal skullcap, other ingredients, or the combination.
Antidiabetes Drugs
Theoretically, concomitant use of Baikal skullcap with antidiabetes drugs might enhance blood glucose lowering effects.
Baicalein, a constituent of Baikal skullcap, has alpha-glucosidase inhibitory activity in vitro. Animal research also suggests that Baikal skullcap enhances the antidiabetic effects of metformin. However, in a small human study, taking Baikal skullcap extract did not enhance the antidiabetic effects of metformin, although it did modestly lower glucose levels during an oral glucose tolerance test (OGTT). Until more is known, use cautiously.
Antihypertensive Drugs
Theoretically, concomitant use of Baikal skullcap with antihypertensive drugs might have additive effects and increase the risk of hypotension.
Animal research suggests that baicalein, a constituent of Baikal skullcap, might lower blood pressure.
Antithyroid Drugs
Theoretically, concomitant use of Baikal skullcap and antithyroid drugs may result in additive activity and increase the risk of hypothyroidism.
In an animal hyperthyroid model, Baikal skullcap improved levels of triiodothyronine (T3), thyroxine (T4), and thyroid stimulating hormone (TSH). The clinical significance of this effect is unclear.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, Baikal skullcap may increase levels of drugs metabolized by CYP1A2 enzymes.
In vitro evidence suggests that constituents of Baikal skullcap inhibit the activity of CYP1A2. This effect has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, Baikal skullcap might increase levels of drugs metabolized by CYP2C19 enzymes.
In vitro evidence suggest that wogonin, a constituent of Baikal skullcap, modestly inhibits the activity of CYP2C19 enzymes. This effect has not been reported in humans.
Estrogens
Theoretically, concomitant use of large amounts of Baikal skullcap might interfere with hormone replacement therapy, due to competition for estrogen receptors.
In vitro evidence suggests that Baikal skullcap has estrogenic activity.
Lithium
Theoretically, Baikal skullcap might reduce lithium excretion and increase serum levels of lithium.
Baikal skullcap is thought to have diuretic properties, which may reduce lithium excretion. The dose of lithium might need to be decreased.
Alcohol (Ethanol)
Theoretically, Baikal skullcap might potentiate the sedative effects of alcohol.
In vitro and animal research suggests that Baikal skullcap binds to GABA-A receptors and causes sedation. Theoretically, Baikal skullcap might potentiate the sedative effects of alcohol. Preliminary clinical research has not identified clinically relevant sedation after use of Baikal skullcap; however, a thorough evaluation of safety outcomes has not been conducted.
Cns Depressants
Theoretically, Baikal skullcap might cause additive therapeutic and adverse effects when used concomitantly with drugs with sedative properties.
In vitro and animal research suggests that Baikal skullcap binds to GABA-A receptors and causes sedation. Theoretically, Baikal skullcap might cause additive therapeutic and adverse effects when used concomitantly with drugs with sedative properties. Preliminary clinical research has not identified clinically relevant sedation after use of Baikal skullcap; however, a thorough evaluation of safety outcomes has not been conducted.
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Theoretically, Baikal skullcap might alter the levels and clinical effects of OATP substrates.
Some pharmacokinetic research shows that baicalin, a constituent of Baikal skullcap, can decrease plasma levels of rosuvastatin. The mechanism is thought to involve stimulation of the activity of the organic anion-transporting polypeptide 1B1 (OATP1B1), which transports rosuvastatin into the liver. This decreases plasma levels of the drug, but increases levels at the site of action in the liver. The degree to which rosuvastatin levels are affected depends on the OATP1B1 haplotype of the individual. Baikal skullcap might also affect other OATP1B1 substrates.
P-Glycoprotein Substrates
Theoretically, Baikal skullcap might increase levels of drugs transported by P-glycoprotein.
In vitro and animal research suggests that baicalein, oroxylin A, and wogonin, constituents of Baikal skullcap, can inhibit P-glycoprotein. This effect has not been reported in humans.
Black Catechu extract
Antihypertensive Drugs
Theoretically, concomitant use with antihypertensive drugs might increase the risk of hypotension.
Catechu might lower blood pressure.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, black catechu may increase the levels and clinical effects of CYP1A2 substrates.
Animal research shows that black catechu can increase theophylline concentrations in the blood, possibly by inhibiting CYP1A2. Theophylline is a CYP1A2 substrate.
Immunosuppressants
Theoretically, catechu might interfere with immunosuppressant therapy.
Animal and in vitro studies suggest that catechu has immunomodulating effects.
Theophylline
Theoretically, black catechu may increase the levels and clinical effects of theophylline.
Animal research shows that black catechu can increase theophylline concentrations in the blood, possibly by inhibiting cytochrome P450 1A2.
Glucosamine Sulfate 2KCl
Warfarin (Coumadin)
Glucosamine might increase the anticoagulant effects of warfarin and increase the risk of bruising and bleeding.
In two individual case reports, glucosamine/chondroitin combinations were associated with a significant increase in international normalized ratio (INR) in patients previously stabilized on warfarin. In one case, the increase in INR occurred only after tripling the dose of a glucosamine/chondroitin supplement from 500 mg/400 mg daily to 1500/1200 mg daily. Additionally, 20 voluntary case reports to the U.S. Food & Drug Administration (FDA) have linked glucosamine plus chondroitin with increased INR, bruising, and bleeding in patients who were also taking warfarin. There have also been 20 additional case reports to the World Health Organization (WHO) that link glucosamine alone to increased INR in patients taking warfarin. The mechanism of this interaction is unclear. Glucosamine is a small component of heparin, but is not thought to have anticoagulant activity; however, animal research suggests that it might have antiplatelet activity.
Topoisomerase Ii Inhibitors
Theoretically glucosamine may induce resistance to topoisomerase II inhibitors.
In vitro research suggests that glucosamine might induce resistance to etoposide (VP16, VePesid) and doxorubicin (Adriamycin) by reducing inhibition of topoisomerase II, an enzyme required for DNA replication in tumor cells. This effect has not been reported in humans.
Acetaminophen (Tylenol, Others)
Acetaminophen might interfere with the activity of glucosamine sulfate by interacting with the sulfate portion.
Anecdotal reports suggest that adding glucosamine to an acetaminophen regimen might decrease pain control in patients with osteoarthritis. Some research suggests that the sulfate portion of glucosamine sulfate might contribute to its effect in osteoarthritis. Since acetaminophen metabolism requires sulfur and reduces serum sulfate concentrations, acetaminophen could theoretically interfere with the action of glucosamine sulfate. Conversely, the administration of sulfate could theoretically decrease the effectiveness of acetaminophen in sulfate-deficient people by increasing its clearance.
Antidiabetes Drugs
Despite initial concerns, it is unlikely that glucosamine will interfere with the effects of antidiabetes drugs.
In vitro and animal research has suggested that glucosamine might increase insulin resistance or decrease insulin production. This has raised concerns that taking glucosamine might worsen diabetes and decrease the effectiveness of diabetes drugs. However, clinical research suggests that glucosamine does not have adverse effects on blood glucose or glycated hemoglobin (HbA1C) in healthy, obese, or type 2 diabetes patients.
Potassium
Ace Inhibitors (Aceis)
Using ACEIs with high doses of potassium increases the risk of hyperkalemia.
ACEIs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion. Concomitant use of these drugs with potassium supplements increases the risk of hyperkalemia. However, concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels.
Angiotensin Receptor Blockers (Arbs)
Using ARBs with high doses of potassium increases the risk of hyperkalemia.
ARBs block the actions of the renin-angiotensin-aldosterone system and reduce potassium excretion. Concomitant use of these drugs with potassium supplements increases the risk of hyperkalemia. However, concomitant use of these drugs with moderate dietary potassium intake (about 3775-5200 mg daily) does not increase serum potassium levels.
Potassium-Sparing Diuretics
Concomitant use increases the risk of hyperkalemia.
Using potassium-sparing diuretics with potassium supplements increases the risk of hyperkalemia.
Brand information
Manufacturer and brand details for Flex-Able Advanced, from the product label.
Country Life
See all Country Life products- Name
- Country Life, LLC
- Street Address
- 180 Vanderbilt Motor Parkway
- City
- Hauppauge
- State
- NY
- ZipCode
- 11788
- Web Address
- CountryLifeVitamins.com
Flex-Able Advanced by Country Life: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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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 Flex-Able Advanced’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Potassium
Interacts with 62 drugsPotassium is an essential mineral your body needs for nerve signals, muscle function, and a steady heartbeat, and most people get enough from a balanced diet rich in fruits and vegetables. P...
Read the full Potassium monograph → Herb & supplement monographBaikal Skullcap
Interacts with 946 drugsBaikal skullcap is a traditional Chinese herb (Huang Qin) used for inflammation, allergies, and infections, with active compounds like baicalin and baicalein studied mostly in the lab. Human...
Read the full Baikal Skullcap monograph → Herb & supplement monographCatechu
Interacts with 475 drugsCatechu is an astringent extract made from the heartwood of the Acacia (Senegalia) catechu tree, used traditionally for mouth sores, sore throat, diarrhea, and minor skin problems. Strong hu...
Read the full Catechu monograph → Herb & supplement monographGlucosamine
Interacts with 170 drugsGlucosamine is a natural compound found in cartilage and joint fluid, and it is one of the most popular supplements for osteoarthritis, especially of the knee. The evidence is mixed, with so...
Read the full Glucosamine monograph →Sources & How We Checked
Flex-Able Advanced'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 113 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.
Potassium 12 references
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Gennaro A. Remington: The Science and Practice of Pharmacy. 19th ed. Lippincott: Williams & Wilkins, 1996.
- Whelton PK, He J, Cutler JA, et al. Effects of oral potassium on blood pressure. Meta-analysis of randomized controlled clinical trials. JAMA 1997;277:1624-32. PubMed
- Phillips, C. O., Kashani, A., Ko, D. K., Francis, G., and Krumholz, H. M. Adverse effects of combination angiotensin II receptor blockers plus angiotensin-converting enzyme inhibitors for left ventricular dysfunction: a quantitative review of data from ra DOI
- Altieri, P. I., Herrero, C., Suero, R., and Ortiz, A. Bleeding duodenal ulcer in a patient taking slow-releasing potassium tablets. Bol.Asoc.Med P.R. 1977;69(8):276.
- Raf, L. E. Enteric-coated potassium chloride tablets and ulcer of the small intestine. Acta Chir Scand Suppl 1967;(374):1-87.
- Potassium chloride oral solution [package insert]. Allentown, PA: Lehigh Valley Technologies, Inc.; 2014.
- Potassium chloride injection [package insert]. Lake Forest, IL: Hospira Inc.; 2009.
- Patel RB, Tannenbaum S, Viana-Tejedor A, et al. Serum potassium levels, cardiac arrhythmias, and mortality following non-ST-elevation myocardial infarction or unstable angina: insights from MERLIN-TIMI 36. Eur Heart J Acute Cardiovasc Care 2017 Feb;6(1):1 PubMed
- Malta D, Arcand J, Ravindran A, Floras V, Allard JP, Newton GE. Adequate intake of potassium does not cause hyperkalemia in hypertensive individuals taking medications that antagonize the renin angiotensin aldosterone system. Am J Clin Nutr 2016 Oct;104(4 PubMed
- Keskin M, Kaya A, Tatlisu MA, et al. The effect of serum potassium level on in-hospital and long-term mortality in ST elevation myocardial infarction. Int J cardiol. 2016 Oct 15;221:505-10.
- Stallings VA, Harrison M, Oria M; Committee to Review the Dietary Reference Intakes for Sodium and Potassium, Food and Nutrition Board, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine. Washington (DC): National Acad
Baikal Skullcap 34 references
- Huang KC. The pharmacology of Chinese herbs. 2nd ed. New York, NY: CRC Press LLC. 1999;385-6, 400-1.
- Hui KM, Wang XH, Xue H. Interaction of flavones from the roots of Scutellaria baicalensis with the benzodiazepine site. Planta Med 2000;66:91-3.
- Liao JF, Wang HH, Chen MC, et al. Benzodiazepine binding site-interactive flavones from Scutellaria baicalensis root. Planta Med 1998;64:571-2.
- Nishioka T, Kawabata J, Aoyama Y. Baicalein, an alpha-glucosidase inhibitor from Scutellaria baicalensis. J Nat Prod 1998;61:1413-5.
- Zhang CZ, Wang SX, Zhang Y, et al. In vitro estrogenic activities of Chinese medicinal plants traditionally used for the management of menopausal symptoms. J Ethnopharmacol 2005;98:295-300. PubMed
- Fan L, Zhang W, Guo D, et al. The effect of herbal medicine baicalin on pharmacokinetics of rosuvastatin, substrate of organic anion-transporting polypeptide 1B1. Clin Pharmacol Ther 2007;83:471-6. PubMed
- Chen C, Mireles RJ, Campbell SD, et al. Differential interaction of 3-hydroxy-3-methylglutaryl-CoA reductase inhibitors with ABCB1, ABCC2, and OATP1B1. Drug Metab Dispos 2005;33:537-46. PubMed
- Pasanen MK, Fredrikson H, Neuvonen PJ, Niemi M. Different effects of SLCO1B1 polymorphism on the pharmacokinetics of atorvastatin and rosuvastatin. Clin Pharmacol Ther 2007;82:726-33. PubMed
- Konig J, Seithel A, Gradhand U, Fromm MF. Pharmacogenomics of human OATP transporters. Naunyn-Schmiedeberg Arch Pharmacol 2006;372:432-43. PubMed
- Chalasani N, Vuppalanchi R, Navarro V, et al. Acute liver injury due to flavocoxid (Limbrel), a medical food for osteoarthritis: a case series. Ann Intern Med 2012;156:857-60. PubMed
- Reichenbach S, Juni P. Medical food and food supplements: not always as safe as generally assumed. Ann Intern Med 2012;156:894-5. PubMed
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